Prenatal classes

Dr.SUDHIR SHAH

1. ISO 9001:2008 CERTFIED
Dept of OBGYN...SATNAM HOSPITAL

2. Saurashtra’s
BEST Hospital
For Mother –Child –and Women Care
At RAJKOT
Welcomes YOU………………………………………
Akshar Marg
Opp: Swaminarayan Temple
Kalawad Road RAJKOT
Phone Lines –2450685-86-87-88
Dept of OBGYN...SATNAM HOSPITAL

3. The Team-Paediatrics and Gynecs
Dept of OBGYN...SATNAM HOSPITAL

4. Staff-The force behind
Dept of OBGYN...SATNAM HOSPITAL

5. Department of Obstetrics and Gynecology
SATNAM HOSPITAL
RAJKOT
Dr.Sudhir Shah
Dr.Beena Trivedi

6. GOD could not be everywhere and therefore
He made mothers
No other relation in this world is as beautiful,
pure & selfless as that between a mother and
her child
Dept of OBGYN...SATNAM HOSPITAL

7. Pregnancy is not a disease.
Pregnancy is a period of celebration when every family
member have to be prepare to welcome the new guest in
their family.
Positive attitude plays the lead role in that period.
There are some common complains arise during pregnancy,
but instead of taking it as a stressfull situation, every women
has to enjoy that situation, it leads to minimum complains &
complications afterwards.

8. Early Signs and Symptoms
Amenorrhoea : that is delayed menstruation
cycle.
Nausea and Vomiting
Lower Abdominal Pain
Dept of OBGYN...SATNAM HOSPITAL

9. CONFIRMATION
Urine Pregnancy Test
Per Vaginal Examination
Ultra Sonography
Dept of OBGYN...SATNAM HOSPITAL

10. Doctor visits
Once every month upto 6 months of pregnancy.
Once every 15 days in the 7
th
& 8
th
month.
Once every week in the 9
th
month.
Dept of OBGYN...SATNAM HOSPITAL

11. In this presentatation
Symptoms: most common in 1
st
, 2
nd
& 3
rd
trimester of pregnancy.
Food & Diet
Selfcare
Medical care
Exercise
Dept of OBGYN...SATNAM HOSPITAL

12. 1
st
TRIMESTER
Dept of OBGYN...SATNAM HOSPITAL

13. Morning Sickness
Common in first 3 month
Have freq small meals
Take medicines as advisedToast, biscuits to decrease nausea
Avoid oily food Drink plenty liquidsDept of OBGYN...SATNAM HOSPITAL

14. Dizziness
Stand up
slowly or
you may
feel giddy
Turn to a side
Sit
Dept of OBGYN...SATNAM HOSPITAL

15. Cravings
Normal
Do not eat unhealthy food
Do not eat road-side food
Eat frequent small meals
Dept of OBGYN...SATNAM HOSPITAL

16. Mood swings
Decrease stress
Talk to friends & relatives
Explain your mood
changes to your spouse
Read good books
Listen to music
Avoid horror movies,
depressing T.V. progs
Dept of OBGYN...SATNAM HOSPITAL

17. Other Common symptoms in 1
st
trimester
Increased frequency of urination.
Excessive nausea & vomiting i.e. called
Hyperemesis gravidum-it requires doctor
consultation-due to excessive fluid loss from the
body, patient may require iv fluid administration
to prevent dehydration & generalised weakness.
Spotting p/v: if increase in quantity, patient have
to consult the doctor.
To avoid these situation, avoid stress,
transportation, sex & weight lifting.
Rest is the most important in this trimester.

18. Common instruction:
1
st
trimester is the period when fetal
oraganogenesis develop, it means all organs
formation occur in this period like liver, kidney,
brain etc.
Avoid extra drug administration of your own for
minor complains like headache, bodyache,
acidity etc. because those medicines may leads
to malformation or defects in organ
development.
Take medicines which are only advised by your
doctors.

19. Doctors may prescribe supportive
medicines like folic acid, hormonal
treatment like Progesterone etc.
Take these medicines regulalry without
fail, it will be more important for this
period.
Chances of abortion in 1
st
trimester is
about >10% so enough care to be taken.

