the essential keys to a successful pregnancy
TRANSCRIPT
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
Pregnancy is a fascinating journey from start to finish !
Pregnancy is a fascinating journey from start to finish !
Priceless
PREPARATION
PATIENCE
CAUTION
EFFORT
DECISIVENESS
Most women will have a normal pregnancy and delivery
Pregnancy is efficient and sustains itself – Conception to Childbirth
7 Billion & counting!
Important to curb excesses,
particularly in lifestyle.
Invest TIME
&
Antenatal care is essential
The content and personnel is key
You don’t need to change yourself entirely .
ADAPTATION is necessary .
Above everything
Never too late!
Before pregnancy – Preconception care.
Folic acid supplementation
Control of medical conditions
Preparation
Alcohol
Smoking
Coffee
Change in lifestyle
Healthy nutrition – Balanced diet; Protein, Carbohydrate,
Fats, Fruits, Vegetables
Avoid refined food- High sugar content
Exercise and physical activity.
Inactivity can be harmful
More fatigue
Leg swelling
Thrombosis
Specialised care provided for pregnant women by PROFESSIONALS
Antenatal care
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
Screen for specific problems in the mother and the baby
- History, Investigations and examination.
AgeNumber of ChildrenBlood group/GenotypeFoetal anomaliesPoor foetal growthBlood sugarBlood pressure
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)
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.
Information should be correct and verifiable.
Specific to your personal situation.
Direct channels for complaints.
You should have somebody to call at all times.
Antenatal class by different professionals.
Emphasize
Normal symptomsLifestyleNutritionExerciseWhat to expect in labourCare for the new-born.
Most women will have a normal delivery.
Often required is support and a dedicated team of professionals.
Childbirth
Mode of delivery – should be decided by 36 weeks.
First timers –most are allowed to attempt vaginal birth and will deliver normally.
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.
Pain relief in labour – Companionship, Injections and Epidural.
Emotional & social support
Pregnancy can be stressful.
Companionship
Reassurance
Domestic assistance
Someone to share fear & anxiety
Emotional & social support
Support – Husband, relatives, Care providers.