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Chapter 9: PRENATAL CARE MRS. SWOPE Family and Consumer Science Dept. PROFESSIONAL HEALTHCARE Seek healthcare as soon as possible 1st visit- complete physical, estimate due date Monthly visits for 6 months. Months 7,8, visits every 2 wks. 9th month, wkly visit. SOURCES OF HEALTHCARE Maternal-Fetal Specialist Obstetrician / Gynecologist Family practitioner Certified nursemidwife Women’s clinic DIET AND NUTRITION R Eat healthy foods BEFORE becoming pregnant R Poor diet increases risk of miscarriage, stillbirth, premature birth, low birth weight R Choose healthy foods from all food groups R Limit sugars and fats R Eat plenty of fresh fruits and vegetables Dietary Requirements Grains: good sources of fiber and carbs, needed for energy and to keep her digestive tract functioning. Vegetables and Fruits: good sources provide vitamins C, E, K, B complex and Folate; needed for proper formation of the fetus’s neural tube. Minerals: as mother’s blood supply increases she needs more iron, magnesium, iodine, selenium. If she doesn’t get enough iron she may become anemic. Dietary Requirements Milk: rich source of calcium and phosphorous needed to build the baby’s bones and teeth. Meat and Beans: excellent source of protein needed for building the baby’s cells, tissues, organs, and blood. Water: needed to keep mother well hydrated, helps with eliminating hers and the baby’s waste. Sodium: use in moderation, can cause hands, ankles, feet to swell, increases blood pressure. DIET AND NUTRITION Average weight gain during pregnancy 2535 pounds. More weight gain is expected with multiples. Babies born to underweight or poorly nourished women may have low birth weight, fewer brain cells,or slowed development Exercise Regular exercise is important for good muscle tone needed for delivery Moderate exercise routine is recommended walking, swimming Be aware of body temperature and heart rate Hydrate often REST /SLEEP First three months of pregnancy are very tiring due to hormonal changes Eight hours of sleep are recommended each night Short rest periods during the day are beneficial Last few weeks of pregnancy are very tiring Illness During Pregnancy Measles, polio, mumps, chicken pox, or influenza can affect the fetus Can cause stunted growth, deafness, or other serious birth defects All STD’s can cause problems for fetus Gestational diabetes causes baby to be large, puts stress on mother’s organs, usually goes away after birth Illnesses cont. Pre-eclampsia - also called toxemia,is a condition where mother’s blood contains toxic substances.(excess protein in urine) Sometimes associated with a poor diet, more likely to happen if mother is under age 20 Illnesses cont. Symptoms: sudden weight gain, swelling of feet and hands, severe headaches, high blood pressure Can be very dangerous for mom and baby Use of Drugs During Pregnancy • Mother should not use any drugs without doctor’s consent, including OTC medications • Babies born to drug dependent mothers will have the following symptoms: low birth weight, extreme irritability, projectile vomiting, fewer brain cells, lower IQ, facial features may be affected, and other serious defects. Video: Babies Addicted to Heroin • http://www.13abc.com/clip/10512121 /more-babies-being-born-addictedto-heroin Other Harmful Substances Mother smoking during pregnancy baby receives nicotine and carbon monoxide These constrict blood vessels and reduce the amount of oxygen in the blood, harming baby. Second hand smoke is just as bad Harmful Substances cont. Alcohol passes through the placenta and enters the fetal bloodstream quickly Fetal alcohol syndrome affects baby both physically and mentally - short in stature, small head, flat nose, wide spaced eyes Radiation - can cause mutations( change in gene structure) avoid x-rays. FAS Baby Miscarriage Called spontaneous abortion, many occur during the first three months of pregnancy, before the 20th week. A natural way of removing an imperfect embryo Mother may go through a period of mourning after the miscarriage Prenatal Tests Ultra sound uses sound waves to project image of fetus ( 3D, 4D) Amniocentesis - sample of amniotic fluid is removed and analyzed AFP - (alpha-fetoprotein) a blood test done between 15-18 weeks. Shows if mother is carrying more than 1 fetus, if there are neural defects (spina bifida), and Anencephaly(missing most of the brain) ULTRASOUND 4D ULTRASOUND AMNIOCENTESIS Risks of Amniocentesis Possible infection Loss of amniotic fluid Possible miscarriage Accidental needle puncture to baby, should baby move suddenly.