You also need to pass a swab for bacteriological research (qualitative and quantitative composition of microflora of the vagina and cervical canal) and, of course, research on sexually transmitted infections.
If there are readings, the doctor may prescribe hormonal examination. But as for the so-called psycho and physical training (classes, courses expectant mothers), she is already pregnant women registered.
In turn, physical exercise performed by the doctors of physical therapy for the appointment of obstetricians and gynecologists on the available techniques in accordance with the diagnosis and pregnancy". Such recommendations gives head. gynecology, odnogo of medical clinical centers, Olesya Tveritinov.
The first examination 7-8 weeks. During the first inspection carried out by an obstetrician-gynecologist, specifies the duration of pregnancy and birth date. Also consistent schedule of visits LCD and evaluates the health status of pregnant. Prescribe folic acid preparations containing iron and multivitamin. Examine the chest and check the form of the nipple. It is important to examine the blood, to know the blood group and Rh factor, if the woman he is negative, then you need to know and Rh factor and blood group husband. Such analysis, if RH factors different spouses, hold up to 32 weeks of pregnancy once a month, then twice a month with 32 and 35 weeks, and after weekly. Conduct a blood test for HIV if the result is positive, she is just there and infectious diseases Center for prevention and fight against AIDS. The blood sample is taken for hepatitis b and C. If it is positive, treatment. Also a woman takes the analysis on blood sugar. It allows you to learn whether women diabetes. Checked blood and clotting. If it is increased, it can lead to the formation of blood clots, if it reduced you may be prone to bleeding. Rent and urine on the analysis, they estimated the kidneys. Taken a smear on flora from the vagina, is detected whether there is an inflammatory process or infection. If a woman has herpes, Mycoplasma, cytomegalovirus, this can lead to malformations of the fetus when such diseases are also assigned therapy. Control of blood pressure and check for uterine bleeding important indicators of pregnancy. You also need to control your weight. 16 weeks is weight gain, 23-24 weeks plus 200 grams per week, with 29 plus 300-350 g. it happens that a week before labor lost 1 kg weight, this is due to the fact that the tissues loose liquid. The average woman gains about 10 kg, you change the size of the pelvis. Just need to pass the otolaryngologist, ophthalmologist, endocrinologist and physician, you must pass the electrocardiogram. You need to go to the dentist. In 10 weeks, another inspection, measured HELL and is weighing. Determined tactics pregnant, based on the analyses and conclusions of the doctors. If the urine is protein, this is the initial sign of toxemia.
12 weeks measured HELL, weighing. Check the urine is checked the condition of the kidneys, is recognized by the state of metabolism. Do ultrasound in a period of 10-14 weeks, here is specified the duration of the pregnancy. The analysis of HCG and Papp-a - identify whether there are abnormalities in the development of the child.
16 weeks. Smotret doctor-gynecologist. Determined, upon examination, the height of standing of the uterus (it is possible to specify the duration of the pregnancy) so it is possible to calculate the estimated weight of the fetus. Measure the circumference of the midsection. If it is more and there is a considerable increase in weight, then it suggests that accumulate unwanted fat, delayed fluid and there may be internal swelling. Then it listens for the heartbeat of the unborn baby. Check the urine test.
18 weeks. Inspection. Check the blood test for the detection of anemia - decrease in hemoglobin level, also check the blood and other indicators, such as AFP (alpha-fetoprotein) and HCG (human chorionic gonadotropin) verifies the presence or absence of chromosomal diseases (down syndrome, and others).
22 weeks. A complete examination by an obstetrician-gynaecologist, urine analysis, ultrasound examines the amount of amniotic fluid, the condition of the placenta. Spend Doppler study of maternal-fetal blood flow.
26 weeks. Examination by an obstetrician-gynaecologist, urine analysis.
30 weeks. All the same full inspection, then exchange card is issued, there fit the results of tests and examinations. A woman should carry this card with you, because childbirth can happen at any time. Without this card, the mother can put only in a hospital where women are HOMELESS or nonresident without registration, etc. Issued prenatal leave, they check a urine sample, a swab is taken from the vagina, again the analysis on RW and HIV. Determine the fetal position, pelvic presentation, held ultrasound. If the child is not properly recommend exercises to ensure that the child was placed correctly, the child must move from the pelvic presentation to the head.
33 weeks. Re-inspection. Is ultrasound, urine analysis. Identify whether there are defects that occur only in late pregnancy, is determined by the tactic of pregnancy and the method of delivery.
35 weeks. Again, inspection of the obstetrician-gynecologist. CTG fetal - kardiomonitornym study. This allows you to determine the ability of the cardiovascular system of the fetus. Possible fetal hypoxia is defined by its motor activity. Check the urine test.
37 weeks. Measured pressure, is the weighting is determined by the positioning of the fundus of the uterus, watch the presentation and position of the fetus, measured abdominal circumference, listening to baby's heartbeat. Check the urine test.
38 weeks. Full inspection of the obstetrician-gynecologist. Checked the urine. Plus the analysis of a blood on RW.
39-40 weeks for 2-3 weeks before delivery. Gynecologist examination, listening to the heartbeat of the baby, check the urine. Conduct ultrasound (if indicated). Checked on him the condition of the placenta, the health of the child, the position of his body parts, umbilical cord, is determined by the presentation of the fetus. Take a urine test and ultrasound done (if necessary) - defined presentation of the fetus, in what position are part of the body and the umbilical cord, an examination of the condition of the placenta, checks the health of the baby, choose the tactics of the genera.
According to the materials of mediresource Internet.
No comments:
Post a Comment