MAKING BIRTH A FULFILLING EXPERIENCE
PHASE I Lifestyle Changes during pregnancy Antenatal exercises Nutrition during pregnancy
PHASE II Labor and Birth Breastfeeding Care of newborn
HEALTHY MOTHERS AND BABIES GOAL HEALTHY MOTHERS AND BABIES
0-13 WEEKS 14-28 WEEKS 29-40 WEEKS THE COUNTDOWN BEGINS 40 WEEKS = 280 DAYS 0-13 WEEKS I 14-28 WEEKS II 29-40 WEEKS III
WHAT HAPPENS WITH THE BABY?
Day 8-adhered to uterus Day 20-few millimeter long Day 24-4mm Day 22-open brain, no face! Day 22-heart in mouth and beating
Ripe for fertilization Sperm entering egg First cell division Moving down fallopian tube Day 7 –Egg shell breaks, embryo settles in uterus
1st month
Day 30-7mm Developing face Day 28 with yolk sac Day 39-12mm AT 6 WKS THE BABY HAS A HEART BEAT HEART HAS 2 CHAMBERS NEURAL TUBE CLOSES AND BRAIN IS DEVELOPING
2nd month
3rd month
4th month
5th month
6th month
7th month
FETAL MOVEMENT (QUICKENING) KICK COUNT OR DAILY FETAL MOVEMENT COUNT (DFMC) >10 movements in 12 hrs.
8th month
9th month WT 3KG LENGTH 36CM
ANTENATAL CHECKUPS Once every month till 28weeks Then once in 2 weeks till 36 weeks After36 weeks once a week
ANTENATAL INVESTIGATIONS Blood group and Rh Hb , CBC HIV HBsAg Blood Sugar TSH ( thyroid) Thallasemia screening
ROUTINE CHECKS IN EACH VISIT WEIGHT GAIN BLOOD PRESSURE SWELLING GROWTH OF BABY FETAL HEART POSITION AND PRESENTATION
SCREENING TESTS SERUM SCREENING AND NT AT 10 WEEKS TRIPLE MARKER(AFP,HCG AND OESTRIOL)AT 14-16 WKS QUADRAPLE TEST(TESTS INHIBIN A) IF TRIPLE MARKER IS MISSED
WHAT FOR? SPINA BIFIDA CHROMOSOMAL ABNORMALITIES LIKE DOWNS SYNDROME
ULTRASOUND SCANS AT 6 WKS TO SEE THE HEART BEAT AND LOCATION OF PREGNANCY AT 10 WKS TO SEE NUCHAL TRANSLUCENCY ANOMALY SCAN AT 20WKS-3D/4D COLOR DOPPLAR AS INDICATED
MEDICATION folic acid Iron Calcium DO NOT TAKE ANY MEDICINE WITHOUT CONSULTING YOUR GYNEC
Mouth and tooth changes PREGNANCY CHANGES Backache Fatigue Heartburn Leg cramps Mouth and tooth changes Shortness of breath Emotional changes Headaches
CONGESTION AND NOSE BLEEDS
SKIN CHANGES LINEA NIGRA CHLOASMA
CAN STETCH MARKS BE AVOIDED?
HEALTHY LIFESTYLE DURING PREGNANCY
EXERCISES REGULARLY
EAT HEALTHY FOOD
HOW TO TRAVEL SAFE?
CAN I DRIVE?
USE OF COMPUTER/CELL PHONES
ACTIVITIES YOU SHOULD AVOID
COSMETICS DURING PREGNANCY
AVOID THESE TOO!
SEX DURING PREGNANCY Avoid if you have had : Preterm labor Placenta previa Infection Bleeding Leaking More than one miscarriage
WHEN TO SEE YOU DOCTOR? Excessive vomiting Vaginal bleeding Pelvic/abdominal pain Fever
Someone special entered your life Prepare yourself to bring forth and nurture this new life.