Normal delivery can be accomplished provided all the criteria for normal delivery are favourable.
For the normal delivery size of the baby has to be average, good liquor amount, good foetal
movement, at least 15 -20 times good foetal movement per day, and the most important is good
passage, and spontaneous onset of labour with undue prolongation
OUR MAIN AIM IS SAFE DELIVERY OF THE BABY WITHOUT COMPROMISING THE LIFE OF MOTHER AND BABY.
BEST OUTCOME IS THROUGH GOOD ANTENATAL CARE.
Total duration for the antenatal period is 9 month and seven days.
Patients are properly evaluated by history and general examination.
Important medications are given and patients are advised for further consultation on due date.
First USG is done at 7 weeks for Foetal cardiac activity
In case of pain in lower abdomen, on / off bleeding or very risk pregnancy (after IVF, medical
complication) early USG can be done by Transvaginal USG.
Next USG is done for Nuchal translucency at 12 wks that detects majority of the congenital anomaly
problems.
Next USG is done at the 18 weeks for detailed congenital anomaly scan.
Next USG is done at 32 weeks to evaluate the baby growth and at the end at 38 -39 weeks to assess
weight of the baby as well as liquor amount
Some of the baby who are not growing well, Doppler study is recommended which helps to decide the
timing of the delivery.
Each case is not identical so as per profile of patients, such as height, weight, nutrition status
as well as the high risk medical problems such as Hypertension, diabetes mellitus, hypothyroidism,
heart disease, anaemia, symptoms of breathlessness and obstetrical condition such as position of
baby and placenta, previous Caesarean Section, no living issue,
ALL THE MOTHERS ARE STRICTLY ADVISED TO COUNT FOETAL MOVEMENT EVERYDAY AND INFORM EARLIEST IF
THERE IS LESS THAN 10 MOVEMENTS PER DAY.
Caesarean section can be planned (Elective or emergency CS).
Indication for emergency CS are very less liquor, foetal distress, placenta previa with bleeding
per vagina, malpresentation such as breech or transverse lie.
Indication for elective CS – malpresentation, placenta previa, cephalopelvic disproportion, big
baby.