Pregnancy represents a special and unique experience in every woman’s life and the period in which she is experiencing numerous mental and physical changes, and no wonder its named another state. Modern medicine means that every pregnancy is controled and proper consulting not only from the beginning, but also for it’s planning so as to prevent any possible difficulties and contribute to achieving the objective – delivering alive and healthy offspring.
During the pregnancy it is planned, aside from first exam during which pregnancy is determined, four more control reviews, with 16, 24, 28 and 32 weeks, and four ultrasound examinations. During the first ultrasound determines pregnancy, and after that the baby is controlled with 12, 20 and 32 weeks. In addition, laboratory control is also required.
First visit to the doctor is usually 2-4 weeks after the last menstrual period, which is 6-8 weeks of pregnancy. During the visit, it is necessary to refer to diseases and allergies you have, whether you have almost taken any medications or have been sick, the most important diseases in the family, previous pregnancies and births, their course and outcome. At the very beginning of pregnancy it is necessary to determine your blood type and Rh factor. During this visit we will determine the exact age of the pregnancy, to determine the probable date of birth and provide advice on behaviors during pregnancy, measured pressure and body weight. In case you are Rh negative, it is necessary to regularly control antibody. If necessary, it can be done and review the mother’s blood to various infections (eg, toxoplasmosis, rubella, cytomegalovirus, herpes, which is abbreviated as TORCH screening).
If they are needed, your doctor may do the review of the thyroid, gynecological examination during which he will take the swab – the degree of purity and vaginal Pap smear and colposcopy done, if these checks are not made during the last six months and examine your feet to see whether there are varicose veins.
In this review it would be good to bring the results of recent blood, urine, and blood sugar tests, and if necessary will supplement these analyzes, with others which a doctor deems it necessary. Plan to schedule five exams during pregnancy. First review during which pregnancy is determined, and you will have four more control reviews, with 16, 24, 28 and 32 weeks. For all of them is generally necessary to prepare a report, complete blood count, urine, and blood sugar. Depending on the week of pregnancy, it will be advised to you control of HIV, check the condition of the cervix, control anti D antibodies, and the 28 weeks do the glucose load, in order to examine the state of your carbohydrate metabolism – it is a control to see if Is there a problem with the sugar in the blood.
With 36 weeks to do HbS Ag and anti HCV test AT- to jaundice, and results of cervical smear and talk to doctor about health care provider to agree on the opening of the maternity leave 28 days before the probable delivery date. Of course, these recommendations on the time and content of the review apply only if it is a low-risk pregnancy, and that during pregnancy there is no complications. If there is any deviation from the normal course of or worsening of the situation, it is necessary to intensify control and expand the team that controls the pregnancy, and introduce adequate laboratory controls.