Is it possible to get pregnant after cleaning. Is pregnancy possible after cleansing and when will it be possible to take a step towards a happy event

The curettage procedure for a missed pregnancy is to remove the unwanted contents of the woman's uterus. The operation is also performed after abortions, as a result various pathologies uterus and miscarriages. In most cases, cleaning is successful, but women always care main question: is it possible to get pregnant again? Gynecologists say that a few months after the procedure, a woman is able to conceive a child.

Theoretically, a woman can become pregnant after suffering a missed pregnancy in the next cycle, only for this it is necessary to find out the reasons that provoked the fetal fading. Otherwise, it is possible that the loss that occurred will happen again.

In order to have an idea about this pathology, one should know the scheme of its appearance: after its fertilization, the egg is fixed on the walls of the internal mucous membrane of the cervix, after which the fetus begins to develop. If fertilization has not occurred, then the endometrium changes, is rejected and leaves along with menstrual bleeding. When, for one reason or another, in the first trimester of pregnancy, problems arose with the development of the embryo, which led to a limitation of its viability, then in this case, removal should be carried out exclusively by surgery. One of the most common manipulations in this case is curettage (gynecological cleaning or curettage). The essence of the procedure is to remove the upper functional layer of the uterine mucosa and, depending on how professionally the operation was performed, the duration of the woman's postoperative recovery, as well as the likelihood of complications, will depend.

To date, cleaning is carried out during the diagnosis and treatment of many diseases of the internal genital organs of women. In this case, not only special tools are used, but also medicines dilating the cervix.

In order for a full-fledged pregnancy to occur without complications after cleaning with a missed pregnancy, it usually takes several months for full recovery injured organ.

In medical practice, curettage is carried out using two technologies:

separate, in which the cervical canal is first cleaned and only after that - the uterus itself. To establish an accurate diagnosis, the resulting analysis is sent for cytological examination. An analogue of the separate curettage procedure today is hysteroscopy. This minimally invasive examination uses a special hysteroscope, which is inserted into the uterus, allowing you to monitor the progress of work. Thanks to this low-traumatic method, a woman can think about next pregnancy already a month after cleaning;
conventional curettage is a more traumatic procedure, as it is done blindly. For the speedy recovery of the organ, the operation is carried out 2-3 days before the onset of menstruation.

Indications for cleaning

Cleaning the uterus is carried out for several reasons. Largely in order to take a scraping for research if some diseases are suspected. Scraping is also done to remove neoplasms, eliminate complications after abortion, miscarriages or missed abortions.

Indications for scraping:

changes in the internal mucous membrane of the uterus (hyperplasia and other local formations);
polyps;
intermenstrual bleeding and during menopause;
pathology of the cervix;
frozen pregnancy;
miscarriage;
intrauterine adhesions, endometriosis.

In some cases, according to the doctor's prescription, before the curettage operation during a frozen pregnancy, the patient must donate blood for analysis and determination of its coagulability, a smear for the flora and an analysis for the detection of genital infections.

2 days before surgery should be discarded intimacy, douching and use of funds intimate hygiene. Washing is only recommended. warm water. Vaginal suppositories, tablets or sprays can only be used as directed by a gynecologist. Immediately before the operation and before it is carried out, you should try to refuse food and drink. This is necessary for the normal conduct of anesthesia.

What is the scraping procedure

The duration of the operation is no more than 30 minutes. It is carried out under general anesthesia, after the introduction of intravenous anesthesia, the patient falls asleep within 2 minutes. To fix the uterus in a stationary state, the doctor inserts a speculum into the vagina and fixes it with a special tool. After dilatation of the cervix, curettage is performed with a curette - a special surgical instrument.

At the end of the operation, the doctor treats the cervix and vagina antiseptic solution, and in order to stop the bleeding as soon as possible, the uterus has contracted, ice is placed on the woman's stomach. In some cases, vacuum aspiration is used to remove a non-viable embryo. After that, the gynecologist sends the scraping taken to laboratory research. Histological analysis of a missed pregnancy allows you to find out the causes of what happened. next pregnancy after vacuum cleaning can be scheduled no earlier than 3 months.

During the next 2 weeks, the patient is not recommended to have sex. The fact is that the endometrium is injured, the uterus after manipulations for some time is in open form therefore, the risk of pathological infections is extremely high. In addition, sexual contact can cause sharp pains for a few more weeks after cleaning a missed pregnancy.

