Pregnancy Care

Pregnancy Care

Pregnancy & Antenatal Care

Pregnancy is a time of significant change for both the mother and the baby. Regular antenatal care helps to monitor the health of the mother and baby and to identify problems early. At Dr. Sumina Reddy’s Clinic, antenatal care is individualized according to each woman’s health, pregnancy history and preferences.

Stages of pregnancy

  • Conception and implantation: fertilization of the egg by a sperm, followed by implantation of the embryo in the lining of the uterus.
  • Embryonic development: during roughly the first 8 weeks, the major organs and body systems begin to form.
  • Fetal development: from the 9th week until birth, the fetus grows and its organs develop further.
  • Trimesters: pregnancy is divided into three trimesters, each lasting about three months, with different checks and milestones in each.

Antenatal visits

Pregnancy is confirmed and dated early, usually with an ultrasound scan. The number and timing of visits are individualized, and visits generally become more frequent as pregnancy advances. Routine checks include blood pressure, weight, urine tests, blood tests (such as haemoglobin and blood group) and growth monitoring.

Screening and scans

Screening tests and scans are offered at appropriate stages, for example early pregnancy dating, first-trimester screening, a detailed anomaly scan in the second trimester, and screening for gestational diabetes. Additional tests are advised when there is a specific indication.

Nutrition and supplements

A balanced diet, folic acid, and iron and calcium supplements as advised, are important. Alcohol and tobacco should be avoided, and any medicine should be reviewed with your doctor before you take it.

Vaccinations

Vaccines recommended in pregnancy, such as tetanus-containing and influenza vaccines, are given as advised by your doctor.

Warning signs

Contact your doctor promptly or go to the nearest emergency department if you have:

  • Vaginal bleeding or leakage of fluid
  • Severe or persistent abdominal pain
  • Reduced or absent baby movements
  • Severe headache, blurred vision or sudden swelling of the face and hands
  • Fever or persistent vomiting

High-risk pregnancy care

Pregnancies affected by conditions such as high blood pressure, diabetes, previous caesarean section or miscarriage, multiple pregnancy or other medical problems need closer monitoring and an individualized plan. See also When your pregnancy is complicated.

Labour and delivery

The plan for labour and birth is discussed during antenatal visits through shared decision-making. The mode of birth, vaginal birth or caesarean section, depends on the safety of the mother and baby and on clinical circumstances. See also Labour.

Postpartum care

After delivery, the health of the mother and baby is reviewed, with support for breastfeeding, recovery, emotional well-being and a discussion about contraception.