Routine tests in first trimester
1. Blood and urine tests usually at 11-12 weeks – we require blood and 1 urine sample to perform these tests a) Full blood count (FBC) –...
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Ectopic pregnancies
Ectopic pregnancy occurs in 1% of pregnancies. This usually presents with vaginal bleeding with or without moderate to severe abdominal...
Mental wellness during and after pregnancy
Both the mother (up to 10%) and the father (up to 5%) can experience mental health issues during the pregnancy and after birth. It is...
Routine tests in Third trimester
1. Blood pressure and urine for protein at every visit - Screens for pre-eclampsia 2. Full blood count, serum ferritin, and 3-point oral...
Fetal movement monitoring
Monitoring of fetal movement You may want to count fetal movement from 28 weeks onwards. By 28 weeks, you would have a mental idea about...
Physical activity and exercise in pregnancy
Adapted from the Perinatal Society of Singapore's Guidelines published in 2020 1. Physical activity and exercise are beneficial during...
Physical activity and exercise in pregnancy
Adapted from the Perinatal Society of Singapore's Guidelines published in 2020 1. Physical activity and exercise are beneficial during...
Travel during pregnancy
12-23 weeks pregnancy is the best time to travel. Plan your holiday around this time. In the second trimester, the risk of miscarriage is...
Vaccination in pregnancy
1. Influenza (Flu) vaccine Benefits: Flu is more likely to cause severe illness (including lung infection) in pregnant women (especially...
Physical activity and exercise in pregnancy
Adapted from the Perinatal Society of Singapore's Guidelines published in 2020 1. Physical activity and exercise are beneficial during...
Mental wellness during and after pregnancy
Both the mother (up to 10%) and the father (up to 5%) can experience mental health issues during the pregnancy and after birth. It is...
General Anaesthesia
There is an information leaflet available from Royal College of Anaesthetists. The following is adapted from an addendum jointly prepared...
Regional Anaesthesia
The following is adapted from an addendum jointly prepared by the Singapore Society of Anaesthesiologists, Obstetrical Gynaecological...
Physiological changes during pregnancy
There are numerous physiological changes that occur during the pregnancy. I will highlight some of the changes here that seem to bother...
Intravenous sedation
Intravenous sedation is sometimes used to perform minor procedures. For us, intravenous sedation is only performed by qualified...
Common symptoms in pregnancy
Nausea / vomiting of pregnancy (or "morning sickness") Morning sickness is a misnomer as this can occur at any time. It affects about 80%...
Second Trimester Ultrasound Screening Scan
Second Trimester Screening Scan or Fetal Anomaly Scan at 18-22 weeks This scan typically takes 30 minutes but may take longer if the baby...
Possible complications in third trimester
Possible complications in Third Trimester include: Preterm labour This is the onset of regular painful contractions after 24 weeks and...
Vaginal delivery
Delivery may be accomplished by normal vaginal delivery, assisted vaginal delivery or Caesarean section. Normal vaginal delivery We...
Induction of labour
Induction of labour may be considered when there is a medical indication, or when the benefits outweigh the risks. I gave a talk in...
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