prenatal care program

There is no standardized prenatal care plan that applies to all pregnant women. All care actions must be developed around the three principles of "maternal and fetal safety as the core, matching individual physical conditions, and dynamic adjustment." There is no "must do" and "absolute cannot do". What suits you is the right one.

Last month, I received Sister Zhang, a 32-year-old pregnant mother of a second child, who had a history of gestational hypertension for her first child. She followed the "Universal Pregnancy Care Guide" that was widely circulated on the Internet when she was pregnant. She lay down every day during the first trimester and drank tube bone soup to replenish her nutrition. As a result, she gained 8 pounds during NT at 12 weeks, and her blood pressure had reached 135/85, almost crossing the red line of pregnancy-induced hypertension. Later, we adjusted her plan to a low-sodium diet, controlled high sugar and oil intake, and walked slowly for 20 minutes after dinner every day. By the time she was born at 39 weeks, her blood pressure was very stable. The baby was 6 pounds and 2 taels, and the delivery went smoothly.

At this point, some people may want to ask, is the saying on the Internet that "you should lie down more during the first trimester to prevent miscarriage" all wrong? No, there are currently two schools of thought in the industry regarding the amount of activity in early pregnancy: Traditional obstetrics believes that those with high-risk factors for miscarriage (such as multiple spontaneous abortions, cervical insufficiency, low progesterone accompanied by bleeding) should indeed reduce their activities, and stay in bed to preserve the fetus if necessary. ； Modern evidence-based medicine proposes that pregnant women without high-risk factors can maintain normal work and life intensity, and even exercise appropriately, which can actually reduce the risk of blood clots and gestational diabetes. Both views are correct, but they are applicable to different groups of people, so there is no need to compete with each other.

When it comes to food, there is no need to stick to the "diet pagoda" dead standards. Many people feel that "one person needs to eat and two people make up for it" when they are pregnant, and eat big fish and meat. In fact, it is appropriate to control the weight gain during the entire pregnancy to about 12.5 kilograms. Those who were thin before pregnancy can gain an extra three to five kilograms, and those who were fat before pregnancy should gain less to avoid burdening subsequent childbirth. There is no need to deliberately increase the dosage in the early stages of pregnancy. Many people are unable to eat during pregnancy, so don’t worry. The fetus needs very little nutrients in the first three months, and what you have stored in your body is enough for it. You can eat whatever you can. I had a pregnant mother who was pregnant for 4 months and ate sour soup noodles and mustard every day. She passed all NT, non-invasive, and large excretion abnormalities. The child was born weighing 7 pounds and was very healthy. By the way, don’t believe in the idea of ​​drinking bone soup to supplement calcium. The calcium content of a bowl of bone soup is not as good as half a carton of pure milk. If you really need to supplement calcium, follow the doctor’s advice to take calcium tablets, drink milk, and spend 15 minutes in the sun every day. It is better than anything else.

There are a lot of controversies about exercise. Some people say that walking more will help you have a better life, while others say that moving too much can lead to miscarriage. In fact, the core depends on your own physical condition. If you don't have contraindications such as placenta previa, frequent uterine contractions, or pregnancy-induced hypertension, you can do 30 minutes of slow walking, swimming, or professional pregnancy and childbirth yoga every day. You don't have to force yourself to take 10,000 steps. Stop when you are tired. Don't just push it after listening to others who say "walk more and give birth faster." If you are at risk of premature birth or have an incompetent cervix, don’t move around. Just walk slowly at home for 5 minutes to eliminate food. Safety is always the first priority.

Many people will ignore the compliance of prenatal check-ups. They always feel that there was no problem with the last check-up and they can skip it this time. Especially in the third trimester of pregnancy, it is troublesome to go to the hospital every week. I met a pregnant mother the year before last. Her 35-week prenatal check-up was all normal, but she skipped the 37-week regular prenatal check-up. As a result, she felt little fetal movement in the morning at 38 weeks, so she thought the baby was lazy. She waited until the afternoon to come to the hospital. After checking that the umbilical cord was wrapped around the neck three times and it was hypoxic, an emergency cesarean was performed. Fortunately, the baby was fine. If she had come two hours later, the consequences would have been disastrous. Especially after 36 weeks of pregnancy, the fetus changes rapidly, and weekly fetal heart rate monitoring and uterine height and abdominal circumference measurements cannot be spared.

In addition to physical care, I have seen too many people step on the pitfalls of emotional adjustment. During the third trimester of pregnancy, hormones fluctuate greatly, and it is easy to become anxious. When I read the news about a few childbirth problems, I worry that I will also encounter them. I repeatedly count my fingers and toes while looking at the B-ultrasound for fear that the child will be deformed. I suffer from insomnia every day and cannot eat. Don't be stubborn at this time. Either have a chat with your prenatal doctor, who can put away many worries for you with just one sentence, or go to the hospital's pregnant mother's salon and complain to pregnant mothers of the same gestational age. There are many things that you can just talk about. If you really feel that your mood is wrong, it is not shameful to see a psychiatrist. Bad mood during pregnancy has an impact on the mother and fetus, so don't take it seriously.

In fact, to put it bluntly, there is no standard answer to prenatal care. You don’t have to worry about how little you’ve gained if you see others gain 20 pounds during pregnancy, and you don’t have to feel lazy if you see others practicing yoga every day. Your prenatal doctor is the one who knows your physical condition best. If you have any questions, just ask him. Pregnancy is hard enough. Don’t embarrass yourself for those so-called “perfect pregnancy standards.” The best care plan is that the mother and fetus are safe and you are comfortable.