Couple who try to conceive we screen them for any problem that can lead to miscarriage or
complicated pregnancy.
Some blood tests are done.
Lady is given folic acid that is very important to avoid miscarriage and neural tube defect in
baby.
Please report as soon as you miss the dates as coming later on you miss very important folic acid
tab that helps for the nerve development of the baby.
Do not neglect symptoms like pain abdomen, loss of appetite and weight loss.
Consult for Cancer prevention and vaccination – Prevent cancer cervix by GARDASIL vaccination. Best
time to give GARDASIL vaccination is at young age and it provide high rate of protection.
How to keep women fit especially after age 40.
Screening after 40 years is required as chances of developing hypertension, increased blood
pressure, diabetes, heart disease are high, that may lead to severe problem later on.
PCOS problems – need consultation for treatment, need to bring change in life style and food habits.
Vitamin D deficiency – diagnosis and treatment. Vitamin D deficiency can lead to a loss of bone
density, which can contribute to osteoporosis and fractures (broken bones). Severe vitamin D
deficiency can also lead to other diseases.
As soon as you miss the period the you can do the pregnancy test by UPT KIT available in the
market and if there are two lines then it means you are pregnant and immediately you should consult
the me.
Reason for early consultation is that baby need important vitamin that is folic acid that is
needed for the nerve and brain development of the baby as the brain development is maximum in the
first three months and deficit of that leads to problem to the baby.
Some of the patients which are high risk groups such as diabetes, hypertension, heart disease,
hypothyroidism, B Thalassemia carrier need to be prior evaluated. They may need to change the drugs
as some of the drugs are strictly contraindicated in pregnancy.
Some of the patient who are B Thalassemia carrier, their husband blood group is also evaluated and
if both are found to be carrier then urgent diagnosis of the baby status has to be done using
special technique such as CVS or amniocentesis.
The main drug given to mother is Iron and calcium and that is continued till the delivery and
thereafter for three months at least.
Important Investigations are done as early as possible in the first trimester -ABO/Rh CBC, PPBS 2
hr, urine RE / ME, Thalassemia screening, thyroid profile, HIV, HBsAg, Anti HCV, VDRL and
ultrasound.