Mothers boon of healthy motherhood


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Mothers boon of healthy motherhood

  1. 1. Antenatal care <ul><li>Self care a priority </li></ul>
  2. 2. Contents <ul><li>Are u a smart mom? </li></ul><ul><li>General information about pregnancy </li></ul><ul><li>Do’s and don’ts </li></ul><ul><li>Problems of pregnancy and solutions </li></ul><ul><li>Sleep </li></ul><ul><li>Exercise </li></ul><ul><li>Nutrition </li></ul><ul><li>References </li></ul>
  3. 3. Are you a smart mom? Answer these and know.
  4. 4. <ul><li>Everyday, you take </li></ul><ul><ul><li>A multivitamin </li></ul></ul><ul><ul><li>A prenatal vitamin containing folic acid </li></ul></ul><ul><ul><li>Only a shower </li></ul></ul><ul><li>You have had complete physical examination </li></ul><ul><ul><li>In past 6 months </li></ul></ul><ul><ul><li>Since you decided to get pregnant </li></ul></ul><ul><ul><li>More than 6 months ago </li></ul></ul>
  5. 5. <ul><li>You work out </li></ul><ul><ul><li>A few times a week, for about an hour </li></ul></ul><ul><ul><li>Everyday for 2hrs or more </li></ul></ul><ul><ul><li>You are fanatic </li></ul></ul><ul><ul><li>Every other day for an hour, daily when you can fit in </li></ul></ul><ul><ul><li>When heel freezes over </li></ul></ul><ul><li>You or any family member smoke near to you </li></ul><ul><ul><li>Occasionally </li></ul></ul><ul><ul><li>>5 cigarettes per day </li></ul></ul><ul><ul><li>never </li></ul></ul>
  6. 6. <ul><li>How would you describe your body? </li></ul><ul><ul><li>You could stand to loose 10kgs </li></ul></ul><ul><ul><li>Your doctor says you are underweight, but you like the way you look </li></ul></ul><ul><ul><li>You are in recommended weight levels for your height </li></ul></ul><ul><li>Your idea of good night sleep is </li></ul><ul><ul><li><6 hrs </li></ul></ul><ul><ul><li>6 – 8hrs </li></ul></ul><ul><ul><li>Atleast 8 hrs </li></ul></ul><ul><ul><li>Nodding off on the couch during afternoon </li></ul></ul>
  7. 7. <ul><li>How much coffee do you drink each day </li></ul><ul><ul><li>1-2 cups </li></ul></ul><ul><ul><li>3 cups or more </li></ul></ul><ul><ul><li>None but 1 gallon of diet coke or tea </li></ul></ul><ul><li>The food you eat most is </li></ul><ul><ul><li>Grains or dairy </li></ul></ul><ul><ul><li>Fruits and vegetables </li></ul></ul><ul><ul><li>Meat, poultry and fish </li></ul></ul>
  8. 8. <ul><li>How many glasses of water, milk and/or juice do you drink daily? </li></ul><ul><ul><li>3 or less </li></ul></ul><ul><ul><li>4-7 </li></ul></ul><ul><ul><li>8 and more </li></ul></ul><ul><li>Your blood pressure is </li></ul><ul><ul><li>Low to normal </li></ul></ul><ul><ul><li>Borderline high </li></ul></ul><ul><ul><li>Really high </li></ul></ul>
  9. 9. Mark each 1 poor status <4 needs improvement 4-5 sufficiently good 5-6 good 7 yes 8 or more
  10. 10. 1 st month of pregnancy (signs) <ul><li>You were two weeks pregnant when you missed your first period. </li></ul><ul><li>Your pregnancy test turned positive about 10 days later. </li></ul><ul><li>You may feel nausea (morning sickness) any time of the day. </li></ul><ul><li>You may feel tired. </li></ul><ul><li>Your breasts may begin to feel tender </li></ul><ul><li>You may urinate more often. </li></ul>
  11. 11. Do’s- 1 st month of pregnancy <ul><li>Make an appointment to start prenatal care with your doctor as soon as you think you are pregnant. </li></ul><ul><li>Check with your doctor or clinic before taking any medicine. </li></ul><ul><li>Take your prescribed vitamins. </li></ul><ul><li>Eat a balanced diet, including cereals and grains, fruits, vegetables, dairy products and meat and beans. </li></ul>
  12. 12. <ul><li>Drink six to eight glasses of water, juice, and/or milk every day. </li></ul>
  13. 13. Don’ts <ul><li>Avoid x-rays while you are pregnant. </li></ul><ul><li>Avoid tobacco, alcoholic drinks and other drugs unless prescribed by your doctor. </li></ul><ul><li>Limit drinks that have caffeine (colas, teas, coffee). </li></ul>
