prenatal classes
DESCRIPTION
Dr.SUDHIR SHAHTRANSCRIPT
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ISO 9001:2008 CERTFIED
Dept of OBGYN...SATNAM HOSPITAL
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Saurashtra’s BEST Hospital For Mother –Child –and Women Care At RAJKOT
Welcomes YOU………………………………………
Akshar Marg Opp: Swaminarayan Temple Kalawad Road RAJKOT Phone Lines – 2450685-86-87-88
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The Team- Paediatrics and Gynecs
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Staff- The force behind
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Department of Obstetrics and Gynecology
SATNAM HOSPITAL RAJKOT
Dr.Sudhir Shah Dr.Beena Trivedi
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GOD could not be everywhere and therefore He made mothers
No other relation in this world is as beautiful, pure & selfless as that between a mother and her child
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Pregnancy is not a disease.
Pregnancy is a period of celebration when every family member have to be prepare to welcome the new guest in their family.
Positive attitude plays the lead role in that period.
There are some common complains arise during pregnancy, but instead of taking it as a stressfull situation, every women has to enjoy that situation, it leads to minimum complains & complications afterwards.
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Early Signs and Symptoms
Amenorrhoea : that is delayed menstruation cycle.
Nausea and Vomiting Lower Abdominal Pain
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CONFIRMATION
Urine Pregnancy Test Per Vaginal Examination Ultra Sonography
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Doctor visits
Once every month upto 6 months of pregnancy.
Once every 15 days in the 7th & 8th month.
Once every week in the 9th month.
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In this presentatation
Symptoms: most common in 1st, 2nd & 3rd trimester of pregnancy.
Food & Diet Selfcare Medical care Exercise
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1st TRIMESTER
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Morning Sickness
Common in first 3 month
Have freq small meals
Take medicines as advised
Toast, biscuits to decrease nausea
Avoid oily food Drink plenty liquids
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Dizziness
Stand up slowly or you may feel giddyTurn to a side
Sit
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Cravings
Normal Do not eat unhealthy
food Do not eat road-side
food Eat frequent small
meals
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Mood swings
Decrease stress Talk to friends &
relatives Explain your mood
changes to your spouse
Read good books Listen to music Avoid horror movies,
depressing T.V. progs Dept of OBGYN...SATNAM HOSPITAL
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Other Common symptoms in 1st trimester Increased frequency of urination. Excessive nausea & vomiting i.e. called
Hyperemesis gravidum- it requires doctor consultation- due to excessive fluid loss from the body, patient may require iv fluid administration to prevent dehydration & generalised weakness.
Spotting p/v: if increase in quantity, patient have to consult the doctor.
To avoid these situation, avoid stress, transportation, sex & weight lifting.
Rest is the most important in this trimester.
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Common instruction:
1st trimester is the period when fetal oraganogenesis develop, it means all organs formation occur in this period like liver, kidney, brain etc.
Avoid extra drug administration of your own for minor complains like headache, bodyache, acidity etc. because those medicines may leads to malformation or defects in organ development.
Take medicines which are only advised by your doctors.
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Doctors may prescribe supportive medicines like folic acid, hormonal treatment like Progesterone etc.
Take these medicines regulalry without fail, it will be more important for this period.
Chances of abortion in 1st trimester is about >10% so enough care to be taken.
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2ND TRIMESTER
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Common symptoms in 2nd trimester
Breast discomfort Backache Fetal movements starts Bleeding p/v
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Breast discomfort
Tender & sensitive Aerola darker Increased breast size Check for inverted nipple Wear comfortable & supportive bra
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Backache - postures
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Fetal organo-development occurs in this period, it means development of all organs occurs in this period.
Fetal movement starts in 5th month. Average 15-16 movements/day should be occur. Kicking, jerky movements will be feel by patients. Blood investigations, ultrasonography etc are
very important in this period according to doctor advise.
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This trimester is more safer than both 1st & 3rd trimester.
In 1st & 3rd trimester bleeding p/v is more common, so weight lifting & sexual intercourse should be avoid.
Sexual intercourse is more safer in this trimester. Only one has to take precaution that lateral position is preferrable.
