Time to start periods

• 1—2 years irregular periods can be normal as body response after excluding any reason by doctor
• Girls improve diet [calcium, vitamin D , magnesium to get strength in bones, to prepare for future life
• Girls should take HPV vaccine in teen ages preferably before start marital life
• Life style modification [healthy diet, exercise , weight reduction]1st step to treat PCOD before taking any medication
• 1mg folic acid is enough outside or during pregnancy if no risk factor otherwise can be 5 mg as advised by doctor
• Anyone with low hemoglobin not getting better with diet and iron medication , should check for thalassemia and sickle cell anemia
• Girls with bariatric surgery for weight reduction, multivitamin especially folic acid , vitamin
• B12, iron and fat-soluble vitamins should take.

During pregnancy

• 1st trimester [7-9 weeks ] scan ,very important to locate pregnancy to avoid emergency situation for ectopic pregnancy
• Folic acid 1 mg or 5mg depends upon doctor advised is enough till 12 weeks of pregnancy
• Vitamin D supplement very important for prevent of high blood pressure and in high risk patient
• Walk , healthy diet and antenatal class to get strength and prepare body for delivery
• Always follow advise of doctor ,optimize any of health condition to prevent harm to you and your baby

Delivery

• Vaginal delivery ideal suggested mode of delivery
• Safety of mother and baby is 1st priority
• Don’t go for operative delivery until unless indicated by doctor with valid reason
• Don’t take herbals without knowing side effects, it can harm your baby heart
• If you have fear of pain during delivery , don’t make it reason for operation , very effective painkiller are available.

After delivery

• Hydration , mobilization : very important to resume your body back to normal
• This will avoid risk of embolism in legs , lungs and brain

Breast-feeding

• For IQ of baby
• Prevent infections
• Prevents allergy
• Provide immunity
• Best bonding of mother and baby
• For mother
• Prevent risk of breast cancers and ovarian cancers in future life
• Breastfeeding mother should take supplements especially calcium

Birth spacing

• At least 1-2 years according to couple choice
• Gap is more beneficial for women having cesarean section to prevent risk of uterine rapture
• By this women can have taken trial of normal delivery according to doctor advise

Premenopausal / menopausal

• Age of menopause is around 51 years
• If periods stopped earlier , should take advice from doctor
• Walk , healthy diet ,multivitamins[calcium, vitamin D ] exercise
• By this prevent risk of heart problem , bones problems and embolic events
• This age low estrogen is problematic , diet rich in estrogen should take [olives, soya milk/soya products, dry fruits, fruits , vegetables]
• By this women also can avoid hot flushes
• Any type of irregular vaginal bleeding, early recourse to seek doctor advice to prevent risk of cervical /uterine problems