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Prenatal classes

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Dr.SUDHIR SHAH

Dr.SUDHIR SHAH

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    Prenatal classes Prenatal classes Presentation Transcript

    • ISO 9001:2008 CERTFIED Dept of OBGYN...SATNAM HOSPITAL
    • Saurashtra’s BEST Hospital For Mother –Child –and Women Care At RAJKOTWelcomes YOU……………………………………… Akshar Marg Opp: Swaminarayan Temple Kalawad Road RAJKOT Phone Lines – 2450685-86-87-88 Dept of OBGYN...SATNAM HOSPITAL
    • The Team- Paediatrics and Gynecs Dept of OBGYN...SATNAM HOSPITAL
    • Staff- The force behind Dept of OBGYN...SATNAM HOSPITAL
    • Dr.Sudhir Shah Dr.Beena Trivedi Department of Obstetrics and Gynecology SATNAM HOSPITAL RAJKOT
    •  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 Dept of OBGYN...SATNAM HOSPITAL
    • Pregnancy is not a disease.Pregnancy is a period of celebration when every familymember have to be prepare to welcome the new guest intheir 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 womenhas to enjoy that situation, it leads to minimum complains &complications afterwards.
    • Early Signs and Symptoms Amenorrhoea : that is delayed menstruation cycle. Nausea and Vomiting Lower Abdominal Pain Dept of OBGYN...SATNAM HOSPITAL
    • CONFIRMATION Urine Pregnancy Test Per Vaginal Examination Ultra Sonography Dept of OBGYN...SATNAM HOSPITAL
    • 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. Dept of OBGYN...SATNAM HOSPITAL
    • In this presentatation Symptoms: most common in 1st, 2nd & 3rd trimester of pregnancy. Food & Diet Selfcare Medical care Exercise Dept of OBGYN...SATNAM HOSPITAL
    • 1st TRIMESTER Dept of OBGYN...SATNAM HOSPITAL
    • Morning Sickness Common in first 3 monthToast, biscuits to decrease nausea Take medicines as advised Avoid oily food Have freq small meals Dept of OBGYN...SATNAM HOSPITAL Drink plenty liquids
    • Dizziness Stand up Sit slowly or you mayTurn to a side feel giddy Dept of OBGYN...SATNAM HOSPITAL
    • Cravings Normal Do not eat unhealthy food Do not eat road-side food Eat frequent small meals Dept of OBGYN...SATNAM HOSPITAL
    • 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
    • Other Common symptoms in 1sttrimester 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.
    • 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.
    •  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.
    • 2ND TRIMESTER Dept of OBGYN...SATNAM HOSPITAL
    • Common symptoms in 2nd trimester Breast discomfort Backache Fetal movements starts Bleeding p/v
    • Breast discomfort Tender & sensitive Aerola darker Increased breast size Check for inverted nipple Wear comfortable & supportive bra Dept of OBGYN...SATNAM HOSPITAL
    • Backache - postures Dept of OBGYN...SATNAM HOSPITAL
    •  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.
    •  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.
    • Alarming signs to visit the consultant Edema Decrease fetal movement. Excessive vomiting/ Anorexia Giddiness, dizziness. Bleeding p/v or leaking p/v. Decrease urine outputIn all these situation, immediately consult the doctor.
    • 3RD TRIMESTER Dept of OBGYN...SATNAM HOSPITAL
    • 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 Dept of OBGYN...SATNAM HOSPITAL
    • 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 Dept of OBGYN...SATNAM HOSPITAL
    • Constipation Common in pregnancy Avoid straining or sitting long time on a toilet. Drink plenty waterEat grain, fruits, vegetables Avoid fatty foods Dept of OBGYN...SATNAM HOSPITAL
    • 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 Dept of OBGYN...SATNAM HOSPITAL
    • 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.
    • FOOD & DIET Dept of OBGYN...SATNAM HOSPITAL
    • Balanced diet •You are the only source of food for your baby • Diet should include •Iron •Calcium •Proteins •Vitamins Dept of OBGYN...SATNAM HOSPITAL
    • Proteins Pulses, dal Milk, cheese, dahi, paneer Groundnut, channa, (chikki) Dept of OBGYN...SATNAM HOSPITAL Dry fruits
    • Protein Green leafy Pulses esp. vegetables Ragi (nachni) Dept of OBGYN...SATNAM HOSPITAL
    • Iron RaisinsGreen leafy vegetable-chutney, soup, sabzi Jaggery - chikki Pulses
    • Cereals Dalia Rotis-add soya/nachani flour to wheat flourMake parathas by mixingdifferent flour like besan, Mix different cereal & pulses e.g. idli, dosawheat or jowar e.g. mooli, gobi of OBGYN...SATNAM HOSPITAL Dept
    • Fruits & VegetablesRich in vitamins, fibre & minerals 2-4 servings daily 3-5 servings daily Dept of OBGYN...SATNAM HOSPITAL
    • Calcium Curds Cheese Paneer Rasgulla 3 glasses of milk a day in any form Milkshakes Dept of OBGYN...SATNAM HOSPITAL Buttermilk/lassi
