From pregnancy
Generate a weekly pregnancy update markdown file for a personal Obsidian vault. Use this skill whenever the user asks for 'this week's update', 'week X update', 'pregnancy update for week N', or any variation referring to weekly pregnancy info, fetal development, or guidance for an expecting couple. Trigger this even if the user just says 'let's do this week' in the context of a pregnancy. Produces a single markdown file with six sections — baby development, mum's body, partner support, what to say to her, to-dos, red flags — each with brief highlights and a collapsible detailed breakdown. Three audience modes are supported: combined (default, partner-facing, shared document), partner (rebalanced for the partner reading alone), and pregnant (second-person, addressed to the pregnant person) — pick one per generation from the user's wording or by asking. Synthesises NHS, Mayo Clinic, Cleveland Clinic, ACOG/RCOG, peer-reviewed maternal physiology research, Evidence Based Birth, and the couple's own curated research briefs on diet, exercise, and evidence-based birth interventions — explaining not just what is happening but why, with recurring emphasis on fetal brain and neurological development (neurogenesis, neuronal migration, synaptogenesis, myelination). Presents options, not prescriptions.
How this skill is triggered — by the user, by Claude, or both
Slash command
/pregnancy:pregnancy-week-companionThe summary Claude sees in its skill listing — used to decide when to auto-load this skill
Generate one week's pregnancy update at a time as a markdown file ready to drop into an Obsidian vault. The skill captures the format, tone, and section structure agreed with the user so each week feels consistent.
references/audience-modes.mdreferences/birth/interventions-vaginal-birth-eli5.mdreferences/birth/interventions-vaginal-birth.mdreferences/birth/provenance.mdreferences/diet/diet-practical-guide.mdreferences/diet/diet.mdreferences/diet/nutrition.mdreferences/diet/provenance.mdreferences/example-week-08.mdreferences/exercise/exercise-practical-guide.mdreferences/exercise/exercise.mdreferences/exercise/provenance.mdreferences/medical-sources.mdreferences/mental-health/mental-health-section.mdreferences/mental-health/perinatal-emotional-journey-eli5.mdreferences/mental-health/perinatal-emotional-journey.mdreferences/mental-health/provenance.mdreferences/partner-reading-list.mdreferences/template.mdreferences/tone-guide.mdGenerate one week's pregnancy update at a time as a markdown file ready to drop into an Obsidian vault. The skill captures the format, tone, and section structure agreed with the user so each week feels consistent.
Trigger this skill when the user asks for an update for a specific pregnancy week, or asks for "this week's" update in a pregnancy context. If the week number isn't specified, ask before generating.
Do NOT use this skill for:
The skill produces one of three modes per run. Pick the mode before drafting — it changes voice, depth allocation, filename, and (for pregnant) the section structure.
combined (default) — partner-facing voice, six sections per references/template.md. Filename: Week-XX.md.partner — six sections, but Mum's body is compressed and For your partner / What to say to her get the deepest treatment. Filename: Week-XX-partner.md.pregnant — second-person, addressed to the pregnant person. Sections are restructured (Your body this week, What you might be feeling, How your partner can help this week). Filename: Week-XX-pregnant.md.How to pick:
pregnant; "for my partner" / "for the partner" → partner; "for both of us" / "combined" → combined.See references/audience-modes.md for the full spec on what differs between modes.
A single markdown file. Filename depends on the audience mode:
combined: Week-XX.md (zero-padded, e.g. Week-08.md)partner: Week-XX-partner.mdpregnant: Week-XX-pregnant.mdWhere to write the file depends on the environment. Before applying the per-environment defaults below, check whether the user has documented a preferred output path in their CLAUDE.md or elsewhere in the loaded context — if so, use it and don't ask.
Weekly/ folder so the file lands where wikilinks resolve. If the cwd doesn't look like a Pregnancy / Weekly folder, ask once at the start: "Where should I write the weekly file? (default: current dir)" and remember the answer for the rest of the session. Do not silently write to a path the user hasn't seen — the file is the deliverable.Weekly/ folder or its parent — write into Weekly/ if visible, otherwise into the granted folder root. No present_files call is needed in Cowork; the file appearing in the folder is the deliverable. Confirm the path in your closing message./mnt/user-data/outputs/Week-XX[-mode].md and present via present_files. The user is responsible for relocating the file to wherever their pregnancy notes live (typically an Obsidian vault's Weekly/ folder). If they haven't told you their destination, ask once. When presenting, surface the destination path in your closing message so they know where to drop it for the wikilinks to resolve.Detecting environment:
/mnt/user-data/outputs/ exists and is writeable → claude.ai chat.Pregnancy or Weekly is visible in the granted access → Cowork.When in doubt, ask the user once at the start of the run.
