Prenatal care

Group-B-Streptococcus

It is a bacterium that can be found in the vagina or rectum. It is easy for the baby to be infected during the process of labor itself. A swab is performed on the rectum or vagina in the last month of pregnancy, and if positive then the mother is a carrier. Not all babies born to positive carriers get infected but the risk increases in premature babies, prolonged rupture of the membranes, and Urinary tract infection at delivery. Your doctor will prescribe antibiotics for you. Infected babies have fever, difficult lactation and lax body. Please consult your pediatrician if you suspect that your baby is infected.

Vaginal Bleeding

  • During the first half of pregnancy: you have to consult your doctor immediately, if it is mild you will be advised to rest in bed and the doctor will prescribe some medications that will help decrease the blood, but if it is severe you can be having an abortion, Ectopic pregnancy or molar pregnancy.
  • During the second half of pregnancy: E.g. placenta abruption (Separation of a part of placenta) you have to check with your doctor immediately.

Molar pregnancy

It is a rare but dangerous complication. It occurs when there is a problem in the sperm or ovum leading to formation of defected conceptus. There is complete mole where there is a placenta and no fetus caused by a sperm fertilizing an empty ovum. There is also an incomplete mole where there is a defected fetus and placenta due to a sperm fertilizing an ovum with abnormal number of chromosomes. Placenta grows very fast and in a deformed manner forming vesicles which looks like grapes and (HCG) hormone is released in blood in increased amounts leading to exaggerated pregnancy symptoms like nausea and vomiting. Immediate interaction is needed.

Placental separation

Early separation of the placenta from the wall of the uterus can cause problems which include bleeding and decreased blood flow to the fetus. Possible causes: smoking, a blow to the abdomen, bad nutrition. The pregnant complains of lower abdominal pain and bleeding. Immediate intervention should happen.

Incompetent cervix

The cervix is normally closed during pregnancy and opens at labor. Sometimes there is a defect in the cervix leading to its widening and thus abortion or premature labor might occur. This happens due to operations in the cervix, infection, previous complicated vaginal delivery or injuring the cervix during a vaginal procedure. The doctor performs cervical Cerculage as a solution

Breech or transverse presentations

The commonest presentation is head presentation; breech and transverse are uncommon and might lead to an increase caesarean section rate

 

What happens if you go overdue?

Your doctor will confirm your gestational age either by revising your last menstrual period date or your early ultrasound. Then he will inspect your cervix to check its readiness for delivery by checking its consistency and length and dilation. Your doctor might offer to do a membrane sweep if the cervix is partially dilated, this induces the release of prostaglandins which can help start labor. If this does not work for you, you can decide with your doctor either to start labor induction or go for a cesarean section at once.