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What Are The Precautions To Be Taken During Pregnancy?

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Posted on Wed, 27 Mar 2013
Question: I did the house pregnancy test yesterday which turned out positive. I want to get it confirm and take necessary precautions. Could you advise me on preceding steps?
doctor
Answered by Dr. Dr. Soumen Patra (40 minutes later)
Hello,

Thanks for writing to us. I am trying to give answer.

First of all, I want to congratulate you for being pregnant. You can confirm your pregnancy by one blood test for beta-HCG level and Trans Vaginal Sonography (TVS scan) around 4-5 weeks or abdominal ultrasound scan around 5-6 weeks from last menstrual period date (LMP).

Following things are advisable during pregnancy period:

1) Start to take Folic acid & vitamin supplements and Doxinate tablet (in case of morning sickness) up to 12 weeks.
2) Take Healthy protein XXXXXXX diet (Milk/ Meat/ Fish/ Pulses/ Beans/ Nuts/ Dals etc.) with extra 350 Kcal/day than usual and eat more XXXXXXX vegetables & fresh fruits.
3) Take dry food preferably puffed rice or other to avoid the tendency of nausea.
4) Drink lots of fluid/water to stay hydrated & for better feto-placental circulation.
5) Take an adequate bed rest and preferably 8-10 hrs daily in divided schedule.
6) Maintain personal hygiene including breast & genital care with proper washing.
7) Try to avoid stress/tension/emotional upset by regular XXXXXXX breathing.
8) Do check up with ultrasound scan in early month of pregnancy. Repeat scan is needed in later month also to assess growth & development of fetus.
9) Take Iron/calcium supplements from 16 weeks onwards, Two doses of TT in the 2nd trimester and complete all necessary investigations.
10) Periodic measurement of weight gain and blood pressure. 10-12 kg weight gain is normal in pregnancy period.

Try to avoid following things (preferably in the 1st trimester):

1) Any type of sexual activity/ intercourse.
2) Long journey/ stepping uneven surface/ heavy work.
3) High heel shoe (risk of fall on ground with miscarriage)
4) Bitter taste/ bad smell/ spicy food to avoid nausea.
5) Unprescribed/ unsafe medication as first 12 weeks are more vulnerable to defective organogenesis with external factor.

Hope I have answered your query. If you have any further questions, I will be happy to help.

Wish you for good health and successful motherhood.

Regards,
Dr Soumen.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Soumen Patra (51 minutes later)
Dear Doctor Soumen,

First of all, I want to thank you for assisting me for my health. May God bless you with good life.

I am from India and I have come to Amsterdam to visit my husband in tourist visa. Right now I am in Amsterdam living in Osdorper Ban locality.
Can you please suggest any doctor or laboratory in Amsterdam where the blood test and LMP Test can be carried out ?

If I Undertake any of the mentioned tests, can i claim it through this insurance policy when i return back to India ?

This policy is on my name and my husband will be taking care of the payment. Is it fine for him to pay, inspite of policy on my name?

Since I am returning back to India during April 27th, Is it recommended for me to travel or should i start early?

I also have Wheazing problem due to certain citrus fruits, vinegar, anything which is taken from refridgerator. Due to lack of sleep. The only fruits i eat is papaya, mango, kiwi, mustard melon. All other things are vulnerable to cold, followed by wheazing for me.
Can you please throw some lights on this, in the aspect of affecting the pregnancy?

doctor
Answered by Dr. Dr. Soumen Patra (1 hour later)
Hello,

Thanks for follow up query. I am happy to help you.

First of all, blood test for beta HCG and obstetrical ultrasound or TVS scan is very cheap investigation to confirm pregnancy.

You can visit this site for doctor name with insurance policy

1) WWW.WWWW.WW 2) WWW.WWWW.WW
For pathological tests, you can visit this site WWW.WWWW.WW
If you do not get right information from above site, you may contact with our XXXXXXX support team for details.

If above tests or procedure are included in your insurance policy, you can easily claim that. Here, you need to study properly about rules of that insurance policy. As rules may vary according to insurance company.

It is quite OK and you have nothing to worry as policy is under your name and you can claim anything as per applicable within the policy.

It is better to come back after 1st trimester (12 weeks) or end of the April to avoid long journey and possible risk of miscarriage. Though airplane journey is quite safe than any other routes but you always chose a safer method.

