Pregnency

Your Pregnancy Weeks:45678910111213141516171819202122232425262728293031323334353637383940
||||||
|______1st Trimester_____||___________________2nd Trimester_______________||______________3rd Trimester____________|

Women Who Needs Special Care During Pregnancy

Women that needs special attention during pregnancy

Diabetic Mothers   



During sexual activity and in the first few months of pregnancy, there are high chances of baby having congenital abnormalities of heart and brain, that might lead to a high incidence of death of the foetus inside the uterus or after a delivery. The pregnancy, for these women should be planned under a diabetiologist or a  gynecologist

Women with Blood Pressure         



Women having blood pressure for a long time or with prior record of blood pressure in post pregnancy need special attention. Weight reduction, regular exercise, healthy nutritious diet and medications should be followed. These women need to be monitored by special tests to have optimal growth of foetus and minimal complications in mother during pregnancy and delivery

Women with Anaemia     



Diagnosis of the type of anaemia and finding out the cause of anaemia is vital in the treatment of these women.The anaemia must be adequately treated before planning a pregnancy. Adequately spaced children, additional supplementation of iron during pregnancy, lactation, treatment of piles or any intestinal worms, must be followed

Women with prior two or more abortions



Before planning pregnancy in these women, it is important to locate the cause of these abortions. A battery of blood test is carried out to arrive at a diagnosis.Depending on the diagnosis, treatment is initiated. It is important to take complete treatment before going ahead with pregnancy otherwise it may result in another abortion

Women with thalassemia (a blood disorder)



An anaemia, which is not responding to routine iron treatment, needs to be investigated.Thalassemia is a type of blood disorder, which results in anaemia due to gene defect since birth.

Depending of the type of thalassemia i.e. major or minor, pregnancy can be planned and executed under strict vigilance of a haematologist, gynaecologist and later a neonatologist for the baby


Women with Rh – incompatibility



When the mother’s blood group is negative and father’s is positive, there are chances of Rh – incompatibility. The mothers fighting cells (antibodies)  recognise baby’s red blood cells as foreign and starts killing them. Depending on the severity of the disease, the baby is at risk from mild jaundice to the death of baby due to severe anaemia in baby. However, observing the pregnancy carefully and taking Anti-D immunisation can reduce the risk.

Anti-D immunisation contains ready-made fighting cells injected artificially in the  mother’s body to reduce the chances of disease formation. It is given 1st at 8 months of pregnancy (300 mg) and 2nd after delivery within 72 hours usually. It is advisable to take the same drug in appropriate doses as advised by your gynaecologist following abortion, ectopic pregnancy, death of baby inside the uterus, etc.

If the mother is previously exposed to Rh positive cells,the protocol of treatment differs and requires a specialized set-up with an experienced gynecologist , neonatologist and a radiologist.


Women with a prior mentally retarded child



Such women need to be carefully evaluated and investigated with special tests. At times, both the partners are investigated to come to a diagnosis.The probability of another child with similar disability is explained to the couple with the help of special tests.Folic acid supplementations, for the first 3-month with special investigation like chorionic villus biopsy or amniocentesis with special ultrasonography are done routinely to treat these patients
    
Women with heart disease



Depending on the severity of the disease, the pregnancy is planned.If the pregnancy involves the risk to the life of mother, it is advisable to avoid it.Less excertion, adequate bed rest, continued medication under supervision with active management during delivery, helps in the better outcome of the pregnancy.

Obese Women



Weight reduction prior to pregnancy is vital. Loosing of weight by following exercise routine , following a diet regime    , avoiding starvation or fasting is important. Regular antenatal exercises to strengthen  the abdominal, back and perineal muscles help in the process of delivery. Diabetes and blood pressure are routinely checked in these patients. Frequent visits with dietician, gynaecologist is essential for those women.

Articles you may be interested in:

How Pregnancy Happens

How to get Pregnant

The best time to get pregnant

Prepare your body for pregnancy

What is PGD ?

Will this be a Boy or Girl ?

Importance of food safety during pregnancy

3 Ways Of Planning A Sex Of The Baby