Blood Group and Rh factor
It is really important to know the blood group of your partner or the person that one is marrying. Besides the fact that knowing your partner’s blood group can save his or her life during an emergency it is useful to understand the possibility of blood group incompatibility amongst the partners. This blood group incompatibility can lead to a condition called haemolytic disease of the new-born (Erythroblastosis foetalis- a condition affecting new-borns where there blood is destroyed by maternal antibodies). It is usually caused when a Rh negative mother is pregnant with a Rhesus positive. Very rarely this can also be caused due to ABO incompatibility. Knowing the blood group can help in specific treatment that can prevent this condition and also help manage the baby in case this occurs.
- Sexual Health Screening
Sexual health screening packages involves the screening for the sexually transmitted diseases such as HIV, HBsAg, HCV and other disease such as chlamydia and gonorrhoea.
Many couple also opt to undergo the TORCH testing which includes Toxoplasma, Rubella, CMV and herpes. Understanding the sexual health of the partner ensures that necessary steps are taken in the prevention of the transmission of the condition to the unaffected partner and to the baby later
- Screening for variant haemoglobins and abnormal haemoglobins
It is important to screen both partners for variant haemoglobins such as Thalassemia’s and abnormal haemoglobins such as sickle cell disease. These conditions are transmitted genetically to the offspring’s. If such a condition occurs in any or both of the partners genetic counselling can be advised and they can take necessary steps to prevent the transmission to the babies
- Fertility Testing
This test done to ascertain the fertility of a couple. This test is absolutely optional and a couple may or may not opt for this. The test measures the levels of the reproductive hormones in both partners along with few other tests like semen analysis and ovulation studies
5.Screening for genetic disorders
If any of the partners have a history of genetic diseases in the family it is a good idea to get a genetic screening done. Many diseases like cystic fibrosis, neurofibromatosis, Tay-Sacch’s disease and many other diseases are of genetic origin and transmitted from parents to their children. By knowing whatever genetic disorders one is harbouring one can undertake measures, like genetic engineering, to reduce the risks of transmitting these conditions to their children.
- Mental Health Screening
Whether or not to get the mental health screening before marriage is again optional. If the mental health is assessed and needs attention it can be treated and that can prevent a lot of problem that may occur in life later on. Also some mental health problems run in families and therefore it is important to be aware of these conditions before one plans to have children.
7. Screening for chronic diseases
Chronic diseases like diabetes, hypertension, and heart conditions must be screened for. Anyone getting married must know their hypertensive and diabetic status of their partners because these conditions have to be managed for life and also these conditions are associated with infertility and high-risk pregnancies.
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