Pregnancy Support
SO YOUR PREGNANT- CONGRATULATIONS –WHAT DO YOU DO NEXT?
Half the battle is won, but the we need to win the war
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Pregnancy test / BHCG is done approximately on the 17th day of embryo transfer or for other treatments on the day of the missed period
Patient is the called on the 21st day of embryo transfer for a scan to confirm the gestation sac; we can also know the number of sacs and rule out the rare ectopic.
Once this is confirmed, a second scan is done 1 week later to confirm viability of the fetus or multiple fetuses (DATING SCAN)
Medicine dose will be adjusted and new medicines may be added
folic acid and Calcium supplements
nutrition, diet and food hygiene
Antenatal screening tests (CBP,RBS, Viral screening and CUE/Blood Group)
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If in the rare event of a multiple pregnancy (more than two eg:Triplets or more) an embryo reduction will be undertaken at SWH between 7-9weeks of gestation
1st TIFFA will be requested at 11-13 weeks; if all is well for Twin gestations a cervical circlage will be offered
If a patient has come from another doctor they are referred back
If a patient chooses SWH for her delivery her care will be transferred to an experienced obstetrician and her journey is guided thus,
Diet
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Cut back on saturated fat, like butter/ghee/cheese
Replacing a serving of meat each day with beans, peas, Spinach (palak) or nuts (almonds/walnuts) can improve digestion and regulate bowel movements.
Choosing slowly digested carbohydrates that are rich in fibre, like wheat (chapattis), vegetables, whole fruits, can control blood sugar and insulin levels.
Whole milk. If you drink milk, choose whole milk while pregnant, or have low-fat yogurt (dahi) every day.
DO NOT EAT OUTSIDE
The best beverage for keeping your body hydrated is water 6-8 glasses/day
Iron and calcium. Avoid more then 3 cups of tea/coffee per day.
Avoid fruits like mango, papaya, raw or half cooked eggs. Avoid red meat, and prawns.
Avoid adding salt to food, pickles and papads. Cut down on sugar/sweet intake
Do not take sugared sodas (e.g.: colas)—they reduce absorption of nutrients .
At Secunderabad women`s Hospital we ask patients to keep up Appointments and Medicines for a safe pregnancy.
14-16 weeks:
We will measure your wieght, blood pressure and fetal heart
Triple Marker test
18-22 weeks: Anomaly scan/Second TIFFA
We will measure your wieght, blood pressure and fetal heart You will have an ultrasound scan to check the physical development of your baby. Remember, the main purpose of this scan is to check that there are no physical abnormalities.
25 weeks pregnant
check the size of your uterus
We will measure your wieght, blood pressure and check fetal heart
and test your urine for protein
28 weeks
measure your weight,fetal heart and blood pressure and test your urine for protein
first anti-D treatment if you are rhesus negative
First TT dose
Betamethasone injection if you are at risk of having the baby early
Request for a growth scan which may be repeated once in 2-3 weeks if you are having twins/triplets or the baby measures small for dates.
Glucose Tolerance test to detect Diabetes
31-32 weeks
use a tape measure to measure the size of your uterus
measure your blood pressure,wieght, fetal heart and test your urine for protein
Tests for genetic or other problems also may be done, especially if you are 35 or older or if you had a genetic problem in a past pregnancy.
Your doctor may ask you to keep track of how much your baby moves every day. FETAL MOVEMENTS MUST BE MORE THAN 10/DAY
34 weeks
review, discuss and record the results of any screening tests from the last appointment
use a tape measure to measure the size of your uterus
measure your blood pressure and test your urine for protein
offer your second anti-D treatment if you are rhesus negative
36 weeks
use a tape measure to measure the size of your uterus
check the position of your baby
measure your blood pressure and test your urine for protein
We Offer Elective LSCS For Our IVF-ICSI Patients At 37 Weeks, Twins At 36 Weeks And Triplets At 35 Completed Weeks
38 weeks
use a tape measure to measure the size of your uterus
measure your blood pressure,check fetal heart and test your urine for protein
40 weeks
use a tape measure to measure the size of your uterus
measure your blood pressure,check fetal heart and test your urine for protein
offer a membrane sweep ,discuss the options and choices for induction of labour
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a. Having conceived after Infertility treatment (IUI/IVF)
b. Having Diabetes.
c. High Blood pressure.
d. You are younger than 17 or older than 35.
e. You are pregnant with more than one baby (TWINS/TRIPLETS).
f. You have had two or more Miscarriages.
g. Your baby has been found to have a genetic condition, such as Down syndrome
h. You had a problem in a past pregnancy, such as:
Preterm labor (previous delivery before 36 weeks)
Preeclampsia or seizures (eclampsia)
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If any of the below symptoms are present you must come to hospital immediately or call any of the following numbers 66202822/9618987179/ 66023113. Doctors/DMO/Nurses will be available 24 hours
You have bleeding or a watery discharge
You have severe pain in your stomach(Upper/Lower)
Sudden swelling of your face, hands, or feet
New vision problems (such as dimness or blurring).
Severe Headache/Fever/ Giddiness
You have had regular tightening (with or without pain)
You notice that your baby has stopped moving or is moving less than normal (less than 10 movements per day)