Second trimester is between 13 to 24 weeks.
During the second trimester the patient should come monthly for check-up in uncomplicated cases.
In high risk cases like with hypertension, diabetes, anemia, multiple gestation etc the visits should be more frequent.
Routine general examination, abdominal examination and investigations should be performed during each visit.
In case of high risk cases blood sugar to be tested at 24 weeks.
Anomalies scan can be performed at 18 weeks to rule out presence of anomalies and length of the cervix to be noted by manually and also by sonographycally in case of short or incompetent cervix cervical encirclage to be planned.
The woman should take two doses of tetanus toxoid injections at fifth month and seventh month.
If her previous pregnancy is within prior three years one dose is enough.
Patient should continue the folic acid prophylaxis and she should start taking iron and calcium prophylaxis also.
She should be instructed to come to hospital if any symptoms of pain abdomen, bleeding per vaginum or leaking per vaginum develops.
She can travel to small distances either by train or other safe modes, better to avoid long drives and traveling by road.
Coitus can be practiced depending on the desire of couple but the chances of urinary tract infection, bleeding per vaginum, establishment of premature labor to be kept in mind.
First trimester
Third trimester
(The viewers are invited to share opinions or give suggestions or ask questions regarding the topic through comment box. Thank you )
During the second trimester the patient should come monthly for check-up in uncomplicated cases.
In high risk cases like with hypertension, diabetes, anemia, multiple gestation etc the visits should be more frequent.
Routine general examination, abdominal examination and investigations should be performed during each visit.
In case of high risk cases blood sugar to be tested at 24 weeks.
Anomalies scan can be performed at 18 weeks to rule out presence of anomalies and length of the cervix to be noted by manually and also by sonographycally in case of short or incompetent cervix cervical encirclage to be planned.
The woman should take two doses of tetanus toxoid injections at fifth month and seventh month.
If her previous pregnancy is within prior three years one dose is enough.
Patient should continue the folic acid prophylaxis and she should start taking iron and calcium prophylaxis also.
She should be instructed to come to hospital if any symptoms of pain abdomen, bleeding per vaginum or leaking per vaginum develops.
She can travel to small distances either by train or other safe modes, better to avoid long drives and traveling by road.
Coitus can be practiced depending on the desire of couple but the chances of urinary tract infection, bleeding per vaginum, establishment of premature labor to be kept in mind.
First trimester
Third trimester
(The viewers are invited to share opinions or give suggestions or ask questions regarding the topic through comment box. Thank you )
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