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Last Updated: Dec 02, 2019
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Health Tip for Pregnant Women

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Dr. Nirmal GujarathiGynaecologist • 18 Years Exp.DNB (Diplomate of National Board of Examinations ), DGO (Diploma in Obstetrics & Gynaecology), MBBS
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Whenever you get diagnosed with pregnancy register with your obstetrician. And follow standard protocols of visits and events as follows.
1. Early scan at 6 weeks for confirmation of pregnancy with routine blood tests. (hb, blood group, hiv, hbsag, hcv, vdrl, urine routine examination).
Medicines- folic acid 5mg once a day and doxinate tablet three times a day for vomiting
2. At 11 to 13.6 weeks- dual marker test with nt nb scan.
If you have crossed 12 weeks and no vomiting constipation then start iron calcium and protein supplementation.
Diet consultation should be done.
3. At 16 weeks get your first tetanus toxoid injection as per who. Some may prefer taking later.
4. At 18weeks- anomaly scan to be done. And prenatal classes can be started.
5. At 20 weeks- 2nd tetanus toxoid injection.
6. At 22 weeks- fetal 2d echo, if you are suffering from diabetes, heart problem, hypertension, previous baby having anomalies etc.
7. At 24 weeks- fasting and post prandial blood sugar levels or dipsi test. (dipsi test can be done at first visit also)
8. At 28 weeks- routine ultrasound with colour doppler. Repeat blood investigations. Get yourself booked with hospital. Take fluvac if not taken previously.
9. At 32 weeks- visit your doctor for routine check up and discuss regarding hospital and delivery.
10. At 36 weeks repeat scan for growth, lie, presentation, and fetal wellbeing.
11. At 37 weeks- pelvic adequacy to check whether you can go for normal delivery. It helps obstetrician and patient in ruling out whether fetal head can pass through pelvis or not. And decision making regarding trial of labour. This is s poo specific for primi patients.
12.36 weeks onwards weekly nst should be done to check fetal heart monitoring.

Disclaimer:
This is standard protocol what we follow in practice. Others may vary or defer with it. Depending on different practice scenario and academic patterns.

All the best!
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