A phenotypically normal woman with a 47,XX,i Xq karyotype is reported. She has had two successful pregnancies monitored by prenatal diagnosis with the delivery of normal offspring. The presence of a structurally abnormal third X chromosome has not demonstrably affected this patient or her reproduction. The importance of the human X and Y chromosomes in sexual differentiation is readily apparent. Much less clearly defined are patients who possess additional X chromosome material.
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Prenatal care is health care that a woman gets while pregnant.
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Your BMI is a measure that uses your height and weight to work out if your weight is in a healthy range. Find out your BMI. Try not to be offended if anyone involved with your health care uses the words 'overweight' or 'obese' to describe your weight. A lot of women don't like these terms, but nobody is judging you. The medical experts looking after you during pregnancy may need to use them so they can make sure you have the best advice and support to help you have a healthy pregnancy.
Someone who is categorised as obese, for example, will get extra advice and care. Read about making a weight management plan here. If you have a high BMI over 25 before pregnancy or in early pregnancy, this can affect your health and how your baby develops. The higher your BMI the higher the risk. This can be difficult to read but try not to worry. You will have extra care throughout your pregnancy and there are lots of things you can do to minimise the risks and have a healthier pregnancy.
But all that any woman wants is a healthy pregnancy and baby. So try not take it to heart or feel targeted when healthcare professionals talk about obesity, because they are just following what the guidelines say. Remember that managing your weight and making healthier food choices is useful advice for everyone in pregnancy, regardless of their size. You are making informed choices that are the best for you and your baby, just like everyone else. But there are plenty of things you can do to make sure you have a healthier pregnancy, such as:.
Just try and concentrate on eating well. If you have a BMI over 30 you should be referred to a dietitian for an assessment and advice about healthy eating and exercise.
You may also need to have injections of low molecular weight heparin to reduce your risk of blood clots. If you have a BMI over 40 there is a higher risk of complications during labour or birth.
These include:. You should also be referred to an anaesthetist a doctor who specialises in pain relief to talk about pain relief during labour. If your BMI is 30 or above you should take a daily dose of 5 mg of folic acid. Ideally, this should be taken a month before you get pregnant and until you reach your 13th week of pregnancy. All pregnant women are advised to take a daily dose of 10 micrograms of vitamin D supplement. Healthy Start is a UK-wide scheme that provides free vitamins and weekly vouchers for milk, plain fresh and frozen fruit and vegetables and infant formula milk.
All pregnant women under the age of 18 qualify — whether they are on benefits or not. Increase this gradually to at least 4 minute sessions a week.
If you continue to use this website without changing your cookie settings or you click "Accept" below then you are consenting to this. Questions from Dads to be When should I start taking folic acid? What sexual positions are best for getting pregnant? Will irregular periods prevent conception? How long does it take to get pregnant? Ovulation and fertility Timing of sex for pregnancy Understanding your menstrual cycle Stopping contraception Am I pregnant?
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Who should come to my antenatal appointments? How will I get time off work for all the appointments? I've had an abortion in the past. Is this a problem? What exercises should I avoid? When should I stop running in pregnancy Can I start doing yoga now that I am pregnant?
I'm overweight. What exercise can I do? Does exercise cause miscarriage? Does exercise cause premature birth? I am terrified about giving birth. What can I do about it? I have antenatal depression. Will I get postnatal depression?
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Will I be able to breastfeed if I'm on medication? Will my baby be taken away? Will my medication affect my baby? And I just want to say thanks, women. What happens after a c-section? Is it normal to be so worried about giving birth Can anything bring labour on? What happens if my baby is breech? What is a doula? Who can I choose to be my birth partner What are the signs of labour? Positions in labour 4 ways your body gets ready for labour 5 positive ways to prepare for labour Assisted birth Braxton Hicks Delayed cord clamping DCC Get your baby into the best birth position How will I know when labour has started?
Does bleeding always end with a miscarriage? How do I get referred to a doctor who specialises in miscarriage? How likely is a miscarriage and what can I do to stop it?
If I do miscarry what might happen next? My partner had a miscarriage a few months ago and still cries about it. What are the miscarriage signs and what should I do if I think I am having a miscarriage? What happens next if I have miscarried? What happens to my baby after a miscarriage? What happens to my body during a miscarriage? When can I be tested for a problem and what tests can I have?
Will I find out straight away whether I have miscarried? Will I miscarry again? I could see my baby's heart frantically pounding Fortunately my story does have a happy ending I have been through two missed miscarriages and an ectopic pregnancy. I have had in total 15 pregnancies I lost a tube and the little baby at 8 weeks gestation I love you before I have even met you!
It has been an emotional journey but if I can get through this I can get through anything. My body was still pregnant, but my baby had died My husband and I were close to breaking point, we had so much tragedy on top of our losses and it was becoming too much. My journey has been far from smooth That's when my whole world fell apart The situation was serious and I was admitted to hospital to have the tube removed including the foetus The whole time I was pregnant I was convinced something would go wrong They soon realised I was having an ectopic pregnancy.
