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If the pregnant woman is older than 35 years and it is her 1st pregnancy or if pregnancy is high risk (e.g.
severe anemia, very short height, complicated pregnancy in the past etc.), more check-ups would be
required.
However, as per latest WHO guidelines, there should be eight medical check-ups during pregnancy, starting
with first within 12 weeks of pregnancy, followed by remaining at 20, 26, 30, 34, 36, 38 and 40 weeks.
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4. Services provided during medical check-ups
The following tests and services are provided during
medical check-ups:
TT Injection: Two doses of TT Injection at one-month
interval are given which protects both mother and
baby from Tetanus which is one of the life-
threatening conditions
Blood test to assess anaemia (if any), blood grouping
IFA and Calcium Tablets: A total of 180 iron & folic
acid tablets and 360 calcium tablets are to be taken during pregnancy:
• One tablet of iron folic acid a day is to be taken for at least six months after first three months of
pregnancy. If the woman is anaemic, two IFA tablets are advised daily, one tablet in the morning
and one in the evening.
• Two tablets of calcium per day for at least six months after first three months of pregnancy.
• Blood pressure is checked to detect high BP
• Urine is tested for Albumin and Sugar
• Weight is checked (Average weight gain during pregnancy is 9-11 Kg)
• Abdominal examination is done to check the developing baby’s growth and well-being
• Breast examination to prepare the mother for breast feeding
• Blood tests for thyroid function, HIV & Syphilis and ruling out gestational diabetes
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6. Importance of Proper Rest and Exercise
Staying healthy during pregnancy includes not only proper nutrition
but also enough rest and exercise. Proper rest can be ensured during
pregnancy by having 8 hours of sleep at night and at least 2 hours
rest during the day. Lie on one’s left side as it increases the blood
supply to the developing baby. Avoid hard work such as lifting heavy
weight. Simple exercises such as walking during pregnancy are highly
beneficial. It helps the mother prevent abdominal/back pain, reduces the risk of pregnancy-related
diabetes/high blood pressure, improves heart function, reduces constipation, feeling of fullness in the
abdomen and ensures the right weight gain.
Healthy Exercise Tips:
Start with mild exercises, such as a 5-minute walk in the park. Do not overexert.
Avoid all activities which have high risk of falling.
After 1st three months of pregnancy, avoid exercises that involve lying flat on the back because doing
so may decrease blood flow to the uterus.
Stop exercising immediately, if there is vaginal bleeding, headaches, breathlessness, uterine
contractions, dizziness, increased tiredness and fluid leaking from vagina. Get checked by a doctor.
7. Signs of Labour
The following are signs of labour
Regular contractions in the uterus presenting in the
form of low backache referred to thighs and increasing
in intensity with time
Passage of jelly-like discharge mixed with blood
Breaking of bag of membrane with passage of clear
water through the vagina