Complications after cleansing

If the cleaning during a frozen pregnancy was carried out in compliance with all the rules, then, as a rule, there are no postoperative complications. However, an incorrectly performed scraping procedure can lead to complications such as:

tearing of the cervix as a result of slipping forceps. For large tears, it is necessary to suture;
suturing also requires punctures and trauma to the uterus;
as a result of curettage, blood can accumulate in the uterus, and this sometimes leads to infection of the organ;
in case of violation of antiseptic requirements and the absence of antibiotic therapy in the uterus, an inflammatory process may occur. The first sign of inflammation is a high temperature after brushing;
the risk of damage to the endometrium with the inability to further recovery;
poor-quality curettage of polyps, in which the pathology is not completely removed and requires a second operation.

Menstruation after scraping

The first menstruation after cleaning a frozen pregnancy usually appears after a month and a half, but this parameter completely depends not only on the state of health of the woman, but also on her individual menstrual cycle. Only in the case when a woman has made an artificial termination of pregnancy by medical means (abortion), it will take more time to restore the reproductive functions of her body.

A serious reason to visit a gynecologist is the fact that, as a result of curettage, the patient observes copious or scanty spotting, accompanied by pain in the lower abdomen and high temperature body.

The situation in which, after scraping menstrual cycle does not recover within 3 months, should also be the reason for contacting the gynecological department. It should be remembered that after cleaning with the removal of a non-viable fetus, heavy menstruation may last longer than usual. And their complete absence V this case talk about a serious pathology.

Recovery after cleaning a missed pregnancy

The rehabilitation period after the curettage procedure in some cases drags on for several months. In the first days after successful surgical intervention the patient can be discharged home. In this case, the gynecologist prescribes certain antibiotics and painkillers for admission. Upon arrival from the hospital, it is better for a woman to observe bed rest within 24 hours, additional physical exercise during this period can lead to blood loss.

In the first weeks after the operation to remove a non-viable fetus, doctors advise you to refrain from sexual intercourse. It is also important to know that pregnancy after cleaning the uterus can occur almost immediately. Therefore, if conception is undesirable, then take care of contraceptives.

You should immediately consult a doctor if:

a few days later, your body temperature has risen to 38 degrees;
increased bleeding;
menstruation does not end within 2 weeks;
antispasmodic drugs do not eliminate severe pain in the lower abdomen;
vaginal discharge with an unpleasant odor.

Discharge after cleaning a missed pregnancy

Since the curettage procedure requires urgent surgical intervention, it almost always entails tissue damage that requires a long recovery. That is why patients are often haunted by discharge after cleaning a missed pregnancy.

In this case, you should not panic, as gynecologists call this condition the norm and a completely natural process. The timing of a woman's recovery will depend entirely on her physiological features and usually postoperative bleeding lasts no more than one week. A month after the scraping procedure, if recovery the uterus is coming according to plan bloody daub stops completely.

The operated patient after discharge from the hospital should monitor the abundance of discharge and their nature. If the pad is completely soaked with blood in less than 60 minutes, then you should inform your gynecologist about this. Infection of the uterus may result in bad smell that accompanies the selection. These effects are usually associated with sharp pains in the lower abdomen, and in this case it is impossible to delay a visit to the doctor. The specialist is obliged to find out the nature of the secretions and the reasons that provoked them. Are they a consequence inflammatory process in the uterus, or is it just a postoperative phenomenon.

In order to avoid unpleasant consequences after cleansing, women are advised to monitor their health and its signals more carefully. It is highly contraindicated hypothermia, stress and any physical activity.

Conception after a frozen pregnancy

It is necessary with all responsibility to plan a new conception for a woman who has suffered a missed pregnancy. First of all, you need to find out what caused such unfortunate consequences, for this, partners must undergo an examination to identify genetic and hormonal disorders and infections of the reproductive system.

Such a survey should include:

blood sampling to determine the level of progesterone and estrogen;
smear on the flora and the presence of infections;
ultrasonography;
histological analysis of uterine tissues;
genetic testing for partner compatibility.

Pregnancy immediately after cleaning cannot be planned until certain problems are identified that led to the death of the fetus. Only after the partners have undergone appropriate treatment, the doctor will recommend favorable terms for conception.

