After pregnancy, in order to ensure the health of the mother and fetus, pregnant women need to go to the hospital for regular physical examinations. Pregnancy examination can detect abnormalities in the mother or fetus in time and provide timely treatment.
Obstetric examination items: First obstetric examination (blood pressure, weight, uterine height, abdominal circumference, Doppler, gynecological examination) Nutritional monitoring during pregnancy, B-ultrasound, electrocardiogram, MDI secretion
2.Second inspection
Pregnancy period: 16-20 weeks of pregnancy
Obstetric examination items: 8:00 Fasting blood test (blood pressure, weight, uterine height, abdominal circumference, Doppler fetal heart rate) Down syndrome screening (14-20 weeks) Routine blood test + blood type (ABO+RH) Routine urine test and liver function + Two and a half blood sugar, blood calcium, blood lipids, hepatitis C antibody, syphilis reagin, HIV antibody, eugenics, four trace elements
3.Third inspection
Pregnancy cycle: 20-24 weeks pregnant
Obstetric examination items: Obstetric examination (blood pressure, weight, uterine height, abdominal circumference, Doppler fetal heart rate)
4. Fourth inspection
Pregnancy cycle: 28-30 weeks pregnant
Obstetric examination items: Obstetric examination (blood pressure, weight, uterine height, abdominal circumference, Doppler fetal heart rate)
5. Fifth inspection
Pregnancy cycle: 32-34 weeks of pregnancy
Obstetric examination items: Obstetric examination (blood pressure, weight, uterine height, abdominal circumference, Doppler fetal heart rate) blood routine, urine routine
6. The sixth prenatal check-up
Pregnancy period: 36 weeks of pregnancy
Obstetric examination items: Obstetric examination (blood pressure, weight, uterine height, abdominal circumference, Doppler fetal heart rate) fetal heart rate monitoring
7. The seventh prenatal check-up
Pregnancy period: 37 weeks of pregnancy
Obstetric examination items: Obstetric examination (blood pressure, weight, uterine height, abdominal circumference, Doppler fetal heart rate)
8. The eighth prenatal checkup
Pregnancy period: 38 weeks of pregnancy
Obstetric examination items: Obstetric examination (blood pressure, weight, uterine height, abdominal circumference, Doppler fetal heart rate)
9. Ninth inspection
Pregnancy period: 39 weeks of pregnancy
Obstetric examination items: Obstetric examination (blood pressure, weight, uterine height, abdominal circumference, Doppler fetal heart rate)
10. The tenth prenatal check-up
Pregnancy period: 40 weeks of pregnancy
Obstetric examination items: Obstetric examination (blood pressure, weight, uterine height, abdominal circumference, Doppler fetal heart rate)
Even if you know the correct time for prenatal check-up, do you still have many doubts? Next, I\’ll answer five of the most common questions.
2. The five most common questions during prenatal check-up
1. What preparations need to be made before the first inspection?
Before your first physical examination, you need to know the health status of your immediate family and loved ones. If possible, he must check with you, especially for the first time. He should answer questions about previous health conditions and whether there is a family history of genetic diseases. At the same time, he can also consult and understand many pregnancy-related issues, and We will provide you with the best understanding and help throughout your pregnancy, while sharing the happiness that pregnancy brings.
The first examination time should start from the time when early pregnancy is diagnosed. Doctors usually perform a bimanual examination to determine whether the size of the uterus is appropriate for the gestational age. As a basis for predicting the expected date of delivery, it is especially important for people with irregular menstruation. Menstruation is regular, but the size of the uterus does not match the month of menopause. Further examination should be carried out to determine the cause and treatment should be given if necessary. At the same time, the doctor will measure your basic blood pressure, check your heart and lungs, measure your blood routine, urine routine and related examinations, and provide guidance on the time for the next examination. For those with a family history of genetic diseases or a history of childbearing, the doctor will recommend further examination. For those who are not suitable for continuing the pregnancy, such as viral infection in early pregnancy, exposure to toxic substances, or serious illness, the doctor may recommend that you terminate the pregnancy. For pregnant women who have abnormalities but can still continue to conceive, monitoring during pregnancy should be strengthened to ensure the safety of mother and baby.
2. What should be checked during future inspections?
Future agreed inspections will not be as comprehensive as the first, nor will they take as long. Each check-up is to understand any discomfort after the last prenatal check-up, detect abnormalities early, and treat them early. The specific contents include the following aspects:
Ask about any abnormalities such as dizziness, headache, vertigo, vaginal bleeding, changes in fetal movement, etc. since the last prenatal check-up. Helps keep pregnant women and fetuses safe and healthy throughout pregnancy and delivery.
