Brief Answer:
All the best.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
Early pregnancy has to be handles with a lot of care of small things which make a big effects.
You should -
- visit a gynecologist for booking of pregnancy
- start taking folic acid tablet
- avoid doing heavy work like lifting a bucket full of water or a pile of books or clothes.
- routine household chores can be continued as before.
- adequate rest of at least 7-8 hours at night and if possible 1-2 hours in day
- small frequent meals which should include healthy stuff like milk, sprouts, cheese, soya, green leafy vegetables and fruits.
- almonds, pine nuts and walnuts are very good for her
- drink a lot of water
- she should avoid climbing stairs at a fast pace.
- an ultrasound and blood investigations in next week so as to screen for certain things which is a routine in all pregnant women
- keep a regular follow up with your gynecologist as advised by her.
Take care and wish you a healthy baby soon.

Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

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Brief Answer:
Appendix operation will not cause any problem.

Detailed Answer:
Hello.
Thanks for writing again.
The appendix operation that you had will not create any problem in having a normal delivery.
As you have decided to start family, you must take Vitamin-E & Folic acid supplements for at least 3 months before and after conception.

Before planning a pregnancy, some investigations are mandatory and some need for general health. This is called pre-conceptual investigations.

a) Fresh Semen analysis of your husband with 3-4 days abstinence from sexual intercourse or masturbation.
b) FOR BOTH- Blood test for Hb%/ TC/ DC/ ESR, Fasting & PPBS (blood sugar), Blood Group & Rh Typing, Test for Thalassemia, VDRL test to rule out STD and HIV 1 & 2
c) Specific hormone testing like thyroid profile, Day-21 progesterone hormone assay (to confirm ovulation on that cycle), Anti Mullarian Hormone ( to assess ovarian function).
d) One ultrasound scan (USG) to check reproductive organs in details.
e) For tubal patency- One HSG scan (Hystero Salpingography).
f) Routine & microscopic urine examination.
g) General health check up including measurement of Blood Pressure, Height & Weight , BMI calculation, Significant past medical or family history.

Steps to be taken to become pregnant successfully:

a) All above mentioned investigations must have to be normal. Otherwise, supportive medications are needed to be taken after consultation with your doctor.
b) Do not use any type of contraception method (like OCP/ Condom etc) for at least 3-4 months before planning of pregnancy.
c) Your period must be regular in 28-30 days cycle (Preferably). Though 21-35 days cycle is normal.
d) Calculate your ovulation time which occurs 14 days before next due date and fertile days will be 10th-18th day for each 28 days regular cycle.
e) Have to unprotected sex daily/ alternate day on fertile days for high chance of successful pregnancy. Sperm can survive 3-5 days within female genital tract after ejaculation while ovum can survive 24-36 hrs after ovulation.
f) You have to sex each month particularly on those days for 1 year to be pregnant by natural method.
g) To predict your ovulation, you can use ovulation prediction kit (OPK) or LH kit.
h) Take healthy balanced diet with more green vegetables & fresh fruits. Drink more water/ fluids to stay hydrated and for better body circulation. You may take an additional good health drinks. Always take cooked foods with complete avoidance of fatty/ junk/ fast/ spicy food stuffs. You can take dry fruits like almond, walnuts etc.
i) Avoid mental stress/ tension/ depression by regular yoga or breathing exercise.
j) Control body weight by regular physical exercise- jogging/ running/ treadmill etc.
k) Maintain genital hygiene with proper cleaning and shaving. Wear only cotton underwear.
l) Always take a sound sleep with complete body relaxation.

You need to check your pregnancy by doing one home pregnancy test with urine after 7 days of missed period. Blood test for beta-HCG & ultrasound scan gives more accurate result on pregnancy status.
All these precautions do help in having a normal pregnancy and thus a normal delivery later on.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

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