You completely avoid fruits like papaya, grapes, pineapple (these are related with early onset of labor) or any raw unwashed fruits/ vegetables. Take only cooked food XXXXXXX in protein, carbohydrate, fat, vitamin & minerals- in one word balanced diet. You may take protein supplements or good health drink. Just follow my measures, described in previous reply for healthy pregnancy.

If you do not have any clarifications, you can close the discussion and rate the answer.

You can directly consult with me by visiting my profile on WWW.WWWW.WW and press the button "ask me a question".

Take care yourself & enjoy your pregnancy.

Regards,
Dr Soumen
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Soumen Patra (5 hours later)

Your follow-up reply was insightful, thank you. It is clear that I have to take series of medical test to confirm my preganancy. Also I have noted that I should be physically careful and eat nutrious cooked balanced diet.

Regarding the links you had sent they are of United States, sorry for not being explicit about the location. I am in capital of The Netherlands, Amsterdam in Western Europe.

Can you suggest me some good doctors from Amsterdam, Netherlands?

One more thing about my policy, the insurance policy describes the circumstances under which it is not covered like risky games or medical ailment history or travelling against doctors advice etc.
It does not describe the circumstances under which it is covered, so I am not sure if above mentioned medical tests are covered in my policy. Also I am not sure if this is right question to ask you. I would be thankful if you can point me to right person to ask such questions on policy matters and claim procedures.
doctor
Answered by Dr. Dr. Soumen Patra (1 hour later)
Hello,

Thanks for your follow up query. The following information can be helpful.

There are two largest and leading hospitals in The Netherlands. These are below mentioned:

1) The VU University Medical Center, located next to Amsterdam's A10 ringway in the southwestern part of the city, next to the campus of the VU University & close to Schiphol airport.

2) The Academic Medical Center- located in the Bijlmer neighborhood in the most south-eastern part of the city.

This site can be helpful for you- WWW.WWWW.WW
Second thing, only your health insurance agent can give detail answer regarding your all query about rules & policy. In such case, you have to contact with them to clear all doubt. Another thing, you can search on google for detailed information of your health insurance or specific website that they provide.

Hope, I try my best to help you. If you do not have any clarifications, you can close the discussion and rate the answer.

If you have any future query, you can directly consult with me by visiting my profile on WWW.WWWW.WW and press the button "ask me a question".

Be well & stay healthy.

Regards,
Dr Soumen

WWW.WWWW.WW
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr. Soumen Patra

OB & GYN Specialist

Practicing since :2011

Answered : 4058 Questions

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What Are The Precautions To Be Taken During Pregnancy?

Hello,

Thanks for writing to us. I am trying to give answer.

First of all, I want to congratulate you for being pregnant. You can confirm your pregnancy by one blood test for beta-HCG level and Trans Vaginal Sonography (TVS scan) around 4-5 weeks or abdominal ultrasound scan around 5-6 weeks from last menstrual period date (LMP).

Following things are advisable during pregnancy period:

1) Start to take Folic acid & vitamin supplements and Doxinate tablet (in case of morning sickness) up to 12 weeks.
2) Take Healthy protein XXXXXXX diet (Milk/ Meat/ Fish/ Pulses/ Beans/ Nuts/ Dals etc.) with extra 350 Kcal/day than usual and eat more XXXXXXX vegetables & fresh fruits.
3) Take dry food preferably puffed rice or other to avoid the tendency of nausea.
4) Drink lots of fluid/water to stay hydrated & for better feto-placental circulation.
5) Take an adequate bed rest and preferably 8-10 hrs daily in divided schedule.
6) Maintain personal hygiene including breast & genital care with proper washing.
7) Try to avoid stress/tension/emotional upset by regular XXXXXXX breathing.
8) Do check up with ultrasound scan in early month of pregnancy. Repeat scan is needed in later month also to assess growth & development of fetus.
9) Take Iron/calcium supplements from 16 weeks onwards, Two doses of TT in the 2nd trimester and complete all necessary investigations.
10) Periodic measurement of weight gain and blood pressure. 10-12 kg weight gain is normal in pregnancy period.

Try to avoid following things (preferably in the 1st trimester):

1) Any type of sexual activity/ intercourse.
2) Long journey/ stepping uneven surface/ heavy work.
3) High heel shoe (risk of fall on ground with miscarriage)
4) Bitter taste/ bad smell/ spicy food to avoid nausea.
5) Unprescribed/ unsafe medication as first 12 weeks are more vulnerable to defective organogenesis with external factor.

Hope I have answered your query. If you have any further questions, I will be happy to help.

Wish you for good health and successful motherhood.

Regards,
Dr Soumen.