Dr. Sameer Kumar
Obstetrics and Gynecology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am 32 years now and my wife is 31. Today, pregnancy test kit result came as double red line (a red line for C and a red line for T). Is this positive for pregnancy? Actually yesterday was her date for periods, but it has also not occurred yet. What precautions should we take? We were planning to travel by a car to native by tomorrow for about 8 hours journey. Is it advisable now to travel by car or should we cancel it? Also kindly advise her what to eat and what to avoid? Also how to take care of herself?
Hi,
Welcome to icliniq.com.
The (UPT) urine pregnancy test kit with two red lines indicates a positive result and that she is at present pregnant. The confirmation for an intrauterine pregnancy can be further done with a transvaginal ultrasound scan. She should be placed on tablet Folic Acid hence and may be started on tablet Micronized Progesterone daily for pregnancy support. Travel by a car for eight hours in this early pregnancy is not advised at all. As the pregnancy is way too small and the bumps on roads and breaks while driving may cause an increased pressure intra-abdominally and may cause threatened abortion. So, traveling by car is completely not advisable till at least 14 to 16 weeks of pregnancy.
Patient's Query
Hi doctor,
My family feels that it is too early now to go to the doctor or take any medicine. Can you advise any food alternative for Folic Acid and Micronized Progesterone? Let me also ask all my doubts regarding her pregnancy, food and daily life in detail. Once in two months, she works in a second shift for two weeks which is from noon till 10 PM. In this case, the evening she feels very hungry. In the office, she could get only bread and maybe some more junk food. What healthy snacks she can take during this time? We only cook for dinner daily as the rest at the office. So, at weekends we usually cook rice and overeat it. Sometimes we will have only fruits and boiled groundnuts. Is this fine at this stage?
She goes to the office by cab. Is it fine? Should she avoid climbing stairs? Do we need to avoid any exercise? Is there any restriction to have sex? Earlier I was addicted to masturbation and struggled for proper erection and ejaculation. So, I do not want to get into masturbation again. However, if it is not safe to have sex with her at this stage or any stage, I shall refrain from it.
Hi,
Welcome back to icliniq.com.
Your wife has to be started on Folic Acid 5 mg daily. In fact, she should have been started on it two months before planning for pregnancy. It prevents any congenital malformation in the child. She can have crackers or cookies with her to eat. She can travel to the office in a cab, just see that she should avoid bumps and jerks which can be harmful at early pregnancy. Exercises can be curtailed for at least the next six weeks till pregnancy stabilizes. Sex should be avoided until 16 weeks of pregnancy to avoid any chance of threatened abortion. You can have sex in the second trimester till 32 weeks but after that should avoid sex to reduce the chance of preterm labor. It is recommended that she takes a proper meal with a balanced diet and three meals a day to start with. Pomegranate can be taken as fruit but not as dinner.
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Obstetrics and Gynecology
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