Dr. Sonal Katarmal – Gynecologist in Ambegaon Budruk

*  High Protein Diet
-  Daily 4 eggs white + 1 Yellow
-  Twice a week boil chicken
-  Avoid Excess Sea Food consumption during pregnancy

*  Adequate Hydration 
-  8-10 glass of water per day
-  Include coconut water, Soups, Milk, Buttermilk, Juices (Avoid excess juice consumption - prefer fruits over juices)

* 1L milk and milk products consumption
-  Milk, Buttermilk
-  Curd, Yogurt
-  Paneer, Cheese

*  Small and Frequent feeds
-  Eat every 2-3 hours in day time

*  Daily Walk 4000-10,000 steps
-  (Divide into 3 sittings to avoid exertion)

*  Yoga Can be Done – Prefer after 12 weeks of pregnancy
-  (Exercise videos will be shared)

*  Daily 2-3 Fruits
*  Daily 1 full first mixed dry fruits

*  Hygiene
-  Maintain Intimate / Personal hygiene / Breast care
-  (Twice bath, Twice brush)
-  (Head bath should be done)

*  Sleeping Position
-  After 20-24 weeks of pregnancy, sleep in the left lateral position

*  Daily Meditation twice Morning and Evening for at least 15mins

*  Adequate rest
(6hours Night, 2hours Day)

*  Food
-  Avoid Outside food completely

-  No Uncooked / Raw food /Oily – Spicy food

-  No Chinese food

-  No Add Sugar / Salt

*  Avoid all kinds of Soft drinks / Sodas during pregnancy

*  No Tea / Coffee/ Alcohol / Smoking

*  Avoid Passive Smoking

*  No long fasting hours
-  (No fasting more than 3hrs in the day time
-  No fasting more than 6hrs at night)
-  No Fast throughout the pregnancy

*  No Heavy Exercise

*  No Heavy Weight lifting

*  Avoid Papaya and Pineapple

*  Avoid Sexual activity until allowed

*  Avoid Tight fitting clothes

*  Avoid sleeping on the stomach/belly throughout the pregnancy

*  No Travelling

*  Avoid long screen time

*  NO OVER THE COUNTER MEDICATIONS TO BE TAKEN

1. Pregnancy confirmation scan (5-6 weeks)

2. Pregnancy confirmation scan (6-7 weeks) (If no fetal pole or cardiac activity on previous scan)

3. Dating scan (9-10 weeks)

4. NT scan (12 weeks)

5. Early Anatomy scan (16 weeks)

6. Anomaly scan (18 weeks)

7. Fetal 2-D Echo (22-23 weeks)

8. Growth scan (28 weeks)

9. Growth scan (32 weeks)

10. Growth scan (34-36-38 weeks)

Scan frequency may differ if the Patient is Diabetic, Hypertensive, Rh Negative pregnancy, Fetal Growth Restriction, Poly or Oligohydramnios, or Doppler changes.

• All basic labs (6-8 weeks) ( CBC, Urine routine, Ultra TSH, HbA1C, Rubella IgG, BG-Rh type,Sr. Creatinine, Serology, ICT sos, Vit. B12 sos, Vit. D sos )
• Specific labs ( 12 weeks ) (Double marker test, OGCT with 75gms Glucose )
• Test for Asymptomatic Bacteriuria ( 16 weeks )
• Repeat labs ( 18 weeks )
• Repeat OGCT ( 24 weeks )
• Repeat labs ( 24 weeks ) ( CBC, Urine routine, Ultra TSH, Sr. Creatinine )
• Repeat labs ( 32 weeks ) ( CBC, Urine routine, Ultra TSH, Sr. Creatinine )
• Repeat labs ( 37-38 weeks ) ( CBC, Urine routine, Ultra TSH, Sr. Creatinine )
• Maternal 2D Echo at 32 weeks for high-risk pregnancies, Elderly gravida, etc…

In case of Rh Negative pregnancy ICT should be repeated every 3 monthly

• Flu vaccine (12 weeks)
• TT 1st dose (16 weeks)
• TdaP 2nd dose (28 weeks)
• Hepatitis B (Anytime during pregnancy)

Atleast by 28 weeks

When to contact your gynaecologist in an emergency

1. Pain abdomen
2. PV Bleeding
3. PV Leaking
4. Decreased fetal movements
5. Swelling of feet
6. Severe headache
7. Blurring of vision
8. Vomiting
9. Diarrhoea or Vomiting