The document discusses antenatal care, which involves comprehensive health supervision of a pregnant woman before delivery. It outlines the goals, objectives, schedule and components of antenatal care visits. Key aspects include taking a detailed medical history, conducting physical examinations including measuring weight, blood pressure and uterine size, and performing routine investigations like urine and hemoglobin tests. Health education is provided on nutrition, exercise, hygiene, medications, infections and potential complications. Supplements like folic acid, iron and calcium are recommended. The document emphasizes monitoring fetal growth and movements, addressing patient concerns at each visit, and preparing for childbirth and potential emergencies.
To have the mother and child Healthy during the 9 months of pregnancy, Antenatal Care is must. This nine month is very crucial and intensive care should be provided to the mother.
3rd year MBBS UG class on postnatal care of mother and newborn baby including intranatal and postnatal advice, domiciliary care,warning signs, APGAR score and many more with video clips.
To have the mother and child Healthy during the 9 months of pregnancy, Antenatal Care is must. This nine month is very crucial and intensive care should be provided to the mother.
3rd year MBBS UG class on postnatal care of mother and newborn baby including intranatal and postnatal advice, domiciliary care,warning signs, APGAR score and many more with video clips.
Best Ever Guide Shared by Rosa Belinda Sanchez About Importance of Antenatal ...Rosa Belinda Sanchez
Rosa Belinda Sanchez Shared a detailed presentation on importance of antenatal care. This will defiantly help you. If you have any other queries related antenatal care do share in comment section. Find Rosa Belinda Sanchez at https://www.crunchbase.com/organization/rosa-belinda-sanchez-mother-children-care-specialists
Women's Health OT: Role-Emerging or Paradigm Shift?Melissa LaPointe
A 20-min online presentation for the 6th annual OT4OT 24-hour Virtual Exchange (live recording can be found at http://www.ot4ot.com/ot24vx.html).
We are witnessing a global movement in women's health from a focus on illness and pathology toward one that supports health and well-being. Yet the female-dominated OT profession continues to sit on the sidelines both in the public and private sectors. Join Melissa LaPointe as we discuss the steps needed in enhancing our profession's life flow, empowering more OTs to step forward as leaders and educators during this exciting paradigm shift.
it will help the general public regarding the basic aspect of the antenatal care. it will also help to nursing and para medical educator to teach their students. it also create awareness about it.
Best Ever Guide Shared by Rosa Belinda Sanchez About Importance of Antenatal ...Rosa Belinda Sanchez
Rosa Belinda Sanchez Shared a detailed presentation on importance of antenatal care. This will defiantly help you. If you have any other queries related antenatal care do share in comment section. Find Rosa Belinda Sanchez at https://www.crunchbase.com/organization/rosa-belinda-sanchez-mother-children-care-specialists
Women's Health OT: Role-Emerging or Paradigm Shift?Melissa LaPointe
A 20-min online presentation for the 6th annual OT4OT 24-hour Virtual Exchange (live recording can be found at http://www.ot4ot.com/ot24vx.html).
We are witnessing a global movement in women's health from a focus on illness and pathology toward one that supports health and well-being. Yet the female-dominated OT profession continues to sit on the sidelines both in the public and private sectors. Join Melissa LaPointe as we discuss the steps needed in enhancing our profession's life flow, empowering more OTs to step forward as leaders and educators during this exciting paradigm shift.
it will help the general public regarding the basic aspect of the antenatal care. it will also help to nursing and para medical educator to teach their students. it also create awareness about it.
Identifying The Primary Factor Behind Premature Births.pdfNurvi Naari
Discover the key to preventing premature births by understanding the primary factor behind them. Our in-depth analysis will provide valuable insights for healthcare professionals and expecting parents alike.
If you suspect, or know, that you are pregnant, we hope you have already visited your
doctor!
Presuming that you have confirmed your suspicions and that this is your first child, or
that you wish to take better care of yourself during pregnancy than you did during your
other pregnancies; you have come to the right place!
