MAKING BIRTH A FULFILLING EXPERIENCE

Lifestyle Changes during pregnancy

Nutrition during pregnancyAntenatal exercises

PHASE I

PHASE II

BreastfeedingCare of newborn

Labor and Birth

HEALTHYMOTHERS

AND HEALTHY

BABIES

GOAL

14-28 WEEKS

I

II

III

0-13 WEEKS

29-40 WEEKS

40 WEEKS = 280 DAYS

THE COUNTDOWN BEGINS

WHAT HAPPENS WITH THE BABY?

Day 8-adhered to uterus

Day 22-open brain, no face!

Day 20-few millimeter long

Day 22-heart in mouth and beating

Day 24-4mm

Ripe for fertilization Sperm entering egg First cell division

Moving down fallopian tube

Day 7 –Egg shell breaks, embryo settles in uterus

1st month

Day 28 with yolk sacDay 30-7mm Developing face

Day 39-12mm

AT 6 WKS THE BABY HAS A HEART BEATHEART HAS 2 CHAMBERSNEURAL TUBE CLOSES AND BRAIN IS DEVELOPING

2nd month

3rd month

4th month

5th month

6th month

7th month

FETAL MOVEMENT(QUICKENING)

KICK COUNT OR

DAILY FETALMOVEMENT

COUNT (DFMC)>10 movements in 12 hrs.>10 movements in 12 hrs.

8th month

9th month

WT 3KGLENGTH 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 MEDICINEWITHOUT CONSULTING YOUR GYNEC

Backache

Fatigue

Heartburn

Leg cramps

Mouth and tooth changes

Shortness of breath

Emotional changes

Headaches

PREGNANCY CHANGES

CONGESTION AND NOSE BLEEDS

CHLOASMACHLOASMA

LINEA NIGRALINEA NIGRA

SKIN CHANGES

CAN STETCH MARKS BE AVOIDED?

HEALTHY LIFESTYLE DURING PREGNANCY

EXERCISES REGULARLY

EAT HEALTHY FOOD

HOW TO TRAVEL SAFE?

CAN I DRIVE?

USE OF COMPUTER/CELL PHONES

ACTIVITIES YOU SHOULD AVOID

COSMETICS DURING PREGNANCY

AVOID THESE TOO!

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 and nurture this new life.