Obstacle to pre-conception counseling and assessment is of women not knowing, realizing, or understanding the benefits of visiting their physician before trying to become pregnant.
Most women still take for granted the biological aspects of becoming pregnant, and do not consider the value of pre-screening before becoming pregnant. Most women who want and anticipate having a baby are naturally prone to thinking in terms of having a well baby. In the majority of cases, women do not think about having a baby who has any kind of problem.
Once you become pregnant, you’ll need to schedule regular healthcare appointments throughout each stage of your pregnancy.
A schedule of visits may involve seeing your doctor:
- every month in the first six months you are pregnant
- every two weeks in the seventh and eighth months you are pregnant
- every week during your ninth month of pregnancy
If your pregnancy is considered high risk because of your age or health conditions, you may require more frequent visits and special care. You may also need to see a doctor who works with high-risk pregnancies.
High risk pregnancy
Pregnant women under 17 or over 35 are considered high-risk pregnancies. Being pregnant with multiple babies. Having a history of complicated pregnancies, such as preterm labor, C-section, pregnancy loss or having a child with a birth defect. A family history of genetic conditions.
Gestational Diabetes – This condition can increase the risk of complications in pregnancy. However, you can have a healthy pregnancy and birth by following a diet and treatment plan prescribed by a doctor. High blood pressure – During pregnancy, some changes to blood pressure medication may be recommended.
Normal delivery is a completely natural delivery of a baby by the mother without any medical intervention.
The normal delivery process involves contractions which help the cervix dilate, soften and stretch so that the baby can be delivered. This stage is the longest and can last up to 13 hours during a woman’s first delivery and about 7-8 hours for subsequent deliveries.
Antenatal fetal surveillance is a field of increasing importance in modern obstetrics, especially as results in perinatal care have recently made dramatic progress. It is an evolving field, and it is no longer acceptable just to wait and see when problems arise in pregnancy.
During the past few decades many studies have shown that antenatal surveillance in unselected populations is of little value. However, high-risk patients benefit from antenatal fetal surveillance, especially women with pregnancy problems associated with intrauterine growth restriction.
Non-Stress Test is non-invasive and involves monitoring of the baby’s heart rate through the use of an external monitor placed on your abdomen. Accelerations (increases) in heart rate in response to fetal movements are an excellent sign that the baby is in good health and in no immediate danger.
Test results of the NST may be:
Vaccination in Pregnancy
The CDC recommends two vaccinations during pregnancy:
Cervical cerclage, also known as a cervical stitch, is a procedure done during pregnancy in which your doctor will sew your cervix closed. The cervix is a funnel-shaped tissue that opens during childbirth so the baby can move out of the uterus and through the vagina.
When your body gets ready to give birth, the cervix starts to dilate, or widen. But if your cervix is weak or has other problems, it might open too soon. This can lead to premature delivery or a miscarriage.
The postpartum period refers to the first six weeks after childbirth. This is a joyous time, but it’s also a period of adjustment and healing for mothers. During these weeks, you’ll bond with your baby and you’ll have a post-delivery checkup with your doctor.
Abortion / MTP care
procedure of terminating pregnancy using medicines. In the early stages of pregnancy (7-9 weeks), it can be terminated with the help of medicine, otherwise, the surgical process is needed. If the length of pregnancy is not exceeded 20 weeks then, medical termination of pregnancy is legal in India.
If the MTP has to be done by the non-surgical process then doctors usually recommend a pill named- Mifepristone (Mifeprex). This pill can be given either by injection or orally. In order to prevent infection, Antibiotics are also given.