Either way: the wikilinks in the file footer ([[Week-XX]] etc.) assume sibling files live in the same folder, so the file must end up in Weekly/ for navigation to work.
Every weekly file MUST contain these six sections in this order, each with a brief highlights view followed by a collapsible Obsidian callout for detail:
- [ ] checkboxes)Plus header (size comparison, trimester, weeks to go) and footer (wikilinks to previous/next week).
Week-XX.md with zero-padded week number**Size:** [Fruit/object] (~X cm) · **Trimester:** [First/Second/Third] · **Weeks to go:** ~XX> [!info]- Detailed breakdown callout (the trailing - makes it collapsed by default in Obsidian)*Previous: [[Week-XX]] · Next: [[Week-XX]]* (omit "Previous" for week 4, omit "Next" for week 40)For the exact template structure with section ordering, see references/template.md.
The voice is established and consistent. See references/tone-guide.md for full guidance, but key principles:
This section was added specifically by the user and matters to them. See references/mental-health/mental-health-section.md for the format. Key requirements:
The detailed breakdown of For your partner often mentions "the partner reading list" — a curated set of topics the partner reads through over the course of the pregnancy. The list is canonically defined in references/partner-reading-list.md. Don't refer to it abstractly without grounding it; either:
The reading list is the spine for partner-prep content the same way nutrition.md is the spine for nutrition. Pull from it; don't invent ad-hoc topics.
The weekly file synthesises multiple evidence-based sources. No single source is the spine — the goal is breadth, accuracy, and giving the couple options rather than instructions.
Each domain bundle (references/diet/, references/exercise/, references/birth/) has its own provenance.md that documents the methodology, sources consulted, verification rounds, and draft chain that produced the evidence brief in that folder. You don't need to read provenance during normal generation — they exist for transparency and for anyone auditing the underlying research. Every weekly file's footer points to the public repo where these provenance files live (see references/template.md).
references/medical-sources.md is the central reference. Read it before drafting any week. It covers:
The medical-sources file also has a decision tree at the bottom: for each kind of claim (size, milestone, symptom mechanism, decision, mental health, red flag), it tells you which sources to anchor to. Use it.
references/vittorio-protocol.md is one perspective among several, not the document's spine. It came from a specific book the user read; its timing anchors and pragmatic suggestions are useful, but its prescriptive voice and contested choices (declining standard newborn interventions, etc.) are not the default frame.
Treat Vittorio as you would a knowledgeable but opinionated friend's input:
diet.md, exercise.md, interventions-vaginal-birth.md and their practical/ELI5 companions) also outrank Vittorio — e.g. on raspberry leaf tea or dates, use the interventions review's evidence grading, not Vittorio's stance.tone-guide.md).references/diet/nutrition.md is the spine for any nutrition content in a weekly file — what to eat, vitamins, minerals, supplements, what to avoid, and the postpartum impact of inadequate diet. It covers the core nutrients with mechanisms (folate, choline, iron, iodine, vitamin D, DHA, calcium, magnesium, B12, zinc, protein, fibre), the evidence-supported supplement spine, what to avoid (with reasons, mentioned factually once not moralised), the first-trimester nausea protocol, trimester-by-trimester nutrient priorities, and a postpartum / 4th-trimester preview including what under-eating or poor diet actually costs.
Important: there is no standalone "nutrition" section in the template. Nutrition surfaces through the existing six sections when something is week-relevant:
Baby this week detailed breakdown — when a specific nutrient ties to what's developing (folate at 4–6w neural tube, choline through neurogenesis weeks 8–20+, iodine ~14–16w fetal thyroid, DHA through brain growth phases, iron building fetal stores in the third trimester)Mum's body detailed breakdown — when a symptom has a food/nutrient lever (nausea, constipation, leg cramps, heartburn, fatigue, restless legs)For your partner — practical food prep (morning tray in first trimester, freezer-stocking in late third, snack stations)This week's to-dos — supplement check at booking, ferritin retest, GTT, dates from ~36wRed flags — when an eating-related sign warrants medical attention (hyperemesis especially)The nutrition file has a "How nutrition surfaces in each section" map at the bottom — use it to keep nutrition content well-placed and proportionate, not crowding the page.
