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When the contractions are five minutes apart. If you live far from your hospital, then you have to leave when they are 10 – 20 minutes apart.
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When your water breaks, i.e. you notice a sudden gush of wa tery fluid between your thighs
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When your water breaks, do not wait for contractions to start.
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You will be examined to know how far you have gone in labour, your baby’s heart beat will be examined, and your blood pressure and vital signs will be checked. Your progress in labour would then be monitored regularly till you deliver.
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Most hospitals provide a list of things to bring. There is a standard list in the book Understanding pregnancy and childbirth available
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You must report immediately to the hospital if you see the following:
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Constant, severe headaches and blurred vision
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Bleeding that is heavier than a period
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Fever greater than 38 degrees Celsius
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Persistent, severe abdominal pain
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Smoking
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Drinking any type of alcohol
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Drugs not prescribed by your obstetrician
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Exposure to X-rays.
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Prenatal visits will start from first when you know you are pregnant and will be every four weeks until 28 weeks, then every two to three weeks until 36 weeks. Beginning at 36 weeks you will be seen weekly until your delivery. Your pregnancy will be kept track of by weeks and not months. A full term pregnancy is 40 weeks. Patients who are high-risk will be seen more often.
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During early pregnancy, blood will be drawn and a complete blood examination will be performed. This includes a Full blood count, blood type and Rhesus antibody screen, and sickle cell test, hepatitis screen, and HIV screen. During your pregnancy, periodic tests for anemia and urinary tract infection will be administered. Patients who are Rhesus negative will be checked for Rhesus antibodies. On one more two occasions, a blood sugar test will be performed.
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A high protein diet is recommended during pregnancy. This includes beef, chicken, turkey, and fresh water fish (baked, or grilled) offer good amounts of protein. You also need foods rich in iron and folic acid
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Abdominal or Groin Pain (Round Ligament Pain) usually occurs during movement and is not dangerous. Avoid sudden movement and move slowly. A heating pad or paracetamol can help to ease severe pain.
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Heartburn and gas can be avoided by avoiding large meals and spicy foods. It is important that you do not lie down for 2 hours after eating. Pillows to elevate your head might help. If none of those work, use the antacids. For some people, the may need more intensive treatment. I know how terrible Heart burn can be. I have a personal experience.
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Leg cramps are quite common and can be excruciatingly painful. It can be eased with stretching of the leg muscle which improves circulation. Gentle and constant stretching works best. Immediately you get a cramp, stretch out your leg as soon as you can. Then get your partner to massage it. The cramp will go away after a short while.
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