20. 2
ND
TRIMESTER
Dept of OBGYN...SATNAM HOSPITAL

21. Common symptoms in 2
nd
trimester
Breast discomfort
Backache
Fetal movements starts
Bleeding p/v

22. Breast discomfort
Tender & sensitive
Aerola darker
Increased breast size
Check for inverted nipple
Wear comfortable & supportive bra
Dept of OBGYN...SATNAM HOSPITAL

23. Backache -postures
Dept of OBGYN...SATNAM HOSPITAL

24. Fetal organo-development occurs in this period,
it means development of all organs occurs in this
period.
Fetal movement starts in 5
th
month.
Average 15-16 movements/day should be occur.
Kicking, jerky movements will be feel by patients.
Blood investigations, ultrasonography etc are
very important in this period according to doctor
advise.

25. This trimester is more safer than both 1
st
& 3
rd
trimester.
In 1
st
& 3
rd
trimester bleeding p/v is more
common, so weight lifting & sexual
intercourse should be avoid.
Sexual intercourse is more safer in this
trimester. Only one has to take precaution
that lateral position is preferrable.

26. Alarming signs to visit the consultant
Edema
Decrease fetal movement.
Excessive vomiting/ Anorexia
Giddiness, dizziness.
Bleeding p/v or leaking p/v.
Decrease urine output
In all these situation, immediately consult
the doctor.

27. 3
RD
TRIMESTER
Dept of OBGYN...SATNAM HOSPITAL

28. Leg cramps
Occur suddenly
Mostly in last months
Massage area
Point foot & toes towards face
Increase calcium in diet, e.g. milk, milk products
Exercise regularly
Dept of OBGYN...SATNAM HOSPITAL

29. Itching & Stretch marks
Heaviness, pressure or itching
sensation on tummy
Coconut oil, Vit E oil or stretch creams
Stretch marks fade into fine silvery
medals of motherhood
Also on breasts, bottoms, thighs
Dept of OBGYN...SATNAM HOSPITAL

30. Constipation
Common in pregnancy
Avoid straining or sitting long time on a toilet.
Drink plenty water
Avoid fatty foodsEat grain, fruits, vegetablesDept of OBGYN...SATNAM HOSPITAL

31. Sleeplessness at night
Decrease stress
Avoid tea/coffee/aerated drinks in
evening
Have a cup of warm milk before
sleeping
Have a warm bath before sleeping
Do not sleep in afternoon
Dept of OBGYN...SATNAM HOSPITAL

32. Common instruction
Avoid watching horror movies, violent movies
etc.
Avoid to read filmy magazines like filmfare,
stardust etc.
Avoid excessive use of mobiles.
Start watching nice family movies, read good
books & magazines like chitralekha, abhiyan,
religious books etc., keep in touch with good
people, try to remain happy all the time.
These all effects more to your baby.

33. FOOD & DIET
Dept of OBGYN...SATNAM HOSPITAL

34. Balanced diet
•You are the only source of food for your baby
•Diet should include
•Iron
•Calcium
•Proteins
•Vitamins
Dept of OBGYN...SATNAM HOSPITAL

35. Proteins
Pulses, dal
Groundnut, channa, (chikki)
Milk, cheese,
dahi, paneer
Dry fruitsDept of OBGYN...SATNAM HOSPITAL

36. Protein
Green leafy
vegetables
Pulses esp.
Ragi (nachni)
Dept of OBGYN...SATNAM HOSPITAL

37. Iron
Green leafy vegetable-
chutney, soup, sabzi
Raisins
Jaggery -chikki Pulses

38. Cereals
Mix different cereal &
pulses e.g. idli, dosa
Rotis-add soya/nachani
flour to wheat flour
Dalia
Make parathas by mixing
different flour like besan,
wheat or jowar e.g. mooli, gobiDept of OBGYN...SATNAM HOSPITAL

39. Fruits & Vegetables
Rich in vitamins, fibre & minerals
2-4 servings daily 3-5 servings daily
Dept of OBGYN...SATNAM HOSPITAL

