Pregnancy Support

Pregnancy Support

Pregnancy Support

SO YOUR PREGNANT- CONGRATULATIONS –WHAT DO YOU DO NEXT? Half the battle is won, but the we need to win the war

• Pregnancy test / BHCG is done approximately on the 17th day of embryo transfer or for other treatments on the day of the missed periodPatient 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 supplementsnutrition, diet and food hygiene Antenatal screening tests (CBP,RBS, Viral screening and CUE/Blood Group)
• 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 gestation1st TIFFA will be requested at 11-13 weeks; if all is well for Twin gestations a cervical circlage will be offeredIf a patient has come from another doctor they are referred backIf a patient chooses SWH for her delivery her care will be transferred to an experienced obstetrician and her journey is guided thus,

Diet

• Cut back on saturated fat, like butter/ghee/cheeseReplacing 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 OUTSIDEThe best beverage for keeping your body hydrated is water 6-8 glasses/dayIron 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
• Betamethasone injection if you are at risk of having the baby early
• 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

A high risk pregnancy is

• 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)

What symptoms should you watch for?

• 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 hoursYou have bleeding or a watery dischargeYou have severe pain in your stomach(Upper/Lower)Sudden swelling of your face, hands, or feetNew 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)