How much do you know during pregnancy?
Are the novice mothers ready to welcome their lovely little baby?
What examinations do you need to do after pregnancy?
So you are already pregnant mothers who are pregnant, do you know the specific time and projects of various prenatal inspections?
The early pregnancy examination should be tested or blood HCG for more than a month. It is confirmed that the pregnancy discontinuation is 6-10 weeks, and the obstetrics of obstetrics are obstetric.The period can be officially started!To apply for a family planning certificate, you can choose the hospital for the hospital and prepare for the production inspection.
The first checkup: 13+6 weeks of pregnancy
1. Establish a maternal and child health manual;
2. Must -check items: gynecological examination, blood routine, blood type (ABO and RH classification), urine routine, leucorrhea routine, liver and kidney function, fasting blood glucose, hepatitis B, hepatitis C antibody, poverty screening, syphilis and AIDS testing, ECG, B ultrasound;
3. Recommended inspection: NT color Doppler ultrasound (11-13+6 weeks), early pregnancy-studded Tang family screening (7-13+6 weeks), thyroid function, G-6PD screening, TORCH, trace elements, etc.;
4. Properly increase the auxiliary inspection items according to the needs of the condition.
Kind tips:
① The first production inspection items are more time -consuming, it is best to accompany the prospective father.
② Some inspection items that have been done in the early stages of early pregnancy or before pregnancy can be repeatedly checked.
Second birth checkup: 14-20 weeks of pregnancy
1. Routine examination: routine urine, palace height, abdominal circumference, fetal heart, blood pressure, weight, etc.
2. Book the four -dimensional color Doppler ultrasound;
3, 15-20 weeks of serum study Tang’s screening;
4, 13, 18, and 21 trio syndrome gene screening.
Kind tips:
For the second production inspection, the most important item is Tang’s screening.This examination is related to the menstrual cycle, weight, height, accurate gestational week, fetal age, and age of the husband and wife. It is best to consult the doctor for other preparations before the examination.
The third checkup: 21-24 weeks of pregnancy
1. Routine examination: routine urine, palace height, abdominal circumference, fetal heart, blood pressure, weight, etc.
2. B -ultrasound (diagnosis of three -level color surgeon).
Kind tips:
The most important thing in the third check -up project is the B -ultrasound screening of fetal malformations, mainly to see if there is a big problem in the appearance of the fetus.Doctors will carefully measure the fetus’s head circumference, abdominal circumference, see the length of the thighs and check whether the spine is congenital abnormal.If the expectant mothers take the four -dimensional color Doppler ultrasound, you can also see the baby’s real -time facial expression.Before you do the lottery, keep your mind peaceful, if you are too nervous, it will affect the fetal activity.
The fourth birth checkup: 24-28 weeks of pregnancy
1. Routine examination: routine urine, palace height, abdominal circumference, fetal heart, blood pressure, weight, etc.
2. Blood routine;
3. Pregnancy diabetes screening — OGTT test.
Kind tips:
The fourth conventional checkup, the most important item is the screening of diabetes during pregnancy -OGTT tests, generally done between 24 and 28 weeks of pregnancy.The day before OGTT, fasting after dinner 8H-14h to the morning of the next day (at the latest no more than 9 am).Before the test, 3D normal physical activity and normal diet, that is, the daily carbohydrates are not less than 150g of carbohydrates.Examination method: First measure the empty blood glucose, then take 75g of water -free glucose (soluble in 300ml water, take 5 minutes internal administration), and then determine the venous blood glucose of 1h and 2h after taking sugar (starting the time from the first mouth of sugar water).
Fifth birth checkup: 28-30 weeks of pregnancy
1. Routine examination: routine urine, palace height, abdominal circumference, fetal heart, blood pressure, weight, etc.
2. Start self -test.
Kind tips:
From the beginning of this inspection, expectant mothers should pay attention to several fetal movements every day, and find that abnormalities should seek medical treatment immediately.
