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Ask the Experts

Ask the Experts


What are the options if NHS screening tests indicate a higher risk of chromosomal abnormalities?

During antenatal care, you’ll be offered tests for chromosomal conditions like Down’s, Edwards, and Patau syndrome. Beyond the NHS, you may consider the non-invasive prenatal test (NIPT), which analyzes your baby’s DNA in your bloodstream. Traditional tests can miss up to 15% of chromosomal issues, while NIPT detects 99%, though it’s not currently available through the NHS. NIPT offers more precise risk assessments than traditional screenings, reducing the need for invasive tests linked to higher miscarriage risks. A high-risk result suggests further tests, such as chorionic villus sampling or amniocentesis. NIPT can be done from 10 weeks with a simple blood test.


Should skin-to-skin contact be included in a birth plan?

Skin-to-skin contact right after birth, ideally for an hour, is beneficial for both mother and baby. Once necessary checks are done, request low noise and lighting to relax and bond. Ensure warmth and comfort by wearing a support garment to hold the baby close. Skin-to-skin contact stabilizes the baby’s heart rate, body temperature, and breathing, aiding in the transition from womb to world. It also strengthens immunity, reducing infection risk. Including this in your birth plan and having a comfortable wrap can enhance this bonding experience. Even if immediate skin contact isn’t possible, it can be valuable later.


How to gradually return to exercise after childbirth

  1. First 6-8 weeks: Start with short walks, increasing duration over time. Focus on pelvic floor exercises, ideally doing them during baby’s feeding sessions. Consult a Women’s Health physiotherapist if you experience any discomfort.
  2. 6-12 weeks: After your six-week check-up, begin core-strengthening with a specialized trainer or postnatal class in Pilates or yoga. Low-impact cardio, like walking, swimming, or cycling, is encouraged.
  3. After 12 weeks: As long as you’re pain-free with no pelvic floor issues, you can add impact exercises (e.g., jogging, aerobics). Consider a postnatal body check for a tailored exercise plan.

How can nappy rash be prevented?

While nappy rash is common, it can be managed with a gentle skincare routine and barrier ointments. Cleanse the nappy area with plain water or fragrance-free wipes and avoid talcum powder, which can irritate sensitive skin. For mild cases, ointments from pharmacies typically help; consult a healthcare provider if concerned.


When should lumpy foods be introduced during weaning?

Chewing promotes vital muscle and speech development, and introducing lumpier foods between 6-7 months is ideal. Delaying lumpy textures until after nine months can increase the risk of picky eating later on. Start with mashing soft fruits or cooked vegetables, progressing to coarser textures as your baby adapts. Always supervise for safety during this stage.


Tips to enhance a baby’s cognitive development from birth

Physical affection, like skin-to-skin contact, supports emotional and cognitive development, stabilizing heart rates and improving sleep quality, which benefits brain growth. Expose your baby to language by talking, singing, and reading to enhance phonemic awareness, which can predict future reading skills. For language exposure, face-to-face interactions in multiple languages can be beneficial, especially in the early years.


Travel tips for expectant mothers

A “babymoon” can be a great way to relax before the birth. Since travel is often safe until 28 weeks, consult your GP and airline for guidance. Stay hydrated, wear compression stockings, and move regularly to boost circulation. For any trip, bring essential medications and hospital notes, which are invaluable if medical assistance is needed.