Family medicine

Prenatal care

Pregnancy monitoring—screening, nutrition, red flags, and shared care with obstetrics.

What it is

Prenatal care tracks maternal blood pressure, fetal growth, and screening for conditions like anemia, gestational diabetes, and infections. Health Canada pregnancy resources outline healthy pregnancy habits.

Low-risk pregnancies may be followed in family medicine with obstetric backup; high-risk pregnancies are co-managed with specialists.

Folic acid supplementation and avoiding alcohol, smoking, and non-prescribed drugs are key prevention steps.

Symptoms

  • Aménorrhée, tests de grossesse positifs
  • Nausées/vomissements (hyperemesis si sévère)
  • Douleurs ligamentaires, fatigue
  • Mouvements fœtaux (à partir de ~18–24 semaines)
  • Signes de pré-éclampsie : céphalées, phosphènes, œdème facial

Common causes

Grossesse physiologique vs complications (SAF, diabète gestationnel, placenta praevia, menace d’accouchement prématuré).

When to see a doctor

Urgence : saignement vaginal abondant, douleur abdominale sévère, perte de liquide, diminution des mouvements fœtaux, céphalées sévères avec vision trouble en fin de grossesse.

How we can help

Nous planifions visites selon les protocoles, dépistages (EDG, GBS), vaccins recommandés en grossesse (grippe, coqueluche booster), et préparation à l’accouchement/allaitement. Référence obstétricale pour échographie datation, anomalies, ou travail.

Frequently asked questions

Low-risk pregnancies can often be followed by family physicians with hospital privileges; higher-risk pregnancies are co-managed with obstetrics—your plan is individualized.

Folic acid is recommended preconception/early pregnancy; iron/vitamin D may be added based on labs. Avoid megadoses of vitamin A and unverified herbal products.

Often fine in low-risk pregnancies before late third trimester—discuss thrombosis prevention on long flights, vaccines, and local medical access.

Many feel movements by mid-second trimester; decreased movement in late pregnancy should prompt same-day assessment—do not wait.