MAKING BIRTH A FULFILLING EXPERIENCE
Dec 21, 2015
Day 8-adhered to uterus
Day 22-open brain, no face!
Day 20-few millimeter long
Day 22-heart in mouth and beating
Day 24-4mm
Ripe for fertilization Sperm entering egg First cell division
Moving down fallopian tube
Day 7 –Egg shell breaks, embryo settles in uterus
Day 28 with yolk sacDay 30-7mm Developing face
Day 39-12mm
AT 6 WKS THE BABY HAS A HEART BEATHEART HAS 2 CHAMBERSNEURAL TUBE CLOSES AND BRAIN IS DEVELOPING
FETAL MOVEMENT(QUICKENING)
KICK COUNT OR
DAILY FETALMOVEMENT
COUNT (DFMC)>10 movements in 12 hrs.>10 movements in 12 hrs.
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
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
Backache
Fatigue
Heartburn
Leg cramps
Mouth and tooth changes
Shortness of breath
Emotional changes
Headaches
PREGNANCY CHANGES
SEX DURING PREGNANCY
Avoid if you have had :• Preterm labor• Placenta previa• Infection • Bleeding• Leaking• More than one miscarriage