1. MAKING BIRTH A FULFILLING EXPERIENCE

2. PHASE I Lifestyle Changes during pregnancy Antenatal exercises
Nutrition during pregnancy

3. PHASE II
Labor and Birth
Breastfeeding
Care of newborn

4. HEALTHY MOTHERS AND BABIES
GOAL
HEALTHY
MOTHERS
AND
BABIES

5. 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

6. WHAT HAPPENS WITH THE BABY?

7. 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

8. Ripe for fertilization
Sperm entering egg
First cell division
Moving down fallopian tube
Day 7 –Egg shell breaks, embryo settles in uterus

9. 1st month

10. 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

11. 2nd month

12. 3rd month

13. 4th month

14. 5th month

15. 6th month

16. 7th month

17. FETAL MOVEMENT (QUICKENING)
KICK COUNT OR
DAILY FETAL
MOVEMENT COUNT
(DFMC)
>10 movements in 12 hrs.

18. 8th month

19. 9th month
WT 3KG
LENGTH 36CM

20. ANTENATAL CHECKUPS Once every month till 28weeks
Then once in 2 weeks till 36 weeks
After36 weeks once a week

21. ANTENATAL INVESTIGATIONS
Blood group and Rh
Hb , CBC
HIV
HBsAg
Blood Sugar
TSH ( thyroid)
Thallasemia screening

22. ROUTINE CHECKS IN EACH VISIT
WEIGHT GAIN
BLOOD PRESSURE
SWELLING
GROWTH OF BABY
FETAL HEART
POSITION AND PRESENTATION

23. SCREENING TESTS SERUM SCREENING AND NT AT 10 WEEKS
TRIPLE MARKER(AFP,HCG AND OESTRIOL)AT WKS
QUADRAPLE TEST(TESTS INHIBIN A) IF TRIPLE MARKER IS MISSED

24. WHAT FOR?
SPINA BIFIDA
CHROMOSOMAL ABNORMALITIES LIKE DOWNS SYNDROME

25. 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

26. MEDICATION folic acid Iron Calcium DO NOT TAKE ANY MEDICINE
WITHOUT CONSULTING YOUR GYNEC

28. Mouth and tooth changes
PREGNANCY CHANGES
Backache
Fatigue
Heartburn
Leg cramps
Mouth and tooth changes
Shortness of breath
Emotional changes
Headaches

29. CONGESTION AND NOSE BLEEDS

30. SKIN CHANGES
LINEA NIGRA
CHLOASMA

31. CAN STETCH MARKS BE AVOIDED?

32. HEALTHY LIFESTYLE DURING PREGNANCY

33. EXERCISES REGULARLY

34. EAT HEALTHY FOOD

35. HOW TO TRAVEL SAFE?

37. CAN I DRIVE?

38. USE OF COMPUTER/CELL PHONES

39. ACTIVITIES YOU SHOULD AVOID

40. COSMETICS DURING PREGNANCY

41. AVOID THESE TOO!

42. SEX DURING PREGNANCY Avoid if you have had : Preterm labor
Placenta previa
Infection
Bleeding
Leaking
More than one miscarriage

43. WHEN TO SEE YOU DOCTOR? Excessive vomiting Vaginal bleeding
Pelvic/abdominal pain
Fever

44. Someone special entered your life Prepare yourself to bring forth and nurture this new life.