Complete prenatal care knowledge

The essence of prenatal care is Based on maternal feelings and prenatal examination results as the core basis There is no unified standard for personalized care that applies to everyone. All care adjustments need to be based on medical advice first. The core covers five core modules: diet, exercise, prenatal monitoring, psychological counseling, and labor preparation. There is no need to pursue perfection, as long as the health indicators of the mother and fetus are normal.

The first thing many people struggle with is eating. Two days ago, a pregnant mother who was 30 weeks pregnant came to me to complain. She said that her mother-in-law forced her to eat bird's nest every day to nourish the fetus. She was allergic to egg white, and she had rashes all over her face after eating it twice. There are already a lot of controversies about diet during pregnancy: the elders believe in "one person eats and two people eat", and every meal is rich in fish and meat. ； The fat-reduction school says that you should control your weight during pregnancy to less than 20 pounds to avoid difficulty recovering from macrosomia. ； Traditional Chinese medicine emphasizes that you should not touch crabs or iced drinks that are cold in nature. Western medicine also says that you can eat them as long as you are not allergic and cooked. In fact, there is no absolute right or wrong. The core is to look at two indicators: one is pre-pregnancy BMI. It is normal for thin people (BMI＜18.5) to gain 12.5-18kg throughout pregnancy. For fat people (BMI＞28), it is enough to control the weight gain to 5-9kg. There is no need to force yourself to eat or go hungry. ； The second is my own tolerance. I had a craving for iced milk tea twice in the third trimester of my pregnancy, and my blood sugar during the prenatal check-up was normal and I didn’t have diarrhea, so it was totally fine. If I usually get a stomachache from eating something cold, I must avoid it. Oh, by the way, don’t believe the myth that babies who eat grapes will have big eyes and babies who eat soy sauce will have dark skin. It’s all metaphysics. If you really want to take supplements, follow your doctor’s advice and take folic acid, calcium, and iron supplements. They are more stable than any other dietary supplements.

After eating, many people just put down the bowl and slumped on the sofa, or they went to the other extreme and walked 10,000 steps a day to say "good life". There is also a lot of controversy about exercise during pregnancy: some people say that moving more can prevent fetal malposition, while others say that moving too much can lead to premature birth. The core dividing line here is whether you have problems such as placenta previa, cervical insufficiency, and frequent uterine contractions. If everything is normal during the prenatal check-up, you can walk 3,000-5,000 steps a day, or do yoga or swimming for pregnant women. My best friend was diagnosed with breech position at 28 weeks of pregnancy. She followed the hospital's pregnancy class for two weeks and did the chest-knee position. The next prenatal check-up will be turned into the head position, which saves the risk of getting a knife later. But if you are at risk of premature birth and the doctor has told you to stay in bed, don't listen to others saying "it's better to move around more". It's really not worth the gain.

When it comes to prenatal check-ups, don’t just turn around and leave every time you hear the doctor say “no problem”. Just record three numbers on your phone: uterine height, abdominal circumference, and fetal heart rate, and compare them with each prenatal check-up. There was a pregnant mother who discovered that her uterine ejaculation had not increased for two consecutive weeks. After she took the initiative to mention it, the doctor ordered a B-ultrasound and found that the fetus was a week too small. She had to take nutritional supplements early to catch up. If she had waited for the doctor to find out, it might have been delayed. Everyone is most confused about how to choose between non-invasive and amniocentesis. There is currently no unified opinion: Conservatives believe that non-invasive has no risk of miscarriage and the 99% accuracy rate is sufficient. ； Radicals believe that amniocentesis is the gold standard and provides a more complete test. Objectively speaking, if you are under 35 years old and have low-risk Tang screening, non-invasive is enough. If you are over 35 years old or have a family genetic history, you can fully communicate the risks with your doctor before choosing. Now the miscarriage rate of amniocentesis is only one in 1,000, so don’t be scared to do it.

Oh, by the way, don't just stare at the baby in your belly, you have to take care of your own emotions too. In the third trimester of pregnancy, when you wake up in the middle of the night and touch your belly, you burst into tears, or when you see your husband lying on the sofa playing games, you get angry for no reason. It’s not because you are squeamish, it’s because of the progesterone. The incidence of depression during pregnancy is now almost 20%. Don’t insist on saying “I’m fine.” When I felt really uncomfortable, I would drag my husband to scold me and complain to pregnant mothers of the same gestational age. If I really couldn’t sleep or eat for half a month, I would go to the obstetrics and psychiatry clinic of the hospital to have a chat. No one would say you are pretentious.

Finally, let’s talk about preparations for labor. Don’t buy blindly from the online delivery package list. I stuffed half a box of disposable underwear before. Three days before giving birth, there was so much lochia that thin disposable underwear couldn’t be carried. It’s better to bring a few pairs of worn-out pure cotton underwear. If they get dirty, you can just throw them away without feeling distressed. Some people also talk about saving umbilical cord blood. This has been controversial for many years: those who think it is useful say that it can save the life of their children at critical moments, while those who think it is an IQ tax say that the probability of using it is only one in hundreds of thousands. Objectively speaking, if your family has a history of hereditary blood disease and has enough budget, you can save it. Ordinary families can actually donate it to the public bank. When they really need it, the success rate of matching from the public bank is not low. There is no need to spend hundreds of thousands to save your own.

To put it bluntly, being pregnant is not going to jail. There is no need to impose dozens of rules on yourself that you must abide by. You are comfortable and your child's prenatal check-up indicators are normal, which is better than anything else. If you are really unsure about something, don’t search Baidu blindly. Ask your prenatal doctor directly, which is more reliable than any other knowledge.