Prenatal care

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A doctor performs a prenatal exam.

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

'Prenatal care' refers to the medical care recommended for women before and during pregnancy. The aim of good prenatal care is to detect any potential problems early, to prevent them if possible (through recommendations on adequate nutrition, exercise, vitamin intake etc), and to direct the woman to appropriate specialists, hospitals, etc. if necessary. The availability of routine prenatal care has played a part in reducing maternal death rates and miscarriages as well as birth defects, low birth weight, and other preventable infant problems in the developed world[citation needed].

While availability of prenatal care has considerable personal health and social benefits, socioeconomic problems prevent its universal adoption in many developed as well as developing nations.

Studies in Canada and the United States have shown that communities in rural areas as well as minorities are less likely to have available prenatal care and also have higher rates of infant mortality and miscarriage.

One prenatal practice is for the expecting mother to consume vitamins with at least 400 mcg of folic acid to help prevent neural tube defects.

Prenatal care generally consists of:

  • monthly visits during the first two trimesters (from week 1-28)
  • biweekly from 28 to week 36 of pregnancy
  • weekly after week 36 (delivery at week 38-40)

Physical examinations

Physical examinations generally consist of:

  • collection of (mother's) medical history
  • checking (mother's) blood pressure
  • (mother's) height and weight
  • pelvic exam
  • (mother's) blood and urine tests
  • discussion with caregiver

Ultrasound

Obstetric ultrasounds are most commonly performed during the second trimester at approximately week 20. Ultrasounds are considered relatively safe and have been used for over 35 years for monitoring pregnancy.

Among other things, ultrasounds are used to:

Generally an Ultrasound is ordered whenever an abnormality is suspected or along a schedule similar to the following:

  • 7 weeks - confirm pregnancy, ensure its neither molar or ectopic, determine due date
  • 13-14 weeks (some areas) - evaluate the possibility of Down Syndrome
  • 18-20 weeks - see the expanded list above
  • 34 weeks (some areas) - evaluate size, verify placental position

References

Cost Effectiveness of Prenatal care

| group5 = Clinical Trials Involving Prenatal care | list5 = Ongoing Trials on Prenatal care at Clinical Trials.govTrial results on Prenatal careClinical Trials on Prenatal care at Google


| group6 = Guidelines / Policies / Government Resources (FDA/CDC) Regarding Prenatal care | list6 = US National Guidelines Clearinghouse on Prenatal careNICE Guidance on Prenatal careNHS PRODIGY GuidanceFDA on Prenatal careCDC on Prenatal care


| group7 = Textbook Information on Prenatal care | list7 = Books and Textbook Information on Prenatal care


| group8 = Pharmacology Resources on Prenatal care | list8 = AND (Dose)}} Dosing of Prenatal careAND (drug interactions)}} Drug interactions with Prenatal careAND (side effects)}} Side effects of Prenatal careAND (Allergy)}} Allergic reactions to Prenatal careAND (overdose)}} Overdose information on Prenatal careAND (carcinogenicity)}} Carcinogenicity information on Prenatal careAND (pregnancy)}} Prenatal care in pregnancyAND (pharmacokinetics)}} Pharmacokinetics of Prenatal care


| group9 = Genetics, Pharmacogenomics, and Proteinomics of Prenatal care | list9 = AND (pharmacogenomics)}} Genetics of Prenatal careAND (pharmacogenomics)}} Pharmacogenomics of Prenatal careAND (proteomics)}} Proteomics of Prenatal care


| group10 = Newstories on Prenatal care | list10 = Prenatal care in the newsBe alerted to news on Prenatal careNews trends on Prenatal care


| group11 = Commentary on Prenatal care | list11 = Blogs on Prenatal care

| group12 = Patient Resources on Prenatal care | list12 = Patient resources on Prenatal careDiscussion groups on Prenatal carePatient Handouts on Prenatal careDirections to Hospitals Treating Prenatal careRisk calculators and risk factors for Prenatal care


| group13 = Healthcare Provider Resources on Prenatal care | list13 = Symptoms of Prenatal careCauses & Risk Factors for Prenatal careDiagnostic studies for Prenatal careTreatment of Prenatal care

| group14 = Continuing Medical Education (CME) Programs on Prenatal care | list14 = CME Programs on Prenatal care

| group15 = International Resources on Prenatal care | list15 = Prenatal care en EspanolPrenatal care en Francais

| group16 = Business Resources on Prenatal care | list16 = Prenatal care in the MarketplacePatents on Prenatal care

| group17 = Informatics Resources on Prenatal care | list17 = List of terms related to Prenatal care


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