Women with a history of weight lindurish large or unexplained abortions, with glikozuria (sugar in

Women with a history of weight lindurish large or unexplained abortions, with glikozuria (sugar in urine) continuous or significant family history of diabetes should be evaluated for the presence of an abnormal metabolism wan hai lines tracking of carbohydrates in the first trimester or early trimester second. All patients should be studied within week 28. The patient receives 50 g glucose dissolved in water or natural gas at a time whatsoever (without fasting) and glicemia measured one hour later. Patients who have a glicemi 135 mg / dl (7.5 mmol / l) should wan hai lines tracking carry out a test with a standard dose 100 g glucose and measuring glycaemia levels following 3 hours.
If the patient is rezius (Rh) negative, Rh antibodies should be measured in the 26-27 week, and if the father of the child is Rh positive assurance, the patient should take 300 mg of immunoglobulin Rh0 (D) at week 28. A similar dose should be given even if carried out a amniocenteze or a pickup from grapes koriale, or verify whether a significant bleeding. Further measurements should not be other antibodies. Cord blood taken from umbelikal can result in positive DOBEL way to a direct test Kombsit, but this result is not important. If born is Rh0 (D) positive mothers should wan hai lines tracking receive another dose immunoglobulins Rh0 (D).
Increased weight during pregnancy should wan hai lines tracking be, for a woman to secondary measures, about 11.2-13.5 kg or 0.9-1.4 kg for each month of pregnancy. An increase> 13.5-15.8 kg is excessive wan hai lines tracking and means a meeting fats from mother and fetus. The patient should be noted that control weight in the advanced stages of pregnancy is difficult and should not increase by more than the allowed wan hai lines tracking weight during the first months. However, mosrritja weight is a negative sign, especially if it is <4.5 kg. In fact, an increase of weight is essential for proper development of the fetus and a retention of dietary regime is not recommended during pregnancy or for more overweight wan hai lines tracking patients, because it reduces food fetus. Keeping the fluid, wan hai lines tracking which is due course right in the lower extremities causes, sometimes, an increase in weight, but can be eliminated by placing patients on one side (preferably the left) for 30 to 45 minutes three to four times day, thus favoring diurezen.
Be achieved about 250 kilocalories per day in the daily diet the patient to have a good food for the fetus. Most of these calories should be from protein, but the values of a well balanced diet and nutritional elements (here includes fresh fruits and vegetables) should be emphasized throughout the pregnancy. Even though the fetus has priority by physiological substances in food choice, the choice should CONCERN wan hai lines tracking substances worth to be taken. Salt (preferably that of iodized) wan hai lines tracking can be used to settle in, but more salty foods that have preservatives should wan hai lines tracking be avoided.
The use of medicines, including vitamins and aspirin, should be discouraged. No medication should not be given without a specific reason. Most women need for additional amounts of iron: need iron salts used to give 30 mg iron / day or, if the woman is anemic, 60 mg / day. Solfati of iron, 300 mg twice a day orally, it is usually sufficient, but iron gluconate, 450 mg twice a day orally, better tolerated. Higher doses irritate gastrointestinal maternal roads, with a modest increase in the amount of absorbable iron. Should be given an additional folic acid because diets typically do not have in sufficient quantities. Low amounts wan hai lines tracking of folic acid can cause neural tube defects. Folic acid, 1 mg / day orally (4 mg / day for women who have had a child with such a defect) should be provided, usually as a form of vitamin preparation, also containing iron, to be taken during pregnancy. If proper diet is not necessary giving other food supplements.
For nauzean wan hai lines tracking and vomiting, dietary treatment should wan hai lines tracking be performed before the pharmacological. The patient must learn to drink and eat in small quantities and frequently (to avoid urine) and should take light food like dish, rice or pasta. Cookies and drinks often ease analkolike nauzeas feeling. To eat before you get up can help. No remedy against malezes morning is not approved until now. If nausea and vomiting are so strong and continuous that make a patient dehydration, develop ketoze or lose more weight, made her hospitalization necessary hospital and allocation of liquids.
Common problems include edema (especially the legs), limb vessels varikoza bottom and vulva, hemorrhoids, back pain different grade, fatigue (especially in the first trimester wan hai lines tracking and late stages of