60. Advice during pregnancy

Question 1

what is the advice given for Alleviating unpleasant

symptoms during pregnancy?

Answer 1

• Nausea and vomiting → small and frequent meals, antiemetics as needed.
• GERD → avoid lying down after meals, antacids as needed.
• Constipation → adequate fluid intake, stool softeners, laxatives if severe.
• Hemorrhoids → rest with elevation of the legs, avoid constipation.
• Leg cramps → stretching, physical activity, vitamin D supplements.
• Back pain → avoid heavy lifting, adjust physical activity, special pillows.

Question 2

what is the nutrition required for pregnant women?

Answer 2

Normal pregnancy requires an increase in daily caloric intake of at least 300 kcal.

Question 3

what are the contraindications of exercise during pregnancy?

Answer 3

evidence of IUGR, persistent vaginal bleeding, incompetent cervix, risk factors for preterm labor, rupture of membranes, pregnancy-induced hypertension/preeclampsia/eclampsia

Question 4

what are the follow-up visits needed in normal risk pregnancies?

Answer 4

• Up to 28 gestational weeks → visit every 4 weeks.
• Starting at 28 gestational weeks up to 36 gestational weeks → visit every 2 weeks.
• From term (37 gestational weeks) to delivery → weekly visit.

Question 5

when do we Screen for gestational diabetes (75 g OGTT)?

Answer 5

at 24-28 gestational weeks

*Perform at week 14 if high-risk patient (BMI > 30, history of GDM, IGT, 1st-degree relative with type 1 diabetes)

Question 6

when do we screen for group-B strep ?

Answer 6

at 35-37 gestational weeks