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Protocol based antenatal clinics are carried out. Generally orientation to 9 mths is given in first setting. Mthly checkups , timely blood tests and usg are done. Low risk pts are motivated for all choices for birthing.Aall high risk pregnancy mothers are handled carefully with back up NiCU and ICU cares. Type of Birthing Spontaneous Vaginal Delivery It is the most common type of birth. Presenting part gets engaged in birth cannel10 days prior to development of labor pain. First False labor pain start followed by true labor pains. These are identified as regular lower abdominal pain from back, radiating to things associated with excessive vaginal discharge called show which happens due to simultaneous opening of mouth of uterus Contractions becomes more frequent and more severe with progress of labor. Spontaneous rupture of membranes happens and water bag leak and eventually parts start crowning on the perineum. Push from above (Contraction), Birth passage adequate (no cephalopelvicdisproportion) and pull of presenting part at outlet results in spontaneous vaginal delivery Natural child birth Natural Child birth is a philosophy of childbirth that is based on the belief that women who are adequately prepared are innately able to give birth without routine medical intervention. If you want to choose this the preparation that start during your pregnancy. Please refer to the detailed leaflet provided. Epidural Epidural anesthesia is the most popular method of pain relief during labor. It is a regional anesthesia that block pain in the lower half of the body. It is administered by the anesthetist. You may either make the choice to have an epidural before hand or may decide any time during your labor. Instrumental Delivery Forceps look like two large spoon that are insert into the vagina and around the baby’s head. The Forceps are put into place to gently deliver the babies head through the vagina. The rest of the babies delivered Normally. A Vacuum extractor looks like a small suction cup that is placed on the baby’s head to help deliver the baby. A vacuum is created using a pump, and the baby is pull down the birth canal with the instrument and the with the help of mother’s contraction. The pump can often leave a Bruise on the baby’s head which typically resolve over the first 48 Hrs. Cesarean Section A Cesarean Section, also called a C- section, is a surgical Procedure performed if a vaginal delivery is not possible. During this procedure, the baby is delivered through surgical incisions made in the abdomen and the uterus. The anesthesia used is usually spinal anesthesia. Water Birth Pregnancy Care A Healthy diet is an Important part of a healthy lifestyle at any time, but is especially vital if you’re Pregnant. Eating healthy during pregnancy will help your baby to develop and grow. Yu don’t need to go on a special diet, but it’s important to eat a variety of different food every day to get the right blance of nutrients that you and your baby need. It’s best to get Vitamins and minerals from the foods you eat, to make sure you get everything you need. You will probably find that you are hungrier than usual, but you don’t need to “eat for two” – even if you are expecting twins or triplets. Try to have a healthy breakfast everyday, because this can help you toavoid snacking on foods that are high in fat and sugar. Eating healthier often means just changing the amounts of different foods you eat so that diet is varied, rather than cutting out all your favorites. Nutritional supplementation for First trimester ✓ Folic acid supplementation is a must for the development of brain and spinal cord ✓ Vitamin D supplementation is needed in case if mother is deficient for accelerated growth after birth. ✓ Vitamin B12 supplementation especially for vegetarians to ensure optimal pregnancy outcomes ✓ Iron supplementation to endure adequate oxygen supply for the growth of the fetus. Nutritional care for first trimester ✓ Consume small frequent nutrient dense meals which will also be helpful in case if you suffer from food aversion ✓ Advised consumption of roasted flaxseed, roasted

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