During pregnancy, pregnant mothers need to receive at least 10 birth checkups. In the face of complicated examination content, what are the items that pregnant mothers must do and cannot be ignored?
01 General examination
If the pregnant mother’s weight increases too much too fast, in addition to the edema itself, the fetus may be too large. If the weight gain of the pregnant mother is too small, the fetal growth may be delayed. Both conditions may affect the final production process.If the pregnant mother’s blood pressure, urine sugar, and urine protein are high, it may cause systemic complications, and severe cases will also affect the fetal life.
In addition, by listening to fetal heart sounds, measuring palace heights, fetal position and fetal movement, it will help understand the stability and development of the fetus’s signs of life.Usually 7 weeks of pregnancy, you can detect the fetal heartbeat through ultrasonic waves. If there is no 8 weeks, it is not ruled out that there is a possibility of having the atrophy of the embryo.
02 Syntica serum experiment
Once the human body is infected with syphilis, it will gradually attack the whole body, causing damage such as organs, bones, muscles, and nerves.If a pregnant mother is infected, it may affect the fetus, causing the fetus to be congenital syphilis infection, developmental deformity, abortion, and even dead tires.
Early discovery and treatment are important in the prevention and treatment of syphilis.If the mother is infected, in addition to receiving antibiotic treatment first, it must be regularly tracking the fetal condition by ultrasonic. If necessary, consider the umbilical cord blood test of the fetus to confirm whether it is infected with syphilis.
03 rubber IgG antibody examination
If pregnant mothers have previously suffered from rubella (endless immunity) or vaccinated vaccines, the results of this test usually show "positive ( +)", which means immunity.Conversely, the examination reaction is "negative ( -)", which means that there is no antibody in the pregnant mother, which is a high -risk group of rubella infection.Foreshrus seems to be mild, but it will have a great impact on the fetus, so it needs to be more careful.
If it is infected in the early stages of pregnancy, the probability of terators is high. After examination and diagnosis, you can consider suspending pregnancy if necessary, or wait until the 22nd weeks of pregnancy.situation.
04 Donaldia screening
Donaldia is a type of chromosomal abnormalities, which can cause congenital defects of newborns.There are two main screening tests: the three indicators of the first pregnancy (NT neck transparent belt, PAPP-A, HCG) and four indicators of the second pregnancy (AFP, E3, HCG, Inhibin A).
The first time is to screen for testing through ultrasonic and blood tests, and the three indicators are the thickness of the fetal neck and the thickness of the nose (ultrasonic), the serum protein A value of the mother’s serum, and the choric gonadotropin (blood test);The second time is based on blood drawing, detecting four types of nualer protein, choricular gonad hormone, free estradiol, and inhibitoryin in blood serum, to help evaluate the probability of fetal disease suffering.
If it is screened, it is found that the fetus is a high -risk population suffering from Tang’s disease, and it is usually recommended that pregnant mothers do amniotic fluid examination to further confirm the results of the diagnosis.Generally speaking, the probability of Chinatown with Donaldiars over 34 years old is high, and special attention needs to be paid.
05 amniotic pest examination
Because the amniotic fluid contains many live cells related to the fetus, through detection of amniotic fluid, it can further understand the color dye and other conditions.This is an invasive examination, but as long as an experienced physician is executed according to steps, the safety is not worn, and the accuracy of the test is as high as 99 %.
Because elderly women (over 34 years old) are usually active or recommended for amniocentesis, some data show that many of the younger mothers are given birth.Special reminders that although the young expectant mothers have a lower probability of giving birth to chromosomal abnormal babies, they are not at all risks.Therefore, no matter which type of pregnant mothers belong to, they should discuss with the physician, and after a comprehensive factors to evaluate whether there is the need for inspection.
06 Scripture Screening
The changes in hormone brought by pregnancy also have the opportunity to suffer from certain diseases, and gestational diabetes is one of them.This screening test mainly received the "50 grams of oral glucose tolerance test" in a routine inspection, allowing pregnant women to drink 50 grams of glucose water.Continue to perform "100 grams of oral glucose 3 hours tolerance test".
First an empty stomach 8 hours, the next morning, pump a tube of blood and drink 100 grams of sugar water the next morning, and then draw blood in the first hour, second hour and the third hour.If the blood glucose values have been detected in these four blood draws, two items exceed the standard, and they are usually diagnosed with gestational diabetes.
07 Ultrasonic examination
In contrast to the schedule of "Pregnant Women’s Health Manual", the 20th to 24th weeks of pregnancy is the main ultrasonic examination time, and it is generally considered to be more meaningful at this time.Because most of the organs of the fetus have developed, and the fetus will not be too large enough to fill the uterus, there are still sufficient amniotic fluid. Therefore, doctors can better use ultrasonic and carefully check whether the fetal structure develops normally.
If the pregnant mother wants to get more detailed information and want to do a few more ultrasonic examinations, it is recommended to do it once in the early and late period.The initial period was more than 12 weeks ago, mainly to confirm the bed condition of the embryo, whether it was multiple, the length of the cervix, and the disease of the ovary.In the later period, it is 34-36 weeks, and the size of the fetal position and the fetus is confirmed.
However, if you find that there are unknown reasons after a standard inspection, you must investigate it, or if you suspect that the fetus has congenital abnormal possibilities, you need "high -level ultrasonic waves" to further check the fetal structure.If necessary, the inspection time is more than 20-24 weeks.
08 Hepatitis B antigen screening
Hepatitis B is always prevalent, and some of them will be transformed into high -infected power carriers.Therefore, as pregnant women enter the middle of the pregnancy, the hospital will conduct hepatitis B antigen test to confirm whether it belongs to the type B surface antigen (hepatitis carrier) or type B core antigen (carrier with strong infectious power).
If both are positive, hepatitis B is might be infected vertically to the fetus.Therefore, after the baby is born, the injection of hepatitis B immunoglobulin will be accepted within 24 hours, which will help newborns to establish sufficient resistance and reduce the probability of infection.
09 Type B Chain Bacteria Test
Due to the high infection rate of type B splitter, it has a great impact on the fetus. Under the premise of preventing treatment, most doctors usually recommend that pregnant mothers do screening.If the pregnant mother itself has type B cocci, it will not necessarily develop, but they will directly infect newborns in a vertical manner. In severe cases, it may cause sepsis, pneumonia, or meningitis to endanger life.
10 fetal heart sound tire movement examination
Basically, each doctor will listen to the condition of the fetal heart sound by the way. Different heartbeat rates may represent the state of the fetus at that time, and it is also an important basis for judging whether the fetus is healthy.
However, by the 36th weeks, due to the near -due date, the fetal heart sound monitor will be used to detect the heartbeat of the fetus during fetal movement and fetal movement to prevent the possibility of fetal distress (the reaction of fetal heart sound and fetal movement reactionWhen it is bad), if it really happens, the doctor can do response measures to produce the fetus as soon as possible to reduce the fetal probability of suffocation due to hypoxia.
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(Experts in this issue: The attending physician of the Department of Obstetrics and Gynecology, the Department of Obstetrics and Gynecology, Yu Sanli)