    • 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. Dept of OBGYN...SATNAM HOSPITAL
    • Sweets  Sweets in small quantity  Avoid sugar, use jaggery instead Avoid Have raisins, tea/coffee, chickoo, cakes, honey, dates chocolates, mithai Dept of OBGYN...SATNAM HOSPITAL
    • 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 Dept of OBGYN...SATNAM HOSPITAL
    • FAST FOOD ITEMS TO AVOID Dept of OBGYN...SATNAM HOSPITAL
    • Tips - Diet Use jaggery instead of sugar Steaming is best method of cooking Frying, reheating cause loss of nutrients Do not use sugar substitutes Dept of OBGYN...SATNAM HOSPITAL
    • 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 Dept of OBGYN...SATNAM HOSPITAL
    • SELF CARE Dept of OBGYN...SATNAM HOSPITAL
    • Avoid Smoky atmosphere Soft drinks High heels Lifting heavy weights Dept of OBGYN...SATNAM HOSPITAL
    • Cleanliness  Trim nails regularly as they grow faster  Bathe regularly - prevents infection  Keep vaginal area clean  Brush regularly after meals Dept of OBGYN...SATNAM HOSPITAL
    • Cleanliness  Breast care - wear well fitting bra  Wear low heeled shoes  Do not wear tight clothes  Wear clothes according to the climatic conditions Dept of OBGYN...SATNAM HOSPITAL
    • When should you gain weight ? 1st trimester :1kg 2nd trimester :5kg 3rd trimester :5kg Total :11kg minimum Dept of OBGYN...SATNAM HOSPITAL
    • 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) Dept of OBGYN...SATNAM HOSPITAL
    • Work & Pregnancy Type of work you do (sedentary, tours, sleep) Hours of work (regular, irregular) Work risk factors (travel, food habits, stress, chemical) Dept of OBGYN...SATNAM HOSPITAL
    • Pregnancy & work Morning sickness • Plan timely departure Don’t skip meals • Avoid taking stress Drink lots of water • Maternity Leave Moderate exercise • Getting enough sleep Posture at work Dept of OBGYN...SATNAM HOSPITAL
    • 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 Dept of OBGYN...SATNAM HOSPITAL
    • Travel in pregnancy Avoid long journeys Avoid crowded transportSafe in 4-6 months only Dept of OBGYN...SATNAM HOSPITAL
    • Travel- after doctors advice Dept of OBGYN...SATNAM HOSPITAL
    • MEDICAL CARE Dept of OBGYN...SATNAM HOSPITAL
    • Medications Folic acid in 1-3 months Iron & calcium supplement - from fourth month onwards Injection tetanus toxoid Anti D in Rh negative mother Dept of OBGYN...SATNAM HOSPITAL
    • Blood Tests Hemoglobin Blood group Infection – STDs, TORCH, HIV, Hepatitis B Diabetes Fetal abnormalities Urine Test - infection Dept of OBGYN...SATNAM HOSPITAL
    • Sonography Age of fetus Abnormalities Placenta site Due date Weight of fetus Sex determination is illegal Dept of OBGYN...SATNAM HOSPITAL
    • Immunization Inj. T.T. 2 doses After 5th month 4 weeks apart Dept of OBGYN...SATNAM HOSPITAL
    • Book In Gujarati Regarding Pregnancy To READ Rs.80-00 Instead of 100-00 Available at counterDept of OBGYN...SATNAM HOSPITAL
    • Development of foetus Dept of OBGYN...SATNAM HOSPITAL
    • Early Pregnancy Dept of OBGYN...SATNAM HOSPITAL
    • Development of Foetus Dept of OBGYN...SATNAM HOSPITAL
    • 24 weeks Dept of OBGYN...SATNAM HOSPITAL
    • Stages of labour Dept of OBGYN...SATNAM HOSPITAL
    • Dept of OBGYN...SATNAM HOSPITAL
    • Types of delivery Normal delivery Forceps delivery Vaccum delivery Lscs Dept of OBGYN...SATNAM HOSPITAL
    • Labour pains False Labour True LabourTiming of Irregular, no increase in Regular, 4-6 minContractions frequency apart, increase in frequencyStrength of Weak; not stronger with Stronger with time,Contractions time feels vaginal pressurePain with Felt in the front only Starts in the back &Contractions moves to the frontPosition Contractions stop/slow if Contractions continueChange & you walk/lie down/ inspite of positionHydration change position/ changes/ increase increase fluid intake fluid intake Dept of OBGYN...SATNAM HOSPITAL
    • So….When to getadmitted at HospitalRegular Pain, Starts inthe back & moves tothe front / 4-6 minapart, increase infrequency/presence ofShow Dept of OBGYN...SATNAM HOSPITAL
    •  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.
    • 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.
    •  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.
    • Dept of OBGYN...SATNAM HOSPITAL
    • Normal Delivery Dept of OBGYN...SATNAM HOSPITAL
    • Dept of OBGYN...SATNAM HOSPITAL
    • Dept of OBGYN...SATNAM HOSPITAL
    • Dept of OBGYN...SATNAM HOSPITAL
    • Dept of OBGYN...SATNAM HOSPITAL
    • Dept of OBGYN...SATNAM HOSPITAL
    • Dept of OBGYN...SATNAM HOSPITAL
    • 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
    • Thank You Very MuchCreation and Presentation Dr.Sudhir Shah Dr.Beena Trivedi Dr.Arti Gangdev Mrs.Shweta Antani Dept of OBGYN...SATNAM HOSPITAL