Getting pregnant is a wonderful experience for women and it is very important to take special care of mother and baby at this time. The primary care of the mother depends on the family and the woman herself, but some tests are required to check the health of the child. Although the time spent in a doctor’s clinic can be challenging.
During pregnancy, the woman undergoes many physical changes that are necessary for the health of the child and the mother. A pregnant woman needs regular medical advice so that her pregnancy goes smoothly and any problem can be treated as soon as possible.
“Prenatal” or “before birth” means “before birth”, that is, the tests performed by a pregnant woman before the birth of the baby are called prenatal examination or prenatal test. And their main purpose is to know the health of you and your child. If there is a risk of suffering from any type of birth defect during this time, it can be detected by them. During the prenatal medical examination, your doctor will do your physical examination as well as suggest some regular tests.
In pregnancy, most screening tests are recommended to be done during 15 to 20 weeks and to ensure that the baby has spinal Bifida (spinal piercing babies that cause the lower part of the body to be impaired. ), Down syndrome (it) is a chromosomal abnormality. The chromosome contains genes from which parental traits are transferred to children. Abnormalities occur when they become a greater crossome number) or have no abnormality of any kind. Down syndrome can cause problems such as loss of learning ability and heart defects. It is more prominent in women who become mothers at an older age. But unfortunately not all affected pregnancy can be detected by the screening test.
During the first, second, and third trimesters of pregnancy, doctors recommend you to have prenatal tests. If your pregnancy is confirmed or your pregnancy test results are positive, talk to your partner and ensure your appointment with a doctor immediately. It is better that you consult a nearby hospital and a trusted doctor because you have to go to the doctor many times during pregnancy. Being close to the hospital facilitates both women and caregivers. Also, a medical facility may be available soon in case of any kind of complication.
Required checkup in the first quarter
The first visit to a doctor about pregnancy can be quite elaborate because not every woman is aware of new changes occurring in the first pregnancy. The doctor will ask you many questions about the menstrual cycle, previous pregnancies, personal and family medical history, gynaecological diseases, medications and your lifestyle. The doctor honestly answered all questions correctly so that the doctor could assess your needs for prenatal care. The doctor will also advise you to adopt a lifestyle suitable for nutrition, exercise during pregnancy, sex during pregnancy, etc.
Your doctor can also do your physical examination to measure height, weight, BP and heart rate. A screening test is done in the first trimester to detect diseases that develop before birth in the child. Screening tests reveal a child with perforation in the neural tube such as Down syndrome, Edwards syndrome, or an abnormality in the baby’s texture. Blood and ultrasound tests are started from the 11th week of pregnancy.
Screening tests do not determine if your child has the disease. It only shows the possibility of these diseases occurring. You will need an antenatal probe to ensure this.
In the first trimester, you are tested for blood tests, haemoglobin and thyroid levels, along with the possibility of suffering from certain infections.
You usually have to go to the hospital at least 10 times during the first pregnancy to have a checkup, provided there are no complications. If you have become a mother before then you will need to go to the hospital 7 times.
If there is a difference in your pregnancy, obstetricians may also call you more often because every woman’s pregnancy is different according to her body.
In the first trimester, the following screening tests are essentially done:
A urine test will be done for the first time to confirm your pregnancy. Apart from this, urinary tract infections etc. are also tested by your urine sample.
Between the 9th and 13th week of pregnancy, a blood test is done to find out your blood type, RH factor and haemoglobin levels, etc.
Ultrasound is done between the 11th and 13th week of pregnancy.
Nowadays, screening of the HIV virus that causes acquired immunity syndrome (AIDS) is also an essential part of prenatal testing.
Through the above tests, it is also known whether the child is at risk of Down syndrome and some other disorders. Chorionic villus sampling
[chorionic villus sampling (CVS)]
is also performed, usually during the 10th to 12th week of pregnancy, to check for genetic disturbances in the fetus.
Prenatal check-up required in the second trimester
The second trimester is between the fourth to the sixth month of pregnancy or the 13th week to the 28th week. For many women, these three months are one of the easiest times of pregnancy as their morning sickness also reduces during this time. During the second trimester, you should go to your gynaecologist every month.
In the second trimester, doctors perform BP, weight, baby’s heartbeat, and swelling, etc. in a general examination. But at this time the following tests are necessary:
Urine test: Urine is used to checking for the presence of glucose, protein and bacteria. In the case of urinary tract infection, you may feel burning sensation while urinating and may also have a fever.
Ultrasound: This test is done several times during pregnancy. Ultrasound tests are to be done during the 18th and 22nd weeks of pregnancy so that the doctor can check the baby’s development. This is done between 11 and 13 weeks to check for Down syndrome. The rest of the doctor will advise you to have an ultrasound if deemed appropriate.
Confirmation test: When the result is “positive screening”, an amniocentesis test is performed after the 15th week.
Quadruple examination: It is also known as quadruple marker test or quad test which measures four hormone levels in a pregnant woman’s blood. This test is usually done between the 15th and 20th week of pregnancy, ie in the second trimester. This screening is done to check for Down syndrome, Edward syndrome, spina bifida, and ennasphali (Ansonafli-congenital brain disease) in the child.
Blood tests: Blood tests are done to measure haemoglobin levels, as well as blood sugar levels.
Necessary check in the third quarter
Prenatal care is an important part of a healthy pregnancy, especially when the woman has reached the late stages of pregnancy. During the third trimester, according to your health and pregnancy, doctors may ask you to come to the hospital every 2 or 4 weeks. From the beginning of the 36th week, until the delivery is made, you should keep checking weekly.
The doctor will also check your child’s heartbeat and activities with increased BP and weight. A urine test may also be done to detect the amount of protein in your body or the presence of an infection. As always, talk to a doctor if you feel any type of anxiety or difficulty.
Some of the tests and tests conducted in the third quarter are as follows:
Blood tests to detect anaemia. (Read more – Anemia during pregnancy)
Tests for sexually transmitted diseases such as syphilis, gonorrhoea, HIV etc.
Glucose test if necessary.
Ultrasound to check the position of the placenta, the development of the baby and the level of amniotic fluid.
Non-stress testing if there is a risky pregnancy.
If it’s flu season, then the flu vaccine. (Read more – Home remedies for flu)
Vaccine for mother and child to prevent cough.
Vaginal and rectal examination to check and prevent infection so that you can be given antibiotics when an infection occurs and the infection is not transferred to the child. (Read more – How to keep the vagina clean and healthy)
Group B streptococcus (GBS) screening may also be done during the third trimester. GBS is usually found in the intestines or lower genitals, which is harmful to adults. But children who are infected with GBS during normal delivery can become seriously ill.
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