Obstetrics relates to pregnancy, childbirth, and the post delivery period, as a medical specialty. Our services cover consultation on all complex pregnancy related conditions and treatment offered to women is quality and evidence based and has been sharply refined by the vast training and the world class international working experience
• Prenatal care, also known as antenatal care, is a type of preventive healthcare. Its goal is to provide regular check-ups that allow doctors to treat and prevent potential health problems throughout the course of the pregnancy and to promote healthy lifestyles that benefit both mother and child.
• During check-ups, pregnant women receive medical information over
• maternal biological changes in pregnancy,
• prenatal nutrition including prenatal vitamins.
• Recommendations on management and healthy lifestyle changes,
• and prenatal screening and diagnosis,
• Proper care plays vital part in reducing the frequency of miscarriages, birth defects, low birth weight, neonatal infections and other preventable health problems.
• First visit in pregnancy:
• You can book an appointment as soon as you know that you're pregnant. It's best to consult as early as possible.
• During this first visit, we will take detailed history about your lifestyle, past illness, and health habits.
• Please inform us if
⇒ You've had any complications or infections in a previous pregnancy or delivery, such as pre-eclampsia or premature birth.
⇒ You're being treated for a chronic disease, such as diabetes or high blood pressure.
⇒ You or anyone in your family have previously had a baby with an abnormality.
⇒ There's a family history of an inherited disease.
• At first visit, you will be given information about:
⇒ Folic acid and vitamin D supplements
⇒ Nutrition, diet and food hygiene
⇒ Lifestyle modifications
Antenatal screening tests like Blood group and Rh status, CBC, urine test, sugar,syphilis, hepatitis B, HIV, rubella, Hb Electrophoresis and testing for thyroid disease.
• These tests will be discussed with you and you can choose whether you have them or not.
• a ultrasound for confirming number location and viability of embryo.
• Your next appointment should happen when you are 11-14 weeks pregnant. This is called the first antenatal visit or booking visit.
• Your due date is calculated by adding 40 weeks (280 days) to the first day of your last menstrual cycle. An ultrasound scan will give you a more accurate date for the birth of your baby.
• Between 11-13 weeks gestation you will be offered sonography called as early anamoly scan and blood test(Double Marker) which detects the Probable risk of Down's syndrome, Trisomy 18 and neural tube defects.
• Typically, routine checkups occur:
⇒ Once each month for weeks four through 28
⇒ Twice a month for weeks 28 through 36
⇒ Weekly for weeks 36 to birth
⇒ Women with high-risk pregnancies need to see their doctors more often.
⇒ Information about breast-feeding.
⇒ Information to prepare her for labour and birth (birth plan, pain relief options, how to recognize the onset of active labour).
⇒ Information about care of the new baby and preparations needed.
⇒ Information about routine procedures such as newborn screening and vitamin K prophylaxis.
⇒ Advice about postnatal self-care, along with information about postnatal depression and "baby blues".
• In early pregnancy transvaginal ultrasound will be performed at around 8 weeks to confirm viability, number and location of pregnancy.
• Second ultrasound is NT scan between 11 to 14 weeks. We call it as early anomaly scan and it will also confirm your due date.
• Third is an anomaly ultrasound between 18-20 weeks which is targeted to structural abnormalities so that a lethal anamoly ,if detected ,can be offered termination before 20 weeks of legal limit of termination of pregnancy.
• We could offer a growth scan or Dopplers at 28 to 34 weeks, if indicated.
• Additional ultrasounds are performed for other medical needs.
• Pregnancy Classes to educate about the pregnancy events and care , are scheduled monthly, usually on a saturday.
• Vaccination in pregnancy:
• We suggest one shot of Td vac at 20 weeks, Influenza vaccine at 26 weeks and single shot of Tdap(Combined vaccine for tetanus, diptheria and whooping cough) at 28 -30weeks.
⇒ Regular uterine contractions every 5 to 10 minutes for 1 hour.
⇒ Vaginal Bleeding. Spotting vaginally after an exam is normal. If any bleeding heavier than spotting go to the hospital.
⇒ frank gush of water from rupture of membranes.
⇒ Decrease fetal movement.
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