What are the prenatal care measures?

There is no fixed standardized list of prenatal care. The core is centered around the three directions of maternal and fetal safety, reducing childbirth risks, and alleviating labor discomfort, and can be flexibly adjusted based on the pregnant woman's gestational age, physical foundation, and pregnancy complications.

I have been in the obstetrics clinic for almost five years, and I have seen too many pregnant mothers who are either too nervous to stay in bed every day and dare not move, or they are too worried and have missed several prenatal check-ups and found problems. Many misunderstandings are actually very regrettable. I met a first-time mother who was 34 weeks pregnant and had gestational hypertension. I always thought that as long as she didn't feel uncomfortable, she didn't need to take a blood pressure test. The scheduled prenatal check-up was only a week away. She fainted for two days in a row and didn't take it seriously. When she came, her urine protein was 2+. She was directly admitted to the hospital for observation for a week before she stabilized. If she came a few days later, she would probably have to have an early cesarean section, which would be risky for both adults and children. Therefore, the care related to prenatal check-up really does not just follow the time in the manual. Pregnant mothers with comorbidities must follow the doctor's instructions and have relevant indicators tested. If there is an abnormality, see a doctor at any time. Don't wait for the appointment time.

As for the hotly debated topic of "should I take more supplements or control my weight during pregnancy, exercise more or take more pregnancy control?", in fact, both sides are reasonable, and there is no absolute right or wrong. If you have a history of recurrent miscarriage, cervical insufficiency, placenta previa and other high-risk factors, you should really try to rest as much as possible. Don't just follow the bloggers and do midwifery exercises or climb stairs to midwifery, which may lead to problems. ； If the body is in good condition and there are no abnormal signs, don't blindly take supplements in your daily diet. It is more appropriate to control the weight gain during pregnancy to about 12.5 kilograms. Pregnant mothers with gestational diabetes should replace the white porridge, milk tea, and refined pastries that raise blood sugar quickly with grains and low-sugar fruits. There was a pregnant mother who drank durian and chicken every day in order to "long the fetus". She gained 8 pounds in half a month, and the baby was still two weeks too old. In the end, she underwent two transverse cesareans, which was particularly unworthy. If physical conditions permit, walking for half an hour every day and doing a few sets of gentle pregnancy yoga can also enhance the strength of the pelvic floor and reduce the probability of tears during childbirth.

Many people think that prenatal care is all about eating and moving. In fact, psychological care is no less important than physical care. A few months ago, a pregnant mother of her second child who was 38 weeks pregnant came to me crying. She said that everyone in the family was staring at the child in her belly, and no one cared. Her pubic bone hurt so much that she couldn't turn over at night, and she woke up with leg cramps in the middle of the night, and no one helped her. During that time, I wanted to cry every day. Later, I talked to her family twice, and I also chatted with her more about relaxing things after childbirth during prenatal check-ups, and her condition gradually improved. If you or there is a pregnant woman in your family, ask her more often, "Is there anything uncomfortable today?" It is much more useful than asking her every day, "Is the baby moving well?"

There are also some small details that need to be mentioned. In the third trimester of pregnancy, you can apply some moisturizing oil on your nipples to avoid chapped nipples after feeding. However, do not stimulate your nipples frequently, as this can easily cause uterine contractions and premature birth.； If you see redness, you don’t have to rush to the hospital. You can wait until contractions are regular every five or six minutes and last for more than half a minute each time, or your water breaks. There was a pregnant mother who panicked and stayed in the hospital for three days when she saw a little bit of redness. The hospital still hadn’t started, and she carried her bag home to wait, which was a waste of time. In fact, after all, prenatal care does not have so many fancy requirements. The core is that you are comfortable and the baby's development is in line with the gestational age. If you are unsure about something, ask your prenatal doctor directly. It is much more reliable than blindly browsing home remedies on the Internet.