  14. 14. 3 rd month of pregnancy (signs) <ul><li>You may have gained about 2 to 3 pounds. </li></ul><ul><li>You may begin to feel more hungry. </li></ul><ul><li>You may be able to feel your uterus above the pubic bone. </li></ul><ul><li>Your uterus may harden from contractions. </li></ul><ul><li>You may be constipated. </li></ul><ul><li>You may sweat more. </li></ul><ul><li>·You may be happy or sad for no reason. </li></ul>
  15. 15. Don’ts <ul><li>Avoid using paints, pesticides and spray cans. </li></ul><ul><li>Avoid alcoholic drinks, tobacco, caffeine and other drugs unless prescribed by your doctor. </li></ul><ul><li>Take only medicines prescribed by your doctor. </li></ul>
  16. 16. 6 th month of pregnancy (signs) <ul><li>You continue to gain about 3 to 4 pounds a month. </li></ul><ul><li>You may develop stretch marks on your stomach, hips and breasts. </li></ul><ul><li>You may feel the fetus kicking strongly now. </li></ul><ul><li>The uterus may be felt above the navel. Tightening and relaxing muscles in your uterus (Braxton-Hicks contractions) are preparing you for labor. </li></ul>
  17. 17. <ul><li>Your back may hurt. Wear low-heeled </li></ul><ul><li>shoes or flats. </li></ul><ul><li>Your appetite is good. </li></ul><ul><li>Nausea is rare, though heartburn may follow heavy, greasy or spicy meals. </li></ul><ul><li>You look healthy. </li></ul><ul><li>Your skin has a special glow and your eyes sparkle. </li></ul>
  18. 18. Do’s <ul><li>Exercise can help to prevent backaches. </li></ul><ul><li>Continue your prenatal checkups with your doctor as scheduled even if you feel great. </li></ul><ul><li>Eat a balanced diet, including cereal and grains, fruits, vegetables, dairy products, and meat and beans. </li></ul><ul><li>Drink six to eight glasses of water, juice and/or milk each day. </li></ul>
  19. 19. <ul><li>Take needed rests lying on your left side. </li></ul><ul><li>You may be constipated. Continue exercise, drink plenty of fluids and eat fruits and vegetables </li></ul><ul><li>Know the importance of wearing non-restrictive clothing. </li></ul><ul><li>Use your seat belt properly. Place the lap belt under your abdomen as low on your hips as possible and across your upper thighs. Position the shoulder belt between the breasts. </li></ul><ul><li>Learning how to breathe and relax will help you during labor. </li></ul>
  20. 20. Don’ts <ul><li>Don't stand for long periods of time. </li></ul><ul><li>Don’t wear tight clothes </li></ul><ul><li>Wear flat & non slippery sleepers. </li></ul><ul><li>Use ramps instead of staircase. </li></ul>
  21. 21. 7 th month of pregnancy (signs) <ul><li>You may gain weight faster because the baby's greatest growth period has begun. </li></ul><ul><li>Your uterus is moving closer to your rib cage. </li></ul><ul><li>You may notice kicking against your ribs. </li></ul><ul><li>You can see your abdomen move as your baby moves. </li></ul><ul><li>You may feel awkward and tire more easily. </li></ul>
  22. 22. <ul><li>You may feel false labor contractions, also called Braxton-Hicks Contractions. </li></ul><ul><li>Your breasts may leak </li></ul><ul><li>You may notice a loosening in the pelvic bones when you walk. </li></ul>
  23. 23. Do’s <ul><li>Call your health care if Braxton-Hicks Contractions are more than five contractions in an hour. </li></ul><ul><li>Practice daily relaxation, breathing exercises and get plenty of rest. </li></ul><ul><li>Communicate to your baby each day by talking or singing. Your baby can hear and recognize your voice at birth. </li></ul>
  24. 24. <ul><li>Plan special times with your partner. </li></ul><ul><li>Take extra time to do things you want to do. </li></ul><ul><li>Think about things you will need the first six weeks, like convenience foods, paper plates, disposable diapers and/or diaper services . </li></ul>
  25. 25. 8 th month of pregnancy (signs) <ul><li>You may have trouble sitting or lying down for long periods of time. </li></ul><ul><li>You may have a problem breathing when the baby pushes against your lungs. </li></ul><ul><li>Your uterus is now near your rib cage. </li></ul><ul><li>You can feel parts of the baby through your abdominal wall. </li></ul><ul><li>You may need to urinate more often (as the baby's head crowds your bladder). </li></ul>
