Pregnancy

FIRST TRIMESTER-Week 1-12

Doctor’s visit-once every month

Vitals and other parameters to check at home-

1.Blood pressure

2.Weight

Tests that are done in the first-trimester are-

1. Urine test for urinary tract infection, diabetes, preeclampsia

2.Rh factor testing

3.Blood work-HCG, sexually transmitted diseases, blood sugar, Rh factor, vitamin D deficiency, genetic risk, blood type

4.Pap smear

5.Noninvasive prenatal testing

6.Ultrasound

7.Nuchal translucency screening

8.Chorionic villus sampling-Not a routine test for everyone. This is for mothers who are over 35 years old and also for women who have uncertain results from a nuchal translucency screening, first-trimester blood tests or noninvasive prenatal testing (NIPT)

 

SECOND TRIMESTER-Week 13-27

Doctor’s visit-One visit every 2 weeks

Vitals and other parameters to check at home-

1.Blood pressure(Blood pressure that exceeds 140/90 millimeters of mercury (mm Hg) or greater — documented on two occasions, at least four hours apart — is abnormal)

2.Weight

3. Fetal kick count at and after 20 weeks–After the meal is a good time-check every day at the same time-Number of movements in 2 hours-maintain a chart(normal is 10 kicks,movements within 2 hours)

4. Water(fluid intake)

5. Blood glucose(if gestational diabetic)

 

Tests that are done in the second trimester are-

1. Quad screening-Alfa fetoprotein, Human chorionic villus sampling, HCG, estriol, Inhibin-Talk to your doctor if you need these tests

2.Ultrasound-at 20 weeks-glimpse of the baby.

3.Doppler ultrasound-Fetal heartbeat

4.Glucose screening test-24 weeks of pregnancy

5.Amniocentesis-Not for all-Check with your doctor if you need to do that

 

THIRD TRIMESTER-Weeks 28-40

Doctor’s visit-One visit every week

Vitals and other parameters to check at home-

1. Blood pressure

2. Weight

  1. Fetal kick count-After the meal is a good time-check every day at the same time-Number of movements in one hour-maintain a chart

4. Water intake

5. Blood glucose(if gestational diabetes)

Tests that are done in the third trimester are-

1. Nonstress test-If you have gestational diabetes, preeclampsia, procedures like amniocentesis, Baby is measuring smaller than the gestational age or baby is inactive(based on the fetal kick count, heart sounds)

2.Biophysical profile-Not for all-Follow up of the nonstress test, high blood pressure, type 2 diabetes, Heart disease, twins, multiples

3.Group B streptococcus testing-Between 35 and 37 weeks of pregnancy

 

DRUGS THAT ARE TERATOGENS AND SHOULD NOT BE TAKEN IN PREGNANCY-

1.ACEinhibitors-Benazepril,Captopril,Enalapril,Fosinopril,lisinopril,Moexipril,perindopril,quinapril,Ramipril,Trandolapril

2.Alkylating agents-busulfan, carmustine, chlorambucil, cyclophosphamide, dihydroxy busulfan, lomustine, mechlorethamine, melphalan, prednimustine, and semustine.altretamine, thiotepa, dacarbazine, temozolomide, streptozocin, bendamustine, ifosfamide,melphalan

3.Aminoglycosides-Gentamicin, Amikacin, Tobramycin,Kanamycin,Streptomycin,Neomycin
 

4.Antiepileptic drugs-Valproic acid, carbamazepine, Phenobarbital, phenytoin, oxcarbazepine, lamotrigine,clonazepam,primidone

5.Diethylstilbestrol

6.Folateantagonists-sulfamethoxazole,trimethoprim,sulfadiazine,sulfapyridine,sulfasalazine,sulfacetamide,sulfisoxazole,pyrimethamine,methotrexate,triamterene,aminopterin,pemetrexed,progaunil,

7.Isotretinoin

8.Lithium

9.Methimazole

10.Tetracyclines-Tetracycline,chlortetracycline,oxytetracycline,Demeclocycline,doxycycline,Lymecycline,Meclocycline,Methacycline,Minocycline,Tigecycline,Rolitetracycline,Glycecycline

11.Thalidomide

12.Warfarin

13.alcohol

14.Cocaine

15.smoking(nicotine,CO)

16.Iodine(lack or excess)

17.methylmercury

18.Vitamin A excess

19.X-ray

OTHER ADVICE-

-Prenatal vitamins

-Extra folic acid-after talking to your doctor

-Weight gain during pregnancy-an overall pregnancy weight gain for those of normal weight (body mass index of 18.5–24.9), of 11.3–15.9 kg (25–35 pounds) having a singleton pregnancy.[107] Women who are underweight (BMI of less than 18.5), should gain between 12.7–18 kg (28–40 lbs), while those who are overweight (BMI of 25–29.9) are advised to gain between 6.8–11.3 kg (15–25 lbs) and those who are obese (BMI>30) should gain between 5–9 kg (11–20 lbs).

-Do not have unpasteurized dairy and deli meats.These may contain Listeria, which can cause neonatal meningitis, stillbirth, and miscarriage.

– Pregnant women are also more prone to Salmonella infections, can be in eggs and poultry, which should be thoroughly cooked.

– Cat feces and undercooked meats may contain the parasite Toxoplasma gondii and can cause toxoplasmosis.

– Practicing good hygiene in the kitchen which can reduce these risks.

-Women are also counseled to eat seafood in moderation and to eliminate seafood known to be high in mercury because of the risk of birth defects.

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