Tests during pregnancy are of great importance for the health of both the mother and the baby. Therefore, it is useful for every pregnant woman to have routine pregnancy tests. President of AHEF (Federation of Family Physicians Associations) Hamza Gemici told about the tests that should be done by mothers during pregnancy.
Tests applied during pregnancy follow-up; how many groups can be grouped as tests before and during pregnancy?
A- What are the tests to be performed before conception? (Pre-pregnancy tests)
a) The blood types of the mother and father should be known. (Mother Rh-, Father Rh + Rh incompatibility
b) Infection screening tests.
TORCHS (Toxoplasma, Rubella, Cytomegalovirus, Herpes, Syphilis)
If these infections are passed during pregnancy, they may cause anomalies in the baby.
B- What are the desired tests during pregnancy?
1- Blood pressure should be measured at every follow-up. The presence of edema in hand and outpatient should be examined.
2- Weight tracking (Morning at home on an empty stomach)
3- Evaluation of abdominal growth
4- Pregnancy detection tests:
It is made by detecting HCG hormone in urine and blood. Kanda; results are obtained without waiting for menstrual delay.
Urine; 3 to 10 days without delay.
5- Blood and urine tests:
Blood tests, anemia and other blood related issues, urinary tract infections and other issues are detected by urinalysis.
6- Pregnancy follow-up by ultrasound:
SAT can be determined by early ultrasound measurement in mothers who do not remember the gestation week and the last menstrual date (SAT).
Detection of anomalies in the unborn child can be used as an aid in the detection of Down Syndrome known to be mentally retarded.
Especially brain and vertebral developmental disorders, developmental disorders of the child (harmony of pregnancy week with measurements) can be detected.
7- Blood mismatch test
8- Binary Test:
It is done between 11th and 14th weeks. Ultrasound is used to determine the thickness of the baby's nape of the neck. The risk of Down Syndrome is determined by measuring two separate substances in the blood.
9- Pregnancy Sugar Screening:
Sugar loading test between the 24th and 28th weeks (50 - 100gr 50 OGTT)
10- Liver, kidney, thyroid function tests are done by taking blood. This checks whether they are working regularly.
11- Doppler Ultrasonography:
It is done between the 20th and 24th weeks.
12- Triple Test:
It is done between the 16th and 18th weeks. 3 hormones are tested in the blood. It provides detection of anomalies such as Down Syndrome, Neural Tube Defect.
What are the benefits of testing?
Parents can be aware of the problems that may occur during pregnancy with the help of the results obtained from these tests and take early measures. If everything is OK, they expect a healthy pregnancy, or with the comfort of knowing that they are going through.
Blood group analysis ›Rh mismatch (Blood mismatch)
Urine analysis ›Urinary tract inflammation, kidney stone-sand detection, sugar detection and diabetes
determination. Preeclampsia with protein detection (high blood pressure during pregnancy, protein in the urine
no. Swelling in the body, especially on the hands and face is an important
Infection Screening Tests ği Whether the diseases that may cause anomalies in the baby have been passed before pregnancy
Ultrasound ›ectopic pregnancy, child development, spouse status, threat of miscarriage
Sugar Loading Test mı Is there diabetes during pregnancy? Measures that can be taken according to him
How to follow pregnancy?
A pregnant woman should be followed at least 4 times during pregnancy. It is true that the pregnant should be followed up once a month.
- Tetanus vaccine should be given in 2 doses starting from the 16th week with one month intervals. Tetanus vaccination is continued after pregnancy.
- Weight, blood pressure, pulse, fever, edema, TIT, anemia, varicose veins, USG follow-up and examinations are performed each time a pregnant woman visits the Family Health Center. If there are pregnant complaints about pregnancy is listened.
- After 12th week, Doppler EKS rest and abdominal enlargement are followed. Again after 12 weeks, it is desirable to use blood medication according to the hemogram result. Family Health Centers distributes Santafer Fort tablets to pregnant women for free.