☑ Check the baby’s position
Nearing your delivery date, an ultrasound would be done to determine if your baby is positioned headfirst in the uterus for safe delivery.11 Don’t worry if your baby is positioned feet-first, you might just have a very active baby and most babies would naturally turn to a head down position by 37 weeks.12
Some mothers may turn to a chiropractor, a prenatal massage or home exercises to help reposition their baby before delivery. Always check with your gynaecologist on the suitability of these options first. Even if your baby is still in breech position, it is not the end of the world, and your doctor may simply recommend a C-section delivery for your safety.13
☑ Group B Streptococcus Screening
Most females carry group B strep bacteria in our bowel, rectum, bladder and vagina, and usually does not cause any problem for adults but it can cause potentially fatal infections in newborns.14
A simple vaginal and rectum swab will be done in week 35 - 37, and if tested positive for the bacteria, you will be given antibiotics before delivery to reduce the risk of exposure of group B strep to your baby.15
☑ Checking on Your Baby’s Heart Rate
A Nonstress Test (NST) is a simple and non-invasive way of checking on your baby’s heart rate and it can also detect if the placenta is healthy.16
Unlike a stress test for adults that purposefully applies stress to the heart, a NST simply involves placing a fetal monitor over your baby bump for 20-30 minutes to record your baby’s heart rate. 16
This screening test is mostly done for mothers who are past their due dates (40 weeks onwards), or for women who have existing health conditions or have high-risk pregnancies.17
☑ Gestation Diabetes
Gestational diabetes refers to high blood sugar that usually develops in the second trimester of pregnancy. 1 in 5 pregnant women develops diabetes during pregnancy.18
To determine your blood glucose reading, pregnant mothers are advised by the OB-Gynes to undergo a screening test called the oral glucose tolerance test (OGT). A healthy blood glucose reading should stay below 5.00mol//L before meals and below 7,0mmol/L two hours after meals.18
Pregnant women should eat healthily, exercise regularly, and if necessary, take medication to curb with gestational diabetes. 19 It is important to manage one's blood sugar to prevent a difficult birth and keep you and your baby healthy. Blood sugar level generally returns to normal soon after delivery, but if one is at risk for type 2 diabetes, then it is important to keep an eye out for normal blood sugar level even after pregnancy. 19
You are likely to have plenty of questions nearing your due date, never be afraid to speak up when it comes to voicing any health concerns you may have. Be sure to discuss any symptoms with your doctor, no matter how insignificant you think they are. This will make all the difference in the world, especially when it comes to helping your doctor detect pregnancy complications early on before they become serious.
If something doesn’t feel right, always trust your instincts and make sure you are reassured of any concerns that you may have. Feeling prepared and ready is vital in giving you the peace of mind you need before delivery.
For more information on Tdap vaccinations & flu shots, please consult your doctor or pharmacist.
A public awareness initiative brought to you by GlaxoSmithKine Pte Ltd.
For further information, please consult a doctor.
All images used in this material are for illustration purposes only.
SG/GSK/0012/18 Certified 02/10/198
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