Fetal stage of programming. Strategies for a good prenatal care

Abstract

Fetal programming assumes that pregnancy is the period of greatest susceptibility to acquire changes in the cell nucleus as an adaptive response to the presence of certain morbid processes, which, if maintained over time, will be expressed as pathologies in the child, adolescent or adult such as obesity, dyslipidemia, metabolic syndrome, high blood pressure, ischemic heart disease, metabolic diseases such as type 2 diabetes mellitus, psychiatric diseases such as schizophrenia, anxiety, bipolarity, depression, and other neurological diseases such as autism, epilepsy, Alzheimer, and Parkinson's disease. The objective was to analyze situations to be considered during the preconception, prenatal and postnatal consultation, in order to have an optimal environment in the first 280 days of the individual's life. Conclusions: The correct gynecological and obstetric control should be oriented to look for a healthy adult, considering the fetus as a patient. A correct programming of the healthy adult begins in guaranteeing the health of the mother before and during pregnancy, childbirth and the puerperium.