Companion diet references (user-curated research): references/diet/diet.md is the full evidence brief (ACOG/WHO/NHS/NIH guidelines, nutrient RDA tables with deficiency risks, caloric needs by trimester, food-safety lists with the reason for each restriction, caffeine dose-response data, prenatal supplement label guidance including the choline/iodine/DHA gaps, Mediterranean diet evidence). references/diet/diet-practical-guide.md is its plain-English action version with trimester-by-trimester action steps, the nausea protocol, heartburn strategies, vegetarian/vegan fixes, and the reassuring "don't worry" framings. Use these alongside nutrition.md: nutrition.md remains the spine for where nutrition surfaces in the six sections; the diet pair is the cross-check for specific numbers (calorie additions, RDAs, caffeine limits) and the source of practical framings ("you're eating for 1.15, not two"). When the documents differ on a specific dose, prefer diet.md's guideline-sourced figures and keep mechanisms from nutrition.md.
references/exercise/exercise.md (full evidence brief) and references/exercise/exercise-practical-guide.md (plain-English version with a trimester-by-trimester and week-by-week guide) are the spine for any movement content in a weekly file. They are user-curated research synthesising ACOG 804, WHO 2020, the Canadian CSEP guideline, and multiple meta-analyses. Key facts to keep consistent across weeks: the 150 min/week moderate-activity target and "talk test"; benefits (GDM risk down ~a third, cesarean odds down ~30%, meaningful antenatal/postnatal depression reduction — walking especially); the safety reassurance (no increased miscarriage/preterm/birth-weight risk in uncomplicated pregnancies); the supine-exercise cutoff at ~16–20 weeks; what to avoid (contact sports, fall-risk sports, scuba, hot yoga); the warning-signs-to-stop list; and the absolute/relative contraindications (always deferred to the care provider).
Like nutrition, there is no standalone exercise section — exercise surfaces through the six sections when week-relevant:
Mum's body detailed breakdown — when a symptom has a movement lever (back/pelvic girdle pain, constipation, mood, sleep) or when a trimester transition changes what's comfortable or safe (supine cutoff ~16–20w, balance shift in the third trimester)For your partner — joining the walk or swim, taking over a task so she has time to move, booking the prenatal yoga or aquanatal classThis week's to-dos — trimester-appropriate activity reminders, starting pelvic floor work (~12–20w), transitioning off supine exercises (~17–20w), adapting pace in the third trimesterRed flags — the stop-exercising-and-call list when an exercise-related symptom appears (bleeding, fluid leak, regular painful contractions, calf pain/swelling, dizziness, chest pain)The practical guide has week-by-week suggestions per trimester — use those to anchor exercise content to the specific week, and keep it proportionate (a bullet or two, not a programme).
references/birth/interventions-vaginal-birth.md is the spine for any birth-preparation content — a GRADE-graded evidence review of 18 physical interventions against measurable birth outcomes (perineal trauma, labour duration, mode of delivery, spontaneous onset, pelvic floor outcomes, pain/epidural use), with a tiered one-page summary at the bottom. references/birth/interventions-vaginal-birth-eli5.md is its plain-language companion — useful for borrowing warm-friend framings ("like stretching a new leather glove"). These are user-curated research and take precedence over Vittorio for birth-prep timing and evidence claims.
How to use the tiers:
Week anchors for surfacing birth-prep content: pelvic floor training from ~12–20w (to-dos), perineal massage starting ~34w (to-dos + For your partner — the protocol details live in the full review), dates from ~36w (to-dos, with the GDM caution), labour positioning/warm compresses/water immersion in the birth-plan weeks (~32–36w, as things to discuss with the midwife and put in the birth plan). The integrated tear-prevention strategy section is the best single anchor for a late-third-trimester birth-prep summary.
references/mental-health/perinatal-emotional-journey.md is the spine for any mental-health content in a weekly file — a research-anchored evidence review covering normal experience (matrescence, ambivalence, baby blues, intrusive thoughts), clinical conditions (perinatal depression, anxiety, OCD, PTSD, tokophobia, postpartum psychosis), the partner's trajectory, and what works (CBT/IPT, exercise, sleep protection, peer support, sertraline as default). references/mental-health/perinatal-emotional-journey-eli5.md is its plain-language companion — useful for borrowing warm-friend framings (e.g. "having a baby rewires the brains, bodies, and relationships of both parents"). references/mental-health/mental-health-section.md is the structural / format guide for the What to say to her section's detailed breakdown.