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Alarming signs to visit the consultant
Edema Decrease fetal movement. Excessive vomiting/ Anorexia Giddiness, dizziness. Bleeding p/v or leaking p/v. Decrease urine output
In all these situation, immediately consult the doctor.
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3RD TRIMESTER
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Leg cramps
Occur suddenly Mostly in last months Massage area Point foot & toes towards face Increase calcium in diet, e.g. milk, milk
products Exercise regularly
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Itching & Stretch marks
Heaviness, pressure or itching sensation on tummy
Coconut oil, Vit E oil or stretch creams
Stretch marks fade into fine silvery medals of motherhood
Also on breasts, bottoms, thighs
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Constipation
Common in pregnancyAvoid straining or sitting long time on a toilet.
Drink plenty water
Avoid fatty foodsEat grain, fruits, vegetablesDept of OBGYN...SATNAM HOSPITAL
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Sleeplessness at night
Decrease stress Avoid tea/coffee/aerated
drinks in evening Have a cup of warm milk
before sleeping Have a warm bath before
sleeping Do not sleep in afternoon
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Common instruction
Avoid watching horror movies, violent movies etc.
Avoid to read filmy magazines like filmfare, stardust etc.
Avoid excessive use of mobiles. Start watching nice family movies, read good
books & magazines like chitralekha, abhiyan, religious books etc., keep in touch with good people, try to remain happy all the time.
These all effects more to your baby.
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FOOD & DIET
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Balanced diet
• You are the only source of food for your baby
• Diet should include
• Iron
• Calcium
• Proteins
• Vitamins
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Proteins
Pulses, dal
Groundnut, channa, (chikki)
Milk, cheese, dahi, paneer
Dry fruitsDept of OBGYN...SATNAM HOSPITAL
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Protein
Green leafy vegetables
Pulses esp. Ragi (nachni)
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Iron
Green leafy vegetable-chutney, soup, sabzi
Raisins
Jaggery - chikki Pulses
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Cereals
Mix different cereal & pulses e.g. idli, dosa
Rotis-add soya/nachani flour to wheat flour
Dalia
Make parathas by mixing different flour like besan, wheat or jowar e.g. mooli, gobi
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Fruits & Vegetables
Rich in vitamins, fibre & minerals
2-4 servings daily 3-5 servings dailyDept of OBGYN...SATNAM HOSPITAL
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Calcium
3 glasses of milk a day in any form
Cheese Curds
Paneer
Milkshakes Buttermilk/lassi
Rasgulla
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Fats
Oil, ghee & sweets in small quantity Fats help in absorption of Vit. A, D, E, K. 1 tablespoon of ghee = 15gms = 135
calories Visible fat intake should be increased
during pregnancy and lactation to 30 gm & 45gm resp.
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Sweets Sweets in small quantity Avoid sugar, use jaggery instead
Avoid tea/coffee, cakes,
chocolates, mithai
Have raisins, chickoo, honey, datesDept of OBGYN...SATNAM HOSPITAL
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Water & Salt
Take 8 -10 glasses of water atleast
Reduce salt intake - salt leads to high blood
pressure, swollen hands & feet
Eat at regular intervals
Do not fast or feast
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FAST FOOD ITEMS TO AVOID
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Tips - Diet
Use jaggery instead of sugar
Steaming is best method of cooking
Frying, reheating cause loss of nutrients
Do not use sugar substitutes
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Tips - Diet
Avoid excess of oil/ghee in cooking
Avoid excess of chilly & salt
Avoid maida & sugar base products e.g. cakes, bread, jam, jalebis
Have a balanced diet
Have frequent small meals
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SELF CARE
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Avoid
High heels
Soft drinks
Lifting heavy weights
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Smoky atmosphere
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Cleanliness
Trim nails regularly as they grow faster Bathe regularly - prevents infection Keep vaginal area clean Brush regularly after meals
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Cleanliness
Breast care - wear well fitting bra Wear low heeled shoes Do not wear tight clothes Wear clothes according to the climatic
conditions
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When should you gain weight ?
