Causes Of Differences In The Calculation Of Gestational Age?

Illustration of Causes Of Differences In The Calculation Of Gestational Age?
Illustration: Causes Of Differences In The Calculation Of Gestational Age?

So I had my period starting on June 28th. I should have counted it for 8 weeks, on August 20, then I went to the obstetrician and I was already 5 weeks, now what is the real count? ‘ well, I often experience my stomach skid to the left, to the right. Kdg his stomach too. Is it because I have a history of ulcers? And I also when my doctor says 5 weeks I get a booster, but I also take 2 tablets of folic acid a day, and I also don’t have to take ssu or other vitamins because I’m still too high because of the first child, how should I do that? ‘ thank you

1 Answer:

Hello Liebeaimegirls, thank you for asking

Basically there are 3 methods for calculating gestational age, namely:

Manual with reference to HPHT (First Day of Last Menstruation). For women with a normal cycle of an average of 28 days, manual calculations can be performed. The trick is to calculate the length of pregnancy from the time you experienced the first day of your last menstrual period. So, suppose the first day of your last menstrual period was June 28 2018, then your current pregnancy is 8 weeks 4 days. However, if the last day of your period is June 28, 2018, then you should first confirm the date of the first day of your period last June. Besides being able to determine gestational age, HPHT can also be used to calculate your baby's Estimated Birth Day, so if you do have a regular cycle, it is important for you to be able to determine the last day of your menstrual period that has passed. Ultrasound. For the assessment of gestational age using ultrasound, of course, it is done by the doctor who does the ultrasound on you. This examination of gestational age is very accurate, especially in the first trimester of gestation, especially in women who have irregular menstrual cycles. Measurement by ultrasound can conclude the age of the fetus within 5 to 7 days after no longer menstruating. Measure the height of the uterine fundus / uterine peak height. This method can only be done after 20 weeks of gestation, so it is less accurate if done in the early trimester. Because the stomach still hasn't changed that much. Usually done by a doctor, can use the finger or the aid of a tool such as a measuring tape. The measurement is assessed from the top of the uterus to the pubic bone. In addition to estimating gestational age, this method is also used to determine whether the fetal growth in the uterus is normal or not, the stage of pregnancy attainment, and of course also estimate the due date (HPL). The abdominal pain that you feel in the early trimester of pregnancy is still considered a normal condition, because in the early trimester, pregnancy hormones are in high levels and sometimes cause complaints such as abdominal pain / stomach cramps, nausea to vomiting that is often in the morning, body condition which feels weak, discomfort in the stomach that makes appetite decrease, and many other conditions that are complained of in early semester pregnant women.

Basically, vitamins and minerals are very much needed by pregnant women, and even better for women who are planning a pregnancy. The vitamins and minerals most needed by pregnant women include folic acid, vitamin D, calcium and iron.

Folic acid is very important in fetal growth and development, especially for pregnancy in the early semester, because most cases of abnormalities in babies, namely Neural Tube Defect (NTD), which usually occur at 28 days of gestation. And most women do not realize that they are pregnant, so the consumption of folic acid is also necessary for women who are planning a pregnancy so that when they are pregnant, their intake of folic acid has been met. A good intake of folic acid is around 400-800 micrograms a day. And consumed regularly until 3 months of gestation. Folic acid can be obtained by consuming vegetables such as green vegetables, cereals, wheat, nuts and oranges, but folic acid in supplement form will be absorbed by the body and the levels can be easily determined by ourselves according to what we need.

Calcium and vitamin D are also very important for consumption by pregnant and lactating women. In a day, at least 1000 mg of calcium and 10 micrograms of vitamin D are needed by pregnant and lactating women to support bone growth in the fetus and play a role in the growth of teeth and bones in babies. Calcium can be obtained from foods and drinks such as tofu, tempeh, red beans, milk, soy milk, cheese, yogurt, and green vegetables, nuts. While vitamin D, apart from the morning sunlight around 6-9 am, can be obtained naturally in sardines and salmon which can be consumed.

Iron is needed by pregnant women because the role of iron is very important in the formation of red blood cells, especially substances that form the core of hemoglobin. Where oxygen will be carried by hemoglobin / red substances in the blood to be delivered throughout the body through blood circulation. Apart from pregnant women, the fetus also really needs iron to meet its oxygen needs so that it can affect its growth and development in the uterus. Iron deficiency can harm the fetus, such as the risk of premature birth, the risk of anemia in babies after birth, and babies born with low birth weight. Iron supplements usually cause gastrointestinal complaints in pregnant women, usually nausea, diarrhea, constipation, and impaired absorption of nutrients from other foods. So you can start by consuming foods that contain natural iron, such as lean meats, nuts, and dark leafy vegetables.

The multivitamins you take and the strengthening drugs from your doctor are still safe for you to continue. And should be consumed in accordance with the instructions for use or an explanation from your doctor. If you feel you want to add other supplements such as milk for pregnant women, it is even better if you consult your obstetrician and nutritionist, so that the needs of your pregnancy can be fulfilled and adjusted to the calories you spend equivalent to daily activities that you do. Pregnant mother's milk is indeed a complete and good supplement for consumption by pregnant women, besides that, make sure that the milk you choose has passed the pasteurization stage so that the bacteria in the milk have died and the milk is safe for consumption.

That's all from us, hopefully answering the questions you submit. Thanks.

dr. Ciptanti

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