Behind every healthy child is a hale mother


 

 

 

 

 

 

 

 

 

 

 

 

 

 

By Dr Sharon Rasquinha

Mar 31: The first time a new born is placed in her mother’s arm is a moment of joy, a joy that every new mother should have the right to experience. But for some pregnant women around the world this memory will never come to be. Without the right care, becoming a mother can be stressful and in worst cases, tragic event.

The economic progress of a country is directly linked to health indices of that particular nation. When we talk about the health indices, maternal and child health are in the forefront which indirectly reflects the well-being and prosperity of that nation.

For achieving the goals of healthy mother and child the mission should start at grass root level.

Immunization of communicable diseases begins during infancy as scheduled Immunization against diseases like diphtheria, polio, pertussis, rubella hepatitis B and other respiratory pathogens. All these ailments have steady impact on subsequent health of the going to be mother and her child.

Due importance to be given to an adolescent girl child in her early teens to detect ailments or prevent form getting it which would have impact in future child bearing. Some of the best examples are anaemia in adolescent girls, which is highly prevalent in low socio economic group. Epilepsy congenital heart ailments, rheumatic valvular disease and genetically transmitted disease eg. Sickle cell anaemia or thalassemia. All these diseases will have an impact on maternal and child health once she conceives. Deworming the child and correction of anaemia by simple remedial measures like supplementing iron tablets will go a long way helping out this adolescent girl, which otherwise may have a bearing in her subsequent childbirth. If the childhood immunization was erratic or not undertaken, this is the ideal time to immunize her at her early teens before she embarks upon her pregnancy. The best example would be if the girl child was not immunized in her infancy against rubella, it should be done during her teens. Rubella vaccine being a live vaccine is not administered during pregnancy.

In many developing countries like our own country majority of the pregnancies are not planned as scheduled, the topic of ‘pre-pregnancy counselling’ is an important topic to be discussed with married couple. Hereditary diseases congenital cardiac problems or ailments like diabetes, hypertension and epilepsy and some of the medications already the patient is taking will have a bearing on the child to be born. We may have to stop some of the medication what the patient is taking and switch on to a safer alternative medications that have less impact on the baby. Folic acid supplementation is started couple of months prior to planned pregnancy.

Once the pregnancy is confirmed the need for routine antenatal check-up should be stressed. The patient should have monthly visit for the first three months and then every fortnight till 8 months and once a week for last four weeks.

Supplementation of folic acid tablets in the first trimester, iron and calcium tablets form the beginning of 3rd month onwards is essential. Iron has to supplement irrespective of mothers haemoglobin status as there is extra need for the iron which is required for the growing foetus and cannot be met by diet alone. Government of India and W.H.O. have their own programmes of supplementing iron for 100 days in the latter half of pregnancies.

India being an endemic place for type 2 diabetes and is bestowed with the honour of having highest number of diabetes in the world routine screening for diabetes has to be done early in pregnancy. All the routine blood tests and serological investigations has to be done as per schedule. Haemoglobin estimation should be repeated every trimester and extra Iron has to be supplemented accordingly as the growing foetus requires more iron in the latter half of pregnancy.

Two mandatory ultrasound examinations (scan) are done between 11 to 12 weeks and other between 18-20 weeks.

Eating a nutritious diet during pregnancy is linked to good brain development and a healthy birth weight, reducing risk of birth defects. Iron rich foods for non-vegetarians like meat products eg: chicken liver and other dairy products and for vegetarians’ green leafy vegetables raagi, jaggery are ideal. One and half litre of pure milk a day which supplements to 1 to 1.5 gm of calcium is sufficient, but for those not able to take milk then calcium supplements has to be given.

High roughage diet in the form of vegetables and fibres and 2 litres of water are essential to overcome the constipation which is usually associated with normal pregnancy.

Tobacco smoking during pregnancy is a definitely a serious risk to the developing baby. There is also plenty of proof that smoking during pregnancy is Hazardous. Smoking deprives the baby of oxygen supply, carbon monoxide and the hydrocarbons in the tobacco renders growth restriction of the baby and pre disposes to preterm delivery.

Drinking alcohol during pregnancy is linked to a wide range of problems in the developing baby. Alcohol in any form that is consumed enters the foetal blood stream from the mother enters the foetal blood stream from the mother and results in ‘Fetal Alcohol Syndrome’ with abnormal facial features and mental retardation.

Exercise in the form of brisk walking, light jogging and flexing of upper and lower limb simple yoga would suffice. Squatting and Kegel exercises focuses on perineal and pelvic muscles.

At every antenatal visit apart from routine examination obstetrician takes care to record the blood pressure, weight of the pregnant women. Pregnant women should report to her doctor immediately if she has any of the following symptoms.

1. Severe headache, blurring of vision, pain the upper right half of abdomen.
2. Decrease foetal movements.
3. Spotting or bleeding per vagina
4. Pain in back radiating to lower abdomen with increasing intensity and frequency.
5. Sudden gush of water from vagina (Rupture of fore waters)

Thus maternal and child health service is an important and essential service related to mother and child’s overall development.

Our Motto is ‘Healthy Mother and a Healthy Baby’.



Dr Sharon Rasquinha is a consultant at Unity Hospital, Falnir, Mangaluru.