1st trimester :1kg 2nd trimester :5kg 3rd trimester :5kg Total :11kg minimum
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Work & Pregnancy
Age (older mothers may have more problems) General health (anaemia, DM, high BP) Pregnancy progress (weight of the baby,
complications) Prior pregnancy problems (bleeding, preterm,
IUGR)
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Work & Pregnancy
Type of work you do (sedentary, tours, sleep)
Hours of work (regular, irregular) Work risk factors (travel, food habits,
stress, chemical)
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Pregnancy & work
Morning sickness Don’t skip meals Drink lots of water Moderate exercise Posture at work
• Plan timely departure
• Avoid taking stress• Maternity Leave• Getting enough sleep
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Sex in pregnancy
Depending on your health, speak to your doctor
Growing abdomen, increase breast sensitivity – change position
Avoid sex if you have Unexplained bleeding History of miscarriage or preterm
labour Pregnant with twins or triplets Placenta previa
Sexual intercourse or breast stimulation can start labour
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Travel in pregnancy
Avoid long journeys Avoid crowded transport
Safe in 4-6 months only
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Travel- after doctors advice
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MEDICAL CARE
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Medications
Folic acid in 1-3 months Iron & calcium supplement - from fourth
month onwards Injection tetanus toxoid Anti D in Rh negative mother
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Blood Tests
Hemoglobin Blood group Infection – STDs, TORCH, HIV, Hepatitis
B Diabetes Fetal abnormalities
Urine Test - infection
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Sonography
Age of fetus Abnormalities Placenta site Due date Weight of fetus Sex determination
is illegal
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Immunization
Inj. T.T. 2 doses After 5th month 4 weeks apart
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BookInGujarati RegardingPregnancyTo READ
Rs.80-00
Instead of
100-00Available at counter
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Development of foetus
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Early Pregnancy
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Development of Foetus
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24 weeks
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Stages of labour
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Types of delivery
Normal delivery Forceps delivery Vaccum delivery Lscs
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Labour pains
False Labour True Labour
Timing of Contractions
Irregular, no increase in frequency
Regular, 4-6 min apart, increase in frequency
Strength of Contractions
Weak; not stronger with time
Stronger with time, feels vaginal pressure
Pain with Contractions
Felt in the front only Starts in the back & moves to the front
Position Change & Hydration
Contractions stop/slow if you walk/lie down/ change position/ increase fluid intake
Contractions continue inspite of position changes/ increase fluid intake
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So….When to get admitted at Hospital
Regular Pain, Starts in the back & moves to the front / 4-6 min apart, increase in frequency/presence of Show
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Try to establish Rapo with doctor & hospital staff during 9 month consultation, so that you don’t get any nervousness or hesitation during delivery in unknown atmosphere.
Visit the labor room prior to hospitalization, if possible & be familiar with nursing staff also.
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Proper time of admission
When patient starts backache & show. While going to hospital, avoid heavy diet, take
liquid & soft diet more. During the last 15 days of pregnancy keep a
plastic bag ready with all files-medical papers and medicines ready-so that it can be taken to the hospital if when labor pains starts….
One male family member should accompany with patient, so he will be ready to take medicines from pharmacy or any other requirements during delivery.
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When get admission, give proper details of patient like name of patient, husband’s name, surname & exact address of residence.
So, that registration of birth will be proper. Collect birth certificate within one month of
delivery.
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Dept of OBGYN...SATNAM HOSPITAL
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Dept of OBGYN...SATNAM HOSPITAL
Normal Delivery
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Dept of OBGYN...SATNAM HOSPITAL
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Dept of OBGYN...SATNAM HOSPITAL
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Dept of OBGYN...SATNAM HOSPITAL
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Dept of OBGYN...SATNAM HOSPITAL
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Dept of OBGYN...SATNAM HOSPITAL
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Dept of OBGYN...SATNAM HOSPITAL
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Medical emergency
Pain may occur regularly at repeated intervals
Leaking of watery fluids from vagina, even if there is no pain
Swelling of feet & hands Bleeding from vagina Decreased/Loss of fetal movement
Dept of OBGYN...SATNAM HOSPITAL
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Thank You Very Much
Creation and Presentation
Dr.Sudhir Shah Dr.Beena Trivedi Dr.Arti Gangdev Mrs.Shweta Antani
Dept of OBGYN...SATNAM HOSPITAL