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Alles over vlot zwanger worden, LH-piek, cyclus, ovulatie en zwangerschap
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episode 1: get pregnant

I want to get pregnant quickly

You've decided: you want to get pregnant! Probably as quickly and healthily as possible. Read on to learn what you can do and other interesting facts for a good start, your cycle, LH peak, and your fertility.

In short

  • Quitting smoking, drugs, and alcohol increases your fertility.
  • Of all couples trying to conceive, 80-90% succeed within a year.
  • The chance of pregnancy is highest if you have intercourse every 2 or 3 days in the six days before ovulation (ovulation occurs 2 weeks before the start of the next menstrual period).
  • Take 400mg of folic acid daily from the desire to become pregnant until 10 weeks of pregnancy.
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Your cycle and your fertility

To become pregnant, an egg must be fertilized by a sperm cell. In women, an egg is released from one of the ovaries, typically (almost) every month, during what is called ovulation. Ovulation occurs 14 days before menstruation. If you have a regular menstrual cycle, the timing of ovulation can be predicted quite accurately. However, if your menstrual cycle is irregular, it is more challenging to predict.

Around ovulation, you may notice changes in your body

  • During ovulation, you may experience increased vaginal discharge that is thicker and more slippery than usual. This type of discharge helps sperm cells reach the egg, which travels through the fallopian tube to the uterus.
  • Your temperature rises by 0.2 degrees Celsius just after ovulation and remains elevated for 2-3 days.
  • Your libido often increases (convenient!).
  • Some women feel ovulation as a sensation in the lower abdomen, just above the groin.
  • The LH surge in your urine increases around your ovulation.
  • When you track your menstruation, body temperature, and the appearance of your cervical mucus for a few months, you gain a lot of insight into your menstrual cycle and increase the chances of pregnancy.
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Calculate when your ovulation occurs using an ovulation calculator. Or use ovulation tests that measure the LH surge in your urine: the LH hormone is elevated around ovulation.

The likelihood of ovulation can decrease due to factors such as stress, very intense exercise or heavy physical labor, significant weight loss, low body weight, being overweight, or the onset of menopause.

Being intimate in the fertile period

To become pregnant, having intercourse every two or three days is usually sufficient. More frequent intercourse is fine but not necessary. Sperm cells can survive for a few days in the uterus. If you know when ovulation occurs, most pregnancies result from intercourse in the six days before ovulation.

Preparing for pregnancy: live healthily.

Fortunately, nature ensures that almost every child is born healthy. However, there are also things you can do to increase the chances of a healthy baby and a healthy pregnancy. This begins even during conception. Additionally, the first weeks of pregnancy are crucial for a child's development. Most women only find out they are pregnant after these initial weeks.

Folic acid

The chance of a child being born with spina bifida is small. You can further reduce this risk by taking folic acid. Taking 400 mg of folic acid per day helps promote the closure of the central nervous system around the 8th week of pregnancy. Continue taking folic acid until after 10 weeks of pregnancy.

Healthy weight

With a healthy weight, you have the best chance of pregnancy and a reduced risk of complications during pregnancy and childbirth. We define an optimal weight as a BMI between 20 and 25. Calculate your BMI here.

See if you can achieve a healthy weight with healthy nutrition. If this is challenging, consider making an appointment with a dietitian who can often provide quick and effective assistance. We collaborate extensively with the dietitians from Steenstra and de Vries at our West location.

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Smoking

Stop smoking well before you become pregnant. Smoking reduces fertility and increases the risk of fetal death, premature birth, and low birth weight. Smoking, as well as exposure to secondhand smoke during pregnancy, increases the risk of Sudden Infant Death Syndrome (SIDS). If you need help quitting smoking: roken en zwangerschap.

Alcohol

Consuming alcohol can affect your fertility and has an impact on the embryo in the early weeks of pregnancy. Drinking alcohol can also affect the partner's fertility. If you want to know all the details: alcohol and pregnancy

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Medication

When planning a pregnancy, only take medication after consulting with a doctor. This advice applies to both you and your partner. Sometimes, it's wise to stop medication before conception, switch to a different medication, or adjust the dosage. Only paracetamol is safe to use during pregnancy planning and throughout pregnancy without consultation.

Work

At your workplace, there may be conditions that can affect your fertility or have an impact during early pregnancy. Consider risks such as: exposure to hazardous substances like solvents or pesticides, irregular working hours (such as shift work and night shifts), physically demanding work, unhealthy stress, environments with noise/overpressure/body vibrations/extreme heat or cold, and exposure to radiation. Discuss the implications of these factors for pregnancy with your employer or an occupational health physician. Together, you can explore options for adjusting your tasks and/or working hours. If you work with young children and have never had chickenpox, consider getting vaccinated before pregnancy. More info here .

Drugs

Drugs negatively affect your fertility and can increase the risk of congenital abnormalities if used around conception.

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When to contact someone if you want to become pregnant?

  • If sexual intercourse is not successful, discuss this with your partner or contact your general practitioner or us to talk about it. Experience shows that this helps.
  • If you have a chronic illness such as diabetes, hypertension, thyroid disorders, epilepsy, thrombosis, asthma, depression, or anxiety disorders, it deserves extra attention even before pregnancy.
  • If there is a hereditary disease in your close family (or your partner's), such as cystic fibrosis, muscular dystrophy, Down syndrome, or spina bifida.
  • When you are related to your partner, the likelihood of an inherited condition manifesting is higher.
  • If it's unclear whether ovulation is occurring (for example, because you haven't menstruated for six months).
  • If you have been trying to conceive for a year without success.

Fertility consultation

Als getting pregnant isn't happening, understanding your cycle feels elusive, or you seek personal advice even before pregnancy, schedule an appointment with us or a local midwife for a preconception consultation. The midwife will ask zwangerwijzer to fill in some questions so she can prepare well for your appointment. This way, you can get in contact us.

Are you pregnant? Continue reading in our 9-month plan about:

  • The benefits of the Dutch maternity care system
  • Which midwife do you choose and how are you guided?
  • Healthy lifestyle: nutrition & exercise

And more:

For partners

  • The same applies to partners: quitting smoking, drugs, and alcohol increases your fertility.
  • If you are taking medication, ask your doctor or pharmacist if the medication could affect your fertility.

Read Tips

In the 'groeigids' and at strakszwangerworden.nl there are tips and advice on how to conceive as healthily as possible.

To do

  • Take 400 mg of folic acid daily
  • Above all, continue to enjoy each other's company; this makes getting pregnant easier.

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Interested in getting to know us?

You're welcome to join our online introduction session Meeting amstermam, given by one of our midwives. Here you will get acquainted with our approach and practice.

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