40. Calcium
3 glasses of milk a
day in any form
Cheese
Curds
Paneer
Milkshakes
Buttermilk/lassi
Rasgulla
Dept of OBGYN...SATNAM HOSPITAL

41. Fats
Oil, ghee & sweets in small quantity
Fats help in absorption of Vit. A, D, E, K.
1 tablespoon of ghee = 15gms = 135 calories
Visible fat intake should be increased during
pregnancy and lactation to 30 gm & 45gm resp.
Dept of OBGYN...SATNAM HOSPITAL

42. Sweets
Sweets in small quantity
Avoid sugar, use jaggery instead
Avoid
tea/coffee,
cakes,
chocolates,
mithai
Have raisins,
chickoo,
honey, dates
Dept of OBGYN...SATNAM HOSPITAL

43. Water & Salt
Take 8 -10 glasses of water atleast
Reduce salt intake -salt leads to high blood
pressure, swollen hands & feet
Eat at regular intervals
Do not fast or feast
Dept of OBGYN...SATNAM HOSPITAL

44. FAST FOOD ITEMS TO AVOID
Dept of OBGYN...SATNAM HOSPITAL

45. Tips -Diet
Use jaggery instead of
sugar
Steaming is best method
of cooking
Frying, reheating cause
loss of nutrients
Do not use sugar
substitutes
Dept of OBGYN...SATNAM HOSPITAL

46. Tips -Diet
Avoid excess of oil/ghee in cooking
Avoid excess of chilly & salt
Avoid maida & sugar base products e.g.
cakes, bread, jam, jalebis
Have a balanced diet
Have frequent small meals
Dept of OBGYN...SATNAM HOSPITAL

47. SELF CARE
Dept of OBGYN...SATNAM HOSPITAL

48. Avoid
High heels
Soft drinks
Lifting heavy weights
Dept of OBGYN...SATNAM HOSPITAL
Smoky atmosphere

49. Cleanliness
Trim nails regularly as they grow faster
Bathe regularly -prevents infection
Keep vaginal area clean
Brush regularly after meals
Dept of OBGYN...SATNAM HOSPITAL

50. Cleanliness
Breast care -wear well fitting bra
Wear low heeled shoes
Do not wear tight clothes
Wear clothes according to the climatic
conditions
Dept of OBGYN...SATNAM HOSPITAL

51. When should you gain weight ?
1
st
trimester :1kg
2
nd
trimester :5kg
3
rd
trimester :5kg
Total :11kg minimum
Dept of OBGYN...SATNAM HOSPITAL

52. Work & Pregnancy
Age (older mothers may have more problems)
General health (anaemia, DM, high BP)
Pregnancy progress (weight of the baby, complications)
Prior pregnancy problems (bleeding, preterm, IUGR)
Dept of OBGYN...SATNAM HOSPITAL

53. Work & Pregnancy
Type of work you do (sedentary, tours, sleep)
Hours of work (regular, irregular)
Work risk factors (travel, food habits, stress,
chemical)
Dept of OBGYN...SATNAM HOSPITAL

54. Pregnancy & work
Morning sickness
Don’t skip meals
Drink lots of water
Moderate exercise
Posture at work
•Plan timely departure
•Avoid taking stress
•Maternity Leave
•Getting enough sleep
Dept of OBGYN...SATNAM HOSPITAL

55. Sex in pregnancy
Depending on your health, speak to your
doctor
Growing abdomen, increase breast
sensitivity –change position
Avoid sex if you have
Unexplained bleeding
History of miscarriage or preterm labour
Pregnant with twins or triplets
Placenta previa
Sexual intercourse or breast stimulation
can start labour
Dept of OBGYN...SATNAM HOSPITAL

56. Travel in pregnancy
Avoid long journeys
Avoid crowded transport
Safe in 4-6 months only Dept of OBGYN...SATNAM HOSPITAL