Significantly reduce the likelihood negative consequences You can change your lifestyle by:

Quit smoking and drinking alcohol.
Avoid radiation, including x-rays, exposure to chemically active substances, potent drugs.
Set up proper nutrition: take multivitamin complexes, relax and do gymnastics.

Pregnancy after cleansing is a serious test for both women and men. It is very important to overcome your psychological barrier, work on yourself, lead healthy lifestyle life, avoid stress and try to get pregnant again.

Pregnancy after cleansing. Video

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In a woman's life, there may be various situations or diseases in which gynecological curettage will be necessary: after a miscarriage, during abortions (if pregnancy is undesirable), with prolonged bleeding. You can get pregnant after cleaning the uterus, but, unfortunately, you need to wait a bit so that there are no problems during gestation and conception.

Is pregnancy possible after scraping?

Is it possible to get pregnant after cleaning? Cleansing or scraping is an operative intervention, during which the specialist removes all the contents of the organ and its mucous layer from the uterine cavity. This procedure is shown:

after a miscarriage or pregnancy, which ended in fetal fading;
with significant defects in the child;
if you need to eliminate an unexpected pregnancy;
after a difficult delivery;
with some gynecological diseases.

Since such a surgical manipulation does not contribute to the violation reproductive function, then a woman can get pregnant again.

This procedure makes the endometrium much thinner, injures the uterine cavity, which must be taken into account when planning conception. In addition, cleaning can lead to hormonal imbalance and it takes time to normalize. All this greatly complicates the process of bearing the fetus.

For normal course pregnancy, after scraping, you need to undergo a thorough examination and consult about conception with an experienced specialist. The reason for the manipulation and the condition of the lady will be taken into account.

Consequences for pregnancy?

Scraping is stressful condition for the body in the physical and emotionally. Sometimes the formation of speck is possible, which will prevent the onset of a subsequent pregnancy. The woman may become infertile.

To prevent such serious consequences, you should think 100 times before doing this operation. If there is no other way out, then it is important to choose qualified specialist with great experience. Previously, a woman must undergo a diagnosis.

After cleaning you need:

comply with all medical prescriptions;
regularly visit a gynecologist;
be examined before the planned conception;
undergo a therapeutic course that will exclude the development of the inflammatory process;
not having sex for a month;
be protected for the period indicated by the doctor so that conception does not occur (the body needs rest and time to recover).

Any deviation after scraping can cause a lack of pregnancy in the future, therefore, at the first ailments, you should consult a gynecologist.

Features of pregnancy and childbirth after cleaning

Women who have previously undergone uterine cleansing need to be especially careful during gestation.

If the lady did not wait long and became pregnant immediately after curettage, she risks losing the baby or getting placenta previa. This is due to the fact that the endometrium did not have time to recover after surgical intervention. Such women are usually under the supervision of a doctor all the time, they can stay in a hospital for a long time. Supportive medications must be prescribed by a doctor.

If the girl did not give birth and she was cleaned, the uterine cervix could be injured. In this regard, she will not be able to hold the growing fetus, which will lead to a miscarriage. In such cases, the cervix is sutured before delivery.

Some ladies cannot psychologically come to terms with the loss of a previous heir (if the reason for the purge was a miscarriage or missed pregnancy). Constant worries keep the uterus in good shape, which can also lead to the loss of a child. Here you will need the help of a psychologist and the support of loved ones.

In order for pregnancy and childbirth to be as successful as possible, you need:

eat a balanced diet;
walk more in the fresh air;
do not rush to get pregnant after scraping;
do not lift heavy;
less nervous;
take vitamins;
coordinate the intake of any medications with a gynecologist;
at the first deviations go to the hospital.

When is the best time to plan a pregnancy?

When Can I Get Pregnant After a Womb Cleanse? It is not recommended to think about conception after cleaning immediately. To restore the wound surface, hormonal and emotional background need 6-12 months. It is also important to understand and eliminate the reason for the operation. All negative factors should be removed in advance.

