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Author9 Posts
  #1

Hi,

Can anyone tell abt the things to be covered when counselling a woman during her prenatal visit?

thanks




  #2

counsel about ---
Good dietary habits, avoid alcohol and smoking - explain why?
Ensure To take Prenatal Vitamins regularly and start if not started yet - esp. folic acid
Explain when she has to come for regular visits to monitor the growth of the baby and for regulr blood tests on her to keep a watch on her hemoglobin and that a USG will be done at 4 months to screen for development of baby or any problems (anomalies )If it is normal no further USG will be required
Also If she has any concerns, or notices bleeding or gets pain she can call the nurse - so say I will give u a number or she can also speak to me also if required.-SOS
Explain to her she can continue with her work( ensure not doing heavy work)and

about prenatal exercises after second trimester???- forum seniors please---

I dont know if we should encourage her to visit with her husband / partner -- wether it is advisable.Need to ask forum seniors---


  #3

I dont know if we should encourage her to visit with her husband / partner -- wether it is advisable.Need to ask forum seniors---



Absolutely, prenatal care should always involve the partner.

remember, he is the father of the fetus and will involve in every step of the way


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seeking study partner in USMLE, Canadian MCC OSCE examination

  #4

What tests are advised on first prenatal visit in US?Apart from Phy Exam
CBC,HIV( with consent ),HBsAg
Blood Sugar,


  #5

US-abd,Pelvic+genital exam,serum Fe+ Ferritin,BUN,Cr.

  #6

Advise her on scheduled testing, Materal fetal protein at 15 weeks, diabetic OTT at 24 weeks, rubella shot at 28 weeks if Rh-, also ultraosund .



Counselling of the pregnant woman is a very serious thing !


___________________
seeking study partner in USMLE, Canadian MCC OSCE examination

  #7

TORCH screening!
Good food, hydration.
Regular visits for USG for HT and DM.
Excercises.
Smoking, alcohol, drugs.
Any high risk condition. (previous abortions, C-section, Family history of abortions, anencephaly etc...)

  #8

Also, culture from cervix for GR B strep ........ if positive then 10 d Amox.

Also, inform about the symptoms of pre-eclampsia .....swelling of feet etc.

  #9

can any one please let me know,what physical examination we will do in first prenatal visit.what findings would we write in patient notes,i mean the abdominal findings







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