Measure and record weight and blood pressure, check for edema, anemia, etc., review urine and blood routine, and check for urinary protein and anemia. Check whether pregnant women have heart, liver, kidney, lung and other important organ diseases, vaginal bleeding, edema, hypertension and other pregnancy complications, and provide corresponding treatment measures. If a pregnant woman is unfit to continue the pregnancy, early abortion can be performed.
Measuring uterine height and abdominal circumference can tell whether the size of the fetus is consistent with the gestational age. At the same time, check the pelvis and birth canal, and review the fetal position to see if it is normal. Listen to the fetal heart rate. In this way, it can be judged whether the fetus is developing well, and if there are any abnormalities, they can be corrected as soon as possible. If it cannot be corrected, a delivery plan can be made as soon as possible to ensure the safety of mother and child.
Finally, the doctor will provide you with maternal health education and make an appointment for your next follow-up visit.
3. How often do I get checked?
Be sure to go to the hospital for a check-up in early pregnancy: the doctor will ask you about your postmenopausal status, whether the couple has any pregnancy-related medical history and family history of genetic diseases, measure your weight, blood pressure, and doGynecological examination to see if the size of the uterus is consistent with the gestational age. Initial screening for certain high-risk factors. If early pregnancy is diagnosed within 12 weeks of pregnancy and the pregnancy continues, registration and examination will be carried out, perinatal medical records will be established, and follow-up visits will be carried out regularly. Generally starting from the 4th month, examinations are performed every 4 weeks to 28 weeks; once every two weeks from 28 to 36 weeks; after 36 weeks, once a week until delivery. Pregnancy tests generally require 10 to 12 times.
The main contents of each examination are: asking if there are any abnormalities after the last prenatal examination, checking for edema, anemia, etc., measuring weight, blood pressure, uterine height, abdominal circumference, rechecking fetal position, listening to fetal heart rate, and doing B-ultrasound examination if necessary. Understand the condition of the fetus in the womb and review routine urine and blood tests. People with high-risk factors need to increase the number of examinations.
4. What should I do if I don’t check on time?
Many pregnant women do not take it seriously when they begin to experience some early pregnancy symptoms. They neither told their relatives in time nor took the initiative to go to the hospital for examination. The delay lasts a month or two. In this way, when the pregnancy is confirmed, most of them have been pregnant for more than 3 months, missing the dangerous period of teratogenesis and miscarriage. Neglecting early pregnancy health care is extremely harmful to the health of mother and child, and may even lead to serious consequences. if not on time
Pregnancy complications, fetal position, and fetal abnormalities cannot be detected in time during prenatal examination, which is one of the important reasons for dystocia.
Therefore, it is beneficial to the health of you and your fetus to go to the hospital for examination on time. If you do not go to the hospital for examination due to special circumstances, you should go to the hospital for examination as soon as possible and explain to the doctor what happened during the absence of examination. All conditions, such as abdominal pain, vaginal bleeding, fever, exposure to toxic substances, headache, dizziness, vertigo and other discomforts, abnormal fetal movement, vaginal discharge, etc.
5. Why did the doctor recommend that I have an ultrasound examination?
Ultrasound examination, referred to as B-ultrasound, is an advanced physical diagnostic technology. It is used to diagnose fetal malformations, developmental abnormalities, placenta, umbilical cord, and amniotic fluid. can play an important role in the disease. To ensure the safety of mother and child, the doctor will recommend that you do a B-ultrasound examination under the following circumstances:
If there is vaginal bleeding in the early stages of pregnancy, rule out whether there is an ectopic pregnancy, whether there is a threatened abortion, or whether there is a molar pregnancy.
When the number of weeks of pregnancy does not match the size of the uterus, understanding the development of the fetus, whether there are any embryos that are stopped, and irregular menstruation can help determine the expected date of delivery.
To find out whether there are fetal malformations, it should be done between 18 and 20 weeks of pregnancy.
Understand the growth and development of the fetus and whether there is intrauterine growth retardation, mostly in the second and third trimester of pregnancy.
Estimate the fetal size before delivery to determine whether vaginal delivery is possible.
When the abnormal fetal position is suspected but cannot be confirmed, B-ultrasound examination can be used to help diagnose.
If the pregnancy exceeds the expected date of delivery, the condition of the fetus, amniotic fluid, and placenta should be understood through B-ultrasound.