Our goal is to give you all the information you will need to care for your health and the
health of your unborn child during your pregnancy.
To do that, we believe it is important for you to understand pregnancy, and what is
happening to your body as your baby develops and nears term.
Therefore, all the information we give you about taking care of yourself will be clarified
with information about what is happening to your body and why it is important to follow
the recommendations we give you and the recommendations and advice of your doctor.
First, and foremost, it is important to consult a doctor and to get on a schedule of visits
and testing to accommodate every stage of your pregnancy.
In this multimedia presentation Dr. Melissa Stoffel, D.O. provides valuable insight on preconception counseling, the practice of getting a woman as healthy as they can be prior to pregnancy, and describes what women should expect during pregnancy.
Stoffel describes what to expect from preconception counseling, how to prepare for counseling sessions and how she manages special conditions like asthma management, diabetes management, smoking cessation and heart conditions before a pregnancy.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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3. 3
Dr. Soad Abd El Salam Ramadan
• Chairman of obstetrics &woman health
nursing department
• Pre. Vice dean for students &Education
Affairs
Faculty of nursing
Benha University
4/5/2018 Dr. Soad Abd El Salam Ramadan
4.
5. Pregnancy
A normal physiologic event that may complicated
by pathologic processes dangerous to the health
of the mother and fetus in only 5-20% .
When a woman is pregnant, the period of time
from conception until the baby is born is called the
antepartum (prenatal or antenatal) period .
ante- and pre- mean “before”
partum and natal mean “birth”
Postpartum - after delivery
4/5/2018 Dr. Soad Abd El Salam Ramadan 5
6. Terms related to Pregnancy
Gravida- a woman has been pregnant
(including this pregnancy), regardless of
duration or outcome.
Para- pregnancies a woman has
completed past 20 weeks, regardless of
whether infant is born alive or dead (refers to
number of pregnancies, not fetuses).
4/5/2018 Dr. Soad Abd El Salam Ramadan 6
7. Multipara- a woman who has given birth 2
or more times over 20 weeks gestation
Multigravida- a woman who has been
pregnant more than once
Nullipara- a woman who has never
completed a pregnancy past 20 weeks
Primipara- a woman giving birth for the first
time of a pregnancy that has lasted at least 20
weeks
Primigravida- a woman who is pregnant for
the 1st time
4/5/2018 Dr. Soad Abd El Salam Ramadan 7
8. Definition of Antenatal care
comprehensive health supervision of a
pregnant woman before delivery
Or it is planned examination, observation
and guidance given to the pregnant
woman from conception till the time of
labor.
4/5/2018 Dr. Soad Abd El Salam Ramadan 8
9. Goals
To reduce maternal and perinatal
mortality and morbidity rates
To improve the physical and mental
health of women and children
4/5/2018 Dr. Soad Abd El Salam Ramadan 9
10. Objectives
1- To ensure that the pregnant woman and her fetus are in
the best possible health.
2-Early detection and prevention of complications of
pregnancy.
3-Educate women on danger and emergency signs &
symptoms.
4-Prepare the woman and her family for childbirth
5- Give education & counseling on family planning
4/5/2018 Dr. Soad Abd El Salam Ramadan 10
11. The antepartum period lasts
approximately 9 months (280 days-40
weeks) and is divided into three
trimesters of 3 months each
4/5/2018 Dr. Soad Abd El Salam Ramadan 11
12. Trimesters
Gestation - period of time for intrauterine
fetal development ( GW)
1st trimester
0-3months(13WK)
2ndTrimester
4-6 months(14-26WK)
3rdTrimester
7-9 months(27-40WK)
4/5/2018 Dr. Soad Abd El Salam Ramadan 12
13. Schedule for Antenatal Visits:
The first visit or initial visit should be made
as early is pregnancy as possible.
Return Visits:
Once every month till 7th month.
Once every 2 weeks till the 9th month
Once every week during the 9th month,
till labor.