If the curettage was done for the purpose of an abortion associated with unplanned pregnancy, then a woman needs at least 3 months to recover, sometimes six months or more. It directly depends on how long the cleaning was carried out. If the period is significant, then the thinning of the mucous membrane is strong. If you do not give her the opportunity to recover, then the fetal egg may attach outside the uterus or there will be placental presentation.
If polyps were removed from the uterine cavity, then you can think about conception in a couple of months, since a small area of \u200b\u200bthe endometrium was affected. During this time, a histological examination of the material obtained will be done. If the tumor is malignant, then pregnancy will have to be forgotten for the duration of treatment. This may take 1 year or more.
Getting pregnant after cleaning, which was done with hyperplasia or endometriosis, will not work right away, or rather it is undesirable. It is necessary to wait until the mucosa is restored for six months or more, because after such a surgical intervention there is a significant wound surface.
If the reason for cleaning is miscarriage or frozen pregnancy, then before planning the next, you need to thoroughly examine. After eliminating the cause, careful treatment of all dysfunctions, we can talk about conception. After scraping, at least six months should pass. Given that the treatment serious pathologies sometimes it takes more than one year, then usually women become pregnant after 1-5 years.
Postpartum curettage drains female body. In order for everything to return to normal, you need to wait at least 1-1.5 years.

You need to think about pregnancy when not only physical recovery but also emotional. If the woman's psyche is not stable, there are often nervous breakdowns or vice versa passivity, then you first need to visit a psychotherapist. The hormonal background is important. It takes at least 6 months to recover. You should also take into account the individual characteristics of each woman. If half a year is enough for one, then another year will not be enough.

Conclusion

Pregnancy after cleaning the uterus should always be planned in advance. In such a case, one cannot rush, because the body must recover both physically and psychologically. Before conception, it is advisable to consult a gynecologist, examine and cure all pathologies that will interfere with fertilization and gestation.

It is important to listen to the advice of your doctor, because an ill-considered pregnancy can end in a miscarriage or premature birth with fetal death. It is important to eliminate the cause of the previous miscarriage (if any).

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According to some medical indications, a woman has to resort to cleaning - separation of the mucous layer from the uterine cavity. This happens with a missed pregnancy, as a result of its spontaneous termination, for the purpose of medical abortion, with birth complications and bleeding.

Sometimes curettage (curettage) is performed to get rid of pathological neoplasms, for diagnosis.

As a result of curettage, the mucous layer becomes thin, inner surface The uterus is an unhealed wound, and pregnancy after curettage may not occur.

According to doctors, after such manipulation it is possible to become pregnant, but it is not worth risking the health of the expectant mother and baby.

To the question of whether it is possible to get pregnant after scraping, each representative of the weaker sex should approach responsibly. Doctors believe that theoretically you can conceive immediately with the onset of the cycle, but reproductive organs until they are ready to bear a fetus.

After curettage, the hormonal background changes, as evidenced by the absence of normal periods for more than 35 days. It will take almost 2 months to restore it.

The usual uncomplicated cleaning will allow a woman to get pregnant quickly, but in order to avoid a threat to the health of the mother and child, you should not rush into this. Given the factors that led to curettage, the doctor will give recommendations when to plan conception:

In the event of an abortion, the regeneration period takes at least three months. The later the pregnancy had to be terminated, the longer the recovery period is given, because the endometrium becomes very thin, and there will be a problem with the implantation of the embryo.
If curettage was necessary to remove polyps, it will take time to obtain histological analyzes. If they are normal, you can plan a child.
Time for treatment and recovery will be needed after hyperplasia that violates the mucous layer.
The pathology of pregnancy that led to the cleansing requires careful study. Its risk must be minimized by thinking about future conception.
There are complications after the removal of residues gestational sac when the fragment remains in the uterine cavity. This is accompanied by an increase in temperature spotting, an increase in the reproductive organ. Doctors advise to refrain from pregnancy for at least another six months.
In case of miscarriages, their cause is found out (infection, tumor formations, endocrine disorders, immunological incompatibility, stress) and a new conception is planned, eliminating it.

How scraping happens

It is carried out a couple of days before the onset of menstruation, which implies less blood loss and speedy rehabilitation. Curettage is preceded by the delivery of tests:

blood;
for infections;
vaginal smear;
coagulograms (blood clotting).

A couple of weeks before cleaning the uterus, they stop drinking pills, 2-3 days they give up sexual activity, do not use chemicals hygiene. Refrain from eating 8 hours before the operation.

