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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. GOAL. HEALTHY MOTHERS AND HEALTHY BABIES. THE COUNTDOWN BEGINS. 40 WEEKS = 280 DAYS.
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PHASE I Lifestyle Changes during pregnancy Antenatal exercises Nutrition during pregnancy
PHASE II Labor and Birth Breastfeeding Care of newborn
GOAL HEALTHY MOTHERS AND HEALTHY BABIES
THE COUNTDOWN BEGINS 40 WEEKS = 280 DAYS 0-13 WEEKS I 14-28 WEEKS II 29-40 WEEKS III
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
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
FETAL MOVEMENT(QUICKENING) KICK COUNT OR DAILY FETAL MOVEMENT COUNT (DFMC) >10 movements in 12 hrs.
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
PREGNANCY CHANGES Backache Fatigue Heartburn Leg cramps Mouth and tooth changes Shortness of breath Emotional changes Headaches
CHLOASMA LINEA NIGRA SKIN CHANGES
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 andnurture this new life.