{"id":943,"date":"2026-02-02T11:32:27","date_gmt":"2026-02-02T09:32:27","guid":{"rendered":"https:\/\/gynaikologos-komotini.gr\/egkyos\/"},"modified":"2026-04-02T12:10:35","modified_gmt":"2026-04-02T09:10:35","slug":"egkyos","status":"publish","type":"page","link":"https:\/\/gynaikologos-komotini.gr\/en\/egkyos\/","title":{"rendered":"Pregnant"},"content":{"rendered":"\t\t
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Pregnant<\/h1>\t\t\t\t<\/div>\n\t\t\t\t
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Instructions for the safety of the fetus & the expectant mother\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Trust obstetrician Alexandros Mainas, in Komotini\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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The following information is based on the guidelines of the Royal College of Obstetricians and Gynaecologists of Great Britain (revised 2008) and forms the basis of monitoring a pregnant woman.
However, this can be individualised so that the pregnant woman has the monitoring that suits her lifestyle, personal and family history, and physical and mental condition.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Informing the pregnant woman during her visit to the doctor\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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At the first contact (4-6 wk) with a healthcare professional:<\/p>

folic acid supplementation, food hygiene, including how to reduce the risk of a food-acquired infection, lifestyle advice, including smoking cessation, and the implications of recreational drug use and alcohol consumption in pregnancy, all antenatal screening, including screening for haemoglobinopathies, the anomaly scan<\/p>

and screening for Down\u2019s syndrome, as well as risks and benefits of the screening tests.<\/p>

At booking (ideally by 10 weeks): how the baby develops during pregnancy<\/p>

nutrition and diet, including vitamin D supplementation for women at risk of vitamin D deficiency, exercise, including pelvic floor exercises, pregnancy care pathway, breastfeeding, including workshops, participant-led antenatal classes, further discussion of all antenatal screening, discussion of mental health issues<\/p>

Before or at 36 weeks:<\/p>

breastfeeding information, including technique and good management practices that would help a woman succeed preparation for labour and birth, including information about coping with pain in labour and the birth plan recognition of active labour care of the new baby,\u00a0 vitamin K prophylaxis, newborn screening tests, postnatal self-care, awareness of \u2018baby blues\u2019 and postnatal depression.<\/p>

At 38 weeks:<\/p>

Options for management of prolonged pregnancy.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Frequency of antenatal appointments<\/strong><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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A schedule of antenatal appointments should be determined by the function of the appointments.<\/p>

For a woman who is nulliparous with an uncomplicated pregnancy, a schedule of ten appointments should be adequate. For a woman who is parous with an uncomplicated pregnancy, a schedule of seven appointments should be adequate.<\/p>

Early in pregnancy, all women should receive appropriate written information about the likely number, timing and content of antenatal appointments associated with different options of care<\/p>

Gestational age assessment: LMP and ultrasound<\/p>

Pregnant women should be offered an early ultrasound scan between 10 weeks 0 days and 14 weeks to determine gestational age and to detect multiple pregnancies. This will ensure consistency of gestational age assessment and reduce the incidence of induction of labour for prolonged pregnancy.<\/p>

Crown\u2013rump length measurement should be used to determine gestational age. If the crown\u2013rump length is above 84 mm, the gestational age should be estimated using head circumference.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Good fetal development<\/strong><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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