[Local Medical]The sooner the maternal and fetal health are assessed and prenatal care is provided, the better

[Local Medical]The sooner the maternal and fetal health are assessed and prenatal care is provided, the better

Written by ◆Chen Xiaoquan and compiled by ◆Liang Yingxiu

Pregnant women who give birth without prenatal care or screening expose mother and baby to high risks.

Doctors can learn about the health status of pregnant women from prenatal care, such as what infectious diseases and chronic diseases they suffer from, and can reduce the risk of childbirth and fetal mortality through prenatal care.

Obstetrics and Gynecology Specialist Consultant
Dr. Chen Weiqiang
(Dr Tan Wee Keong)

(Kuala Lumpur News) Antenatal Care (ANC) refers to regular prenatal examinations for pregnant women from the beginning of pregnancy until delivery. It also teaches about nutritional intake and medication during pregnancy, allowing pregnant women to understand pregnancy and eliminate unnecessary anxiety.

Monthly prenatal checkup before 28 weeks

Dr Tan Wee Keong, consultant obstetrician and gynecologist, pointed out that prenatal care is extremely important for pregnant women. For example, prenatal examination can help to know the condition of the fetus before delivery, so as to reduce fetal mortality and the birth rate of sick and disabled infants. When a woman has a positive urine pregnancy test, there are many things that doctors can do. First, the doctor must ensure that the fetus was conceived in the womb and not outside the womb.

“Then, we need to know whether the pregnant woman is pregnant with a singleton, twins or multiples? Then, we need to know whether there are abnormalities in the fetus, such as whether the placenta is normal or not, whether there are signs of bleeding in the posterior wall; the condition of the pregnant woman’s uterus, such as whether there are fibroids etc. Even if there are no abnormalities between the pregnant woman and the fetus, doctors can give the pregnant woman appropriate advice during prenatal care to reduce the discomfort of the pregnant woman and make the pregnancy process smooth.”

“Once a woman’s pregnancy test report is positive, she needs prenatal care.

Rather than having a prenatal check-up after 5 months of pregnancy,

Therefore, the first prenatal check-up is most appropriate between the 6th and 10th weeks of pregnancy.

When a pregnant woman goes for her first prenatal check-up,

We must calculate the gestational week of a pregnant woman to estimate when she will give birth.

Generally, prenatal check-ups are done once a month before 28 weeks of pregnancy;

After the 28th week of pregnancy, prenatal check-ups are performed every 2 weeks. “

He said that before the 13th or 14th week of pregnancy, the fetus needs the support of the ovaries, but after that the fetus will produce its own hormones and no longer need to rely on the mother’s supply, which is why intervention is sometimes required before the 13th or 14th week of pregnancy.

“In fact, prenatal care should be mandatory. He has seen many pregnant women who have never had a prenatal check-up before giving birth. This behavior is extremely dangerous for delivery because the doctor does not know whether the pregnant woman herself has a disease, such as Gestational hypertension, diabetes, etc. Various abnormal diseases that may occur in the fetus can also be found in prenatal care, especially pregnant women with diabetes or chronic diseases. Once comorbidities are found, doctors also need to do more for these pregnant women. Screening.”

High blood sugar affects fetal health

He said that most modern women are faced with the problem of obesity. What is even more frightening is that diabetes has also begun to become popular, and the high blood sugar condition of diabetics will increase the health risks of expectant mothers and fetuses during pregnancy. Some pregnant women become pregnant without knowing they have diabetes. If blood sugar is not controlled well, it will affect the health of the fetus and even cause death. Therefore, prenatal care for pregnant women should be provided as early as possible.

In addition, women need to control their weight before pregnancy, that is, the body mass index (BMI) is between 20 and 23. Nowadays, many pregnant women also face obesity. This type of pregnant woman has a higher chance of suffering from problems such as diabetes, high blood pressure or hormonal imbalance.

Obtain information from prenatal check-up

Reduce childbirth risk and mortality

Pregnant women may be at high risk if they give birth without prenatal care or screening.

She may suffer from certain infectious diseases, chronic diseases, etc. Doctors can obtain information from prenatal care to reduce the risk of pregnancy and fetal mortality.