4/5/2018 Dr. Soad Abd El Salam Ramadan 13
15. History
Personal history
Family history
Medical and surgical history
Menstrual history
Obstetrical history
History of present pregnancy
4/5/2018 Dr. Soad Abd El Salam Ramadan 15
16. Menstrual history
-Ask about
-1-Last menstrual period (LMP).
-2-Regularity and frequency of menstrual cycle.
-3-Contraception method used .
-4-Calculate expected date of delivery (EDD) as
1st day of LMP −3 months +7 days, and change the
year.
4/5/2018 Dr. Soad Abd El Salam Ramadan 16
17. Estimating due date
EDD- (estimated date of delivery)
Nagele’s Rule
Subtract 3 months
Add 7 days from the 1st day of the LMP
Correct the year if necessary
Example- LMP September 20th, 2016.
Subtract 3 months- June 20th
Add 7 days- June 27th
Change the year if necessary- EDD= June
Dr. Soad Abd El Salam Ramadan4/5/2018 17
18. Obstetric History
Gravidity? Parity? abortion, and living
children.
➢ Weight of infant at birth & length of
gestation.
➢ Type of delivery, location of birth, and type
of anesthesia.
➢ Maternal or infant complications.
4/5/2018 Dr. Soad Abd El Salam Ramadan 18
19. 1-Chronic conditions : as diabetes mellitus,
hypertension, and renal disease ,cardiac
disease.
2-Prior operation: as cesarean section,
genital repair, and cervical cerclag.
3-Allergies, and medications.
4-Accidents involving injury of the bony
pelvis
Medical and surgical history:
4/5/2018 Dr. Soad Abd El Salam Ramadan 19
20. History of present pregnancy
History suggesting e.g. Diabetes,
hypertension and ante partum hemorrhage.
Ask about episodes of fever or chills
Ask about pain or burning sensation on
urination.
Abnormal vaginal discharge, itching at the vulva
or if partner has a urinary problem.
4/5/2018 Dr. Soad Abd El Salam Ramadan 20
21. IMMEDIATE ASSESSMENT
for emergency signs.
Vaginal bleeding
Severe abdominal or pelvic pain
Severe headache with visual disturbance
Persistent vomiting
Unconscious/Convulsion
Severe difficulty in breathing
High grade Fever
Looks very ill
4/5/2018 Dr. Soad Abd El Salam Ramadan 21
23. Weight measurement
Maternal height and weight measurements to
determine body mass index(BMI).
Maternal weight should be
measured at each
antenatal visit
4/5/2018 Dr. Soad Abd El Salam Ramadan 23
24. Check for pallor or anemia.
1-Look for palmar pallor.
2-Look for conjunctival pallor
3-Count respiratory rate in
one minute.
4/5/2018 Dr. Soad Abd El Salam Ramadan 24
25. Blood pressure measurement
Measure BP in sitting position.
If diastolic BP is 90 mm Hg or
higher repeat measurement after
6 hour rest.
If diastolic BP is still 90 mm Hg or
higher ask the woman if she has:
• Severe headache
• Blurred vision
• Epigastric pain
Check urine for protein.
4/5/2018 Dr. Soad Abd El Salam Ramadan 25
26. Physical Examinations
Height of over 150 cm indication of an
average-sized pelvis
The approximate weight gain during
pregnancy is 12 kg.; 2kg in the first 20
weeks and 10 kg in the remaining 20
weeks ( 0.5 kg per week until term).
4/5/2018 Dr. Soad Abd El Salam Ramadan 26
27. Obesity (more than 20 kg above the
weight-height formula) leads to an
increased risk of gestational diabetes,
pregnancy-induced hypertension and
thrombo-embolic disorders
4/5/2018 Dr. Soad Abd El Salam Ramadan 27
28. Local Examination
The uterus may be higher than expected
due to large fetus, multiple pregnancy,
polyhydrammnios or mistaken date of last
menstrual period.
The uterus may be lower than expected due
to small fetus, intrauterine growth
retardation, oligohydramnios or mistake
date of last menstrual period.
