NUTRITIONAL SUPPLEMENTS
Some doctors will suggest dietary supplements at the end of the first visit. Unless there are clear indications of dietary deficiency, there is no evidence that these are necessary. The most common ones are iron and vitamins.
Even if you are anaemic there is no need to take extra iron until at least the thirteenth week when most women have stopped feeling sick. Iron may make you constipated and nauseous. If you cannot manage to take it, it is possible to get iron injections. Vitamin supplements are thought to be unnecessary for most women, but there is some recent evidence that folic acid (one of the vitamin B group) may be important in preventing neural tube defects in the foetus.
Clearly the first visit can be loaded with tests. But there is absolutely no reason why it should be. This visit need consist of no more than a consultation and discussion, with perhaps a few quick measurements and tests for weight, blood pressure, urine and blood, and that is it. For the vast majority the blood and urine samples could even wait until a later visit - at around sixteen weeks. This would be quite early enough to take any necessary evasive action. It could also save women from having to give blood twice, as blood is often required for an additional test that can be carried out only at about this time. The real value of the first visit should be social and psychological, with time taken for sympathetic discussions with the mother-to-be.
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Women's Health
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