Now, I'm not planning to get pregnant in the short term- I'm looking at starting having kiddies in 18 months or so. However, when I get pregnant I want to be in the best possible physical and mental state. I'm trying to develop a timeline for getting myself into a condition where I will be best able to cope with the rigors of pregnancy and motherhood.
At the moment, I'm slightly overweight, unfortunately quite unfit and have problems with low iron. I've just been diagnosed Bipolar II. I've got slight back problems from wearing inappropriate shoes when I was a growing child.
Currently, my pre-pregnancy timeline goes something like this:
18 months: Begin weight loss & exercise program (starting weight 74kg or approx 165lb), continue with iron supplementation to increase ferritin levels. Discuss with psychiatrist treatment for BPII, with particular regard for medications that have few ill effects relating to pregnancy/breast feeding.
12 months away: be at goal weight (62kg or 138lb), be participating in yoga program weekly for relaxation and muscle strength, pilates 2x weekly for strength, including back muscles. Swimming 2x weekly for aerobic exercise (along with running for the bus!). Stop using hormonal contraception. Get fully checked for STDs, any potential gynae problems. Iron level to be adequate, but keep up iron supplementation.
6 months away: Begin charting ovulation etc. so I know when my fertile periods are. Full health check. Increase calcium and iron in diet, maintain exercise/relaxation program. Recheck mood medications with psych and check for current advisories on medications and pregnancy. Begin folate supplementation. Reduce stress levels in life if possible. Abstain completely from unnecessary psychoactive drugs (aside from caffeine, which is limited to 100mg/day)
3 months away: Continue exercise, ovulation charting, begin "pregnant diet" (avoiding potential sources of food poisoning), continue drug abstinence, begin taking pregnancy multivitamin, establish regular daily routines. Contact local midwifery services to discuss potential services.
1 month away: Schedule more counselling services to deal with extra stress caused by TTC. Plan approx dates for beginning TTC, continue exercise etc. Avoid potential allergens. Have consultation with midwife. Reduce caffeine intake further (1 cup coffee/tea etc per day). Get large store of ginger for impending horrifying nausea.
Anything particularly unneccessary? Anything I should be adding in that I've overlooked?
(Sorry about the length)