Maternity Cases (For Pregnant ladies)


Pre pregnancy (before pregnancy): Counselling, investigation and treatment for healthy baby. In our centre special investigations are advised before conceiving or planning pregnancy. Couple is asked to take special medicines so that baby gets optimum nourishment for all round growth and mental development

Congratulations for having positive B HCG or positive pregnancy test. It means you have conceived and having pregnancy.

Your progress and management of pregnancy will be as follows.

  •  First Three Months (1st Trimester): 0 to 13 weeks

Investigations advised:

1. Urine and blood report: If you miss your expected date of menses, you will be advised urine for pregnancy test or B HCG blood report. This will confirm pregnancy. 2. USG (sonography):  At 6 to 7 week’s first TV sonography is done to confirm viability of pregnancy and marker of healthy pregnancy. 3. Antenatal profile– blood investigation are suggested : Blood grp, CBC, Urine examination, SGPT, S. Creatinine, blood sugar, thyroid test, blood clotting report and infection profile. Hb electrophoresis is also suggested to rule out thalassemia and sickle cell disease.

Medicines advised:

In first trimester, folic acid and pyridoxine vitamins are very important. In case of risk of abortion or high risk cases supportive treatment in the form of progesterone tablet and injections will be suggested. Sometime many more medicines are needed which will be decided according to your case requirement.

  • Second Three Months (2nd Trimester): 13 Weeks to 28 Weeks:

Investigations advised:

11 to 14 weeks NT scan (see sonography segment)Very important scan. To rule out anomalies and screening USG for down’s syndrome.

Anomaly and 3 D 4 D scan (see sonography segment): Another important USG to rule out morphological abnormality of foetus. In this sonography brain, heart, lungs, limbs, kidneys and GU system, stomach and GI system, spine and many more organs are examined in detail.

Double marker done at 11 to 14 weeks and triple marker are done between 16 to 18 weeks. Chorion biopsy and Amniocentesis: Advised in a specific cases.

  • Medicines advised:
  1. Iron and folic acid for increasing and maintaining haemoglobin level and general health of mother and baby
  2. Calcium supplementation is especially important for better growth of foetal bone and avoiding backache problems to mother
  3. Protein powder with DHA: for maintaining muscle mass and for avoiding unnecessary fat deposition, DHA is considered good for better brain development of foetus.
  • Don’ts: 
    1. Tight cloths,
    2. Frequent and deep intercourse,
    3. Outside food and too much junk food,
    4. Long distance travelling, two wheeler driving after 20 weeks, four wheeler driving after 28 weeks. Avoid travelling to unsafe areas and roads.
    5. Avoid eating too much at single sitting, avoid fasting.
  • Do’s:
    1. Small to medium size Frequent meal (6 to 8 times), Keep chocolates & cookies with you as during pregnancy  metabolism is faster and you may feel giddiness and fainting sometime,
    2. light slow walking,
    3. drink adequate water,
    4. keep your house and room clean, keep mosquitos away

 

  •  Last Three Months (3rd Trimester): 29 Weeks to 40 Weeks:

Investigations advised: 1. Blood sugar, TSH, CBC (antenatal profile)

  1. Growth USG to know growth and weight of baby ( See sonography section)
  2. Color Doppler USG to know weight, position and presentation, amount of liquor (fluid), oxygen supply to baby
      • Medicines advised: Same medicine as in second trimester, there can be some changes according to requirement of your case

For simple problems can I take OTC tablets

What to do if I have fever or headache or body ache:  you can take paracetamol one to three times;( metacin / calpol / stopache) before you can consult doctor. Don’t stretch your problem too much and contact doctor as early as possible. What to do if I have excessive sneezing and common cold: you can take anti allergic tablet i.e Avil or cetirizine (L -dio-1) and then consult doctor.

What is premature delivery or premature labour pains? 

