|CONGRATULATIONS!! You are pregnant. Pregnancy is a time of anticipation, excitement, preparation, and even uncertainty among new parents-to –be. An expecting mother needs utmost, gentle and continuous care through all stages of her pregnancy .At VAATSALYA CLINIC-the woman and child care clinic conveniently located at at Mahim .We provide comprehensive ante/prenatal care and a healthy delivery for your baby.
Dr. MAULIK JOSHI specializes in obstetrical care; he knows there is nothing like welcoming a child into this world. He only wants only the best for you and your baby. We deliver the highest quality prenatal care and are on the forefront of providing great medical care. Dr. JOSHI is well supported by his compassionate staff members and together, we work as a team to encourage and assist you throughout this special experience.
ANTE NATAL CARE
Antenatal care is the care you receive from healthcare professionals during your pregnancy.
INITIAL PRENATAL VISIT
This first visit will take approximately 30 minutes. You will meet with Dr. JOSHI, who will review your past history and provide comprehensive educational counselling.
YOUR FIRST VISIT
Your first visit with your doctor is the appointment when you tell them that you’re pregnant. At this first visit, you will be given information about:
folic acid and vitamin D supplements
nutrition, diet and food hygiene
lifestyle factors that may affect your health or the health of your baby, such as smoking, recreational drug use and drinking alcohol
antenatal screening tests
They will give you information on keeping healthy, and ask whether you have had any previous health or pregnancy issues, such as complications in pregnancy. It’s important to tell your doctor if:
CHECKING YOUR BABY’S DEVELOPMENT AND WELLBEING
Cervical checks will be done toward the very end of pregnancy, (38 or 39 weeks) unless you may be having a potential problem. i.e. (premature onset of labour or amniotic fluid leak).
At 18 to 22 weeks you will be advised an elaborate ANOMALY SCAN–a type of ultrasound.
Weight and height
Most women put on 10-12.5 kg in pregnancy, most of it after they are 20 weeks pregnant. Much of the extra weight is due to the baby growing, but your body also stores fat for making breast milk after the birth. During your pregnancy, it’s important to eat the right foods and do regular exercise.
ANTE NATAL BLOOD TESTS
Full Blood Count
People who are rhesus positive have a substance known as D antigen on the surface of their red blood cells. Rhesus negative people do not. A rhesus negative woman can carry a baby who is rhesus positive if the baby’s father is rhesus positive. If a small amount of the baby’s blood enters the mother’s bloodstream during pregnancy or birth, the mother can produce antibodies against the rhesus positive cells (known as ‘anti-D antibodies’).
This usually doesn’t affect the current pregnancy, but if the woman has another pregnancy with a rhesus positive baby, her immune response will be greater and she may produce a lot more antibodies. These antibodies can cross the placenta and destroy the baby’s blood cells, leading to a condition called rhesus disease, or haemolytic disease of the new-born. This can lead to anaemia and jaundice in the baby.
Anti-D injections can prevent rhesus negative women from producing antibodies against the baby. Rhesus negative mothers who haven’t developed antibodies are therefore offered anti-D injections at 28 and 34 weeks of pregnancy, as well as after the birth of their baby. This is quite safe for both the mother and the baby.
Your doctor can tell you if you need iron tablets to prevent or treat anaemia. Your iron levels will be checked throughout your pregnancy.
You’ll be offered tests for:
Susceptibility to rubella (German measles) – if you get rubella in early pregnancy, it can seriously damage your unborn baby. Your midwife or doctor will talk to you about what happens if your test results show low or no immunity.
Syphilis – you’ll be tested for this sexually transmitted infection as it can lead to miscarriage and stillbirth if left untreated.
Hepatitis B – this virus can cause serious liver disease, and it may infect your baby if you’re a carrier or you’re infected during pregnancy. Your baby won’t usually be ill but has a high chance of developing long-term infection and serious liver disease later in life. Your baby can be immunised at birth to prevent infection. If you have hepatitis B, you’ll be referred to a specialist.
Hepatitis C – this virus can cause serious liver disease and there is a small risk it will pass to your baby if you are infected. It can’t be prevented at present. If you’re infected, you’ll be referred to a specialist and your baby can be tested after it’s born
HIV (human immunodeficiency virus) – this is the virus that causes AIDS. HIV infection can be passed to a baby during pregnancy, at delivery or after birth by breastfeeding. As part of your routine antenatal care, you’ll be offered a confidential test for HIV infection. If you’re HIV positive, both you and your baby can have treatment and care that reduces the risk of your baby becoming infected.
Be aware that you can still catch all these infections during pregnancy after you’ve had a negative test result. This includes sexually transmitted infections such as syphilis, HIV and hepatitis B if you or your sexual partner takes risks, such as having unprotected sex. You can also get HIV and hepatitis if you inject drugs and share needles.
More about HIV
If you’re HIV positive, your doctor will need to discuss the management of your pregnancy and delivery with you.
There is a one-in-four chance of your baby being infected if you and your baby don’t have treatment. Treatment can significantly reduce the risk of transmitting HIV from you to your baby. One in five HIV-infected babies develop AIDS or die within the first year of life, so it’s important to reduce the risk of transmission.
Your labour will be managed in order to reduce the risk of infection to your baby. This may include an elective caesarean delivery.
Your baby will be tested for HIV at birth and at intervals for up to two years. If your baby is found to be infected with HIV, paediatricians can anticipate certain illnesses that occur in infected babies and treat them early. All babies born to HIV positive mothers will appear to be HIV positive at birth, because they have antibodies from their mother’s infection. If the baby is not HIV positive, the test will later become negative because the antibodies will disappear.
Normally, the amount of glucose in the blood is controlled by a hormone called insulin. However, during pregnancy, some women have higher than normal levels of glucose in their blood and their body does not produce enough insulin to transport it all into the cells. This means that the level of glucose in the blood rises. Between 2 and 10 per cent of pregnant women will develop GDM.
In most cases, gestational diabetes develops in the third trimester (after 28 weeks) and usually disappears after the baby is born. However, women who develop gestational diabetes are more likely to develop type 2 diabetes later in life.
Group B streptococcus
If you’ve already had a baby who had a GBS infection, you should be offered antibiotics during labour to reduce the chances of your new baby getting the infection. If you have had a group B streptococcal urinary tract infection with GBS (cystitis) during the pregnancy, you should also be offered antibiotics in labour.
GBS infection of the baby is more likely to occur if:
Your doctor will assess whether you need antibiotics during labour to protect your baby from being infected.
Its okay to ask questions