In the list of routine visits that a pregnant women makes to her doctor throughout the maternity there is something called the booking visit. Which is the second visit that the patient makes to the doctor in order to assess the risks associated with the maternity. In this visit the doctor has to make sure he/she has taken a detailed history from the patient which includes details of any previous pregnancies and their associated outcomes and complications, and even any family history of pregnancy related complications. Because all of this is necessary for the doctor to come to a clinical judgement about the risks associated with the current pregnancies. Because all of this information is vital when it comes to evaluating the current condition and what to make of it. It doesn’t matter if you are primiparous or multiparous the same type of assessment has to be done by an Moorebank obstetrician to the patient.
But when it comes to first pregnancies there is a higher risk of women developing pre-eclampsia, particularly in the third trimester of the child-bearing. And this is something the doctor should have in mind when dealing with primiparous women and should ebon the lookout for during the third trimester. Because it can develop very rapidly and deteriorate the condition of the patient in a similar manner. That is why primiparous women have two additional visits at this stage of their maternity to maximize the detection at an early stage. And it is also important for a right pregnancy doctor to keep in mind that the patients’ blood pressure and the urine should be examined during each and every visit. Because these give you important clues to any impending risks. And you should continue to monitor them throughout the maternity without fail. The SFH should also be measured starting from the 25th week of gestation. And the fetal presentation and degree of engagement should be assessed from the 36th week of gestation. Some common problems that are detected during the routine antenatal visits are hypertensive disorders of pregnancy, anemia, abnormalities of uterine size and abnormalities of fetal presentation. And if these problems are detected at any stage further evaluation is warranted. Each follow up visit to the doctor should be seen an opportunity for the patient to express their concerns and anxieties regarding the childbearing to their doctor. And it should be seen as an opportunity for the doctor to educate the patient about the details of the maternity, the delivery infant feeding and parenting skills. Because it is all part and parcel of the job.