TREATMENT PLAN, KEY INFORMATION & EXTRA’S
TREATMENT PLAN
Supplements:
- Vitamin D: throughout pregnancy
- Folic acid: 400mcg or 5mg daily up to 12 weeks
Lifestyle advice:
Avoid recreational drugs, alcohol and smoking
Dietary guidance
Sleep position: avoid back-lying after 20 weeks Use side-lying with cushion support
Travel restrictions:
- Single pregnancy: up to 36 weeks
- Multiple pregnancy: up to 32 weeks
- Avoid malaria/Zika virus endemic areas
Immunisations:
- Flu vaccine
- Whooping cough vaccine
Management options for breech at 36 weeks:
- External cephalic version
- Elective caesarean section
- Vaginal breech delivery
Prolonged pregnancy management (38+ weeks):
- Expectant management
- Membrane sweep
- Induction between 41+0 and 42+0 weeks
KEY INFORMATION
- Regular monitoring of BP and urine is essential
- Risk assessment for preeclampsia and gestational diabetes is crucial
- Position check at 36 weeks determines delivery planning
- Anti-D prophylaxis for rhesus-negative women at 28 weeks
EXTRA’S
Common pregnancy issues:
- Varicose veins: compression stockings
- Nausea and vomiting
- Constipation
- Haemorrhoids: avoid constipation, topical treatments
- Pelvic girdle pain: physiotherapy, support belts
- Increased vaginal discharge: investigate if infection suspected.