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Deciding to have children is one of the most important decisions a person makes in his life. After making this difficult decision, it is necessary to prepare mentally and physically before becoming pregnant. Women's Health Specialist from Anadolu Health Center Contact Birgül directly It gives information about the tests that should be performed before and during pregnancy.
Deciding to have children is one of the most important decisions a person makes in his life. After making this difficult decision, it is necessary to prepare mentally and physically before becoming pregnant… Women's Health Specialist from Anadolu Health Center Contact Birgül directly Gitmek It may not be enough to go to the first doctor's visit after conception. Için In order to have a healthy pregnancy period, to have a healthy and comfortable birth and to have a healthy child, it is important to see a doctor at least 3 months before. The first stage of the examination is the interview. In this interview, some information such as age, occupation and number of marriages are taken first. Then it is questioned whether there are systemic diseases such as heart disease, diabetes, liver disease, kidney disease, thyroid diseases. Gynecological and obstetric (pregnancy) history is questioned separately. In this first interview, the family histories of both the mother and father are questioned, the presence of any genetic anomaly or disease is investigated, and it is recommended that you seek advice from the genetic unit in case of such a condition. After the history, general physical examination and gynecological examination are performed. If no pap-smear test has been performed in the last 1 year, pap-smear test is performed. Transvaginal ultrasonography examines the condition of the pelvic organs. The examination also determines the height, weight and blood pressure. ”
Routine tests before pregnancy
Routine tests that should be performed before conception in patients without any known disease are:
• Complete blood count
• Full urine test
• Blood types of parents
• Toxoplasma related tests
• Rubella (rubella) related tests
• Tests for hepatitis B
• Fasting blood sugar
• Chromosome examinations (recommended for consanguineous marriages and infants with disabilities suggestive of genetic disease)
• In the presence of a systemic disease, consultation is requested from the relevant physician and the patient is followed and treated together.
Advice for pregnant women
• If immunity to rubella is not detected in the tests performed, vaccination is recommended. 3 months after vaccination should not become pregnant.
• If diabetes is present, blood sugar should be kept under control.
• Smoking or other addictions should be stopped as soon as possible
• Alcohol use should be limited.
• It is recommended to avoid stress as much as possible
• Nutrition should be regulated when you decide to conceive. Artificial sweeteners, the use of caffeine should be reduced. Moldy cheeses, undercooked eggs, unpasteurized dairy products, spicy pate, poorly washed salads, cold prepared meat and pre-cooked meals should be avoided.
• Women who feed cats at home should seek help from someone else to remove cat droppings, or if this is not possible, they should wear gloves and wash their hands thoroughly when done.
• Women who plan to become pregnant should avoid eating sharks, swordfish or marlin, and reduce the amount of tuna very much.
• Avoid unnecessary medication and radiation exposure.
• It is recommended to start daily 400-800 micrograms of folic acid supplements 2-3 months before conception.
• It is also beneficial to exercise regularly.
Tests during pregnancy:
Various tests are worshiped during pregnancy. Some of these tests are recommended for all pregnant women and to check the health of the baby or mother; others are for mothers with certain risk factors or health problems.
Blood tests performed during pregnancy;
• Whole blood count and blood group determination
• Complete urinalysis and urine culture
• Fasting blood sugar
• HBs Ag (shows jaundice carriage)
• HIV testing
• Syphilis (VDRL) (sexually transmitted disease known as syphilis)
• TORCH (diseases such as toxoplasma, chickenpox, scarlet fever, mumps, gonorrhea, cytomegalovirus, Herpes simplex type 2)
• Sugar loading test (24 to 28 weeks of gestation with 50 grams of glucose)
• Indirect Coombs test (Rh incompatible pairs)
• Thyroid function tests
• Ultrasonography: A full view of the baby and the placenta is obtained. Ultrasonography is considered safe for both mother and baby. And;
• Determining the size and gestational week of the baby
• To determine the position of the baby and placenta
• To control the physical problems of the baby and placenta
• To identify multiple pregnancies
• Other diagnostic tests are useful to assist.
In addition, to investigate the presence and risk of a problem in the baby;
11-14. nuchal plei measurement and dual screening test between the gestational week
16-18. Alpha Feta Protein test between gestational weeks
20-24. ultrasonographic fetal anomaly research and fetal biometry (2nd level ultrasonography) are performed during the gestational week.
When the double or triple test results are positive (risky), when the mother is over 35 years old, it may be necessary to perform genetic tests in previous pregnancy, interventional tests in infants with Down syndrome and karyotype analysis.
CVS (Chorion Villus Sampling) (performed at 10-12 weeks of gestation, yields early results. There is a 1-3% risk of losing the baby.)
Amniocentesis (ideally carried out between 16 and 18 weeks of gestation, taking the fluid from the fluid in the baby with the help of a needle, and there is a 1% risk of miscarriage.)