Do the first prenatal examination before the third month of pregnancy (12 weeks) to confirm the early pregnancy and start health care as soon as possible;
In the second trimester (13-28 weeks), once a month 1 time, at this time, high-risk pregnancy, such as diabetes, can be screened in time;
Check/kloc-0 every half month in the third trimester (28-36 weeks) to screen various factors affecting normal delivery, complications and pregnancy complications for timely treatment;
After 36 weeks of pregnancy and full-term pregnancy, check once a week, closely observe the situation of expectant mothers and fetuses, arrange related matters of delivery, and make good preparations for delivery.
1, early pregnancy, that is, about 40 days, confirmed intrauterine pregnancy by color Doppler ultrasound, no heartbeat.
2./Kloc-When registering in the street or community around 0/2 weeks, it is necessary to check the B-mode electrocardiogram and blood: blood routine, blood type (if the mother is O-type blood, let the baby's father check the blood type together, please check hemolysis), liver function, renal function, coagulation function, infection items, prenatal and postnatal care items, etc. Measure uterine height, abdominal circumference, weight, blood pressure, etc. Remember that filing is necessary, and it will be useful for children to learn in school in the future. Pay attention to the doctor's instructions. There is a time for the next examination in the book, so don't forget it. Need an empty stomach
3. Checking nt from 1 1 week +5 days to 13+6 days also belongs to troubleshooting. Pay attention to this time period.
Down's screening or non-invasive DNA was performed at 4, 16-20 weeks.
5, 22, Monday, 28 weeks, four dimensions, this is a big anomaly and must be done. Do glucose tolerance monitoring around 24 weeks, need an empty stomach!
Small discharge is abnormal between 6 and 30_32 weeks. B ultrasound.
7.30 weeks later, you need to have a prenatal examination every half month, and you need to do fetal heart monitoring from 34 weeks. Later, when the fetus is big, it will oppress the mother's organs and make you sometimes have difficulty breathing. Go to the hospital for oxygen if necessary. Pay attention to counting fetal movements by yourself.
8, regular post-production inspection, ready for production.
What is the schedule of physical examination during the whole pregnancy?
There are many examinations to be done during the whole pregnancy, about a dozen times, but the number of prenatal examinations is different because of the different situation of each pregnant woman. However, it is necessary to do prenatal examinations on time.
What are the specific items of physical examination? Second, the second trimester.
What is the schedule of physical examination during the whole pregnancy?
The prenatal examination is a very troublesome thing, but in order to ensure the health of pregnant women and fetuses, pregnant mothers must insist on doing a good job of prenatal examination. So how to arrange the time and items of prenatal examination in 10?
We can divide it into the first trimester, the second trimester and the third trimester:
First of all, in the first trimester, that is, within 1 3 months and 12 weeks, you can go to the hospital to check the blood routine, urine routine, leucorrhea and syphilis screening. B-ultrasound is needed to check whether the fetus is implanted in the uterus.
Secondly, in the second trimester, that is, at 4 7 months, there are two exams in the second trimester. In the fourth month, pregnant mothers should do these routine examinations: height, weight, blood pressure, uterine height, abdominal circumference, edema examination and fetal heart Doppler auscultation. Test urine routine, blood routine (blood test can be done at this time for Down's screening), internal diagnosis (cervical cancer smear examination), electrocardiogram, etc. At the 57th month (17 28 weeks), the patients were examined once a month, including weight, blood pressure, uterine height, abdominal circumference, edema and fetal heart Doppler auscultation. Test urine routine, blood routine, etc. 22, 28 weeks can do four-dimensional color Doppler ultrasound. It is recommended to make an appointment in advance to avoid delaying the appointment and affecting the inspection effect.
Finally, in the third trimester of pregnancy, that is, 8 10 months, they were also examined twice in the third trimester, the first time was 8 9 months (29.36 weeks), and every two weeks 1 time. The examination contents include: weight, blood pressure, uterine height, abdominal circumference, edema and fetal heart Doppler auscultation. Test urine routine, blood routine, etc. Late pregnancy, pelvic diagnosis, electrocardiogram, B-ultrasound, etc. The second time was at 10 month (37 40 weeks), and the examination was similar to the last time, with one more fetal heart monitoring. In the third trimester, if the pregnant mother feels uncomfortable, she should go to the hospital for fetal heart monitoring and oxygen inhalation to avoid fetal hypoxia.
There are many examinations during pregnancy, so pregnant mothers should follow the doctor's advice and do a good job of examination. Baby health is a family's greatest wish. Although some projects are difficult to do, we must stick to it!
There are many tests throughout pregnancy, but many novice mothers don't know much about the time and function of these tests. Let's popularize the lemon mother for everyone.
0 1. Pre-pregnancy examination. 00 1. After measuring the two bars with a pregnancy test stick, you can go to the hospital for the first examination, mainly to draw blood to confirm whether you are really pregnant and check the progesterone and hcg values.
002. When pregnant for 6-8 weeks, the pregnant mother can go to the hospital for a B-ultrasound to rule out abnormal pregnancies such as ectopic pregnancy, and check whether Taibao has fetal heart and embryo buds.
003. About 0/2 weeks after pregnancy, pregnant mothers can go to the hospital for nt examination, mainly to check the transparent layer of Taibao's neck and evaluate whether Taibao has the risk of developmental malformation.
004. By 12 weeks, most hospitals can let pregnant mothers file, and there are many items to be checked when filing, such as blood routine, urine routine, thalassemia, early Tang Dynasty, liver function and so on. And it is estimated that more than a dozen blood samples should be taken, and pregnant mothers should be mentally prepared.
