GREEN FLAGS

Older mothers should take extra-special care of themselves, including...

• GETTING GOOD ADVICE

If you’re over 35, see your healthcare provider before getting pregnant, Dr Matambo advises, to make sure all is well, and that any medical condition is treated prior to conceiving. “Tests may include a mammogram to exclude breast cancer, an ECG (electrocardiogram) if you’re suspected of having cardiac problems, and a cholesterol test, as levels may increase with age.”

• START TAKING FOLIC ACID

Before getting pregnant, vitamin B9 – which is found naturally in green vegetables, liver and kidney, nuts, seeds, lentils and oranges – is vital to help prevent neural tube defects such as spina bifida in the growing foetus. In South Africa, staple foods such as wheat flour and maize meal are fortified with folic acid, which is the synthetic form of the vitamin.

• STAYING ACTIVE

A brisk 20-minute walk every day will do wonders for your fitness and overall health, and make sure you’re ready for labour and birth.

• WATCHING YOUR WEIGHT

Speak to your healthcare provider about what your weight gain should be throughout your pregnancy, and stick to those guidelines.

• SEEING YOUR HEALTHCARE PROVIDER REGULARLY

This ensures that any problems can be detected early and managed accordingly.

• SPEAKING TO YOUR HEALTHCARE PROVIDER

Enquire about screening for abnormalities in the baby, such as Down syndrome and other chromosomal or structural abnormalities. The risk of these increases as you age.

• FOLLOWING A HEALTHY DIET

Make sure you get all the vitamins and minerals you need to support yourself and your growing baby. Speak to your healthcare provider about taking a vitamin supplement if you’re unsure.

• QUIT SMOKING, DRINKING AND/OR RECREATIONAL DRUG USE IMMEDIATELY

The dangers of these substances in pregnancy is proven without any doubt, and their effects on the baby can be catastrophic. If you’re having trouble quitting, get help.