  26. 26. <ul><li>You may have heartburn. </li></ul><ul><li>You may sweat more easily. </li></ul><ul><li>You may have some leakage of colostrum (the fluid that will feed your baby </li></ul><ul><li>until your milk comes in) from your breasts as they begin to produce milk. </li></ul><ul><li>Your vaginal secretions increase . </li></ul>
  27. 27. Do’s <ul><li>Take your prenatal vitamins and iron. </li></ul><ul><li>Keep up your walking and stretching exercises. </li></ul><ul><li>Practice the exercises from your childbirth class. </li></ul><ul><li>Practice the relaxation techniques during </li></ul><ul><li>Braxton-Hicks Contractions (the normal tightening or releasing of the uterine muscles). </li></ul><ul><li>Review what happens in labor and delivery. </li></ul><ul><li>Make financial arrangements with the hospital. </li></ul>
  28. 28. Call your health care provider <ul><li>if you have bleeding or a gush of fluid </li></ul><ul><li>from your vagina </li></ul><ul><li>cramps </li></ul><ul><li>stomach </li></ul><ul><li>pains or a dull backache </li></ul><ul><li>blurry vision or spots before your eyes </li></ul><ul><li>a feeling that baby is pushing down, a noticeable </li></ul><ul><li>decrease in the baby's movements, or more than five contractions in one hour. </li></ul>
  29. 29. 9 th month of pregnancy (signs) <ul><li>Your fatigue, lower back aches and false labor pains may increase. </li></ul><ul><li>Your abdomen is getting bigger and your belly button may stick out. </li></ul><ul><li>You may have mild swelling in your hands and feet. </li></ul><ul><li>You may feel pressure low in the pelvis as the baby settles into position for birth. </li></ul><ul><li>The Braxton-Hicks Contractions may be more frequent. </li></ul>
  30. 30. <ul><li>good position for sleeping is on your side with pillows under your tummy, behind your back and between your knees. </li></ul>
  31. 31. Practices <ul><li>STANDING POSTURE- </li></ul><ul><ul><li>Place foot parallel to floor </li></ul></ul><ul><ul><li>Arms perpendicular to floor </li></ul></ul><ul><ul><li>Keep neck and head straight </li></ul></ul>
  32. 32. <ul><li>SITTING POSTURE </li></ul><ul><ul><li>Sit on clean floor </li></ul></ul><ul><ul><li>Let your pelvis touch the floor </li></ul></ul><ul><ul><li>Sit like butterfly style </li></ul></ul><ul><li>ON CHAIR </li></ul><ul><ul><li>Support your pelvis and back with that of chair’s back </li></ul></ul><ul><ul><li>Put your feet either on floor or short lagged stool </li></ul></ul>
  33. 33. <ul><li>LYING ON BED </li></ul><ul><ul><li>Hard bed preferred </li></ul></ul><ul><ul><li>Sidewise lying </li></ul></ul><ul><ul><li>1-2 pillows use under head and knees </li></ul></ul>
  34. 34. Dealing with small problems Cramps <ul><ul><li>Taking other persons help put hand parallel to feet pushing it towards stomach holding the leg tightly </li></ul></ul><ul><ul><li>Patient has to put pressure in opposite to the other person </li></ul></ul><ul><ul><li>Have 3 glasses of milk per day </li></ul></ul>
  35. 35. Varicose veins <ul><li>Walk regularly </li></ul><ul><li>After long hours of sitting or standing walk a little </li></ul><ul><li>Exercise of feet </li></ul><ul><li>Don’t keep one leg over other </li></ul><ul><li>Keep your thighs and legs a little high </li></ul>
  36. 36. Acidity <ul><li>Small frequent meals </li></ul><ul><li>Use of pillow under head while sleeping </li></ul><ul><li>Take meal before 2hrs of going to bed at night </li></ul>
  37. 37. Constipation <ul><li>Take 6-8 glasses of water per day </li></ul><ul><li>Early morning take 1 glass ofwarm water </li></ul><ul><li>Take more of vegetables like cabbage, spinach etc </li></ul><ul><li>Walk every morning and evening </li></ul>
  38. 38. Swelling of hand and feet <ul><li>Monitor blood pressure regularly </li></ul><ul><li>Lie towards left side </li></ul><ul><li>Don’t take raw salt </li></ul><ul><li>Exercise on time </li></ul><ul><li>Wear long socks before getting off the bed </li></ul>
  39. 39. Sleeplessness <ul><li>Walk regularly in the evenings </li></ul><ul><li>Have a glass of warm milk before going to bed </li></ul><ul><li>Wear loose clothes </li></ul><ul><li>Take less of coffee </li></ul><ul><li>Use pillow under knees </li></ul>
