Antenatal Care

Whether it is your first child or you've been through it, pregnancy can be an overwhelming time for an expectant mother. As an accomplished Ob/Gyn, Dr Maseko offers full-service antenatal care for all mothers-to-be to feel supported and comfortable throughout their gestational period.

When should you make your first appointment?

Dr Maseko advises patients to make an appointment as soon as they have received positive results from an at-home pregnancy test, believe they are pregnant or are around 6-8 weeks into pregnancy. If you are unsure if you are pregnant, some early symptoms of pregnancy include

  • A missed period or light spotting that is pink, red or brown.
  • Tender breasts
  • Nausea or vomiting
  • Frequent urination
  • Fatigue
  • Headaches
  • Cramping
  • Constipation
  • Stronger sense of smell or taste

What happens during the appointments?

During your routine antenatal appointments, Dr Maseko will track your baby's growth and development, advise you on any potential risks, and estimate your baby's due date.

It's also an excellent opportunity to ask questions about your pregnancy, such as what's happening during each trimester, physical pregnancy symptoms, and the birth itself. You are also welcome to ask questions about caring for your baby after birth.

How often do I need to come in for an antenatal check-up?

Antenatal care usually follows a basic schedule, and this is determined by how far along you are in your pregnancy. The schedule is as follows:

  • Weeks 4 to 28: 1 prenatal visit a month
  • Weeks 28 to 36: 1 prenatal visit every 2 weeks
  • Weeks 36 to 40: 1 prenatal visit every week,

However, several factors could require you to come in more frequently, such as

  • If you are expecting multiples.
  • If you are 35 or older, due to the increased risk of complications such as gestational diabetes and high blood pressure.
  • If you develop health complications such as preeclampsia.
  • If you are at risk of having a premature baby.

Can my partner come along too?

Of course! Dr Maseko encourages all her expectant mothers to bring a birth support partner, a family member or a friend to accompany them to their appointments, particularly if the partner needs to be informed about the birth plan.

What are some common pregnancy complications?

Anaemia

When you fall pregnant, your body undergoes substantial changes. Your blood volume increases by 20–30%, which increases the quantity of iron and vitamins available for the body to produce haemoglobin. Red blood cells include the protein haemoglobin, which transports oxygen to other bodily cells.

Many women lack sufficient iron for the second and third trimesters. As a result, you will likely become anaemic when your body needs more iron than is available.

Mild anaemia is common due to an increase in blood volume during pregnancy. However, more severe anaemia increases your baby's risk of developing anaemia later in infancy. Additionally, if you are considerably anaemic throughout your first two trimesters, you risk giving birth prematurely or to a child who is underweight at birth. Being anaemic also makes it harder for the mother to fight infections and increases the danger of blood loss during labour.

Gestational Diabetes

Changes in hormone levels during pregnancy may make it more difficult for the body to regulate blood sugar effectively. Gestational diabetes is typically the result of this, and for most women, it is usually the first time they are diagnosed with diabetes. However, it can also develop if you previously had diabetes before getting pregnant.

If you are diagnosed with gestational diabetes and do not receive treatment, your baby may be at risk of

  • weighing too much at birth
  • having a premature birth
  • having severe respiratory problems at birth
  • having hypoglycemia, or low blood sugar, at birth
  • an increased risk of getting type 2 diabetes later in life
  • being stillborn

Gestational Hypertension

Gestational hypertension is elevated blood pressure that occurs during pregnancy. It usually develops after the 20 weeks mark, and many women don't exhibit any other symptoms. Frequently, HPV has no adverse effects on you or your baby and disappears within 12 weeks after giving birth. However, it does increase your chance of developing high blood pressure later in life. It can occasionally be severe, resulting in low birth weight or preterm delivery. In addition, preeclampsia does eventually develop in some pregnant women with gestational hypertension.

Preeclampsia

Preeclampsia is a pregnancy condition caused by high blood pressure, high protein levels in the urine or other signs of organ damage, and usually develops after week 20. There are typically little to no symptoms except for swelling in the legs or water retention, but if left untreated, it could cause severe, even fatal, consequences for both the mother and baby.