What are 5 do’s and 5 don’ts in pregnancy?

What are 5 do’s and 5 don’ts in pregnancy?

 

5 Do’s in Pregnancy

1. Advise on folic acid supplementation: Recommend 400-500 micrograms/day folic acid from pre-conception to 12 weeks gestation to prevent neural tube defects
2. Monitor blood pressure regularly: Regularly check BP at each antenatal visit to detect hypertension or pre-eclampsia early
3. Screen for gestational diabetes: Offer screening for gestational diabetes between 24-28 weeks gestation with a glucose tolerance test
4. Provide guidance on healthy weight gain: Advise on healthy weight gain according to BMI to minimise risks of gestational diabetes and hypertension
5. Encourage breastfeeding: Support and encourage breastfeeding, highlighting its benefits for both mother and baby.

5 Don’ts in Pregnancy

1. Don’t prescribe ACE inhibitors: Avoid prescribing ACE inhibitors in pregnancy due to the risk of fetal renal damage and other congenital malformations
2. Avoid NSAIDs in the third trimester: Don’t prescribe NSAIDs after 30 weeks gestation due to the risk of premature closure of the ductus arteriosus
3. Don’t recommend high-impact exercise without caution: Advise pregnant women to avoid high-impact exercises that risk falling or abdominal trauma, especially in the third trimester
4. Don’t neglect RhD negative patients: Ensure RhD negative patients receive anti-D immunoglobulin at 28 weeks and after delivery if the baby is RhD positive
5. Don’t forget to screen for domestic violence: Be aware of the signs of domestic violence and abuse, and screen pregnant women sensitively, as they are more vulnerable.