Preconception
- Detailed History
- Menstrual History
- Family History Of Inherited Disorders
- Determine Risk if any
- Consider Pre Pregnancy Blood Test
- Keep Menstrual Diary
- Check Rubella Immunity
- Start Folic Acid + DHA
First Trimester (up to 12 weeks)
- Confirm Pregnancy
- Explain Antenatal Care. Maintain Record. Calculate EDD. Dating scan
- Check BP, Pulse, Height, Weight, BMI. Diet Advise As Per Need
- Medical And Family History
- Offer Antenatal Screening Test (Genetic Disease)
- Offer All Routine Investigation
- Continue Your Folic Acid + DHA
- Routine ANC visit As Per Your Doctor Advise
Second Trimester (13 Weeks to 27 Weeks)
- Routine ANC Check up
- Start Your Iron And Calcium Supplements
- Book 18 - 20 weeks (Anomaly Scan)
- Review All Investigation. Repeat As Required. Offer GTT
- Offer Anti D prophylaxis To Rh Negative Mother At 28 weeks
- Start Prenatal Exercise
- Maintain Diet, Weight And BP chart
- Routine ANC visit As Per Your Doctor Advise
Third Trimester (28 weeks to 40 weeks)
- Routine ANC Check Up
- Maintain Diet, Weight And BP chart
- Complete Your Two Dose Of Tetanus Injection
- Specially Growth And Presentation and liquor. Offer Growth And Doppler Scan
- Explain foetal movement count
- Assess Risk
- Follow Up Visit As per Your Doctor Advised
Common Pregnancy Symptoms
- Body ache (back pain, leg cramps) - Rest, start Multivitammins
- Digestive Problems (nausea and Vomiting) - Small Frequent Diets, Avoid Spicy Food. Take early Morning dry Toast Or Biscuit. Avoid greasy food. Take Night meal early
- Constipation - High Fiber Diet, More liquids, Avoid Caffeine
- Dizziness - Avoid Long Standing. Stand Up slowly, Don't Skip Meal
Prenatal Exercise
- Stay Active - stay Positive
- Walking For 40 - 45 mins
- Pelvic floor (Kigel's & Butterfly exercise)
- Squatting
- Wall Press
- Knee Extension
- Tailor Sitting
- Lamaze Breathing
Labour Pain True Or False??
Signs Of True Labour Pain
- Contraction Becoming Stronger At Regular interval And shorter interval
- Bloody Mucous Discharge
- Water Breaking
- Back pain And Constant Cramping
Neonatal Care
- Stay Positive
- Every two hourly Breastfeeding and proper Burping
- For Feeding And Burping - seek Help from Nursing Staff, Learn About Positioning And Attachment
- Hygiene cautiousness
- Follow Your Paediatrician
- Follow immunization Schedule as Per Advice