Prenatal care at North York General Hospital
description
Transcript of Prenatal care at North York General Hospital
![Page 1: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/1.jpg)
Prenatal care at North York Prenatal care at North York General HospitalGeneral Hospital
11th edition July 2013
![Page 2: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/2.jpg)
North York General Hospital North York General Hospital Obstetrical care.Obstetrical care.
Average 6000 deliveries per annum 30% C section (19% Primary 11% Repeat 9%
Forceps) Birthing suites with Jacuzzi Good Anesthetic department 24 hours service SPOE Monitoring system First days program 24 hour discharge Advanced Level I1c (30 weeks) Nursery at NYGH
![Page 3: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/3.jpg)
First Prenatal visitFirst Prenatal visit
HistoryExaminationTestsDiscussionPlanning a healthy pregnancy
![Page 4: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/4.jpg)
Prenatal DiagnosisPrenatal Diagnosis
Prenatal Screening ( non invasive)12 week NT, with Blood test ( same day)16 week blood tests only18-20 weeks Anatomical Ultrasound
– NIPT “Harmony” Testing
Prenatal Testing( Invasive )CVS testingAmniocentesis
![Page 5: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/5.jpg)
Prenatal Testing IPS and FTSPrenatal Testing IPS and FTS IPS = FTS + MSS
– 12 weeks FTS(First Trimester Screen) = tests (NT ultrasound, blood tests, PAPP-A, HCG) – results 1 week later
– 16 weeks MSS(Maternal Serum Screen) = blood tests (HCG, MSAFP, ESTRIOL)
– 12 + 16 weeks IPS(Integrated Prenatal Screen) = FTS + MSS – results 1 week later
![Page 6: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/6.jpg)
At 16 weeksAt 16 weeks
Registration at NYGHBlood tests are done NOW not at 18 weeks
(same day HIV etc) Prenatal classesMake sure that you have 18 week
ultrasound booked
![Page 7: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/7.jpg)
Other Prenatal TestsOther Prenatal Tests
Special blood testsAmniocentesis ( picks up Chromosomal
problems) . This is a focused and specific test, that is obtained by needle to amniotic cavity .
Pregnancy loss on average about 0.5% (1:200)
Is NOT the ultimate test.
![Page 8: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/8.jpg)
% Risk of Chromosomal % Risk of Chromosomal Problems in pregnanciesProblems in pregnancies
0
1
2
3
4
5
6
7
30-35 35-40 40-45 45-50
singleTwins
![Page 9: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/9.jpg)
How to organize testsHow to organize tests
Take the New Prenatal form to the front desk to get dates.
When?Where?Always check with office if in doubtIf you cancel REBOOK
![Page 10: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/10.jpg)
Prenatal Testing 2013Prenatal Testing 2013
Any Questions ?We can contact NYGH Genetics
departmentKeep in contact between 12 -18 weeksIf in doubt Please contact us
![Page 11: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/11.jpg)
Other IssuesOther Issues
Diet and nutritionExerciseIf smoking TRY to QuitPrenatal classesBreast feedingNext appointment
![Page 12: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/12.jpg)
Diet and NutritionDiet and Nutrition
Regular well balanced dietFlexible on weight gainIncrease calciumMay take vitaminsDo not OD on any one foodSpecial diets for vegetarians
![Page 13: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/13.jpg)
ExerciseExercise
Keep to what you normally doLow impact exercisesDO not overdo it.In high risk pregnancies lots of restSpeak to me if there are concerns
![Page 14: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/14.jpg)
SmokingSmoking
IS bad for you and babyCarbon monoxide poisoningNicotine effectsStunted babiesPoorer eyesightMore congenital abnormalities
![Page 15: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/15.jpg)
Prenatal classesPrenatal classes
More for new moms and dadsHeld at hospital and other clinicsInfo can be gained from reading etcGood to meet other “new parents”
![Page 16: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/16.jpg)
Breast FeedingBreast Feeding
Encouraged in all patientsCan do things both antenatal and
intrapartumAlways worth a try
![Page 17: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/17.jpg)
Next appointmentsNext appointments
The officeThe Special TestsUltrasoundBlood testsGeneticsSpecial focused tests
![Page 18: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/18.jpg)
Next appointmentsNext appointments
The prenatal testing if appropriateNext Ultrasound appt.Next visit to the office 4,2 or 1 weeksMake sure you know how to contact office
![Page 19: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/19.jpg)
How to contact Dr. How to contact Dr. PairaudeauPairaudeau
The office is open Mon-Fri 9am to 5.30pmSome Weekends for emergency
– Saturday 8.20am to 9.45am– Sunday 8.15am to 9.15am– ALL other times at night or weekend to L and
D @NYGH Triage 2nd floor. No call necessary
![Page 20: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/20.jpg)
In EmergencyIn Emergency
Please call Dr. Pairaudeau– click here for web site (check the FAQ section)– 416 417 9200– if unavailable then call labour and delivery 416
756 6275
![Page 21: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/21.jpg)
Emergency ConsiderationsEmergency Considerations
DO NOT PANICTry to locate Dr. Pairaudeau or officeRemember office is open seven daysPlease do not use TELE HEALTHUse emergency only if appropriateAvoid walk-in clinic unless advisedUse family doctor as back-up
![Page 22: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/22.jpg)
Emergency ConditionsEmergency Conditions
When you have bad pains or contractionsWaters breakBleeding more than a periodFever 38.5 C (fever over 39 C are serious,
needs attention)Bad problems that cannot waitWhat to expect
![Page 23: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/23.jpg)
Labour and DeliveryLabour and Delivery
2nd Floor NYGH Leslie Street siteGo into room and call for the Nurse.The Nurse will see you and call me or the
duty doctor.Please make sure if you are less than 20
weeks and they send down to emerg .call me
![Page 24: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/24.jpg)
Who delivers YouWho delivers You
We have an on call person 24hrs in HI like to do my own deliveriesAs long as I am available I will deliverWe have sign out system at midnightMaybe at conference95% attendance rate
![Page 25: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/25.jpg)
Stay and discharge in HospitalStay and discharge in Hospital
If normal delivery 24 hours + -If complicated delivery till well enoughIf C\section 72 hours.Public Health Nurse ProgramMust be seen if serious problem by me
![Page 26: Prenatal care at North York General Hospital](https://reader035.fdocuments.in/reader035/viewer/2022062322/56815120550346895dbf3e8a/html5/thumbnails/26.jpg)
Final Round upFinal Round up
See the person at deskMake appointmentsQuestions ???Medical Registration Fee
– Please see added note from desk– Please see ultrasounds