Specific Prenatal Care
The prenatal is obstetric care for basic health care of mother and baby. For couples who have planned their pregnancy, it starts three months before conception, those who do not should be started as soon as the pregnancy is discovered.
The Ministry of Health’s Program for Humanization in Prenatal and Birth (PHPN) recommends six prenatal consultations divided between 40 gestational weeks. In private care, this number is higher, reaching 10 consultations.
The number of meetings with the obstetrician will depend on the health of the mother and baby. Women who are at risk for pregnancy, these meetings are more frequent and prenatal care should be more attentive.
Over 40 weeks, it is important to have contact between the pregnant woman and the obstetrician so that the pregnancy occurs smoothly and the moment of delivery is joy and not worry.
Meetings with the obstetrician
In private service, there are more meetings, the average being:
- Once a month for up to 28 weeks;
- Every fifteen days from 28 to 36 weeks;
- Weekly from 36 weeks until delivery.
Women who are assisted by health plans or can afford prenatal care have more comprehensive assistance. This does not mean that public service is poor, it follows all the basic guidelines so that the pregnant woman and the baby are not at risk during pregnancy.
Common exams during prenatal follow-up
The pregnant woman will have to perform some exams throughout the pregnancy. Ultrasounds are the most expected since parents will be able to see the baby, hear the little heart and know if everything is fine with him.
Ultrasounds requested during prenatal care are transvaginal obstetric ultrasound; the 1st quarter morphological obstetrical performed between 11 to 14 weeks; obstetric ultrasound; the morphological obstetric ultrasound of the 2nd trimester between 20 and 24 weeks and the obstetric with color dopplerfluxometry.
In ultrasound, it is possible to identify and/or rule out the presence of fetal malformation, as well as monitor the baby’s development.
The pregnant woman also does a series of exams during prenatal care, which are:
- Complete blood count;
- Blood typing;
- Type I urine/Urology;
- Stool parasitology;
- Fasting Glucose;
- TSH/T 4 livre.
Diseases detected during prenatal care
Changes in the female body can result in some complications. High blood pressure, gestational diabetes and pre-eclampsia can develop throughout pregnancy.
With prenatal care, such situations are identified early, avoiding any problem for the pregnant woman and the baby.
When the woman does not follow up with the obstetrician, the risks of miscarriage and prematurity are greater.
It is during prenatal care that the mode of delivery can be chosen. Normal, natural, humanized or cesarean: everything will depend on the health of the woman and the baby.
Therefore, it is recommended that the woman does not put on more than 15 kilos during pregnancy and that she has the exams up to date so that the birth occurs without complications. This is basic information about specific prenatal care. If in doubt, take them out with the obstetrician.