Delivery if occurs after 24 weeks of pregnancy and before 38 weeks is called premature delivery. If it occurs between 24 to 28 weeks it is too risky. Chances of premature delivery is higher in case of incompetent os (cervical length less than 30 mm). If premature delivery for any reason happens in third trimester chances of survival of baby is good. But all possible efforts has to be made to avoid premature delivery ( tocolytics medicine). All possible measures are taken to enhance maturity ( Inj betenesol and Inj magsulf) of baby so it becomes easy for neonatologist to treat the child. If premature delivery occurs baby needs to be admitted in the NICU. Number of days are decided according to weight and maturity of baby.

When will baby move or when will be baby’s movement felt for the first time?

Baby’s movement is felt by 22 weeks +/-2 weeks (completion of 5 months or beginning of 6 month) to most of the mother. If it doesn’t then most common cause is wrong date.

Weight and Length of my child?

Month Of Pregnancy Week of Pregnancy General Term Size Size in mm/Cm Weight in Gm/Kg
   3 & 4 Poppyseed
1 month 5 Appleseed 3 mm
6 Sweetpea 6 mm
7 Blueberry 13 mm
8 Raspberry 16 mm 1.5 gm
2 month 9 Green Olive 22 mm 2 gm
10 Prune 3 cm 4 gm
11 Lime 4 cm 7 gm
12 Plum 5.5 cm 14 gm
3 month 13 Peach 7.5 cm 23 gm
14 Lemon 8.5 cm 42.5 gm
15 Navel Orange 10 cm 70 gm
16 Avacado 11.5 cm 100 gm
4 month 17 Onion 13 cm 170 gm
18 Sweet Potato 14 cm 190 gm
19 Mango 15 cm 240 gm
20 Banana 17 cm 300 gm
5 month 21 to 24 Papaya 26 to 34 cm 360 gm
6 month 25 to 28 Cauliflower 34 to 38 cm 680 gm to 1 kg
7 month 29 to 31 Pineapple 38 to 42 cm 1.1  to 1.8 kg
8 month 32 to 36 Coconut 43 to 48 cm 1.9  to 2.7 kg
9 month 37 to 40 Watermelon 48 to 55 cm 2.8  to 4 kg

Your baby’s special activity, week-by-week

image1

Weeks 3 & 4: Poppy seed

Right now your little zygote is settling into your uterus…

 

image2-2

Week 5: Appleseed

Average size: 0.13 inches** Baby’s major organs and systems are now forming…

 

image3

Week 6: Sweet Pea

Average size: 0.25 inches Blood is starting to circulate…

 

image4

Week 7: Blueberry

Average size: 0.51 inches Baby’s brain is growing fast..

 

image5

Week 8: Raspberry

Average size: 0.63 inches, .04 oz. Those little arms and little legs are moving like crazy…

 

image6

Week 9: Green Olive

Average size: 0.9 inches, .07 oz. A Doppler device might pick up a heartbeat this week…

 

image7

Week 10: Prune

Average size: 1.2 inches, .14 oz. Baby’s arm joints are working, and soon the legs will too…

 

image8

Week 11: Lime

Average size: 1.6 inches, .25 oz. Fingers and toes are no longer webbed…

 

image9

Week 12: Plum

Average size: 2.1 inches, .49 oz. Almost all vital systems are fully formed…

 

image10

Week 13: Peach

Average size: 2.9 inches, .81 oz. Teeth and vocal cords are appearing…

 

image11

Week 14: Lemon

Average size: 3.4 inches, 1.5 oz. Liver, kidney, and spleen are continuing to develop…

 

image12

Week 15: Navel Orange

Average size: 4 inches, 2.5 oz.Legs are finally longer than arms

 

image13

Week 16: Avocado

Average size: 4.6 inches, 3.5 oz. Eyebrows, lashes, and hair are filling in…

 

image14

Week 17: Onion

Average size: 5.1 inches, 5.9 oz. Skeleton is hardening, and fat is accumulating…

 

image15

Week 18: Sweet Potato

Average size: 5.6 inches, 6.7 oz. Baby’s moving like crazy — feel anything yet?

