ANTENATAL MATERNAL & FETAL SCRENNING

There is a positive change in prenatal Care practise. Most standards of ore natal care are relatively straight forward and are easy to understand and accept .But when it comes to screening for genetic or chromosomal abnormalities, it is confusing. Both parents and physician can be emotionally charged and fraught with uncertainty.

The goal of pre natal screening is to help parents learn about the health of their unborn child. All women of all ages should be offered screening test. Genetic counselling should be offered to women with high risk pregnancy or if ultrasound is abnormal or there is an exposure to drugs and radiation or if there is a family history of genetic disorder.

Various tests done are as early as eleven to thirteen weeks to determine Down syndrome and other chromosomal abnormalities. Double marker is done from Mother’s blood and early genetic sonography is done for the same.

From fifteen to twenty weeks, triple marker, quadruple marker and anomaly scan test are done to rule out Chromosomal and physical abnormality of the foetus.

In the seventies, screening was only by maternal age. Now, besides all the above mentioned tests which give a predictive value up to 80%, we have non-invasive prenatal test which gives a predictive vale up to 99%. Small amount of foetal DNA is present in mother’s blood from as early as eleven-twelve weeks. This detects chromosomal abnormalities.

As per RCOG and ACOG guidelines every pregnancy should be assessed for birth defects to prepare the family.

YOGA AND PHYSIOTHERAPY IN PREGNANCY CAN HELP YOU COPE WITH BODILY CHANGES

Yoga and Physiotherapy are forms of exercise that help us in maintaining physical and mental health of our body. During pregnancy following yoga asana and physiotherapy exercises plays an important role in helping the mother to cope with the stresses accompanying pregnancy and also helps in better development of the baby inside her womb. According to a study, pregnant women who performed yoga were found to be less likely to deliver a premature or low-weight baby.

Benefits of doing Yoga and Physiotherapy during pregnancy:

  • Increased flexibility and muscle strength

Yoga and Physiotherapy for pregnant women provide specific exercises that can help with stretching, flexibility and building up muscle strength. It’s recommended that strength building for pregnant women includes all the major muscle groups. Asans like Tadasana and Virbhadrasasna help to stretch the spine and thus impart flexibility.

  • Better mental health

Both yoga and Physiotherapy use focused breathing and mindfulness, which have been shown to improve mental health by reducing stress, decreasing symptoms of anxiety and depression, improving mood and promoting relaxation. These exercises also increase oxygen supply to the developing fetus thus making a healthier baby. The yogic exercises and techniques help in calming the perturbed mind and impart a soothing effect.  Relaxation methods which include meditation and visual imagery help in detaching yourself from the world for a while and helps in experiencing extreme bliss.

  • Reduced back pain

Yoga may also reduce lower back pain, depending on the type of pain you have. Some yoga poses stretch and strengthen the muscles and tissues associated with the lower back, hips, and hamstrings. A relaxed body aids in proper digestion and helps in developing the immune system.  If you have back pain, it’s best to check with your physiotherapist or doctor and let them guide you for the same. Performing Marjariasana Or Cat and Camel exercise is very safe during pregnancy and helps in relieving back pain to major extent.

  • Helps in developing stamina and strength

These exercises strengthen the core muscles of abdomen and pelvic region. This proves to be very beneficial to the pregnant women during the process of labor. Moreover the breathing exercises enhance their stamina which is an essential requirement for easy labor. Strengthening exercises for the knees , upper back and shoulders is a must as weakness in these areas can persist later on. Exercises with weights as less as half kg can be initiated. Light aerobics under supervison of a trained professional can also play an important role in building stamina and strength.

INDIAN DIET PLAN IN PREGNANCY

To make sure that what you eat helps your body and also helps you stay interested, spread out your food through the day by following different food ideas. You can mix and match the following depending on how much you can eat and whether you are vegetarian or non vegetarian.

PRE BREAKFAST SNACK

  • A glass of plain cow’s milk
  • Almond milk
  • Milkshake
  • Apple juice
  • Tomato juice
  • Dry fruits

BREAKFAST

  • Bowl of fruits
  • Wheat rava upma with lots of vegetables
  • Poha with lots of vegetables
  • Oats porridge
  • Whole wheat toast with butter and omelet
  • Vegetable omelet
  • Paranthas with fillings of spinach, dal, potatoes, carrots, beans, cottage cheese, cheese with curd
  • Mixed bean cutlet or patties
  • Some fruits to go along with the breakfast such as apricots, dates, sweet fig, banana, oranges
  • Cheese toast or cheese and vegetable sandwich
  • Vegetable khandvi
  • Rice sevai with lots of vegetables

MID MORNING SNACK

  • Tomato soup
  • Spinach soup
  • Creamy spinach soup
  • Carrot and beet soup
  • Chicken soup

LUNCH

  • Roti with choice of dal, vegetable and a bowl of curd
  • Parantha with dal and a bowl of curd
  • Carrot and peas parantha with a bowl of curd and some butter
  • Jeera or pea rice with raita
  • Rice, dal and vegetable with vegetable salad
  • Lemon rice with peas and some vegetable salad
  • Vegetable khichdi
  • Chicken salad with lots of fresh vegetables or vegetable soup
  • Chicken curry with rice
  • Grilled chicken with a bowl of curd
  • Rice, dal, mint raita and a fruit
  • Kofta curry with rice
  • Cottage cheese parantha with butter and vegetable salad
  • Curd rice
  • Parantha with sprouted beans salad

EVENING SNACK

  • Cheese and corn sandwich
  • Vegetable idli
  • Spinach and tomato idli
  • Sevaiya with lots of vegetables
  • Carrot or lauki halwa
  • Fruit smoothie with fresh fruits such as banana or strawberry
  • Roasted peanut mixture with vegetables
  • Cauliflower and peas samosa
  • Bread cutlet
  • Chicken cutlet
  • Chicken sandwich
  • Chicken soup
  • A bowl of dried dates or dry fruits
  • A cup of green tea
  • Milk porridge with oats, sevaior daliya
  • Vegetable daliya
  • Mixed vegetable uttapam