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Home > Pre-natal Care
Pre-natal Care in Preganancy
Prenatal Examinations.. Complications during Pre.. Multiple Pregnancy
Incompatibility
To sail through a safe, comfortable and normal pregnancy and give birth to a healthy baby, it is essential that you receive good pre natal care. Pre natal care is the care that you receive from your obstetrician to keep you and your unborn child healthy.

Pre-natal Care in PreganancyYou should start visiting your doctor after you miss your first period, or you have reason to think that you are pregnant. The doctor will examine you and perform certain routine examinations during these visits. At the very beginning, he will perform tests to confirm your pregnancy. A preliminary urine test followed with a blood test will enable your physician to give you the good news.

Your initial pre natal visits to the doctor will be probably once a month and the doctor will perform complete physical examinations while he builds your medical history file. Your blood pressure, various types of urine and blood tests, vaginal examinations to gauge the shape and size of your pelvis, your blood type will also be identified to confirm Rh factor. Subsequently, your visits will progress to twice a month and in the later stages once a week.

You should also take this opportunity to clear your doubts on pregnancy and child care and discuss the birth plan. Your doctor will recommend you on nutrition and exercises to ensure a normal and complication free labor and birth. In case you are employed, consult your physician as to when you may need to avail of your pregnancy leave.

The objective here is to make the birth experience as comfortable as possible. Your partner should also be present along with you, during your visits, to reassure you and to discuss his role in the birth process.

As your pregnancy progresses, please stay observant and report exhaustively any problem, changes (external or internal), your doubts and concerns to your doctor. Please do not try any self medication without consulting your doctor. This will help your doctor to detect early any complications that can develop during pregnancy. Best prenatal care is possible only if there is ample communication and cooperation between the expectant parents and their physician.

In spite of taking all possible precautions and availing of the best medical care, complications may arise in a pregnancy. Miscarriage may occur. Miscarriage is the unexpected and involuntary expulsion of the embryo or fetus before the twen-tieth week of pregnancy. It may occur without any apparent cause. The indications of miscarriage are vaginal bleeding and intermittent pain. It is usually very depressing for parents to suffer this fate.

You may also face ectopic or extra uterine pregnancy. Ectopic pregnancy happens when the fertilized ovum implants itself outside the uterus. The most probable place outside the uterus is the fallopian tube. The pregnancy, in this case, needs to be terminated through surgery as there is not enough space for the fetus to grow.

Your medical history will help the physician to ascertain if you are affected by certain illnesses like Diabetes mellitus. Diabetes is caused due to lack of insulin production by the pancreas, or due to ineffective insulin production. It results in increased concentrations of glucose in the blood, which in turn, damage many of the body`s systems, in particular the blood vessels and nerves. Hence, diabetes presents special problems since it is difficult to control in pregnant women and may affect the unborn child, and requires special attention during your pre natal visits.

Preeclampsia or toxemia is another serious disorder that occurs only during pregnancy. Preeclampsia causes sudden and excessive retention of fluid, rapid weight gain, an elevation of the blood pressure and presence of protein in the urine. If not treated, preeclampsia may lead to severe stage-eclampsia- characterized by convulsions, coma and sometimes fetal and maternal death.

Age of the pregnant woman is also a major challenge. Once you cross thirty five and then become pregnant, various complications may develop. Hence your physician will be extra careful if you are thirty five or above. Age increases the probability of occurrence of complications such as Down`s syndrome in the baby. A normal healthy life style and good physical condition reduce the chance of being affected. If you are a woman over 35, it is recommended that you have amniocentesis (removal of am-niotic fluid from the uterus and testing) done in early preg-nancy to detect any of a number of inherited disorders or fetal defects.

There is also the possibility of multiple pregnancies where more than one fetus exist in the womb. Multiple pregnancies, depending on the actual multiple, may result in twins and triplets.. Expecting twins can be both thrilling and stressful. The experi-ence will make extra demands on your body and you may be advised to increase the number of calories in your diet and you may need to rest more in response to fatigue and the possibility of premature labor. Since the birth of twins is complicated, you will probably need specialized care, by an obstetrician rather than a family physician, and you will be at greater risk for prenatal complications.

You will need special pre natal care if you have Rh (Rhesus) negative blood, that is, absence of Rh factor (antigen) in your blood. If your baby is Rh positive then his antigens may pass into your blood stream, it may not harm your first offspring, but if the condition remains untreated then the antigen produced by Rh positive baby will harm your subsequent Rh positive baby by destroying his red blood cells. Special care is needed to make sure that your subsequent pregnancies are free from complications. A Rh negative mother is given an injection of Rh immuno globin after the birth of each Rh positive baby.

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