What advice do you have for women who are pregnant during the pandemic?
As we all know Covid-19 is a very deadly virus that is running rampant around the globe. Pregnant women should take special care of themselves. Some advice I have for pregnant women are:
- Do not panic
- Take all the precautions necessary
- Maintain physical distancing of at least six feet
- Wash hands frequently
- Wear face shield and mask whenever necessary
- Avoid unnecessary visits to crowded places such as hospitals, malls, markets etc.
- Whenever you have symptoms like cough, cold, headache, fever, or shortness of breath contact your doctor.
- Eat healthy
Due to COVID, expecting mothers try to limit their hospital visits unless absolutely necessary. On average, at what frequency should a pregnant woman visit the doctor?
A minimum of 6-7 visits is needed during uncomplicated pregnancy in the following weeks.
- When you confirm your pregnancy
- Week12/13
- Week 20/22
- Week 24/26
- Week 32/34
- Week 38/ 40
What supplements should a pregnant woman take? *Note: Doctors must be consulted prior to taking any supplements as it might differ given the pregnant woman’s pre-condition
The most essential supplement during the first trimester is folic acid, some women may need additional vitamin B12 and vitamin D depending on their blood levels. Omega3, biotin, and iodine are advisable in small amounts. During the second and third trimester addition of iron and calcium is advised.
What medications must a pregnant woman avoid?
Pregnant women must avoid self-medication, there are several medicines that can harm the unborn baby. They should always consult doctors before taking any medicine.
What supplements must a breastfeeding mother take?
Breastfeeding mothers demand iron and calcium supplements. Additional vitamin D and B12 may have to be taken depending upon blood test results that indicate levels of these vitamins.
What vaccination should be taken during pregnancy and when?
Two doses of TD (Tetanus, Diphtheria), and a dose of influenza vaccine is given during pregnancy. Two doses of Tetanus, Diphtheria to be given four weeks apart anytime between 14 – 32 weeks and influenza vaccine to be given around 30-32 weeks.
What percentage of your patients do normal versus C-section delivery?
On average, 50-60% of the women do normal delivery whereas the rest are C-sections.
What is the main reason that a pregnant woman undergoes C-section delivery?
There are various reasons why a woman undergoes a c-section. Some common reasons are as follows – when women gave birth by C-section for their previous delivery, on-demand c-section, or when women cross their due date and do not respond to induction of labour. Another reason is fetal distress when the fetus shows signs of distress during labour; or when the baby weighs higher than average. Besides this, there are several other reasons for c-section which are specific to the mother and baby.
Do you advise your patients to get in touch with you via messages?
Yes, I always provide my contact information so that they can share their concerns and lab investigations.
Do you do virtual appointments?
Yes, indeed I do virtual consultation. For appointments you can contact:
+977-1-4217766
+977-9810136491
info@nepalmediciti.com
Writer details:
Nira Singh Shrestha, M.D., obstetrics, and gynecology, is the Head of the Department of Obstetrics and Gynaecology at Nepal Mediciti Hospital, Bhaisipati. She is a laparoscopic surgeon and has received special training in Advanced Laparoscopy. She is soon introducing the first water birth facility in Nepal