57. Travel-after doctors advice
Dept of OBGYN...SATNAM HOSPITAL

58. MEDICAL CARE
Dept of OBGYN...SATNAM HOSPITAL

59. Medications
Folic acid in 1-3 months
Iron & calcium supplement -from fourth month onwards
Injection tetanus toxoid
Anti D in Rh negative mother
Dept of OBGYN...SATNAM HOSPITAL

60. Blood Tests
Hemoglobin
Blood group
Infection –STDs, TORCH, HIV, Hepatitis B
Diabetes
Fetal abnormalities
Urine Test -infection
Dept of OBGYN...SATNAM HOSPITAL

61. Sonography
Age of fetus
Abnormalities
Placenta site
Due date
Weight of fetus
Sex determination is illegal
Dept of OBGYN...SATNAM HOSPITAL

62. Immunization
Inj. T.T.
2 doses
After 5
th
month
4 weeks apart
Dept of OBGYN...SATNAM HOSPITAL

63. Book
In
Gujarati
Regarding
Pregnancy
To
READ
Rs.80-00
Instead of
100-00
Available at counter
Dept of OBGYN...SATNAM HOSPITAL

64. Development of foetus
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65. Early Pregnancy
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66. Development of Foetus
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67. 24 weeks
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68. Dept of OBGYN...SATNAM HOSPITAL
Stages of labour

69. Dept of OBGYN...SATNAM HOSPITAL

70. Types of delivery
Normal delivery
Forceps delivery
Vaccum delivery
Lscs
Dept of OBGYN...SATNAM HOSPITAL

71. Labour pains
False Labour True Labour
Timing of
Contractions
Irregular, no increase in
frequency
Regular, 4-6 min
apart, increase in
frequency
Strength of
Contractions
Weak; not stronger with
time
Stronger with time,
feels vaginal pressure
Pain with
Contractions
Felt in the front only Starts in the back &
moves to the front
Position
Change &
Hydration
Contractions stop/slow if
youwalk/lie down/
change position/
increase fluid intake
Contractions continue
inspite of position
changes/ increase
fluid intake
Dept of OBGYN...SATNAM HOSPITAL

72. Dept of OBGYN...SATNAM HOSPITAL
So….When to get
admitted at Hospital
Regular Pain, Starts in
the back & moves to
the front / 4-6 min
apart, increase in
frequency/presence of
Show

73. Try to establish Rapo with doctor &
hospital staff during 9 month consultation,
so that you don’t get any nervousness or
hesitation during delivery in unknown
atmosphere.
Visit the labor room prior to
hospitalization, if possible & be familiar
with nursing staff also.

74. Proper time of admission
When patient starts backache & show.
While going to hospital, avoid heavy diet, take
liquid & soft diet more.
During the last 15 days of pregnancy keep a
plastic bag ready with all files-medical papers
and medicines ready-so that it can be taken to
the hospital if when labor pains starts….
One male family member should accompany
with patient, so he will be ready to take
medicines from pharmacy or any other
requirements during delivery.

75. When get admission, give proper details
of patient like name of patient, husband’s
name, surname & exact address of
residence.
So, that registration of birth will be proper.
Collect birth certificate within one month of
delivery.

76. Dept of OBGYN...SATNAM HOSPITAL

77. Dept of OBGYN...SATNAM HOSPITAL
Normal Delivery

78. Dept of OBGYN...SATNAM HOSPITAL

79. Dept of OBGYN...SATNAM HOSPITAL

80. Dept of OBGYN...SATNAM HOSPITAL

81. Dept of OBGYN...SATNAM HOSPITAL

82. Dept of OBGYN...SATNAM HOSPITAL

83. Dept of OBGYN...SATNAM HOSPITAL

84. Medical emergency
Pain may occur regularly at repeated intervals
Leaking of watery fluids from vagina, even if
there is no pain
Swelling of feet & hands
Bleeding from vagina
Decreased/Loss of fetal movement
Dept of OBGYN...SATNAM HOSPITAL

85. Thank You Very Much
Creation and Presentation
Dr.Sudhir Shah
Dr.Beena Trivedi
Dr.Arti Gangdev
Mrs.Shweta Antani
Dept of OBGYN...SATNAM HOSPITAL