 

Contact:

Unity Hospital
Unity Care and Health Services Pvt Ltd, PB No.535,
Highlands, Mangaluru - 575002
Tel No. +91 824 4245555
Fax No. +91 824 2432691
Email: info@unityhospital.in

Website: www.unityhospital.in

 

 

 

 

 

 

  

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Comment on this article

  • Alwyn Castafiorelino, Mangaluru

    Thu, Apr 01 2021

    Well said dear

    Reply Report Abuse Agree

  • Dr Jithen Ruski Rao, Pandeshwara, Mangalooru

    Thu, Apr 01 2021

    Nice article congratulations.

    Reply Report Abuse Agree

  • Dr.Chandrashekhar, Deralakatte, Paneer

    Thu, Apr 01 2021

    Very Informative.. keep it up Dr. Sharon

    Reply Report Abuse Agree

  • Dr Rashmika Ruskin Prabhu(Y ENT, Mangalore

    Thu, Apr 01 2021

    This is a superb read and we'll put article. Congrats dear sister and all the best.

    Reply Report Abuse Agree [1]

  • Dr sharon Rasquinha, Mangalore

    Thu, Apr 01 2021

    Thank you dear sis

    Report Abuse Agree

  • Laveena Fernandes, Kavoor, Mangalore

    Thu, Apr 01 2021

    Very well explained article. Helps us to be vigilant about things and care for ourselves.looking forward for many more such articles from you. well written

    Reply Report Abuse Agree

  • Dr sharon, Mangalore

    Thu, Apr 01 2021

    Thank you lavina

    Report Abuse Agree

  • Zeena Saldanha, Valencia

    Thu, Apr 01 2021

    nice article

    Reply Report Abuse Agree [1]

  • Flavian Pereira, Mangalore/ Muscat

    Thu, Apr 01 2021

    Good Information. Keep going !

    Reply Report Abuse Agree

  • Roma Aunty, Mudipu

    Thu, Apr 01 2021

    Very helpful news. Thank you

    Reply Report Abuse Agree

  • HENRY MISQUIITH, India

    Wed, Mar 31 2021

    Beautiful article on Mother, child and pregnancy.. hats off to you Dr. Sharon. Awaiting your such needful articles in future. Good luck to you.

    Reply Report Abuse Agree [1]

  • Priyanka Dsouza, Pangla

    Wed, Mar 31 2021

    Very informative article.

    Reply Report Abuse Agree

  • M.Mascarenhas, Mangalore

    Wed, Mar 31 2021

    Very informative. Looking forward to more such articles.

    Reply Report Abuse Agree [1]

  • Dr sharon, Mangalore

    Thu, Apr 01 2021

    Thank you dear ....

    Report Abuse Agree

  • Noah Martin, Roopalinagar

    Wed, Mar 31 2021

    Thumbs up, very good article

    Reply Report Abuse Agree [1]

  • Shania Martis, Udupi

    Wed, Mar 31 2021

    Thank you and Please include more informative Writeups like this.

    Reply Report Abuse Agree

  • Saul Perry, Mangaluru

    Wed, Mar 31 2021

    Very useful eye opening article. We need more articles like this to enlighten us and enable us lead better lives.

    Reply Report Abuse Agree

  • DSR, Mangalore

    Wed, Mar 31 2021

    Good article

    Reply Report Abuse Agree

  • Diana, Bendur Mangalore

    Wed, Mar 31 2021

    Very nice article ....thank you Dr. Sharon

    Reply Report Abuse Agree

  • Dr Chetan, Bangalore

    Wed, Mar 31 2021

    Very simplified version for antenatal mothers lots to know for many who r ignorant .Kudoos deepti ANC in a nut shell

    Reply Report Abuse Agree [1]

  • Dr Chetan, Bangalore

    Wed, Mar 31 2021

    Very simplified version for antenatal mothers lots to know for many who r ignorant .Kudoos deepti ANC in a nut shell

    Reply Report Abuse Agree

  • Shambhavi, Udupi

    Wed, Mar 31 2021

    Very true

    Reply Report Abuse Agree [3]

  • DR Susan Rasquinha, Mangalore

    Wed, Mar 31 2021

    A very comprehensive and lucid article on being a healthy mother written in simple Language for the lay person .I am sure it will benefit every would be mother

    Reply Report Abuse Agree [4]

  • Jossey Saldanha, Mumbai

    Wed, Mar 31 2021

    I'm strong because a Strong Mother raised me ...

    Reply Report Abuse Agree [4]

  • callen dsouza, bendur

    Wed, Mar 31 2021

    Very nice article

    Reply Report Abuse Agree [3]

  • Shailaja, Bangalore

    Wed, Mar 31 2021

    Very true as rightly said that every women need to experience of being a mother. It's THE best movement in life time, we will be such a pain while getting delivered but still will be so curious to see the babe and that movement we forget all the pain. That's the pleasure of being a mother. Mother is a special feel it can expressed in unlimited words, but every women need to feel and experience it. It's said your complete women only once you become a Mother. I am blessed with that great gift having there kids and it's a normal delivery. Thanks doctor for taking a special step of trying a girl or last to become a complete women by helping guiding caring how to become a Mother. Thanks so much no words. Greatly wishes for the new beginning new idea 🙏👍👍

    Reply Report Abuse Agree [2]


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