  40. 40. Fluids <ul><li>Drink plenty of fluids, especially water, during pregnancy. </li></ul><ul><li>A woman's blood volume increases dramatically during pregnancy, and drinking enough water each day can help prevent common problems such as dehydration and constipation. </li></ul>
  41. 41. Exercise <ul><li>Regular exercise can help: </li></ul><ul><li>prevent excess weight gain </li></ul><ul><li>reduce pregnancy related problems, like back pain, swelling, and constipation </li></ul><ul><li>improve sleep </li></ul><ul><li>increase energy </li></ul><ul><li>improve outlook </li></ul><ul><li>prepare for labor </li></ul><ul><li>lessen recovery time </li></ul>
  42. 42. Sleep <ul><li>It's important to get enough sleep during your pregnancy. </li></ul><ul><li>Lying on your side with your knees bent is likely to be the most comfortable position as your pregnancy progresses. </li></ul><ul><li>It also makes your heart's job easier because it keeps the baby's weight from applying pressure to the large blood vessels that carry blood to and from your heart and your feet and legs. </li></ul><ul><li>Lying on your side can also help prevent or reduce varicose veins, hemorrhoids, and swelling in your legs. </li></ul><ul><li>Lying on your left side optimizes blood flow to the placenta and, therefore, your baby. </li></ul>
  44. 44. 1cup milk or yogurt, or 11/2 oz low-fat cheese 3 Milk, Yogurt and Cheese 2-3 ounce cooked lean poultry, fish or meat; 1/2 cup dry beans, 2 eggs or 2 tbsp peanut butter 2 Poultry, Fish, Dry Beans, Meat, Eggs and Nuts 1 medium apple, banana or orange, 1/4 cup dried fruit, or 3/4 cup 100% juice 3 Fruit 1 cup salad greens, 1/2 cup other cooked vegetables, 1 cup raw vegetables, or 3/4 cup vegetable juice 4 Vegetables 1 slice bread; 1 cup cold cereal; or 1/2 cup cooked cereal, rice or pasta 9 Bread, Cereal, Rice, Pasta Example of Single Serving Minimum Daily Servings Food Group
  45. 45. Nutritional Recommendations for Healthy Pregnancy <ul><li>The pregnant women must drink a minimum of 8-10 cups to water daily. This is needed for clear urination. </li></ul><ul><li>Intake caffeinated beverages should be limited during pregnancy. </li></ul><ul><li>It is always better to avoid carbonated fluids a the time of pregnancy. </li></ul><ul><li>Fibrous fruits, grains and leafy vegetables should be kept in a pregnant woman's diet. These are need to avoid constipation. </li></ul><ul><li>Intake of Vitamin is must during pregnancy. However, excessive intake of Vitamin A has often led to defective births. So, consult your doctor, before you go in for a particular vitamin. </li></ul><ul><li>The body also requires minerals a the time of pregnancy. </li></ul><ul><li>Avoid tobacco during pregnancy. </li></ul><ul><li>Wash the fruits and vegetables properly before eating. </li></ul><ul><li>It is always better to stay away from the items with fermentative effects. </li></ul>
  46. 46. Certain Foods to avoid <ul><li>Avoid food-borne illnesses, such as listeriosis and toxoplasmosis, which can be life-threatening to an unborn baby and may cause birth defects or miscarriage. </li></ul><ul><li>soft, unpasteurized cheeses like goat, blue cheese </li></ul><ul><li>unpasteurized milk, juices, and apple cider </li></ul><ul><li>raw eggs or foods containing raw eggs, raw cookie dough, homemade ice cream, raw or undercooked meats, fish (sushi), or shellfish </li></ul><ul><li>processed meats such as hot dogs and deli meats (unless they are reheated until steaming) </li></ul>
  47. 47. References <ul><li>Larissa Hirsch, MD - October 2008 </li></ul><ul><li>Maternal exercise during pregnancy , physical fitness, and fetal growth (American Journal of Epidemiology, 1993 - Oxford Univ Press) </li></ul><ul><li>AI Meleis, LM Sawyer, EO Im, DAKH Messias, K … - Advances in Nursing Science, 2000 </li></ul><ul><li>WHO antenatal care randomised trial for the evaluation of a new model of routine antenatal care -J Villar, H Ba'aqeel, G Piaggio, P Lumbiganon, JM … - The Lancet, 2001 - Elsevier </li></ul><ul><li> </li></ul><ul><li> </li></ul><ul><li> </li></ul>