Obstetrics including High Risk Pregnancies
What it means?
Obstetrics means caring for pregnant women to ensure safe pregnancy and delivery to ensure a healthy mother and baby.
Who are suitable candidates?
All pregnant females. Janani Suraksha Yojna of the Government of India envisages 100% institutional deliveries for all mothers. This care is even more important for High risk pregnancies e.g. IVF pregnancies, pregnancies in diabetic hypertensive females or bad obstetric history.
Who should not get obstetric care?
No female should be deprived off benefits of expert medical care during pregnancy and delivery.
What are its main steps?
- There should be at least 10 to 12 visits during antenatal period spread over 9 months and more for some high risk pregnancies.
- Blood tests are done to ensure that mother is in best of health to carry the pregnancy safely. These include Hb, sugars, infection screen, thyroid screen, etc.
- Ultrasounds at specific intervals to monitor wellbeing and growth of baby.
- Ultrasound and blood tests to exclude genetic diseases and malformations in the baby.
- Appropriate immunizations, supplements
- Diet and other general advise
- Treatment of inter-current problems like urine infection fever etc.
- Surgical intervention for surgical diseases if required
- Timely decision of mode and timing of delivery
- Prevention and treatment of various problems and complications faced by pregnant women.
- Successful outcome of pregnancy
- No disadvantages except the cost and inconvenience.