Dr. Jyotirmoy Das

steps needs to take during pregnancy

During pregnancy we should remember some important points. Pregnancy is divided into three trimesters ,the first trimester is the first 3 months, second is 3 to 6 months and third is 7 to 9 months. I like to write about the importance of each trimester for a safe and sound pregnancy.

First trimester

1. Whenever you miss the period you should go for a pregnancy test, once it is positive you should visit one gynecologist to check that pregnancy is inside the uterus or not because it is very important as increase of ectopic(fertilized egg implants outside of the uterus) pregnancy. It is nowadays very often so it is important to check if pregnancy is inside the uterus or not.

2. First trimester is very crucial as lots of miscarrage happened during these time for various reason, so early need of support and consultation with gynecologist is very important.

3. one more important point is the Nuchal translucency test which is performed in the first trimester of pregnancy between 11 and 14 weeks of gestation. There is a rise of down syndrome which is very hurtful for parents to carry on with down syndrome. Nuchal translucency test is performed to find out down syndrome. So, it is suggested to discuss with one gynecologist before the test.

4. one important point to mention is two doses of tetanus toxoid which everyone knows.

Second trimester

1. After doing the Nuchal translucency test in the first trimester, the baby has to go for a second level of anomalies test in five months to rule out birth anomalies .

2. At 12 weeks it is very important to know the location of the placenta , so that extra care can be taken.

Third trimester

1. We need to go for an ultrasound at 8 months or 32 weeks. It is important because sometimes knowingly or unknowingly baby weight remains low, maybe because the diet is insufficient, which we call IUGR(Intrauterine growth restriction) . if we come to know at 32 weeks we will have one and half month to do some intervention so that babies gain weight.

2. Water level also needs to be checked , so that if needed steroid injection can be given so that the lung matuared and in result lesser stay at neonatal ICU or there is no respiratory disease, etc.

3. The last most important point is from 34 weeks till last week’s mother should be aware of babies movement.

Most important points to be practice during the 33 weeks to delivery.

BABYS MOVEMENT as it’s only perceived by women bearing the child she need to be educated about it.

Rest 3 points are very obvious where treating doctor/ hospital need to be informed

Regular painful contraction

Draining ( water leaking )

Blood discharge/ bleeding