Key numbers and framings to use consistently across weeks (anchored, no inline citations):
Like nutrition and exercise, there is no standalone mental-health section in the template — mental health surfaces through the existing six sections when week-relevant:
Mum's body detailed breakdown — when the maternal experience has a documented neurobiological or hormonal driver (matrescence brain remodeling, the hormone cliff caveat, sleep-mood interaction). Use anchored numbers, not folk language.What to say to her detailed breakdown — this is where most mental-health content lives. The Why this matters now opener, What tends to land well, What to avoid, Watch for warning signs, and Look after yourself too subsections all pull from the brief. See mental-health/mental-health-section.md for the format.For your partner — partner emotional support as the strongest modifiable protective factor (Pilkington 2015), framed practically. Partner perinatal mental health awareness in the Mental load and Look after yourself too notes.This week's to-dos — booking-appointment EPDS / GAD-7 mention, partner reading list items on mental health (see partner-reading-list.md), peer-support / class enrolments.Red flags — postpartum-period weeks need the postpartum psychosis red flags (severe insomnia + confusion + delusions in first 2 weeks); any week needs suicidal ideation as a red flag.Crisis resources to surface where appropriate (don't bloat — name once when relevant, e.g. in the Look after yourself too note or in the red-flags paragraph for the relevant weeks):
The user has asked for extra emphasis on brain and neurological development as a recurring theme. Every weekly file should include a dedicated Brain / nervous system bullet in the "What's forming" detailed breakdown of Baby this week, drawing on the brain-development timeline in medical-sources.md. Use specific, accurate language — neurulation, neurogenesis, neuronal migration, synaptogenesis, myelination — and explain what each one means in plain words. Let the awe-inspiring numbers (e.g. 250,000 neurons per minute at peak) come through where they fit, without tipping into saccharine. When senses come online (hearing ~18 weeks LMP), point partners toward the practical implication ("she can hear you now").
combined / partner / pregnant) — infer from wording or ask. See references/audience-modes.md for what differs between modes.references/medical-sources.md to get oriented on which sources apply to which kinds of claims (use the decision tree at the bottom)references/template.md, references/mental-health/mental-health-section.md, references/tone-guide.md, references/audience-modes.md, and references/partner-reading-list.mdreferences/diet/nutrition.md to identify which nutrients, food levers, or supplements are week-relevant — and where they belong across the six sections (see the map at the bottom of that file). Cross-check specific numbers (calorie additions, RDAs, caffeine limits, food-safety items) against references/diet/diet.md, and borrow practical framings from references/diet/diet-practical-guide.mdreferences/exercise/exercise-practical-guide.md for the trimester- and week-relevant movement guidance (target, modifications, what changes this week); pull evidence detail or contraindications from references/exercise/exercise.md when neededreferences/birth/interventions-vaginal-birth.md for any birth-prep intervention activating this week (PFMT ~12–20w, perineal massage ~34w, dates ~36w, birth-plan items ~32–36w) — use the tiered summary at the bottom, and references/birth/interventions-vaginal-birth-eli5.md for plain-language framingsreferences/mental-health/perinatal-emotional-journey.md for prevalence, mechanism, and intervention claims relevant to this week's mental-health content. The -eli5.md version is a good first read for warm-friend framings. Cross-anchor any mental-health claim against the brief's anchored numbers (depression ~12–18%, partner depression ~8–10% peaking 3–6 months postpartum, etc.) rather than folk numbers.references/vittorio-protocol.md for week-anchored timings and pragmatic ideas — but treat it as one input, not the source of truthreferences/example-week-08.md to calibrate tone and structure — this is the user-approved referencereferences/diet/nutrition.md and cross-check specific dose claims against references/diet/diet.md and NHS/NICE/ACOGreferences/exercise/exercise.md (guideline-sourced: ACOG 804, WHO 2020, CSEP 2019)references/birth/interventions-vaginal-birth.md (evidence tiers) and Evidence Based Birth, and present options, not prescriptions/home/claude/ first if in claude.ai sandbox; directly in working location if in Cowork or CLI)present_files and note the destination folder. In Cowork or CLI: confirm the path in your closing message.references/template.md) is the single exception, and it's identical across all weeks.Provides behavioral guidelines to reduce common LLM coding mistakes, focusing on simplicity, surgical changes, assumption surfacing, and verifiable success criteria.
Searches, retrieves, and installs Agent Skills from prompts.chat registry using MCP tools like search_skills and get_skill. Activates for finding skills, browsing catalogs, or extending Claude.
npx claudepluginhub foxtrotcharlie/family-skills --plugin pregnancy