Obstetrics Book

http://www.fpnotebook.com/

First Trimester Education

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  1. See Also
    1. Second Trimester Education
    2. Third Trimester Education
    3. First Obstetric Visit
    4. Prenatal Visit
    5. Nutrition in Pregnancy
    6. Travel in Pregnancy
  2. Habits
    1. Tobacco Cessation
      1. Associated with 4600 U.S. perinatal deaths per year
    2. Alcohol abstention
    3. Illicit Drug use Cessation
    4. Sexuality
    5. Nutrition in Pregnancy
    6. Exercise in Pregnancy
    7. Relaxation Positions
      1. Incline
        1. Lie back with head and back against incline chair
        2. Pillow under hips and behind head and neck
      2. Semi-prone
        1. Prone or slightly on side propped up
        2. Pillows under one hip and head
        3. One knee flexed to assist in propping
    8. Activities to avoid
      1. Avoid hot tubs and saunas
      2. Avoid hair treatments
  3. Prevention of Neural Tube and other congenital defects
    1. Prenatal Vitamins with Folic Acid
      1. Reduce risk of Neural Tube Defect
    2. Limit Vitamin A intake to under 8000 IU qd
      1. Over 15000 IU/day Vitamin A associated with defects
  4. Discomforts to expect
    1. Fatigue
    2. Nausea or Vomiting
  5. Symptoms prompting urgent evaluation
    1. Vaginal Bleeding
    2. Abdominal Cramping
  6. Pregnancy Testing
    1. Weeks 8 to 18
      1. Obstetric Ultrasound for dating and surveillance
    2. Week 16 to 18 weeks
      1. Alpha fetoprotein (AFP)
      2. Human Growth Hormone
      3. Unconjugated Estriol
    3. Advanced Testing for women for over 35 years
      1. Chorionic Villus Sampling at 9 to 13 weeks
      2. Amniocentesis at 16 to 18 weeks

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