Prenatal classes

ISO 9001:2008 CERTFIED
Dept of OBGYN...SATNAM HOSPITAL

Saurashtra’s

BEST Hospital
For Mother –Child –and Women Care
At RAJKOT

Welcomes YOU………………………………………

Akshar Marg
Opp: Swaminarayan Temple
Kalawad Road RAJKOT
Phone Lines – 2450685-86-87-88


The Team- Paediatrics and Gynecs


Staff- The force behind


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


Pregnancy is not a disease.

Pregnancy is a period of celebration when every family
member have to be prepare to welcome the new guest in
their 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 women
has 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


CONFIRMATION

 Urine Pregnancy Test
 Per Vaginal Examination
 Ultra Sonography


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.


In this presentatation

 Symptoms: most common in 1st, 2nd & 3rd
trimester of pregnancy.
 Food & Diet
 Selfcare
 Medical care
 Exercise


1st TRIMESTER


Morning Sickness
Common in first 3 month

Toast, 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 may
Turn to a side feel giddy


Cravings

 Normal
 Do not eat unhealthy food
 Do not eat road-side food
 Eat frequent small meals


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


Other Common symptoms in 1st
trimester
 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


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


Backache - postures


 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 output
In all these situation, immediately consult
the doctor.

3RD TRIMESTER


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


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


Constipation

Common in pregnancy
Avoid straining or sitting long time on a toilet.

Drink plenty water

Eat grain, fruits, vegetables Avoid fatty foods

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


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


Balanced diet

•You are the only source of food for your baby
• Diet should include
•Iron
•Calcium
•Proteins
•Vitamins


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)


Iron

Raisins
Green leafy vegetable-
chutney, soup, sabzi

Jaggery - chikki Pulses

Cereals

Dalia Rotis-add soya/nachani
flour to wheat flour

Make parathas by mixing
different flour like besan, Mix different cereal &
pulses e.g. idli, dosa
wheat or jowar e.g. mooli, gobi of OBGYN...SATNAM HOSPITAL
Dept

Fruits & Vegetables

Rich in vitamins, fibre & minerals

2-4 servings daily 3-5 servings daily

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.


Sweets
 Sweets in small quantity
 Avoid sugar, use jaggery instead

Avoid Have raisins,
tea/coffee, chickoo,
cakes, honey, dates
chocolates,
mithai

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


FAST FOOD ITEMS TO AVOID


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

SELF CARE


Avoid

Smoky atmosphere
Soft drinks

High heels
Lifting heavy weights

Cleanliness

 Trim nails regularly as they grow faster
 Bathe regularly - prevents infection
 Keep vaginal area clean
 Brush regularly after meals


Cleanliness

 Breast care - wear well fitting bra
 Wear low heeled shoes
 Do not wear tight clothes
 Wear clothes according to the climatic
conditions


When should you gain weight ?

 1st trimester :1kg
 2nd trimester :5kg
 3rd trimester :5kg
 Total :11kg minimum


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)


Work & Pregnancy

 Type of work you do (sedentary, tours, sleep)
 Hours of work (regular, irregular)
 Work risk factors (travel, food habits, stress,
chemical)


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


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 transport

Safe in 4-6 months only Dept of OBGYN...SATNAM HOSPITAL

Travel- after doctors advice


MEDICAL CARE


Medications

 Folic acid in 1-3 months
 Iron & calcium supplement - from fourth month onwards
 Injection tetanus toxoid
 Anti D in Rh negative mother


Blood Tests

 Hemoglobin
 Blood group
 Infection – STDs, TORCH, HIV, Hepatitis B
 Diabetes
 Fetal abnormalities

Urine Test - infection

Sonography

 Age of fetus
 Abnormalities
 Placenta site
 Due date
 Weight of fetus
 Sex determination is illegal


Immunization

 Inj. T.T.
 2 doses
 After 5th month
 4 weeks apart


Book
In
Gujarati
Regarding
Pregnancy
To
READ

Rs.80-00

Instead of

100-00
Available at counter


Development of foetus


Early Pregnancy


Development of Foetus


24 weeks


Stages of labour


Types of delivery

 Normal delivery
 Forceps delivery
 Vaccum delivery
 Lscs


Labour pains
False Labour True Labour
Timing of Irregular, no increase in Regular, 4-6 min
Contractions frequency apart, increase in
frequency
Strength of Weak; not stronger with Stronger with time,
Contractions time feels vaginal pressure
Pain with Felt in the front only Starts in the back &
Contractions moves to the front
Position Contractions stop/slow if Contractions continue
Change & you walk/lie down/ inspite of position
Hydration change position/ changes/ increase
increase fluid intake fluid intake

So….When to get
admitted at Hospital

Regular Pain, Starts in
the back & moves to
the front / 4-6 min
apart, increase in
frequency/presence of
Show


 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.

Normal Delivery


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


Thank You Very Much

Creation and Presentation

 Dr.Sudhir Shah
 Dr.Beena Trivedi
 Dr.Arti Gangdev
 Mrs.Shweta Antani


Prenatal classes

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