The process itself takes 30-40 minutes and is performed in a women's chair under anesthesia. The genitals are treated with an antiseptic. The doctor dilates the cervix and inserts a probe into it, conducting a hysteroscopy (examination of the internal uterine surface), or starts scraping. Manipulation is carried out with a curette, which scrapes off the upper layer of the mucosa. The material in the test tube is transported to the laboratory.

Recover after scraping from six months to a year. All this time you need to be examined by a doctor and monitor your health.

Conception after curettage

You can resume no earlier than a month later, until the cervical canal closes, the uterus contracts, and the mucosa begins to recover.

In practice, pregnancy can occur immediately after curettage. However, there are a number of conditions under which imminent conception abstain:

Vesical drift, polyposis, adenomatosis, hyperplastic process - with these diseases that require cleaning, it is necessary further treatment and medical supervision.
, miscarriage - in such cases, a woman usually experiences a strong emotional shock, so you should not rush with a new conception.

How long does it take to recover after surgery? Physical activity is excluded for up to 6 weeks, a taboo is imposed on sex for a month so that the cervix and other organs do not get injured, an appointment is prescribed hormonal drugs for rest and resumption of reproductive function. A woman should be regularly examined by a gynecologist.

Pregnancy should be planned based on the reasons for which the cleaning occurred. The period of abstinence from conception ranges from 2-3 months to six months or more. The doctor regularly examines the cervix and other reproductive organs to make recommendations about conception.

Possible Complications

Pregnancy after cleaning the uterus is immediately undesirable, since the surface of the organ looks like an open wound and is extremely vulnerable.

If menstruation does not begin within a month after curettage, it is urgent to contact a medical institution. Probably, the complete absence of discharge is caused by a spasm of the cervix and the accumulation of blood in its cavity.

If the discharge has an unpleasant odor and unusual color, we can talk about the penetration of infection.

Sometimes after cleaning severe pain during menstruation. They are called congestion in the uterus. Painkillers such as No-shpy will relieve spasm.

The doctor prescribes antibiotic therapy and other drugs to restore reproductive function.

Since the operation is performed by a doctor blindly, no one can guarantee its 100% success. If the germ layer of the endometrium is damaged, infertility is possible.

After cleaning, there is a complication - bleeding. Normally, it lasts no more than 10 days. If this period increases, an infection should be sought in the body.

Infertility after scraping

One of the consequences of curettage is infertility. It may be the result of cleaning early dates pregnancy along with chronic inflammatory processes, ovarian dysfunction, ectopic conception, anomalies and bleeding during subsequent births.

Using surgical instruments, the doctor can cause a violation of the integrity of the uterus, up to its perforation - a penetrating wound. Subsequently, scars remain on the wall of the organ, which prevent the fetal egg from attaching.

The inability to bear a child is observed in women with uterine pathologies. They prevent the implantation of a fertilized embryo and increase the risk of miscarriage. Uterine infertility is combined with ailments in the cervical region - hypertrophy, atresia and polyps.

Frozen pregnancy and the cleaning process often lead to the fact that conception does not occur due to the developing inflammatory process - endometritis. The mechanical effect on the mucous membrane negatively affects the immune system, an infection can penetrate into the uterus. If you delay a visit to the doctor, you can forever lose the chance to become a mother.

Resumption of menstruation

Usually the first menstruation appears 4-5 weeks after surgery. The cycle is regulated after 3-6 months.

Possible drugs to restore reproductive function - oral contraceptives, which are accepted according to the scheme.

Physiotherapy is widely used:

EHF (prevention of endometritis);
ultrasound (against adhesions in the uterus);
phototherapy (anti-inflammatory effect).

Treatment of the cervix is carried out in the form of sorption therapy, treating the cervical canal with a special solution that combines the properties of a sorbent and an antiseptic.

To restore the hormonal background of a woman, contraceptives, vitamin E, magnesium, zinc are prescribed.

To plan a pregnancy after cleaning, the woman's menstrual cycle must be fully restored. Proper Behavior and compliance with all prescriptions reduce the risk of complications to zero.

Curettage of the inner layer of the uterus is an operation in gynecology, which can terrify those who have encountered this problem for the first time. Surgery is performed for both therapeutic and diagnostic purposes. Is it possible to get pregnant after scraping, and for how long after cleaning this will happen - the main questions that concern women before this procedure.

