KUALA LUMPUR — Good health for mothers and babies should start with early planning, health check-ups and practicing a balanced lifestyle throughout pregnancy and after giving birth.
Sunway Medical Centre, Bandar Sunway Consultant Obstetrician and Gynaecologist Dr Sharmina Kamal Shamsul Kamal said it was important for expectant mothers to undergo a health check-up first to identify any pre-existing conditions such as diabetes or hypertension.
“With the increasing rates of diabetes and hypertension among young people in Malaysia, pre-pregnancy screening has become a necessity. Undiagnosed or uncontrolled health conditions can affect both mother and baby,” he said in a statement today.
He said that since the development of the baby’s neural tube occurs at an early stage, folic acid intake should be started before the pregnancy test results are positive to provide optimal protection to the mother and baby against the risk of serious neural tube defects.
Each trimester brings unique developments, namely the first trimester is a very sensitive phase because the baby’s organs are forming, while in the second and third trimesters the fetus begins to grow and mature, and even begins to respond when hearing the mother’s voice or feeling her movements.
Dr Sharmina said the nutritional aspect is often underestimated, and if the mother lacks essential nutrients, the baby may be affected, so avoid smoking and alcohol, in addition to limiting caffeine intake and prioritizing a balanced diet rich in protein, green vegetables, whole grains and dairy products or fortified alternatives.
“Iron deficiency can cause anemia, making the mother feel very tired and at risk of affecting the development of the baby in the womb, while calcium and vitamin D deficiency can weaken the mother’s bones during and after pregnancy,” he said.
He said antenatal check-ups are sometimes considered a routine, but they are much more important because they can help ensure that the pregnancy goes smoothly, detect problems early, and ensure that the baby grows healthily.
“Early scans are done to confirm fetal viability and accurately determine gestational age. Most women will have monthly check-ups until the 28th week, unless closer monitoring is needed.”
“Conditions such as preeclampsia or gestational diabetes (diabetes during pregnancy) can often be detected before symptoms become worse.”
“At each check-up, we will monitor the baby, the uterus, and the amniotic fluid to ensure everything is on the right track,” he said.
Dr Sharmina said that during the festive period, mothers still have the opportunity to celebrate but practice moderation, prioritize balanced meals, avoid alcohol, ensure food is cooked thoroughly and get enough rest, prioritize rest, hydration and adequate sleep, which is eight to 10 hours a day.
The first few hours after birth are a very critical time, at this point skin-to-skin contact can help stabilize the baby’s blood sugar levels, support breastfeeding, and strengthen bonding.
“About 60 percent to 80 percent of mothers may feel tearful or emotionally sensitive in the first two weeks after giving birth. However, prolonged sadness, withdrawal, or worsening symptoms may indicate postpartum depression and require immediate medical attention.”
He also advised mothers to seek immediate medical attention if they experience severe pain, fever, slow-healing wounds, or foul-smelling discharge.
“During confinement, nutrition is very important. Adequate protein, iron, and fluids support healing and milk production. Restricting water intake can increase the risk of dehydration and blood clots, as well as reduce breast milk supply,” she said.
He also emphasized the benefits of early breastfeeding as it can provide protection to newborns, and at the same time, hand hygiene and reducing close contact with babies are also important to reduce the risk of infection, while strengthening the mother-child bond.
“The right choices, medical treatment, and family support are key for mothers to enjoy this experience and ensure a healthy start in life for their babies,” he said.
— BERNAMA