The younger you get pregnant, the better

Chen Weiqiang pointed out that in prenatal care, doctors must ensure that the pregnant woman’s thyroid function and blood pressure are normal, whether she has anemia or thalassemia genes, syphilis, AIDS, hepatitis B, rubella antibodies, etc. If a pregnant woman is anemic, the doctor must find out the cause of the anemia. This is information that needs to be known before delivery.

“Prenatal screening can detect some chromosomal diseases, such as Down syndrome and Edwards syndrome. The detection method can be non-invasive chromosomal screening (NICC) or amniocentesis, so that pregnant women can give birth without worry. The Screening needs to be done between 10 and 18 weeks of pregnancy, and the accuracy can reach 90% to 99%.”

Therefore, the younger you get pregnant, the better for women. Therefore, if a woman is married, prepare for pregnancy! Don’t wait until you’re 40 to think about getting pregnant, because older women will have more problems. Although you can plan, you shouldn’t wait.

Prenatal check-up is the same for first and second babies

Question 1. What is the difference between prenatal check-ups for the first pregnancy and multiple pregnancies?

Answer 1.There is no difference in prenatal care.

Changes in frequent prenatal check-ups

Question 2. Why do pregnant women need monthly prenatal check-ups?

Answer 2.A pregnant woman’s body, fetus, and pregnancy-related conditions change rapidly. If there are any abnormal changes, we can diagnose and treat them as soon as possible.

Insufficient estrogen can cause miscarriage

Question 3. Will hormonal imbalance in pregnant women lead to miscarriage? Why?

Answer 3.Yes, once a pregnant woman’s estrogen is insufficient, there is a risk of premature birth or placental bleeding, or even miscarriage.

The fetus is the first to be affected by estrogen imbalance in pregnant women. As long as estrogen is properly supplemented, the miscarriage rate can be greatly reduced. In addition, diseases such as diabetes and high blood pressure can also affect pregnancy, so prenatal care and early intervention are necessary before things get worse.

Pay attention to diet and exercise to control BMI

Question 4. How should women control their BMI to prepare for pregnancy?

Answer 4.As long as you control your diet, such as reducing your intake of carbohydrates and sugar and doing exercise, I believe you will lose weight quickly.

Vitamin C helps strengthen the immune system

Question 5. Should I take vitamin C during pregnancy?

Answer 5.Vitamin C is also a nutrient that pregnant women need to take in. I believe that vitamin C can help pregnant women strengthen their immune system, thereby reducing illness. It is also good for the skin and will reduce stretch marks. Vitamin C can improve the mobility and adaptability of white blood cells, thereby effectively locking and attacking invaders such as viruses, fungi or bacteria by accelerating immune cell responses.

Fish oil helps fetal brain development

Question 6. Does taking fish oil help fetal nutrition?

Answer 6.Fish oil is rich in DHA, which helps fetal brain development.

It is recommended that pregnant women take more folic acid

Question 7. What nutrients should be taken during pregnancy?

Answer 7.During pregnancy, doctors will prescribe maternal supplements to supplement nutrients that cannot be obtained from food, especially iron.

In the early stages of pregnancy, doctors generally instruct pregnant women to take more folic acid and not give them too many supplements. In the 12th week of pregnancy, the limbs of the fetus have gradually formed. At this time, the doctor will let the pregnant woman take calcium. What you need to know is that the calcium needed for fetal bone formation comes entirely from the mother’s body. Even if the pregnant woman does not have enough calcium, the fetus will continue to ask for it from the mother. Therefore, calcium is an extremely important nutrient for pregnant women.

The fetus will steal calcium from the mother’s bones and teeth. Although the baby will still grow healthily, if the mother does not have enough calcium, she will be prone to osteoporosis after delivery. Therefore, pregnant women should not only take calcium for The fetus is also for himself.

During the first 12 weeks of pregnancy, it is recommended that pregnant women take folic acid; when the baby’s organs are formed, I will let pregnant women take iron, calcium and multivitamins. Multivitamins can be purchased at pharmacies and are not expensive, and one tablet a day is enough for pregnant women. Multivitamins contain only 30 mg of iron. If pregnant women think it is not enough, they must take additional iron.

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