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Comprehensive Prenatal Care Guidelines for Healthy Births and Reduced Maternal Risks

Dr. Minoo Movahedi presents essential prenatal care strategies aimed at ensuring the birth of a healthy baby while minimizing risks to the mother. This information emphasizes the significance of patient education, thorough health status assessment, and tailored interventions for high-risk pregnancies. Key areas covered include the importance of routine lab tests, lifestyle recommendations before and during pregnancy, risk factors for serious complications, and the beneficial impact of nutrition, particularly omega-3 fatty acids, as well as avoidance of certain substances.

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Comprehensive Prenatal Care Guidelines for Healthy Births and Reduced Maternal Risks

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Presentation Transcript

  1. PRENATAL CARE Dr. Minoo Movahedi

  2. The goal of PNC

  3. Birth healthy baby & minimal risk for the mother . • GA • High risk • Health status • decrease morbidity • Patient education & communication

  4. Serious morbidity & mortality are most occur at delivery .

  5. Care provider : Midwives 8-9 % Family physicians 6-7% OB & Gyn __ The most

  6. Number of visit Care provider High risk : history & phexam deccrease IUGR 50 % Prevention eclampsia 70% Breech presentation 80% Physical exam : High risk BMI weight gain

  7. Lab test : -Rubella test postpartum vaccination -chlamydia test , Gonorrehea Age < 24 new & more one partner history STD Drug user - TSH

  8. HIV • 35-36 week • Absence of intervention __ 15-40% • Intervention < 2% • Avoidance Breast feeding

  9. Down syndrome screen : all patient

  10. Varicella : VZ IG : 1 vial/10 kg / 96h Vaccine __ post partum

  11. Work : • until the onset of labor except PROM & VB • Exercise

  12. Sexual activity Except : VB – PROM – No Effect on labor pain

  13. Antibiotics -Aminoglycoside : Ototoxicity - Nephrotoxicity -Doxycycline : Supresson of Bone growth Staining developing teeth • Fluoroquinolones : decrease developing cartilage

  14. Trimethoprim Folic acid antagonist Avoid first trimester

  15. Airline travel 35-36 weeks : no problem Flight attendant increase abortion ,Preterm labor Complicative pregnancy avoid airline travel

  16. Recommendations Hydration Move lower Extremities Wear seat belts HBS Oxygen : cardiac disease high flying

  17. Radiation in flying during pregnancy Harmful effect ( 2 rem ) Cumulative Radiation : 100 mrem

  18. High altitude flying : Increase 8000 feet Decrease cardiac out put Decrease birth weight Increase preterm labor Increase bleeding complication

  19. GDM screen in First trimester • Obesity • Persistant glucosuria • Macrosomia • History GDM

  20. Hair dye : Brain tumor • Avoid first trimester • Decrease time • Gloves • Rinse the hair • High light • Natural hair dye : Hena • Well – ventilated space

  21. Fish & Fish oil Docosahexaenoic acid ( DHA) • Iodine • Vitamin D • Selenium • Metylmercury

  22. Fish Benefits : Brain & eye development Third trimester & first two years of life Increase cognitive outcome Increase verbal IQ Increase prosocial behavior increase fine motor skills Increase social development Decrease hyperactivity Increase 3-5 point IQ Decrease peri partum depression Decrease preterm labor

  23. Minimata disease : BBB Methyl mercury : placenta Blindnes & deafness & CP Shark – swodrfish – tuna 95% absorption 70 days __ half life Decrease methyl mercury: whale meat sardin Salmon catfish

  24. The End

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