prenatal care program

For healthy pregnant women with no underlying diseases or pregnancy complications, the most scientific prenatal care does not have a unified template. The core is "an individualized plan that is dynamically adjusted according to the gestational age, prioritizing medical advice and matching medical indications, and taking into account daily diet, exercise and psychology." All care lists that are said to be "universal throughout pregnancy" can basically only be used as a reference and cannot be applied directly.

I have been working in obstetric clinics for 8 years, and I have seen too many pregnant mothers ask questions using the "Full Score Care Checklist" on the Internet, saying that their hemoglobin is still low after eating bird's nest for half a month according to the guide. Some people followed bloggers to do Pilates during pregnancy and came to the emergency room after bleeding. After checking, it was found that they had not noticed the problem of a low-lying placenta before, and moving around caused risks. To be honest, this is like choosing milk powder for a child. If someone else’s baby drinks milk powder, your baby may become allergic to it. There is really no standard answer.

Let’s first talk about the prenatal check-up that is most easily taken advantage of. Don’t believe in the old saying “if you don’t feel comfortable, don’t go there”, and there is no need to follow suit in all the additional items. Take the choice after the critical risk of early Tang Dynasty, there are currently two tendencies in the academic circles: Conservatives will recommend direct amniocentesis, which can detect all chromosomal problems with 100% accuracy ； The more cautious group will think that the 99% accuracy rate of non-invasive DNA is high enough. After all, there is a risk of miscarriage of about 0.5% in amniotic biopsy, so there is no need to take this risk. At this time, you just have to choose according to your own situation. For pregnant mothers over 35 years old and those with family genetic history, I generally recommend direct sheep-tooth piercing for more peace of mind. For young people without high-risk factors, it is completely fine to choose non-invasive.

The issue of diet is even more controversial. The older generation believes that "one person eats and two people are nourished", so they put chicken soup and pig's feet into the bowl every day. Now, young pregnant mothers are afraid of losing weight and want to boil vegetables every day. There is really no need to go to extremes. I met a 27-year-old pregnant mother before who was diagnosed with gestational diabetes. She really had to strictly control sugar. She had to replace white rice with multi-grain ones. She couldn't even touch half of the milk tea cake. ； But if you are thin and have stable blood sugar, it’s okay to have a cup of iced milk tea or a kebab if you occasionally crave it. I have a pregnant mother who only drank iced Coke throughout her pregnancy. Every prenatal check-up indicator showed a green light. I also let her drink it once or twice a week. It’s okay. Her mood is better than anything else. Oh, and girls who are experiencing morning sickness, don’t listen to what your family says about stuffing them with nutrients even after vomiting. Eat whatever you can during that period, such as soda crackers, sour plums, cold boiled porridge, as long as you can get it in your stomach without vomiting, it’s better than forcing yourself to vomit after eating sea cucumbers and abalone, causing electrolyte imbalance and being hospitalized.

Exercise varies from person to person. There was a pregnant mother who was a fitness coach. She was still doing light weight strength training at 6 months pregnant. All the indicators during the prenatal checkup were good, so I didn’t stop her.； But if you have symptoms such as threatened miscarriage, cervical insufficiency, or low-lying placenta, you really need to rest at home and don’t join in the fun of sports like others. There are also many pregnant mothers who crazily take calcium supplements when their legs cramp. It is really unnecessary. Check the blood calcium first. If the indicators are normal, soaking your feet more before going to bed and letting your family members squeeze your calves for ten minutes is better than anything else. Supplementing too much calcium will easily aggravate constipation, which is not worth the loss.

Oh, by the way, I almost forgot, don’t just focus on the baby in your belly, the psychological state of pregnant mothers is really ignored by too many people. In the past two years, I have met three times more pregnant mothers with prenatal depression than before. Most of the time, the whole family is focused on their belly, and no one cares whether she has not been able to sleep well for half a month or whether she feels like crying for no reason. Nowadays, the industry is paying more and more attention to prenatal psychological intervention. Many hospitals have opened free psychological counseling clinics. If you feel that you can't be energetic for a long time, don't insist on saying that you are being hypocritical. Go and ask a doctor. There is no shame in it.

And those little questions that have been asked eight hundred times: Can I take maternity photos? The radiation from that flash is not as much as if you flicked your phone for half an hour. As long as you don’t get too tired, you can take pictures whenever you want. ； Can I use skin care products? There is no problem with regular brands labeled as suitable for pregnant women. Just avoid ingredients containing vitamin A. You don’t have to even wash your face if you are pregnant. ； Can we share a room? The older generation said absolutely not. Modern medicine believes that as long as there are no problems such as placenta previa and threatened abortion, moderate intercourse in the second trimester is absolutely fine. It just depends on your own acceptance.

In fact, after all, there really aren't that many rules and regulations for prenatal care. You don't have to force yourself to be a perfect pregnant mother. As long as the indicators during each prenatal check-up are normal and you feel comfortable by yourself, that's the best plan. If you are really unsure about something, ask your prenatal doctor with questions. He will know your physical condition better than all the bloggers you see after browsing Xiaohongshu all night.