Manhattan Women's Health and Wellness
  • MIDTOWN 51 EAST 25TH STE 451 New York, NY 10010
  • UPPER EAST SIDE 983 PARK AVE, STE 1D17 New York, NY 10028
  • UNION SQUARE 55 W. 17TH ST STE 104 New York, NY 10011

Pre-pregnancy CounselingPregnancy may be one of the most important milestones in some women’s lives. Pregnancy, or producing and carrying a future offspring, is considered an important medical condition that can come with its risks and obvious benefits. Before any pregnancy, the healthy start is to have counseling to improve your odds for a successful and healthy pregnancy.

A healthy pregnancy begins months before conception.

Gynecologist of Manhattan Women’s Health & Wellness offers comprehensive Obstetrics & Gynecology care in NYC for women of all ages. At our ob-gyn clinic, we provide a full range of gynecology services, from annual check-ups and routine pap smears to pregnancy counseling and GYN procedures, surgeries performed in our office or the hospital. Our state-of-the-art gynecology NYC facility is equipped with the latest ob-gyn equipment.

Nutrition in Pregnancy

While during the first trimester, your body does not require a significant increase in caloric intake to initiate a pregnancy, however as your pregnancy continues, the caloric intake for maintaining a healthy pregnancy also progresses. For this reason, it is important to evaluate your current nutritional status, diet, food allergies, and eating habits before pregnancy to decrease any potential bad outcomes in pregnancy due to nutritional deficits.

Certain diets such as Veganism or vegetarianism may require additional nutrient supplementation during pregnancy to ensure a healthy pregnancy. Additionally, several important vitamins and minerals are needed for pregnancy. Some of these recommended by the CDC include but are not limited to:


  • Folic Acid – helps prevent neural tube defects like spina bifida
  • Iron – helps promote oxygen transport and healthy blood levels
  • Vitamin D – helps build bone
  • Calcium – helps build bone in conjunction with vitamin D
  • B6 – helps with energy levels and may help prevent nausea and vomiting of pregnancy
  • B12 – helps promote energy, metabolism, and healthy blood levels
  • Other vitamins such as DHA (especially in lactating women) and Vitamin A, E, and several other minerals have also been shown to be beneficial in pregnancy

Discussion of Medical History

Early ultrasounds can prove indispensable in detecting abnormalities before and during early pregnancy.

Identifying medical concerns such as pre-existing diseases before pregnancy is crucial to proceed with a healthy pregnancy. Diseases such as diabetes and hypertension (high blood pressure) may need to be optimized before conceiving for the best chance at a successful pregnancy, whether facilitating conception or maintaining and carrying to term. A full history and physician is important, especially for these reasons.

Your gynecologist at Midtown gynecology clinic will also discuss your uterine and ovulatory health, especially if you have a history of abnormal bleeding, which can sometimes mean you may have a disturbance in the uterus such as fibroids or polyps that can lead to miscarriages or inability to become pregnant. Ultrasounds can help identify these issues.

Taking a list of current medications and discussing which medications are considered safe in pregnancy is very important. Many medications can lead to congenital disabilities, even if taken when a woman is pregnant but has not yet missed her menses. Some medication that may not be safe to take at different portions of pregnancy can include but are certainly not limited to:

  • Pepto-Bismol, or Bismuth subsalicylate
  • Ibuprofen (Advil, Motrin)
  • Medications with Guaifenesin, phenylephrine, or pseudoephedrine (cold medications)
  • ACE Inhibitors such as lisinopril
  • Accutane for acne
  • Valproic acid, a medication commonly used for preventing seizures
  • Doxycycline, tetracycline, chloramphenicol, aminoglycosides common antibiotics
  • Warfarin for prevention of blood clots
  • Lithium a medication used for psychiatric disorders
  • Paroxetine a medication used for depression
  • Xanax, Alprazolam, used for anxiety

Pre-pregnancy CounselingGenetic condition screening should always be offered to women attempting to become pregnant. This can reduce the risk for miscarriages and potential help in receiving an early referral to a facility that deals with the specific or underlying genetic disorder.

Immunization status, recent travel, sexually transmitted diseases, and healthy weight are also portions of the exam that your gynecologist may discuss with you when trying for the best outcome in pregnancy.

Important Reminder: This information is only intended to provide gynecology guidance, not definitive medical advice. Please consult an OBGYN doctor about your specific condition. Only a trained, experienced gynecologist or certified gynecology specialist can determine an accurate diagnosis and proper treatment.

Have questions about Pre-pregnancy Counseling? Please schedule an appointment with the best-rated OBGYN specialist in Manhattan, New York, Dr. Fernando Mariz, by calling our office today.

Updated on Jul 8, 2021 by Dr. Fernando Mariz (Gynecologist), Manhattan Women’s Health and Wellness
Best-in-class New York Gynecology Clinic

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New York City Locations: Manhattan Women's Health & Wellness (Upper East Side) 983 Park Ave, Ste 1D17
New York, NY 10028
(212) 389-1904
Manhattan Women's Health & Wellness (Midtown) 51 East 25th St, Ste 451
New York, NY 10010
(212) 677-7654
Manhattan Women's Health & Wellness (Union Square) 55 W 17th St, Ste 104
New York, NY 10011
(212) 378-9985
DISCLAIMER: PLEASE READ CAREFULLY The information on this website is to provide general information. The information on this website does NOT reflect definitive medical advice, and self-diagnoses should not be made based on information obtained online. It is important to consult a physician for a consultation and examination regarding any symptoms or signs you may be having. Your physician should make an accurate diagnosis and treatment plan to exclude a serious condition.