What kind of examination should be done during pregnancy? This is undoubtedly the biggest concern of expectant mothers. Generally speaking, there are more than ten routine prenatal examinations in the process of pregnancy in October, and with the progress of the pregnancy cycle, the content of prenatal examination will be different.
For new mothers, all kinds of examinations, professional medical terms and relevant index data are too complex, and the time to communicate and consult with doctors in the process of prenatal examination is quite limited, so pregnant mothers can “focus” on some important items and indicators of prenatal examination in advance according to different stages of pregnancy, and make preparations early can also be more smooth To spend every pregnancy check-up, to welcome the birth of a healthy baby.
Early pregnancy: from the “file” start, officially start prenatal examination
Q: is “Filing” also a part of production inspection?
A: the so-called “Filing” means that expectant mothers choose the maternity examination hospital to establish formal pregnancy examination files. Therefore, “Filing” is not the birth examination, but it is a sign of the start of the whole pregnancy birth examination, because after filing, it will usher in the first formal birth examination. Generally speaking, “Filing” time can be selected in about 12 weeks of pregnancy, and the latest should not exceed 16 weeks of pregnancy.
Q: what do you think of the blood test report?
A: the first prenatal examination during pregnancy includes weight, blood pressure measurement, routine urine test, routine blood test and listening to the baby’s fetal heart sound, among which the blood test report is undoubtedly the most difficult. In fact, pregnant mothers mainly know about progesterone, estrogen and hCG
Progesterone, also known as progesterone, is a kind of progesterone, its importance is to ensure the safety of pregnancy, is an important factor to maintain the stability of the uterine environment. At present, progesterone monitoring is divided into “ng / ml” and “nmol / ml” two units. Different hospitals have different detection instruments and different use units. Therefore, pregnant mothers should pay attention to the units used in blood test reports and the corresponding reference standards.
2. The increased secretion of estrogen during pregnancy is conducive to thickening the endometrium. On the one hand, it provides a rich environment for embryo implantation, on the other hand, it helps expectant mothers adapt to the strong contraction of the uterine wall during delivery, and also stimulates the secretion of mammary gland. Prenatal examination through blood to check the level of estrogen, but also to detect the survival environment of the fetus.
HCG, the abbreviation of human chorionic gonadotropin, appears a few days after the fertilized egg is implanted into the endometrium, which is also the key value for the diagnosis of pregnancy. HCG increased rapidly in the first 8 weeks of pregnancy to maintain pregnancy, then decreased gradually, and began to stabilize at about 20 weeks of pregnancy.
The second trimester of pregnancy: do a good job in teratogenesis examination, don’t be a sugar mother
Q: is it “Tang sieve” or “sugar sieve”?
A: in fact, both of them are the “highlights” of the second trimester prenatal examination program, but the difference between them is essentially different
First of all, the “down screen” is mainly aimed at the prenatal screening of Down’s syndrome. The risk factor of Down’s infant was calculated by taking the blood of the expectant mother, combining with the expected date of delivery, age, weight and gestational age at the time of blood collection. In other words, “Tang screen” is an assessment of the risk level, not the final diagnosis. Once the initial test fails, the pregnant mother does not have to worry, and can be further confirmed by amniocentesis or non-invasive DNA according to the doctor’s advice.
2 “sugar screening” is the screening of diabetes mellitus, and it refers to the diabetes mellitus that occurs or occurs for the first time after pregnancy, so it is also called gestational diabetes mellitus. If the “sugar screen” does not pass, further glucose tolerance tests are needed to confirm whether they have gestational diabetes.
Q: is “big row deformity” very important?
A: that’s right. It’s a very important examination in the second trimester of pregnancy. Generally, this examination will be arranged after 20 weeks of gestation, because at this stage, the embryo of each major organ of the fetus is initially determined, and B-ultrasound can be used to check whether there are serious developmental abnormalities in each organ.
Third trimester: high frequency of prenatal examination
Q: what do you need to prepare for fetal heart rate monitoring?
A: after 32 weeks of gestation, fetal heart rate monitoring will be increased. At 37 weeks of gestation, fetal heart rate monitoring will be carried out once a week, about 20 minutes each time. Usually, as long as the baby in the belly is not sleeping, fetal heart rate monitoring can be done, and the pregnant mother does not need other extra preparation. Because the full name of fetal heart rate monitoring is fetal heart rate, fetal movement and uterine contraction map, the expectant mother will see two lines in the monitoring process, one recording the fetal heart rate, the other representing the expectant mother’s intrauterine pressure. The combination of the two is the basis to understand the fetal heart rate response during fetal movement and uterine contraction, and to infer whether the fetus has hypoxia or not.
Q: does pelvic test decide whether or not to give birth naturally?
A: measuring the pelvis through prenatal examination is the key factor to judge whether the expectant mother can give birth smoothly. Because the baby must be delivered through the pelvis from the mother, the speed and success of delivery are closely related to the size and shape of the mother’s pelvis. However, in addition to measuring the pelvis, we should make a comprehensive judgment according to the baby’s size, fetal position, productivity and other factors.
Regular prenatal examination is a compulsory course for every expectant mother during pregnancy. Through various examinations, we can timely understand the changes of the fetus and their own health status. Especially in the third trimester, the frequency of prenatal examination increases. Expectant mothers should not be afraid of trouble, but insist on regular examination. On the other hand, we should also learn to “self check” in our daily life, such as regularly recording the number of fetal movements and weight before labor, which will have an important impact on the subsequent delivery process and even future lactation.
For example, the weight change of mother and baby before delivery will be very obvious, so pregnant mother at this stage should pay more attention to the diet structure, maintain a balanced nutrition, and do a good job in weight management. This is not only helpful for the smooth delivery, but also can promote the secretion of postpartum breast milk. For newborn babies, mother’s milk is the best natural food. For example, the lactoferrin contained in breast milk can build a natural immune barrier for the baby and prevent the invasion of bacteria. At the same time, there is a perfect pair of partners in breast milk – MFGM milk lipid membrane and DHA, which are powerful tools to help the baby’s brain development. Therefore, expectant mothers should do a good job in self-management in diet, nutrition, exercise and other aspects while taking physical examination during pregnancy, so as to create the best maternal environment for the growth and development of the baby.
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