Management of pregnancy (pregnancy monitoring), why is it needed, which includes the possibilities of 4D ultrasound in Dobrobuta
Pregnancy is one of the most important periods in the life of any woman; during which she needs special attention of doctors. The period of 8-10 weeks is the optimal time when a pregnant woman should be registered at a women's consultation. For 9 months, she has to undergo a regular examination, pass the necessary tests and strictly follow the specialist's recommendations.
Unfortunately, in state clinics, you often have to sit in queues for hours, which negatively affects the condition of the mother and the future baby. No one is immune from inattentive treatment by medical personnel. The best way to avoid possible problems is to conclude a pregnancy management contract with our private clinic. It includes a wide list of guaranteed services - tests, other diagnostic procedures, as well as childbirth.
You will learn about what services are provided as part of the pregnancy management program on our website Dobrobut.com. Here you can also find out the phone number for making an appointment at a women's consultation.
What tests are taken from a woman according to the pregnancy management contract
There is a minimum list of mandatory analyzes and procedures. Regular monitoring of the condition of a pregnant woman allows you to prevent premature birth and detect possible pathologies of fetal development in a timely manner.
Please note: Fixed prices for the services provided can be considered an important advantage of concluding a permanent contract. The patient can be sure that the price of pregnancy management at the Dobrobut clinic will not change for her.
What tests are performed and how often:
- clinical blood analysis - 4;
- blood analysis for biochemistry - 3;
- blood for Wasserman's reaction (syphilis) and HIV infection - 3;
- a smear from the throat (for staphylococcus) - 1;
- general urine analysis - before every visit to a specialist;
- analysis for hidden infections - at least 1 time.
In addition, in a paid women's consultation for pregnant women, the patient is prescribed perinatal screening (triple test) - blood tests for hCG, E3 and AFP. HCG is chorionic gonadotropin, and E3 is free estriol. The level of these hormones is important for the normal course of pregnancy.
Determination of AFP (alpha-fetoprotein) is required to detect obstetric pathologies. This protein is one of the main markers of chromosomal disorders.
At 33-35 weeks, a coagulogram (blood coagulation) must be studied.
A coagulogram allows you to determine the risk of bleeding (during childbirth) or the risk of blood clots.
Important: Blood group and Rh factor must be established. The data will be useful if blood transfusions are necessary. In addition, they will allow to detect a possible Rhesus conflict.
Why do you need regular examinations and hardware diagnostic methods
During the period of bearing the child, the therapist and the ENT doctor are examined at least 2 times. The oculist's consultation is held 3 times. In addition, a mandatory examination (if necessary - treatment) by a dentist to rule out the presence of foci of chronic infection.
Examination on the chair of gynecologists at the women's consultation in the hospital is mandatory during the initial examination (registration), and then at 28 and 36 weeks. Special attention is paid to examination of the cervix. Shortening, opening or softening may indicate a threat of spontaneous abortion or premature birth. If abnormalities are detected, additional (unscheduled) vaginal examinations are necessary.
At each visit to the doctor, a woman is weighed and her blood pressure is measured. High blood pressure in combination with excessive weight gain in the last trimester often indicates the development of preeclampsia (late toxicosis).
It is mandatory to measure the circumference of the abdomen. Insufficient sizes suggest a delay in fetal development or oligohydramnios, and excessive sizes - transverse position of the baby or polyhydramnios.
During pregnancy monitoring, starting from the 8th week, the height of the uterine fundus is determined. Exceeding the normal value by 3 cm is considered critical.
From the 20th to the 22nd week, at each visit, auscultation is necessary - listening to the baby's heartbeat. This technique makes it possible to detect heart defects of the future child and other pathologies of the cardiovascular system.
Ultrasound scanning is performed at least three times (in each trimester).
Such a diagnostic procedure as cardiotocography (CTG) is performed at least 2 times.
Please note: You can find out how much the pregnancy management program costs on our website www.dobrobut.com.
Cardiotocography (CTG) involves recording the baby's heart rate and changes depending on uterine contractions, fetal activity or external stimuli. This technique allows you to objectively assess the functional state of the child during pregnancy and childbirth.
Dopplerography is used to study the blood flow in the vessels of the fetus, umbilical cord and uterus. With its help, you can detect heart defects and fetal hypoxia. The optimal period of the procedure is 21-26 weeks.
Examination on a 4D ultrasound machine
Usual ultrasound examination is a mandatory diagnostic procedure. Ultrasound allows to determine the position of the fetus, sex, as well as the presence of developmental abnormalities at certain times.
When managing a pregnancy at the Dobrobut clinic, women have the opportunity to receive an image of the unborn baby on a 4D ultrasound machine - a picture in dynamics. On it, the doctor can identify pathologies that are invisible during a normal examination (non-overgrowth of the palate, cleft lip or extra fingers), and the future mother can see how her baby smiles or frowns. The duration of the study is about an hour.
Important:It is not recommended to do 4D-ultrasound for up to 20 weeks, because by this time the fiber has not been fully formed and there is a risk of seeing the bones and organs of the fetus, which is unpleasant for any pregnant It makes sense to carry out screening at 32-37 weeks.
Related services:
Ultrasound examination
Obstetrician-gynecologist consultation during pregnancy