Brief Answer: EXPLAINED BELOW Detailed Answer: Hello XXXXXXX Thanks for writing to us with your health concern. If there is no complication detected so far in the pregnancy, then travelling is alright. The issue is not 15 km, but the type of roads. IF the roads are bad, and the tempo itself is not very comfortable, then it is better to arrange some other mode of conveyance. Tempos are often crowded, there is a lot of jostling and pushing for space and seats. Also, the roads often have potholes and there are lots of bumps and jerks and speedbreakers. If the road is smooth, and the seats are easily available, she can travel and work. Otherwise it is better to have alternative arrangement such as a Metro train. Regarding exercises, one hour of walking at a pace of 3 - 4 km per hour is fine during pregnancy, as long as there is no complication detected during clinical examination by the doctor or by ultrasound. She should join good Antenatal classes where pelvic exercises, stretching etc is taught to prepare her for labour and delivery of the baby. Make sure that she is taking folic acid tablets daily. Also iron and calcium and vitamin D supplements plus Protein Powder daily after the fifth month of pregnancy. She should eat small frequent meals instead of 2 - 3 big meals. Have fresh , home made nutritious food - meat, egg, chicken, fish, liver, dal, paneer, tofu, green leafy vegetables, fresh fruits, dry fruits, nuts etc. Drink lots of liquids atleast 4 - 5 litres of fluids per day - buttermilk, lemon juice, kanji, water. Avoid stress and tensions. Avoid smoking / drinking / excessive tea and coffee / drugs / radiation. Avoid eating outside or consuming packed / canned foods with preservatives. Have regular check ups with your obstetrician. Make sure that the following blood tests are done- ABO Rh - husband and wife HIV, HBsAg, HCV, VDRL - husband and wife OGTT, TSH HBA2 COmplete blood count Urine routine and microscopy One ultrasound in the first trimester, one Anomaly scan at 18 - 20 weeks and one more ultrasound in the third trimester - more if any complication is detected. Decide the hospital and place of delivery and prepare well as a couple in advance. All the best. PLease feel free to ask for further clarifications.

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