 

image16

Week 19: Mango

Average size: 6.0 inches, 8.5 oz. Vermix caseosa is coating baby’s skin…

 

image17

Week 20: Banana

Average size: 6.5 inches, 10.6 oz. Boy or girl, genitals are fully formed…

 

image18

Week 21: Pomegranate

Average size: 10.5 inches ***, 12.7 oz. Taste buds are starting to work…

 

image19

Week 22: Papaya

Average size: 10.5 inches ***, 12.7 oz. Baby’s on a sleep cycle — about 12 to 14 hours a day

 

image20

Week 23: Grapefruit

Average size: 10.5 inches ***, 12.7 oz. Baby’s listening to your voice and heartbeat in there…

 

image21

Week 24: Canteloupe

Average size: 10.5 inches ***, 12.7 oz. Nipples are sprouting, and face is fully formed!

 

image22

Week 25: Cauliflower

Average size: 13.6-14.8 inches, 1.5-2.2 lb. Baby knows which way is up and which is down now…

 

image23

Week 26: Lettuce

Average size: 13.6-14.8 inches, 1.5-2.2 lb. Eyes are forming and will soon start to open

 

image24

Week 27: Rutabaga

Average size: 13.6-14.8 inches, 1.5-2.2 lb. Baby’s showing brain activity…

 

image25

Week 28: Eggplant

Average size: 13.6 -14.8 inches, 1.5-2.2 lb. Immune system is preparing for the outside world…

 

image26

Week 29: Acorn Squash

Average size: 15.2-16.7 inches, 2.5-3.8 lb. Baby’s hiccupping in there…

 

image27

Week 30: Cucumber

Average size: 15.2 -16.7 inches, 2.5-3.8 lb. Baby’s strong enough to grasp a finger now.

 

image28

Week 31: Pineapple

Average size: 15.2-16.7 inches, 2.5-3.8 lb. All five of the senses are working…

 

image29

Week 32: Squash

Average size: 15.2- 16.7 inches, 2.5-3.8 lb. Sleeping and waking cycles are establishing…

 

image30

Week 33: Durian Fruit

Average size: 17.2-18.7 inches, 4.2-5.8 lb. Bones are hardening…

 

image31

Week 34: Butternut Squash

Average size: 17.2-18.7 inches, 4.2-5.8 lb. Baby can recognize and react to simple songs

 

image32

Week 35: Coconut

Average size: 17.2-18.7 inches, 4.2-5.8 lb. Hearing is fully developed…

 

image33

Week 36: Honeydew

Average size: 17.2-18.7 inches, 4.2-5.8 lb. Hearing is fully developed…

 

image34

Week 37: Winter melon

Average size: 18.9-20.9 inches, 6.2-9.2 lb. Baby’s inhaling, exhaling, sucking, gripping and blinking.

 

image35

Week 38: Pumpkin

Average size: 18.9-20.9 inches, 6.2-9.2 lb. Baby might have an inch or so of hair already.

 

image36

Week 39: Watermelon

Average size: 18.9-20.9 inches, 6.2-9.2 lb. Baby’s flexing his limbs in there.

 

image37

Week 40: Jackfruit

Average size: 18.9-20.9 inches, 6.2-9.2 lb. Full term! Baby’s finally ready for the outside world…

Normal delivery (vaginal delivery)


  • Ultramodern delivery room with climate control, central oxygen supply, fetal monitor.
  • Baby’s incubator and warmer.
  • Baby’s embrace warmer.
  • Baby’s regular warmer.
  • Facility for painless labour with epidural analgesia with expert anaesthetist.
  • Programmed labour with combination of different medicine developed by great Dr. Shirish Daftary (Ex dean Wadia hospital and FOGSI President).
  • Expertise vacuum delivery and forceps delivery.

Caesarean delivery (abdominal delivery)


  • State of art operation theatre, husband is allowed inside if he wants to remain present.
  • Stitch less and scar less incision(almost scar free and sub cuticular stitches).
  • Expert anaesthesia and team of anaesthetist.
  • Team neonatologist available.
  • Fastest recovery.

Normal Delivery

Caesarean Delivery

Painless Delivery