The most comprehensive pregnancy test schedule. During pregnancy, women need to do a lot of tests, and the tests to be done at each time period are different. For people who are pregnant for the first time, they are at a loss. Don't worry. Let's share the most comprehensive pregnancy test schedule. Welcome to reading.
The most comprehensive schedule of pregnancy examination is 1 early pregnancy (1 ~ 3 months).
Routine examination: measuring blood pressure and weight is a reserved item for each prenatal examination; The first examination results of these two items will help doctors grasp the health status of expectant mothers. If the blood pressure or weight of pregnant women rises rapidly in the future, doctors will be alert and take corresponding measures to solve it.
Special examination: how long can I do B-ultrasound when I am pregnant? Most obstetricians and gynecologists do not advocate B-ultrasound for pregnant women within 18 weeks, especially within 12 weeks. Because too much B-ultrasound may be the "killer" of embryonic cell division and abnormal brain formation, fetal skeletal dysplasia, teratoma or stillbirth.
However, if there are worrying situations in the early stage of pregnant women, such as vaginal bleeding and sudden abdominal pain, it is necessary to use B-ultrasound to determine whether the embryo is alive and whether it can continue pregnancy. Whether there is an abnormal pregnancy like ectopic pregnancy or hydatidiform mole is the most direct and reliable means.
Second trimester (4 ~ 6 months)
Routine examination: The older the fetus is, the less the impact of ultrasound on the fetus. Therefore, under normal circumstances, expectant mothers do their first B-ultrasound after 20 weeks.
Can accurately diagnose whether the fetus is deformed and observe the activity state of organs; For those highly suspected fetuses, such as anencephaly, hydrocephalus, meningocele in neural tube malformation, umbilical cord abnormality, digestive tract abnormality, conjoined malformation, microcephaly, etc., the "answer" can be given quickly.
Special examination: vaginal bleeding occurs in the second trimester of pregnancy, which may be placenta previa or placental abruption. Please find a doctor to explain immediately. If the expectant mother's abdomen grows faster than normal in a period of time, it is best to find out whether it is polyhydramnios, multiple pregnancy or fetal malformation by means of B-ultrasound or other means.
Late pregnancy (7 ~ 9 months)
Routine check-up: At this stage, expectant mothers usually have to do B-ultrasound twice, which are arranged at 34 weeks of pregnancy and 37-38 weeks of pregnancy. The purpose is to monitor amniotic fluid volume, placenta position, placenta maturity and fetal malformation, and to know whether fetal development is consistent with gestational age. The final B-ultrasound examination will provide a reliable basis for determining the mode of production.
Special examination: 38 weeks ago, there was running water in the vagina, and even a little water was abnormal, indicating that amniotic membrane was broken and amniotic fluid flowed out, commonly known as "premature water breakthrough".
Usually, the fetus will be born about 12 ~ 24 hours after "early water breakthrough". If a small amount of water intermittently flows out of the vagina for a few days or longer, the fetus is more susceptible to infection, the umbilical cord is prone to prolapse, and the mortality rate is higher when the intact amniotic membrane is lost. So, once this happens, lie flat and go to the hospital immediately.
Items included in the first prenatal examination
1, blood routine: check red blood cells, white blood cells, platelets, ABO blood groups and Rh blood groups;
2. Syphilis examination: The syphilis of pregnant women is mostly latent and has no conscious symptoms. But pathogens can infect the fetus through the placenta, leading to abortion, premature delivery and congenital syphilis.
3. Hepatitis check: If it is a hepatitis B carrier, it will infect the baby through blood during delivery, making it a hepatitis carrier. In addition, viral hepatitis during pregnancy can lead to premature delivery, abortion or fetal death.
4. Measles antibody detection: it will cause congenital heart disease, cataract, hearing impairment, dysplasia, and even stillbirth and abortion.
5, urine sugar test: check diabetes.
6, urine protein determination: check the mother's urinary system.
7. Ultrasonic examination: It can be done before eight weeks, twenty weeks and the expected date of delivery. Eight weeks can determine the position of fetal implantation. Any ectopic pregnancy? Determine the expected delivery date; Fetal structure can be examined at 20 weeks. Before the expected date of delivery, evaluate the fetal size, placenta and uterus.
8. Chorionic villi sampling (8- 10 weeks of pregnancy), amniocentesis (0-6-20 weeks of pregnancy), chromosome examination, metabolic examination and molecular genetic examination if necessary, hydatidiform mole can be found.
Key points of birth inspection
The first prenatal examination should not exceed three and a half months of pregnancy. Expectant mothers should remember to go to the hospital for prenatal registration at least 8 weeks pregnant, and get a health manual for the first prenatal examination.
From 13 weeks, check it every four weeks, check it every two weeks after 28 weeks of pregnancy, and check it every week after 36 weeks until delivery. If there is any abnormality during pregnancy, you should see a doctor in time to avoid accidents!
The most comprehensive pregnancy test schedule 2 The pregnancy test schedule is roughly as follows:
The first check-up is 6- 13 weeks plus 6 days. The main contents of the prenatal examination are to establish a health care manual during pregnancy, determine the gestational age, calculate the expected date of delivery, evaluate the high-risk factors during pregnancy, monitor blood pressure, body mass index, fetal heart rate, check routine hematuria, blood type, blood sugar, liver and kidney function, surface antigen, screening of Treponema pallidum and HIV, electrocardiogram, etc.
The second physical examination time is 14- 19 weeks plus 6 days. One is to analyze the results of the first prenatal examination, and the other is to monitor blood pressure, weight, fundus height, abdominal circumference, fetal heart rate and serological examination of aneuploid mothers in the second trimester, which is about 15-20 weeks.
The third examination is about 20-23 weeks plus 6 days, which is also the routine blood pressure, weight, fundus height, abdominal circumference and fetal heart rate. 18-24 weeks, B-ultrasound examination of intermediate fetal system was performed, and then routine hematuria examination was performed.
The fourth check-up is 24-27 weeks plus 6 days. In addition to routine blood pressure, weight, fundus height, abdominal circumference and fetal heart rate, OGTT test and routine hematuria should be done.
The fifth examination was 28-3 1 week plus 6 days, or blood pressure, weight, fundus height, abdominal circumference, fetal heart rate, fetal position, obstetric b-ultrasound and hematuria routine.
The sixth examination lasted 32-36 weeks plus 6 days, including routine hematuria, blood pressure, weight, fundus height, abdominal circumference, fetal heart rate and fetal position.
The 7th-1 1 birth check-up was conducted during 37-4 1 week plus 6 days. In addition to blood pressure, weight, fundus height, abdominal circumference, fetal heart rate and fetal position, there are cervical score examination, urine routine examination and AST examination. AST exam is once a week.
Is it necessary to do prenatal examination in the third trimester?
Prenatal examination in the third trimester is very important and must be done. The prenatal examination in the third trimester is mainly for fetal heart monitoring, and at the same time, regular B-ultrasound examination and fetal heart monitoring are also needed to observe whether the fetus has hypoxia, so as to avoid intrauterine asphyxia and death.
B-ultrasound examination is mainly to judge the development of the fetus and see if there are fetal umbilical cord around the neck or other abnormal symptoms. Therefore, these examinations are very important, so we must go to the hospital for prenatal examination regularly to prevent accidents.