Prenatal care content

The core of prenatal care is not to follow the unified "100 things you must do during pregnancy" template on the Internet, but to dynamically adjust from the three dimensions of medical monitoring, daily care, and psychological adjustment based on the individual physical foundation, gestational age, and fetal development of the pregnant woman. All standardized requirements that are divorced from individual conditions are unscientific.

I have met too many pregnant mothers in the obstetrics clinic who regard online templates as edicts. The one that impressed me the most was the 32-year-old pregnant mother who had her second child last year. Her first child had a history of pregnancy-induced hypertension. When she was pregnant, she followed the instructions on the Internet to walk 8,000 steps a day and eat boiled vegetables to control her weight. As a result, she went to the emergency room because of dizziness and low blood sugar at 12 weeks of pregnancy. Her care plan was completely different from that of a 22-year-old girl who had her first child and all indicators were normal. Applying unified standards could easily lead to problems.

Let’s first talk about the medical monitoring part that everyone is most concerned about. In fact, there is no absolute standard answer to this part, and many choices have different clinical basis. For example, the selection of Tang screening and non-invasive DNA. The routine procedure of public tertiary hospitals is that pregnant mothers under 35 years old and without high-risk factors first undergo Tang screening, with an accuracy rate of 60%-70%. High-risk women will then undergo non-invasive or amniotic biopsy. ； But now many experts and young pregnant mothers prefer to go directly to non-invasive surgery. After all, the false positive rate is lower and it can avoid a lot of unnecessary anxiety. As long as the corresponding cost difference can be accepted, both options are fine. There is also the standard for weight gain that everyone often asks. The old saying is that the most appropriate weight gain during pregnancy is 12.5 kilograms. This is actually the reference value given by the WHO for women whose pre-pregnancy BMI is within the normal range. Now clinical adjustments will be made based on individual circumstances: pregnant mothers who are thin before pregnancy have no problem if they increase to 15 kilograms. Those whose pre-pregnancy BMI exceeds the standard should be controlled at 8-10 kilograms to avoid inducing gestational hypertension and gestational diabetes. Oh, by the way, many people ask whether breakfast can be eaten during prenatal check-ups. It really depends on the day's events. Liver function and glucose tolerance tests must be done on an empty stomach. Regular fetal heartbeat listening and B-ultrasound are absolutely fine. Don't wait in line all morning hungry, as you will feel dizzy and suffer.

After talking about going to the hospital, let’s talk about daily care at home. This part is also the area with the most rumors. For example, the older generation always says that you should not eat crabs and hawthorns during pregnancy. The view of Western medicine is that as long as the ingredients are clean and not allergic, eating them in moderation will not cause miscarriage. ； However, Chinese medicine does recommend that pregnant mothers with spleen and stomach deficiency in early pregnancy and a history of miscarriage eat less cold and blood-activating foods. Both opinions have their own basis. There is no need to argue about right or wrong. Just eat it yourself and feel no discomfort. There was a pregnant mother who had been controlling her sugar for half a month. She came to me crying and said she wanted to drink milk tea. In fact, there is really no need to be so harsh. Pregnant mothers who control sugar choose sugar-free and drink it once a week to satisfy their cravings. It is much better than holding back an emotional breakdown. There is also the issue of exercise. It is not necessary to walk 10,000 steps a day. Pregnant mothers with a low-lying placenta and signs of premature birth need to stay in bed more. Instead, they are more likely to have to walk hard. Like the pregnant mother I treated before, who walked 12,000 steps in order to have a normal delivery and ended up with premature rupture of membranes and came to the emergency room. Pregnant mothers who usually like to exercise have no problem swimming and doing maternal yoga in the second trimester. They usually stay at home, and walking for 20 minutes every day after meals is enough. As for the radiation-proof clothing that everyone is struggling with, clinical studies have long said that non-ionizing radiation from daily mobile phones and computers will not cause teratogenesis, but if you feel at ease wearing it, there is no need to buy one and wear it. You don’t have to worry about paying IQ tax for a long time.

Many people ignore the part of prenatal psychological care, and even think that pregnant mothers who are not in good mood are "hypocritical". I met a pregnant mother last week. She sat in the clinic area and cried for a long time. After asking for a long time, she said that her husband had forgotten to buy her the strawberries she wanted to eat. After that, she was embarrassed and said that she felt that she was making a fuss. In fact, this is a normal response to hormonal fluctuations during pregnancy. There is really no need to force yourself to be a "perfect pregnant mother". It is perfectly normal to occasionally be lazy and not want to move, and occasionally break down because of trivial things. Prenatal depression screening has now been included in regular prenatal check-ups as a routine item. If you feel that your mood continues to be low and you feel unmotivated, don't hold on to it. Talking to your family or talking to a doctor is better than holding it in yourself. I have also seen many families treat pregnant mothers like porcelain dolls and not allow them to do any work, which makes them feel useless. In fact, as long as the body allows, doing simple housework and going out to go shopping with friends will be more conducive to emotional stability.

To be honest, every time I talk to pregnant mothers, I always say, don’t treat pregnancy as a test to get full marks. There is never a list of things that must be done in prenatal care. The best standard is that you are comfortable and the baby develops normally. If you are really unsure about anything, don’t search Baidu blindly. Ask your obstetrician directly, which is more reliable than anything else.