MAKING BIRTH A FULFILLING
EXPERIENCE
PHASE I
Lifestyle
Changes
during
pregnancy
Antenatal exercises
Nutrition during pregnancy
PHASE II
Labor and Birth
Breastfeeding
Care of newborn
GOAL
HEALTHY
MOTHERS
AND
HEALTHY
BABIES
THE COUNTDOWN BEGINS
40 WEEKS = 280 DAYS
I
0-13 WEEKS
II
14-28 WEEKS
III
29-40 WEEKS
WHAT HAPPENS WITH THE
BABY?
Day 8-adhered to
uterus
Day 20-few millimeter
long
Day 24-4mm
Day 22-open brain,
no face!
Day 22-heart in mouth
and beating
Ripe for fertilization
Moving down fallopian
tube
Sperm entering egg
First cell division
Day 7 –Egg shell breaks, embryo settles
in uterus
1st month
Day 28 with yolk sac
Day 30-7mm
Developing face
Day 39-12mm
AT 6 WKS THE BABY
HAS A HEART BEAT
HEART HAS 2 CHAMBERS
NEURAL TUBE CLOSES AND
BRAIN IS DEVELOPING
2nd month
3rd month
4th month
5th month
6th month
7th month
FETAL MOVEMENT
(QUICKENING)
KICK COUNT
OR
DAILY FETAL
MOVEMENT COUNT
(DFMC)
>10 movements in 12 hrs.
8th month
9th month
WT 3KG
LENGTH 36CM
ANTENATAL CHECKUPS
• Once every month till 28weeks
• Then once in 2 weeks till 36 weeks
• After36 weeks once a week
ANTENATAL
INVESTIGATIONS
•
•
•
•
•
•
•
Blood group and Rh
Hb , CBC
HIV
HBsAg
Blood Sugar
TSH ( thyroid)
Thallasemia screening
ROUTINE CHECKS IN EACH
VISIT
•
•
•
•
•
•
WEIGHT GAIN
BLOOD PRESSURE
SWELLING
GROWTH OF BABY
FETAL HEART
POSITION AND PRESENTATION
SCREENING TESTS
• SERUM SCREENING AND NT AT 10
WEEKS
• TRIPLE MARKER(AFP,HCG AND
OESTRIOL)AT 14-16 WKS
• QUADRAPLE TEST(TESTS INHIBIN A) IF
TRIPLE MARKER IS MISSED
WHAT FOR?
• SPINA BIFIDA
• CHROMOSOMAL ABNORMALITIES
LIKE DOWNS SYNDROME
ULTRASOUND SCANS
• AT 6 WKS TO SEE THE HEART BEAT
AND LOCATION OF PREGNANCY
• AT 10 WKS TO SEE NUCHAL
TRANSLUCENCY
• ANOMALY SCAN AT 20WKS-3D/4D
• COLOR DOPPLAR AS INDICATED
MEDICATION
• folic acid
• Iron
• Calcium
DO NOT TAKE ANY MEDICINE
WITHOUT CONSULTING YOUR GYNEC
PREGNANCY CHANGES
Backache
Fatigue
Heartburn
Leg cramps
Mouth and tooth changes
Shortness of breath
Emotional changes
Headaches
CONGESTION AND NOSE
BLEEDS
SKIN CHANGES
LINEA NIGRA
CHLOASMA
CAN STETCH MARKS BE
AVOIDED?
HEALTHY LIFESTYLE
DURING PREGNANCY
EXERCISES REGULARLY
EAT HEALTHY FOOD
HOW TO TRAVEL SAFE?
CAN I DRIVE?
USE OF COMPUTER/CELL
PHONES
ACTIVITIES YOU SHOULD AVOID
COSMETICS DURING
PREGNANCY
AVOID THESE TOO!
SEX DURING PREGNANCY
Avoid if you have had :
• Preterm labor
• Placenta previa
• Infection
• Bleeding
• Leaking
• More than one miscarriage
WHEN TO SEE YOU
DOCTOR?
•
•
•
•
Excessive vomiting
Vaginal bleeding
Pelvic/abdominal pain
Fever
Someone special entered your life
Prepare yourself to bring forth and
nurture this new life.