I ended up losing my fallopian tube along with my baby. We both walked out of that room in utter shock and didn't speak the whole way home.
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Information for Pregnant Women: Department of Health
Prenatal care is health care that a woman gets while pregnant. Going early and regularly for prenatal care can help moms-to-be — and their babies — stay healthy. Regular care lets doctors find and deal with any problems as soon as possible. It's important to start prenatal care as early as possible — ideally, before a woman even becomes pregnant.
Any of these care providers is a good choice if you're healthy and there's no reason to expect problems with your pregnancy and delivery. However, nurse-midwives do need to have a doctor available for the delivery in case a C-section has to be done. Your health care provider may refer you to a doctor with expertise in high-risk pregnancies if you:. Even if your pregnancy isn't high-risk, this may still be a good time to make a change in health care providers if you're not comfortable with your current doctor.
You should call to schedule your first checkup during the first 6 to 8 weeks of your pregnancy, or when your period is 2 to 4 weeks late. Many health care providers will not schedule the first visit before 8 weeks, unless there is a problem. If you're healthy and have no complicating risk factors, you can expect to see your health care provider:.
At each checkup, your weight and blood pressure are usually recorded. The size and shape of your uterus may also be measured, starting at the 22nd week, to see whether the fetus is growing and developing normally. Glucose screening usually takes place at 12 weeks for women who are at higher risk for gestational diabetes.
That includes women who:. All other pregnant women are tested for diabetes at 24 to 28 weeks. They'll drink a sugary liquid and have blood drawn after an hour for a blood glucose test. Many parents-to-be choose to have prenatal tests. These can help health care providers find things like a birth defect or a chromosomal problem in the fetus. Prenatal tests are done in the first , second , and third trimesters.
Some prenatal tests are screening tests that can only reveal the possibility of a problem. Other prenatal tests are diagnostic tests that can accurately find whether a fetus has a specific problem. A screening test sometimes is followed by a diagnostic test. These can include blood tests, amniocentesis , CVS , and ultrasound exams.
Some women worry about medical conditions they already have, such as diabetes, and how they could affect a pregnancy. It's important to talk with your doctor, who may recommend a change in medicines or treatments that could ease your concerns. These conditions are serious but manageable. So it's important to learn about them and discuss them with your health care provider. Many pregnant women wonder about weight gain. Generally, women of normal weight should gain about 25—35 pounds during pregnancy.
For women who start their pregnancy overweight, total weight gain should be closer to 15—25 pounds. Those who are underweight should gain 28—40 pounds. Controlling weight gain is harder later in a pregnancy, so try to avoid gaining a lot of weight during the first few months. However, not gaining enough weight can cause problems too, such as poor fetal growth and premature labor. Pregnancy is not a good time to start a diet, but it is a great time to enjoy healthier foods.
Doctors recommend that women add about calories to their daily intake to help nourish the developing baby. Your health care provider may prescribe a prenatal vitamin to make sure you get enough iron, calcium, and folic acid.
It's also a good time to get regular, low-impact exercise. For your baby's sake and yours, it's important to take especially good care of yourself during your pregnancy. Follow these basics:. Over-the-counter medicines are generally considered off-limits because of their potential effects on the fetus. Be sure to discuss any questions about medicines including natural remedies, supplements, and vitamins with your doctor.
When you're pregnant, it's also important to avoid foodborne illnesses, such as listeriosis and toxoplasmosis , which can be life-threatening to an unborn baby and may cause birth defects or miscarriage. Foods to steer clear of include:. Also avoid eating shark, swordfish, king mackerel, marlin, orange roughy, tuna steak bigeye or ahi ,and tilefish. Fish and shellfish can be an extremely healthy part of your pregnancy diet because they contain beneficial omega-3 fatty acids and are high in protein and low in saturated fat.
But these types of fish may contain high levels of mercury, which can damage the developing brain of a fetus. Your doctor may recommend a couple of vaccines during pregnancy. The flu shot can curb flu-related problems for expectant moms, who are at higher risk of problems from the illness. Pregnant women should only get the shot, and not the nasal spray or mist form. This is because there's been a rise in pertussis whooping cough infections, which can be fatal in newborns who have not yet had their routine vaccinations.
Pregnancy can cause a number of uncomfortable but not necessarily serious changes, including:. If you have any of these changes, you're not alone! Talk to your doctor about ways to ease your discomfort. When your body is going through physical changes that may be completely new to you, it isn't always easy to talk to your health care provider.
Maybe you're wondering whether you can have sex or what to do about hemorrhoids or constipation, or maybe you're feeling feeling worried about the delivery.
You might feel embarrassed to ask these or other questions, but it's important to do so — and remember, your health care provider has heard them all before. Keep a running list of questions, and take it with you to each visit. Reviewed by: Armando Fuentes, MD. Larger text size Large text size Regular text size.