What are the prenatal care measures?

In fact, there is no unified standard that applies to all pregnant mothers. The core is to dynamically adjust according to their own prenatal check-up conditions, taking into account physical comfort and psychological stability. There is no need to complete the KPIs one by one according to the online list. Last week I just delivered a second child to a mother who was 32 weeks pregnant. When she gave birth to her first child, she strictly followed the online prenatal care checklist. She had to walk 10,000 steps a day, count fetal movements for an hour in the morning, noon and evening, and take DHA and folic acid calcium supplements in turns. In the end, she was so anxious that she had insomnia for half a month. The prenatal checkup also revealed that her blood pressure was high. Later, we helped her cut off all those rules and regulations, leaving only the requirements that met her physical condition, and she was back to normal within two weeks.

Speaking of which, many people's misunderstanding about prenatal care is that there are enough tasks to do. In fact, the most important first step is to strictly follow the rhythm of your own prenatal care doctor, and do not apply the general standards on the Internet to yourself. Just like there was a pregnant mother who had no tolerance for sugar. She followed the online strategy of "growing a fetus but not fat" and ate durian to repair the fetus. After eating, her blood sugar soared to 7.8, and she came to the hospital overnight to adjust her blood sugar. This is a typical pitfall that was not taken into account her own situation. If you have special conditions such as gestational hypertension or placenta previa, all your dietary and exercise requirements will be different from those of ordinary pregnant mothers. It is more reliable to listen to your own doctor than to ask ten experienced people and bloggers.

In addition to following the doctor's instructions, just make flexible adjustments to your daily body care. There is really no need to force yourself. For example, the commonly talked about exercise during pregnancy does not say that you must walk 10,000 steps a day. If you feel tired today, you can do a few sets of Kegel exercises on the sofa at home. If you have placenta previa, no one will say anything wrong with you if you lie down more. There is also the perineal massage that has been discussed a lot recently. There is indeed research in the academic circle that regular and correct massage after 35 weeks of pregnancy can reduce the probability of perineal tearing during vaginal birth. However, many clinicians believe that ordinary people can easily stimulate uterine contractions if they do it incorrectly, which may lead to the risk of premature birth. Therefore, if you want to do it and how to do it, it is best to ask your prenatal doctor before doing it. Don’t blindly follow the video.

Compared with these visible care contents, many people ignore the psychological care. This is the factor that I have seen most affects the state of childbirth in clinical practice. Last month, there was a mother who was 37 weeks pregnant with her first child. The whole family circled around her belly and stuffed her with all kinds of stuff every day. No one cared about the posts about her tearing during childbirth. She was so scared that she couldn't sleep all night. She was almost due to give birth and she lost two pounds. Later, we took her to the delivery room and told her when to give birth without pain and how to exert force during labor. We also showed her a video of our doula accompanying the childbirth. Within two days, her mood stabilized, and the final natural delivery went very smoothly. In fact, family members can help a lot in this regard. Don’t talk about “for the good of the child” every day. As long as the pregnant mother has no special pregnancy contraindications, it’s really okay to eat a popsicle or drink a cup of milk tea occasionally. It is better for the child and the pregnant mother than holding back her emotions.

Oh, and by the way, there is also the preparation of delivery bags, which can be considered a small part of prenatal care. You really don’t need to stock up on two big boxes six months in advance. Many of the Internet celebrity models are actually not used during childbirth. Just pack them slowly one month before delivery. The process of packing can also relieve the anxiety about childbirth, which is killing two birds with one stone.