Read in this article

Reasons for surgery

There are several types of curettage (cleansing the uterus or curettage).

Diagnostic curettage is carried out in such cases:

failure in the menstrual cycle;
spotting after menopause;
the likelihood of a disease such as uterine cancer;
infertility of unknown origin.

Therapeutic curettage is carried out with the following diagnoses:

endometritis (pathology in the upper layer of the endometrium);
endometrial hyperplasia (abnormal change and growth of it);
uterine bleeding (cleansing to eliminate it);
consequences (incomplete interruption, inflammation provoked by it).

The causes of curettage can also be directly abortion, miscarriage, consequences (removal of the remnants of the placenta).

Surgical procedure for cleaning the uterus

Many women are interested in how scraping is done. modern medicine made sure that the procedure was painless for the patient under anesthesia. One of the best anesthetics is propofol, which provides a mild and comfortable result. The technique of abortion and curettage is almost the same: the cervix expands and its inner layer is cleaned.

Curettage: consequences and complications

The described procedure is considered quite safe. There is some risk of complications, but they are quite rare:

complication after anesthesia;
infection after surgery;
rupture of the uterine wall.

At proper conduct curettage by an experienced doctor and an anesthesiologist, as a rule, does not have negative consequences.

Treatment after scraping

Sexual rest for two weeks after surgery is a guarantee of reducing the risk of complications. With endometrial hyperplasia, the doctor will prescribe a course of hormone treatment to eliminate the likelihood of recurrence.

With folk remedies, you need to be as careful as possible, because douching is prohibited for at least 2 weeks. herbal infusions and decoctions.

Planning for pregnancy after cleaning the uterus

Is it possible to get pregnant after curettage? There are practically no problems with this: a woman can become pregnant two to three weeks after surgery. Consultation with a doctor is needed only if it is impossible to become pregnant after more than long term. As a rule, it is six to nine months. The specialist will also recommend a time favorable for conception, when the patient's body is fully restored.

Ectopic pregnancy: causes, chances of becoming a mother

If the question arose, how to get pregnant after ectopic pregnancy, then more effort will be required. It should be understood that the cause of the appearance of pathology is a violation or blockage fallopian tube. As a result, the fetus does not develop in the body of the uterus, which carries serious threat for a woman's life. Since the risk of re-encountering the situation is quite high, it is worth preparing for conception in advance.

To avoid, you should contact a gynecologist at the very early stages and eliminate the factors that provoke the pathology of the location of the fetus, which include:

infections of the genitourinary system;
postoperative changes in the pelvic organs;
general hormonal changes.

A clear control of these negative manifestations will protect a woman from the occurrence or recurrence of an ectopic pregnancy.

Frozen fruit: the end of dreams or a fatal accident?

There is a myth that after a frozen pregnancy, a woman will never be able to become a mother. Regular visits to the gynecologist, careful examination dangerous signs prevent disaster. To such symptoms that should alert future mother, relate:

bloody issues;
weakness and high fever;
discrepancy between the size of the uterus and the expected duration of pregnancy.

An unhealthy lifestyle that can provoke fetal death is one of the first provocateurs of pathology.

You can study the topic in more detail in our article. From it you will find out who has a higher risk of encountering trouble, what signs will indicate the fading of the fetus, what the pregnant woman feels, what threatens the mother’s condition, and what to do to no longer face pathology.

Medical abortion: consequences and prognosis

Unlike what we are used to surgical abortion(up to 12 weeks from conception) and vacuum (up to 5 weeks after fertilization), medical abortion is considered more gentle in early pregnancy. The disruption, arrest of the development of the fetus and then its death is carried out with the help of michoprostol, mifepristone, postinor and pencrofton.

It should be remembered that the frequent use of these drugs is unacceptable and will lead to either infertility or recurrent miscarriages. This is an extreme method, which in no case should become a habitual practice, which will end in the woman's inability to become a mother.

After medical abortion you can get pregnant in a couple of weeks, but this is not enough for a complete recovery of the body. six months of protection next conception- a prerequisite that is recommended by doctors. get pregnant after medical interruption pregnancy is quite realistic with strict observance of all the rules.

Attentive attitude to your health before adding to the family and during the bearing of a long-awaited child, regular consultations with specialists is the key to a happy motherhood in the future.