4/5/2018 Dr. Soad Abd El Salam Ramadan 28
29. Uterine Size :-
12 weeks- Symphysis pubis
16 weeks- Midway between symphysis pubis and umbilicus
20-22 weeks- Umbilicus
20-32 weeks- 1 cm above umbilicus
for every 1 week
By the end of 36th week should
touch the xiphoid process and can
make breathing difficult
About 2 week before term (38 week) for
a primigravida the fetal head settle into
the pelvis to prepare for birth, this termed lightening.
4/5/2018 Dr. Soad Abd El Salam Ramadan 29
30. Fetal heart sound is heard by sonicaid as
early as 10thweek of pregnancy.
Fetal heart sound is heard by Pinard' s
fetal stethoscope after the 20thweek of
pregnancy.
The normal fetal heart rate is 120-160
beats/min
4/5/2018 Dr. Soad Abd El Salam Ramadan 30
34. Investigations:
Urine should be tested for sugar,
ketones and protein.
Hemoglobin will be repeated:
At 36 weeks of gestation.
Every 4 weeks if Hb is < 9 g/dl.
4/5/2018 Dr. Soad Abd El Salam Ramadan 34
35. Fetal kick count
The pregnant woman reports at
least 10 movements in 12 hours.
Absence of fetal movements
precedes intrauterine fetal death
by 48 hours.
4/5/2018 Dr. Soad Abd El Salam Ramadan 35
36. Health Teaching during the First
Trimester
Physiological changes
during pregnancy
Weight gain
Fresh air and sunshine
Rest and sleep
Diet
Daily activities
Exercises and relaxation
Hygiene
Teeth
Bladder and bowel
Sexual counseling
Smoking :
Medications
Infection
Irradiation
Occupational and
environmental hazards
Travel
Follow up
Minor discomforts
Signs of Potential
Complications
4/5/2018 Dr. Soad Abd El Salam Ramadan 36
37. Exercise should be simple, mild exercise avoid
lifting heavy weights
A tooth can be extracted during pregnancy,
but local analgesia is recommended
Catheter and enema should be avoided.
Smoking may lead to ptyalism, nervousness
and hyper emesis and make pregnant woman
at increased risk of chest infections and
thrombo-embolic disorders
4/5/2018 Dr. Soad Abd El Salam Ramadan 37
38. Pregnant woman should avoid contact with
infectious diseases especially rubella or
(German measles) because it has deleterious
effects on the fetus
Pregnant woman should avoid exposure to x-
ray or irradiation because of possible
teratogenic effects on the fetus such as birth
defects or childhood leukemia
4/5/2018 Dr. Soad Abd El Salam Ramadan 38
39. Supplementation
1-Folic acid 0.4 mg tab daily
2- iron (ferrous sulphate or gluconate )300
mg/daily
3- Ca 1200mg /daily
4-
•-Those with a normal balanced diet
•probably don’t need extra vitamins
4/5/2018 Dr. Soad Abd El Salam Ramadan 39
40. Medications During Pregnancy
• Antibiotics - some OK, some not
• Local anesthetics - OK
• Local with epinephrine - not OK
• Aspirin - not OK
• Immunizations - some are OK,
some are not
• Antimalarial - some OK, some are
not
• Narcotics - OK except for addiction
issue
4/5/2018 Dr. Soad Abd El Salam Ramadan 40
41. Provide advice on each visit
1.Diet and weight gain
2.Medication
3.Avoid Radiation exposure
4.Self-care during pregnancy
5.Minor complaints.
6.Family planning Breastfeeding
7.Birth place preparation and anticipation of
complication& Emergency situations.
4/5/2018 Dr. Soad Abd El Salam Ramadan 41
42. At each visit
1-Questions about fetal movement
2-Ask for danger signs during this pregnancy
3-Ask patient if she has any other concerns
4/5/2018 Dr. Soad Abd El Salam Ramadan 42