Providing information about the tests and controls that must be performed during pregnancy Women Health and Diseases Specialist Op. Dr. Volkan Aksakallı, which test should be done during which period and how to warn.
Giving information about routine examinations in pregnancy Kiss. Dr. Contact volkan directlylisted the tests and controls that all expectant mothers should have:
Tests based on the detection of HCG, a pregnancy-specific hormone in urine or blood. They can determine pregnancy without delay in menstrual period and delays between one and ten days in urine according to the sensitivity of the test.
Gynecological (pelvic) Examination
In general, pelvic examination is performed during the first antenatal examination and possible genital mass, infection, congenital genital anomalies, cancer and pre-cancerous lesions that may adversely affect pregnancy are revealed.
In general, in the first antenatal examination, the gynecologist and general examination are carried out by the gynecologist about the complaints of the digestive system, heart and circulatory system, respiratory system, locomotor system (muscles and joints) and nervous system and mental state.
Blood Pressure Measurement in Pregnancy
Blood pressure measurement is repeated at each pregnancy examination. Blood pressure is the most important criterion in the early diagnosis of preeclampsia (pregnancy poisoning).
Weight Measurement in Pregnancy
Excess weight gain, especially in a short time, may be a precursor to pregnancy poisoning. Excessive weight gain over the long term (weeks) may be due to unnecessary intake of carbohydrate and fat-rich foods, or may be a precursor to diabetes. It is also appropriate for the expectant mother to make the weight measurement on an empty stomach and inform her doctor.
Evaluation of Abdominal Growth
Nowadays, this evaluation is increasingly being abandoned due to the fact that most of the doctors perform ultrasound in every antenatal evaluation.
Mapping the Baby in the Abdomen
With special examination methods called Leopold maneuvers, the doctor determines the position of the baby's head, back and legs. These methods determine how the baby enters into the pelvis towards the end of pregnancy. In addition, ultrasound provides much more accurate information than the measurements obtained by measuring the abdomen with tape measure and Leopold maneuvers.
Determination of Blood Groups
Blood groups of the mother and father candidates can be determined in the blood taken from the finger. Rh incompatibility is mentioned when the blood type of the mother is Rh (-) and the father is Rh (+).
Whole Blood Count in Pregnancy (Hemogram)
Leukocytes (white blood cells), the number of erythrocytes (red blood cells), the average hemoglobin content of erythrocytes, size, platelet count, hemoglobin and hematocrit value is determined more than a number of parameters.
Full Urine Assay in Pregnancy (TIT)
The aim of the study is to reveal the signs of infection in the urine, to evaluate the general nutritional status of the mother who has excessive nausea and vomiting in the early pregnancy, to reveal the presence of protein in the urine in the later stages of pregnancy (presence of protein in the urine may be a sign of preeclampsia) and to assess whether the mother is drinking enough water.
Ultrasound during pregnancy (vaginal, abdominal)
Ultrasound is important in the first weeks of pregnancy. This. Confirm the accuracy of the Last Period (SAT); To determine the gestational week in mothers who do not know SAT; ectopic pregnancy; early detection of conditions such as mole pregnancy; It is extremely important to detect mass lesions such as fibroids or ovarian cysts that may have a negative effect on pregnancy and to reveal a possible multiple pregnancy.
Urine Culture in Pregnancy
Pregnancy facilitates the development of urinary tract infections. The presence of leukocytes, erythrocytes and / or bacteria in the urine sediment indicates infection and requires antibiotic treatment if the mother has complaints.
Infection Screening Tests
Toxoplasma, rubella (rubella) and syphilis (syphilis) screening tests are preferably performed at the time of pregnancy. Toxoplasma IgG and IgM (antibodies) in blood taken from mothers for this purpose; For rubella IgG and IgM and syphilis, an examination called VDRL is usually performed.
Screening tests for hepatitis B and HIV (AIDS) are usually carried out towards the end of pregnancy. HBsAg and AntiHBs examinations are performed for hepatitis B screening.
Triple Test in Pregnancy (Second Trimester-Down Syndrome Screening Test)
This is an examination performed between 16th and 18th weeks of pregnancy. The risk of Down syndrome and neural tube defect is determined by three different hormone tests in the blood taken from the mother. Nowadays, the quadruple test, which is a higher version is used.
Double Test in Pregnancy - Measurement of Nuchal Thickness
In Turkey, Trisomy 21 (Down syndrome) is the most common test used to predict the risk is still triple test. However, the baby's 11-14. The measurement of nuchal translucency thickness between weeks of gestation, beta HCG and PAPP-A in blood taken from mothers and the values obtained from them can be determined by the risk of Down syndrome.
Beta HCG and PAPP-A
Beta HCG levels in the blood decrease as pregnancy progresses. This decrease is much slower in infants with trisomy. 11.-14. measurements between gestational weeks confirm that this decrease is slower in infants with trisomy 21.
Click here to reach the beta hcg values table during pregnancy.
PPG (Postprandial Glucose) and OGTT (Oral Glucose Tolerance Test) in Pregnancy
Pregnancy is a condition that increases the risk of developing diabetes. That's why mothers are 24-24. they are subjected to the sugar loading test between the gestational weeks. For this purpose, 50 grams (PPG) or 100 grams of glucose (OGTT) is loaded according to the risk factors of the expectant mother.
Measurement of TSH (thyroid hormone) in pregnancy
Normal TSH values during pregnancy are handled differently from normal adult values and hormone supplementation is given to the expectant mother when necessary. In addition, some other thyroid hormone measurements and measurements of certain substances, such as anti thyroglobulin, may be added to the mothers already known to have thyroid hormone disease.
20-24. Doppler ultrasonography, which is recommended as a screening test between the first and the third weeks, is becoming an increasingly common examination in our country.