After doing all the history taking and examination stuff its time for getting some really good advice.
Firstly as a doctor our goal is to produce at the end of 40 weeks a healthy baby and a healthy mother for this a few things should be followed like::
1. Diet- It should be a good diet essentially rich in proteins, minerals and vitamins but at the same time should be light and digestible. It should at least contain 1 litre of milk, and plenty of green vegetables and fruits. The calorie requirements is to be increased at least 300 over the non pregnant state by second trimester. The addition of iron tablets containing 60 mg of elemental iron after 16 weeks onwards is required.
2. Occupation- The lady should continue her usual activities and life throughout pregnancy but hard work should be avoided.
3. Clothing- Loose clothes should be worn during pregnancy, flat shoes should be worn.
4. If any signs of Constipation take plenty of fluids, green vegetables, or mild laxatives like lactulose, isafgul, 2tsf at bed time with warm water.
5.Coitus- Coitus should be avoided during the first trimester and last six weeks, other times it could be done.
6. Smoking- It should be avoided as there are more chances of abortion, and also heavy smokers tends to have small babies and low birth weight babies.
7. Alcohol- It should also be better avoided as there is chance of growth restriction.
8. Drugs- Almost all drugs are capable of crossing the placenta, so better be taken on consultation with doctor and pregnancy state should be kept in mind.
9. Immunisation- 0.5 ml of Tetanus toxoid should be given to mothers at 4th month and 6th month protects mothers and neonates against deadly tetanus. All other live vaccines like measles, mumps, rubella, vericella, yellow fever are contraindicated during pregnant state.
Red Flag Signs during pregnancy, Rush to hospital.
1. Active vaginal bleeding.
2. Sudden gush of water fluid per vaginum.
3. Painful contractions at an interval about 15 minutes for one hour suggest onset of labour.
Firstly as a doctor our goal is to produce at the end of 40 weeks a healthy baby and a healthy mother for this a few things should be followed like::
1. Diet- It should be a good diet essentially rich in proteins, minerals and vitamins but at the same time should be light and digestible. It should at least contain 1 litre of milk, and plenty of green vegetables and fruits. The calorie requirements is to be increased at least 300 over the non pregnant state by second trimester. The addition of iron tablets containing 60 mg of elemental iron after 16 weeks onwards is required.
2. Occupation- The lady should continue her usual activities and life throughout pregnancy but hard work should be avoided.
3. Clothing- Loose clothes should be worn during pregnancy, flat shoes should be worn.
4. If any signs of Constipation take plenty of fluids, green vegetables, or mild laxatives like lactulose, isafgul, 2tsf at bed time with warm water.
5.Coitus- Coitus should be avoided during the first trimester and last six weeks, other times it could be done.
6. Smoking- It should be avoided as there are more chances of abortion, and also heavy smokers tends to have small babies and low birth weight babies.
7. Alcohol- It should also be better avoided as there is chance of growth restriction.
8. Drugs- Almost all drugs are capable of crossing the placenta, so better be taken on consultation with doctor and pregnancy state should be kept in mind.
9. Immunisation- 0.5 ml of Tetanus toxoid should be given to mothers at 4th month and 6th month protects mothers and neonates against deadly tetanus. All other live vaccines like measles, mumps, rubella, vericella, yellow fever are contraindicated during pregnant state.
Red Flag Signs during pregnancy, Rush to hospital.
1. Active vaginal bleeding.
2. Sudden gush of water fluid per vaginum.
3. Painful contractions at an interval about 15 minutes for one hour suggest onset of labour.
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