Lockdown shuts even pregnancy antenatal checkups?

Corona pandemic and the lockdown had given a major impact in many of our lives. From a newborn to geriatric, the concerns keep raising everyday . When it comes to pregnant womens it keeps doubling up. Can I have my routine visits?? I feel like the symptoms are more. Am I appreciating movements well?? Is my baby is having adequate growth?? What about my immunization.? These are some of their main concerns.

Actually in many hospitals there are separate entrance for OG departments and limited number of consultations for pregnant women are available.

Here is the guidelines from RCOG, UK.

1)Do have a touch with ur consultant or midwives for any doubts. Most of them are having online consultation.

2)In first trimester, have to take atleast one visit and do the dating ultrasonography. This will give you the viability of the fetus and the expected date of delivery.

3) It’s necessary to take folic acid supplement. In case of bad obstetric history you may require hormonal supplements too.

4) At the end of first trimester, around 10-12 weeks need to take a down’s syndrome screening. Along with ultrasound. Sonologist will give you the growth of baby again.

5) When morning sickness reduces, you will be given iron and calcium supplements along with vit d3 from second trimester.

6) During second trimester atleast 2 visits are required . At around 20 weeks anomaly scan for the baby will be done. It will reveal the detailed anatomy of the baby. In case of high risk, fetal echo can be done. It’s clinicians choice too.

7) After the anomaly scans you will be given tetanus toxoid shots.This is when,you will start appreciating the kicks and movements of the baby.

8) Third trimester, it’s better to visit doctor every fortnight till 36 weeks. From 36 weeks it’s weekly visit.

9) Steroids injection for lung maturation of the baby will be given in any anticipated preterm delivery.

10) Second dose of tetanus toxoid will be given.

11) Around 30-32 weeks growth scan will be taken. Along with that Doppler will be done to rule out any decrease in blood flow to the fetus.

12) All your appointments can be fixed with the obstrectian to avoid overcrowding and long stay out.

13) Ultrasound which is bound to be done has to be done. Take a prior appointment.

14) Do count the “kick count” which will be more. But mind it count in the morning, afternoon, evening, night. Minimum 4 kicks each time is normal. Don’t worry baby is doing well.

15) Talk with your doctor or midwives for the growth of the baby .

Red Flag signs:.

Rush to the nearby healthcare if the following is present.

1) Fever with rash at any trimester.

2) Excessive vomiting in first trimester leading to dehydration and shock.

3) Bleeding per vaginum anytime.

4)Leaking water per vaginum in the third trimester.

5)Loss or decreased fetal movement as described early.

6) Growing edema of the feet, around eyes even after 12 hrs of rest along with abdominal pain and persistent headache.

7) Any convulsions.

8) Vomiting, jaundice, abdominal pain, itching all over the body

How can I prevent myself and my baby from CORONA??

The most important thing to do is to follow personal hygiene. For pregnant women and the rest of their households, this includes:

  • Regular hand washing
  • Use a tissue when you or anyone in your family coughs or sneezes, discard this and wash your hands
  • Avoid contact with someone who is displaying symptoms of coronavirus. These symptoms include high temperature and/or new and continuous cough
  • Avoid non-essential use of public transport when possible
  • Work from home, where possible.
  • Avoid large and small gatherings in public spaces, noting that pubs, restaurants, leisure centres and similar venues are currently shut as infections spread easily in closed spaces where people gather together.
  • Avoid gatherings with friends and family. Keep in touch using remote technology such as phone, internet, and social media
  • Use telephone or online services to contact your GP or other essential services

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