Pregnancy Care

Comprehensive Maternity Care in Gachibowli for a Healthy Pregnancy

Maternity care is not simply a series of routine appointments—it is a comprehensive, continuous process of monitoring, education, and support that begins even before conception and extends well into the postpartum period. For women in Gachibowli and the surrounding areas of Hyderabad, Dr. Nikitha Reddy DS offers a complete maternity care programme that combines clinical expertise with genuine compassion, ensuring every mother and baby receives the highest standard of care at every stage of the pregnancy journey.

Preconception Care: Starting Healthy Before Pregnancy Begins

The foundation of a healthy pregnancy is laid before conception. Dr. Nikitha Reddy DS provides preconception counselling that includes:

Complete preconception health assessment—including medical history, menstrual cycle evaluation, BMI check, and blood pressure measurement.
Rubella, varicella, and hepatitis B immunity status—with vaccination if needed.
Folic acid supplementation (400–5000 mcg daily), started at least 3 months before conception.
Thyroid function and blood sugar screening.
Cervical cancer screening (Pap smear) if due.
Genetic carrier screening discussion for conditions relevant to your family history or ethnicity.
Optimisation of chronic conditions such as thyroid disorders, diabetes, and epilepsy before conception.
Lifestyle counselling covering diet, exercise, and cessation of smoking and alcohol.

First Trimester Care (Weeks 1–12)

During the first trimester, comprehensive assessments and early pregnancy monitoring include:

Confirmation of pregnancy through dating scan and serum beta-hCG.
Booking appointment with comprehensive health history, blood group, rubella immunity, HIV, hepatitis B, complete blood count, and thyroid function tests.
Nuchal Translucency (NT) scan with Combined First Trimester Screening for chromosomal risk assessment.
Supplementation review including folic acid, vitamin D, and iron.
Counselling on diet, safe exercise, and warning symptoms.
Morning sickness management with dietary advice and medications where required.
Non-invasive prenatal testing (NIPT) counselling where indicated.

Second Trimester Care (Weeks 13–27)

Regular antenatal monitoring during the second trimester focuses on maternal and foetal wellbeing:

Detailed anomaly scan at 18–20 weeks for comprehensive evaluation of all foetal organs and structures.
Four-weekly antenatal visits with blood pressure and urine monitoring.
Oral Glucose Tolerance Test (OGTT) at 24–28 weeks for gestational diabetes screening.
Amniocentesis counselling for high-risk patients.
Iron supplementation review and haemoglobin monitoring.
Foetal movement education including when and how to monitor movements.
Cervical length scan for women with prior preterm birth or cervical surgery.
Birth plan discussion begins.

Third Trimester Care (Weeks 28–40+)

The final trimester focuses on preparing for a safe delivery while closely monitoring the health of both mother and baby:

Fortnightly and then weekly antenatal appointments from 36 weeks onwards.
Foetal growth scans at 28, 32, and 36 weeks in routine pregnancies, with more frequent scans for high-risk pregnancies.
Umbilical artery Doppler assessment when Intrauterine Growth Restriction (IUGR) is suspected.
Group B Streptococcus (GBS) swab at 35–37 weeks.
Non-stress test (NST) and Biophysical Profile (BPP) when clinically indicated.
Presentation check to confirm foetal head position.
Detailed birth plan discussion covering pain relief preferences, birthing positions, and partner support.
Hospital bag readiness and labour signs education.
Post-date management plan, including induction if pregnancy extends beyond 41 weeks.

Labour, Delivery & Postpartum Care

Comprehensive care continues throughout labour, delivery, and the postnatal period with services including:

Active labour management with continuous foetal monitoring.
A full range of pain relief options—from breathing techniques to epidural analgesia.
Episiotomy only when clinically indicated, with careful and meticulous repair.
Immediate skin-to-skin contact and early breastfeeding initiation.
Newborn assessment including Apgar score, physical examination, and newborn screening.
Postnatal review at 6 weeks covering maternal recovery, wound assessment, mood screening (Edinburgh Postnatal Depression Scale), and contraception planning.
Breastfeeding support for latch issues, milk supply concerns, and mastitis management.

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