Girija Hospital & Fertility CenterAzad nagar, near Gujarat Colony, Kothrud, Pune
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Complete blood count for anaemia : MCV to know about any haemoglobin inherited or transferrable disease, platelets and white blood counts for baseline values
USG : Confirmation Scan / Dating Scan / NT Scan
Special tests : screening for rubella , toxoplasmosis , thyroid antibodies , thyroid function tests ,double marker test ( done along with NT with biomarkers in the mothers blood to predict adverse outcomes such as fetal growth restriction ,pregnancy related raised blood pressure (preeclampsia ), placental separation prematurely ( abruptio placentae) ),indirect Coomb’s test, further evaluations of diabetes and anaemia ,screening for thalassemia or sickle cell disease which are disorders which are transmitted genetically to the baby.Additional tests may be requested for additional evaluation and this can be case specific and will be individualised by your clinician such as blood tests and doppler studies
Vaccinations : Flu vaccine and hepatitis vaccination can be taken throughout entire pregnancy
Prenatal supplements : Folic acid, pyridoxine, nutritional supplements are given. In addition some medications may be additionally prescribed in special situations.
Your responsibility : To completely share the details about your health, pertaining to past illnesses, surgeries and medications consumed for some illnesses such as tuberculosis, epilepsy (fits) , raised blood pressure or another medications in details .
It’s a good practice to properly date these details and share with your clinician for better guidance.
Take all the medicines on time .Pay attention to the clinical instructions and follow them diligently.
Inform about your any allergic conditions especially to any medicines.
USG : Targeted scanning for fetal anomalies should be done before 20 weeks in India
Special tests : Indirect Coomb’s test, some others pertaining to individual case, Doppler studies, Fetal ECHO
Vaccinations : Tetanus(TT) injection 2 shots 6 weeks apart
Prenatal supplements : Iron and calcium supplements are taken to meet the increased needs and to prevent anaemia and pregnancy hypertension and osteopenia ( weakening of bones ) in the mother
Your responsibility : Take medications on time. If no tolerance share with your clinician so alternative formulations can be prescribed. Follow the timelines for checking and investigations regularly.
USG : Growth scans, biophysical assessment of the fetus
Special tests : Non stress tests for the fetal well being
Prenatal supplements : As mentioned above
Please remember these tests are done with a purpose and this being identifying your and your baby’s well being. Timelines should be observed as suggested so that the doctor can guide you correctly and make necessary treatments.
Please refer to my previous write ups on blood pressure, planning pregnancy, hypothyroidism, nausea during pregnancy, nutrition during pregnancy, exercise during pregnancy for additional information and understanding.
Happy pregnancy and best of luck for a successful and safe delivery.
Dr. Girija Wagh, MD (Obstetrics & Gynaecology), FICOG, FICP, Diploma (Endoscopy, Infertility), Fellowship of Indian College of Ob-Gynec, Women health care specialist, Academician, Acclaimed Orator & Researcher, B. J. Medical 1990-1992, Topper University Of Pune 1992
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