The most complete 280-day pregnancy checkup schedule and items for pregnant women [Collection]

Period examinations are essential. 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. Through pregnancy examinations, abnormalities in the mother or fetus can be detected in time and treated in time, which is conducive to prenatal and postnatal care. In China, the first formal prenatal check-up is usually carried out at 12 weeks of pregnancy. At the same time, a health file is established. Remember to bring your ID card. Are you looking forward to the first prenatal checkup to check whether you are pregnant with twins? Examination items: 1. Medical history inquiry, you may ask about the expectant mother’s age, occupation, menarche time, menstrual cycle, menstrual volume and last menstrual period, previous pregnancy and childbirth experience, miscarriage history, contraceptive status, disease history, and medications. Allergy history, living habits, health status of the expectant father and family genetic history of both parties, etc. 2. Measure height, weight, and blood pressure. 3. Check all parts of the body. 4. Doppler ultrasound equipment may be used to listen to the fetal heartbeat to determine whether it is a single pregnancy or twins; determine whether the embryo has an ectopic pregnancy; the expected date of delivery may be re-estimated. 5. Measure uterine height, abdominal circumference, and check uterine size. 6. Draw blood to check blood type, blood routine, liver function, urine test, hepatitis B, hepatitis C, AIDS, syphilis, etc. 7. Urine routine: Check for infection, sugar and protein. 8. Electrocardiogram examination. 9. If the medical history shows the possibility of genetic disease, the doctor will add corresponding blood tests. Tip: What is often referred to as \”building a small card\” is to create a registration at the community health service center, which contains various precautions during pregnancy, and is kept by the mother; \”building a big card\” is to create a registration at the hospital where the delivery is planned, and it is written on it. The results of each prenatal check-up are recorded and kept by the hospital. It is best for expectant mothers to have someone accompany them when they go to the hospital for prenatal check-ups, wear comfortable and loose clothes, bring all their ID cards and other documents, and prepare enough money. If you need to draw blood, it is best not to eat breakfast because the blood test requires an empty stomach. The second prenatal check-up (16 weeks of pregnancy) and the second-trimester prenatal check-up are every 4 weeks. Starting from the second prenatal check-up, there will be routine check-ups with similar content each time. In the second prenatal check-up, the most important item is Down\’s syndrome screening. When doing Down\’s syndrome screening, you should not eat or drink after 12 o\’clock the night before the examination, and come to the hospital on an empty stomach the next morning for examination. 1. Routine examinations: · Check the size and height of the uterus · Check for edema, varicose veins and rashes · Have the opportunity to hear the baby’s heartbeat · Measure weight and blood pressure (the weight may increase rapidly in the next 3 months) · Routine urine : Check for infection, sugar and protein 2. Down syndrome screening (15-20 weeks of pregnancy) detects the concentration of alpha-fetoprotein and chorionic gonadotropin in maternal serum, combined with the expected date of delivery, age, Body weight and gestational age at the time of blood collection are used to calculate the risk factor of giving birth to a child with Down syndrome. A positive result only means that the baby has a higher risk of having Down syndrome than the average person. Generally, doctors will recommend an amniotic fluid test for further confirmation. The third prenatal checkup (20 weeks of pregnancy) starts at 16 weeks of pregnancy. It can already be seen whether you are carrying a boy or a girl, but the doctor will not tell you, so keep it as a surprise! 1. Routine examination: ·Check the size and height of the uterus ·Check the abdomen and feel the uterusTop · Check breasts and skin · Check for edema of hands and feet, varicose veins · Measure weight and blood pressure · Routine urine: check for infection, sugar and protein. ·Check fetal heart rate 2, B-ultrasound for large abnormality (18-24 weeks of pregnancy) Check whether the fetal cerebellum, upper lip, four-chamber structure of the heart, spine, abdominal wall, gastric vesicle, bladder, long bones, and kidneys are congenital If there are any abnormalities, the possibility of having a fetus with Down syndrome (congenital stupidity), neural tube malformation, or trisomy 18 is found. If the possibility is high, further examination will be required. If the expectant mother takes a four-dimensional color ultrasound, she can also see the baby\’s facial expressions in real time. Before taking the color ultrasound, the mother-to-be should keep a calm mind. If she is too nervous, it will affect the movement of the fetus. The fourth prenatal check-up (24 weeks of pregnancy) 1. Routine examination: · Check the size and height of the uterus · Measure weight and blood pressure · Routine urine: check for infection, sugar and protein 2. Fetal position examination: Doctors usually listen to fetal heart rate Or you can determine the fetal position by pressing the expectant mother’s abdomen with your hands to find the fetal head. The fetal head is spherical and relatively hard. It is the easiest part of the fetal body to feel. In the normal fetal position, the fetal head should be felt in the center of the lower abdomen, above the pubic symphysis, as something