HOW TO BE THE FIRST VISIT OF PRENATAL CARE? The first visit is very special, from overcoming shyness to be against the doctor (many women feel so) to require the doctor to answer all your questions. The doctor at the first consultation will take, and will first have to get out of the question if the patient is pregnant or not. He will be taking you through a series of questions, examine you completely, he will ask a series of laboratory findings, and other specialists will interconsultations if you need one. Also give you guidance, some medications or supplements if you required at the time.





WHAT IS PRENATAL CARE? Is the control that all pregnant women should take to ensure a problem free pregnancy, likewise as to preserve her good health. WHAT ARE THE CHARACTERISTICS OF PRENATAL CARE? Prenatal care should satisfy the following: PRIOR: You must start as soon as possible, as soon as the mother knows that she is pregnant. PERIODICAL: Must be periodic and repetitive. In a low-risk pregnancy controls should be:

  • Until 28 weeks of gestation: monthly

  • From 28 weeks until 36 weeks of gestation: fortnightly

  • From 36 weeks until delivery: weekly

  • In a high-risk pregnancy controls should be less time between each control, according to the discretion of the physician.

FULL: Must be complete, ie must take into account the overall health of the pregnant woman:

  • Overview of the mother.

  • Review and assessment of pregnancy and output growth.

  • Nutritional Care: Contribution of Iron, other trace elements and vitamins

  • Dental care.

  • Attention on immunizations: Measles, Tetanus, Varicella, and so on.

  • Attention on mental health.

  • Social care and home visits, if needed.

  • Health education, and especially about the factors associated with pregnancy.


WHAT IS A LOW RISK PREGNANCY?
Pregnancy is common, tends to be normal in a woman who has no risk factors that jeopardize the health of her or her baby.

WHAT IS A HIGH RISK PREGNANCY?
It is one where the risk of illness or death, before or after delivery is higher than usual for both the mother and the product of conception.
The diagnosis of a high-risk pregnancy as determined by your doctor according to the findings of the history and physical examination performed.
Here are some examples of high-risk pregnant adolescent, pregnant over 35 years history of recurrent abortions, drug use, hypertensive disorders of pregnancy, history of diabetes, threatened abortion or preterm delivery, contracted pelvis, and so on.


Within perform ancillary tests are:

  • Pregnancy Test to confirm a test that lasts only minutes.

  • Blood tests: blood count, hemoglobin (check for anemia), blood group and Rh factor (discard of maternal-fetal incompatibility), blood sugar, serologic tests for syphilis, HIV ELISA test, dosage of antibodies to rubella, toxoplasmosis, and other infections of interest.

  • Comprehensive review of urine: in search of urinary tract infection, looking for albuminuria (to rule out eclampsia.

  • Sample of vaginal discharge, if necessary.

  • Pap test (Papanicolaou), to rule Cervical Cancer, if necessary.

  • An obstetric ultrasound, if you have already spent 5 weeks of gestation (this procedure also serves to rule out pregnancy).

Within interconsultations:
You could send your dentist or physical therapist to teach you to do related exercises.
In the story it should be pointed history of their immunizations
Also give you guidance about pregnancy and everything related to it.

HOW TO BE THE FOLLOWING QUESTIONS OF PRENATAL CARE?

  • It uses less time, and emphasizes the following:

  • The doctor will ask about the events related to pregnancy (symptoms or warning signs).

  • Monitor weight gain during pregnancy.

  • Monitor vital signs, including blood pressure during pregnancy.

  • Monitor a baby's size in relation to gestational age by measuring fundal height.

  • Ask and interpret certain tests that are necessary.

  • From week 26 vigilrará fetal heart rate and the presence of fetal movements.

  • After 36 weeks re-evaluate the maternal pelvis, now comparing it to the size of the product.

  • Also functional tests are needed to clarify ultrasound and other anatomy, location, fetal presentation and position.


WHAT SYMPTOMS OR SIGNS OF AN ALARM TO KNOW PREGNANT?

Knowing the symptoms or warning signs, a pregnant woman may go immediately to your doctor or hospital if present, since these herald a complication.

The following are the symptoms and warning signs:

  • Vaginal blood loss.

  • Uterine contractions before the due date.

  • Decreased fetal movement or lack thereof.

  • Loss of other vaginal fluids.

  • Increased volume of his lower limbs and the body.

  • Severe headache and permanent

  • Fever.

  • Nausea and vomiting and repeated

  • Urine scanty or discomfort when urinating

  • Epigastric pain.

  • Other symptoms, according to associated risk factor.



WHAT ABOUT DELIVERY INSTRUCTIONS TO RECEIVE THE PREGNANT?

What if it is already close to delivery time, please visit a health facility, if any of the following occurs:

  • If you lose a bloody mucous discharge in small amounts.

  • If you have contractions (pain).

  • If you think you have ruptured the amniotic sac (fluid that bathes the fetus while it is growing.


These are signs that labor is about to come.