The essential keys to a successful pregnancy
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Dr. Henry Osazuwa
M B B S ( B e n i n ) , F W A C S ( O & G )
Consultant Obstetrician/Gynaecologist
The Essential Keys To A Successful Pregnancy
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Pregnancy is a fascinating journey from start to finish !
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Pregnancy is a fascinating journey from start to finish !
Priceless
PREPARATION
PATIENCE
CAUTION
EFFORT
DECISIVENESS
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Most women will have a normal pregnancy and delivery
Pregnancy is efficient and sustains itself – Conception to Childbirth
7 Billion & counting!
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Important to curb excesses,
particularly in lifestyle.
Invest TIME
&
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Antenatal care is essential
The content and personnel is key
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You don’t need to change yourself entirely .
ADAPTATION is necessary .
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Above everything
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Never too late!
Before pregnancy – Preconception care.
Folic acid supplementation
Control of medical conditions
Preparation
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Alcohol
Smoking
Coffee
Change in lifestyle
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Healthy nutrition – Balanced diet; Protein, Carbohydrate,
Fats, Fruits, Vegetables
Avoid refined food- High sugar content
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Exercise and physical activity.
Inactivity can be harmful
More fatigue
Leg swelling
Thrombosis
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Specialised care provided for pregnant women by PROFESSIONALS
Antenatal care
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Not enough to present yourself in the hospital - Content matters.
A good example – Ultrasound scan;
targeted to answer specific questions.
Nuchal translucency
Foetal anatomical scan
Growth scans
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Screen for specific problems in the mother and the baby
- History, Investigations and examination.
AgeNumber of ChildrenBlood group/GenotypeFoetal anomaliesPoor foetal growthBlood sugarBlood pressure
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Identify & prompt treatment of conditions in the mother/Baby
Immunization (Tetanus toxoid)
Prophylaxis Rhesus negative(Rhogam)
Medications for prevention
Anaemia (Supplements – Pregnacare; PregMum; Pharmaton)
Malaria ( Fansidar/Swidar; Paludrine)
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Pregnancy can raise anxiety levels and there are often fears.
Naturally there are questions.
Education & Information
You should be educated about the normal changes and symptoms.
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Information should be correct and verifiable.
Specific to your personal situation.
Direct channels for complaints.
You should have somebody to call at all times.
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Antenatal class by different professionals.
Emphasize
Normal symptomsLifestyleNutritionExerciseWhat to expect in labourCare for the new-born.
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Most women will have a normal delivery.
Often required is support and a dedicated team of professionals.
Childbirth
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Mode of delivery – should be decided by 36 weeks.
First timers –most are allowed to attempt vaginal birth and will deliver normally.
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For some, Caesarean delivery in inevitable – To ensure safety.
2 or more previous CS.
Big baby or Narrow pelvis.
Placenta praevia
Abnormal lie/Presentation
Poor progress in labour
Baby in distress
Some indications for Caesarean delivery.
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Pain relief in labour – Companionship, Injections and Epidural.
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Emotional & social support
Pregnancy can be stressful.
Companionship
Reassurance
Domestic assistance
Someone to share fear & anxiety
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Emotional & social support
Support – Husband, relatives, Care providers.