round, hard, and with a floating ball feel. The fifth prenatal check-up (28 weeks of pregnancy) 1. Routine examination: · Check the size and height of the uterus · Measure weight and blood pressure · Blood routine: if anemia is found, it must be cured before delivery · Urine routine: check for infection, sugar and protein ·Check fetal heart rate 2. Oral glucose tolerance test (24-27 weeks of pregnancy): Check fasting, 1 hour and 2 hour blood sugar after drinking sugar water containing 75g glucose to check for gestational diabetes. Do not eat after 8pm the night before the glucose tolerance test and drink less water. When drinking sugar water, don\’t drink it too fast. Drink it slowly, little by little. Don\’t drink it all in one gulp, but drink it within 3-5 minutes. It is best to move around more after drinking. This will consume some energy within an hour and help lower blood sugar levels. 3. If the hepatitis B antigen, syphilis serum test, and HIV antibody hepatitis B tests are all positive, you must inform the obstetrician and inject the newborn with the vaccine within 24 hours of the birth of the baby to prevent the baby from being born. be infected. The sixth prenatal check-up (32 weeks of pregnancy) will be changed from once a month to once every half month after the 28th week of pregnancy. 1. Routine examinations include weighing, measuring blood pressure, conducting consultations, checking the size of the uterus, and checking the baby’s fetal heartbeat, etc. 2. Blood pressure, proteinuria, urine sugar, electrocardiogram, hepatobiliary B-ultrasound and other examinations. Since most preeclampsia will occur after 28 weeks of pregnancy, it is very important to check blood pressure, proteinuria, urine sugar, etc. If the measurement results reveal that the expectant mother’s blood pressure is on the high side, and proteinuria, generalized edema, etc. occur, the expectant mother must pay more attention to avoid the risk of preeclampsia. In addition, electrocardiogram and hepatobiliary B-ultrasound examination are also necessary. Blood sugar and bile acids should also be reviewed according to the condition of the pregnant woman. 3. Edema examination After 28 weeks of pregnancy, the doctor will also check whether the expectant mother has edema. Because at this time, the mother-to-be’s sonThe uterus has enlarged to a certain extent and may compress the venous return of the lower limbs. Therefore, edema of the lower limbs is more likely to occur at this stage. Tip: Press your thumb on the tibia of your calf. When pressed, the skin will be obviously concave and will not recover quickly, which means there is edema. The seventh prenatal check-up (34 weeks of pregnancy) 1. Routine examination including weighing, measuring blood pressure, questioning, checking the size of the uterus and checking the baby\’s fetal heartbeat, etc. 2. Measure the pelvis Whether the baby can be delivered smoothly through the pelvis is related to both the size of the pelvis and the size of the baby. In order to understand the size and shape of the pelvis and understand the proportions between the baby and the pelvis, the pelvis is measured during a prenatal visit. Weekly prenatal check-up (36-42 weeks of pregnancy) After 36 weeks, prenatal check-up is about once a week. At this time, the mother-to-be should be careful and careful, observe closely, and pay attention to any \”trouble\” in her body at any time. 1. Routinely check blood pressure, weight, uterine height, abdominal circumference, blood routine, urine routine, B-ultrasound, etc. to roughly estimate the weight range of the fetus. 2. Fetal heart rate monitoring usually starts at 32 weeks. Fetal heart rate monitoring will be added to the prenatal check-up for about 20 minutes each time. Starting from the 37th week of pregnancy, fetal heart rate monitoring is performed once a week. The fetal heart rate curve and uterine contraction pressure waveform are recorded with the help of instruments to understand the basis of fetal heart rate response during fetal movements and uterine contractions, and to deduce whether the fetus is hypoxic. . Prenatal check-up time reference table: 1st prenatal check-up at 12 weeks of pregnancy · Do various basic examinations · Medical history inquiry · Receive \”Pregnant Health Handbook\” 2nd pre-natal check-up at 16 weeks of gestation · Routine check-up · 3rd Down syndrome screening Prenatal check-up at 20 weeks of pregnancy · Routine check-up · B-ultrasound with large abnormality · Fetal gender can be seen · First fetal movement 4th prenatal check-up 24 weeks of gestation · Routine check-up · Fetal position check 5th pre-natal check-up at 28 weeks of gestation · Routine check-up · Oral glucose tolerance test · Hepatitis B antigen · Syphilis serum test · HIV antibody 6th prenatal check-up at 32 weeks of pregnancy · Routine examination · Blood pressure, proteinuria, urine sugar · ECG, hepatobiliary B-ultrasound, etc. · Edema check 7th prenatal check-up at 34 weeks of pregnancy · Routine examination · Measure the pelvis and assess fetal weight. Prenatal check-up once a week at 36 to 42 weeks of pregnancy. Routine examinations. Fetal heart rate monitoring. Prepare for delivery. Pregnant mothers advise: · For each physical examination, clothes should be loose and easy to put on and take off, and the heels of shoes should not be high. It is a high heel, but it cannot be a completely flat heel. A low heel of two to three centimeters is better. ·There are many things to check. Prepare a bag and put all the required checklists together to avoid being in a hurry every time. ·If you have any doubts about your body\’s reaction at home, or you have unintelligible test results, be sure to ask your doctor.