Sixth birth checkup: 30-32 weeks of pregnancy
1. Routine examination: routine urine, palace height, abdominal circumference, fetal heart, blood pressure, weight, etc.
2. Blood routine, liver function, kidney function;
3. It is recommended to B -ultrasound.
Seventh birth checkup: 32-34 weeks of pregnancy
1. Routine examination: routine urine, palace height, abdominal circumference, fetal heart, blood pressure, weight, etc.
2. Preventive heart monitoring.
Kind tips:
Generally, from 32 weeks, the production inspection items will add fetal heart monitoring.You can choose a comfortable posture for monitoring to avoid flatness.If the fetus is unwilling to move during the monitoring process, it is very likely that the fetus is asleep. You can change the position to wake the fetus under the guidance of the nurse.
The eighth birth checkup: 34-36 weeks of pregnancy
1. Routine examination: routine urine, palace height, abdominal circumference, fetal heart, blood pressure, weight, etc.
2. Preventive heart monitoring.
Kind tips:
In the 8th production inspection, in addition to the conventional production inspection items, expectant mothers need to do fetal heart monitoring. Before you do fetal heart monitoring, you should walk as much as possible, or eat some snacks to allow your baby to move.Go smoothly.
Ninth birth checkup: 37 weeks of pregnancy
1. Routine examination: routine urine, palace height, abdominal circumference, fetal heart, blood pressure, weight, etc.
2. Blood routine, coagulation function, liver function, kidney function;
3. Preventive heart monitoring;
4. B ultrasound;
5. ECG.
Kind tips:
In this check -up, expectant mothers need to do a detailed ultrasonic examination, including measuring the fetal double diameter, head circumference, abdominal circumference, femoral growth, placental functional classification, and amniotic fluid volume.The doctor will evaluate the weight and development of the fetus at that time, and give individualized nutritional guidance. Once the fetus is insufficient, expectant mothers should add more nutrients.
Tenth Maternual Examination: 38 weeks of pregnancy
1. Routine examination: routine urine, palace height, abdominal circumference, fetal heart, blood pressure, weight, etc.
2. Preventive heart monitoring.
Kind tips:
In addition to fetal heart monitoring, doctors will also conduct fetal position examination in addition to fetal heart monitoring to confirm the fetal position to determine that expectant mothers can give birth or surgery naturally.In addition to the conventional production examination projects and fetal heart monitoring, the doctor will help the mother to check the comprehensive situation of the pelvis to determine the way of childbirth.
Eleventh birth checkup: 39 weeks of pregnancy
1. Routine examination: routine urine, palace height, abdominal circumference, fetal heart, blood pressure, weight, etc.
2. Preventive Heart Monitoring;
3. B ultrasound.
Kind tips:
Almost to the due date, the checkup at this stage is still mainly based on conventional examination and fetal heart monitoring.However, the most important thing is the habit of monitoring fetal movements every day.
Twelfth birth checkup: 40 weeks of pregnancy
1. Routine examination: routine urine, palace height, abdominal circumference, fetal heart, blood pressure, weight, etc.
2. Preventive heart monitoring.
Kind tips:
At the due date, in addition to some conventional examinations at this time, the most important thing is fetal heart monitoring to ensure the safety of the fetus and expectant mothers.
About the author: Chief Physician of the obstetrics department of Shenzhen People’s Hospital, Zhong Liruo
Master of Medicine, the first committee member of the Mother Tire Medical Professional Committee of the Guangdong Provincial Health Management Society, a member of the Guangdong Medical Association of the Medicine Branch of the Guangdong Medical Association, deputy leader of the Shenzhen Medical Association Obstetrics and Gynecology Committee,Shenzhen Medical Scientific Research Project review expert, part -time professor of Jinan University.He has been engaged in clinical, teaching and scientific research work for more than 20 years. He is good at high -risk pregnancy monitoring, scientific nutrition and weight management during pregnancy, fetal custody during pregnancy, perinatal health care, and eugenics during pregnancy, especially in the standardized management of gestational diabetes.Research and rich clinical experience.
Expert clinic time: Monday to Thursday: High -risk pregnancy
Friday morning: Pregnancy Diabetes Day Clinic