005. 16 weeks later, pregnant mothers can do mid-term down syndrome screening, mainly to screen whether the fetus is at risk of down syndrome. Specifically, pregnant mothers over the age of 35 and pregnant mothers with multiple births can do non-invasive DNA without Tang screening, and the time is similar.
Many pregnant mothers may feel that the accuracy of Tang screening is low, or they are afraid of high-risk situations after completion, which is scared. Pregnant mothers who have this idea also suggest not to do Tang screening and do it directly.
02. Check in the second trimester. 00 1. During the 22-26 weeks of pregnancy, it is the time to do four-dimensional color Doppler ultrasound, mainly to check whether Baobao has any abnormal appearance and any hidden dangers of congenital diseases.
In some places, hospitals do not have four dimensions, but also three dimensions, and the effect is the same.
002. By the 28th week of pregnancy, pregnant mothers need to have a glucose screening, mainly to check whether pregnant mothers have gestational diabetes. Gestational diabetes is not only harmful to pregnant mothers, but also harmful to the development of fetal treasure, so this test needs to be re-injected.
03. Check in the third trimester. 00 1. About 32 weeks pregnant, the pregnant mother will go to the hospital for B-ultrasound, mainly to evaluate the baby's weight and see if the fetal position is correct.
002. Next comes the 36th week of pregnancy. Starting from this week, pregnant mothers must go to the hospital for fetal heart monitoring once a week to see if there is umbilical cord around the neck and hypoxia.
003. By the 38th week of pregnancy, many fetal treasures have basically entered the basin and may be launched at any time. Pregnant mothers need to go to the hospital for another B-ultrasound to see the fetal position of the baby and determine the final delivery mode.
The above is the schedule of prenatal examination for pregnant mothers throughout pregnancy, and the role of each prenatal examination. I hope it will help some novice mothers. The whole pregnancy is very long. It is suggested that pregnant mothers should always keep a good mood in order to meet the arrival of a good pregnancy.
The schedule of B-ultrasound examination for expectant mothers during pregnancy. B-ultrasound examination during pregnancy is a must for every expectant mother. It is very important to choose the right time to do B-ultrasound examination, because there is a strict time limit for screening some diseases.
Schedule of B-ultrasound examination during pregnancy:
The first B-ultrasound examination should be completed within 3 months.
The best examination time is the eighth week, the main function is to determine the gestational age, whether there is intrauterine pregnancy, and to check the nt thickness of the neck (only four-dimensional color Doppler ultrasound). Some research data show that the detection rate of fetal congenital stupidity can be as high as 80% by checking the thickness of nt in the neck combined with Down's screening.
The second B-ultrasound examination time is 20-26 weeks.
This period is to check for abnormalities, usually by three-dimensional or four-dimensional color Doppler ultrasound, which can detect most fetal malformations, such as face, limbs, brain, viscera and heart malformations.
The time of the third B-ultrasound examination is 30-32 weeks.
The function is to supplement the examination of teratology and fetal growth and development, and to check whether the fetus has growth restriction, amniotic fluid and umbilical cord.
The fourth and fifth B-ultrasound examinations were at 37th and 39th weeks of pregnancy, respectively.
The function is the same, which is to check the placental maturity and fetal growth and development, and does not involve fetal structure inspection. In the meantime, if there is no umbilical cord around the neck, you can choose black and white B-ultrasound. If there is umbilical cord around the neck, the doctor will suggest to check umbilical artery blood flow with color Doppler ultrasound.
The role of ultrasound examination during pregnancy;
( 1)
The purpose of B-ultrasound examination during pregnancy is to judge whether the fetal growth conforms to the gestational age, whether the fetus is deformed and whether the fetus is safe in the uterus. In addition, the purpose of exams in different periods is different. The purpose of early B-ultrasound examination is to determine whether pregnancy, pregnancy site and gestational sac size are consistent with menopause time, provide reliable basis for the estimation of expected date of delivery, and find abnormal embryo development in time. The purpose of B-ultrasound examination in the second trimester is to observe whether there are any abnormalities in the development of fetal tissues and organs, and to find fetal malformations in time, such as congenital heart disease, anencephaly, hydrocephalus, spina bifida, abdominal wall defect, short limbs, polycystic kidney, and digestive tract atresia. The purpose of B-ultrasound examination in the third trimester of pregnancy is to understand the safety of fetus in uterus and provide information for clinical treatment.
(2)
Of course, this does not mean that pregnant women can have unlimited B-ultrasound examination during pregnancy, because even if the impact of B-ultrasound on the fetus is minimal, it is not completely without adverse reactions. Therefore, pregnant women should carry out appropriate B-ultrasound examination according to the requirements of doctors.
(3)
Pregnancy B-ultrasound should be based on pregnancy. Generally, B-ultrasound examination should be done in the early pregnancy, and B-ultrasound examination can be done about one week after menopause to determine whether you are pregnant, determine the number of days of pregnancy, and also determine whether you have ectopic pregnancy. The second B-ultrasound examination is arranged in April-May of pregnancy. The purpose is to know whether the fetal development is consistent with the gestational age, observe the morphological structure of fetal organs, and rule out fetal malformation. After 7 months of pregnancy, B-ultrasound should be done regularly to judge the safety of the fetus in the uterus.
(4)
As for pregnant women with certain diseases, B-ultrasound examination is more important. In addition to understanding the growth and development of the fetus, we can also understand the impact of diseases on the fetus in order to take timely measures. Therefore, the number and time of B-ultrasound examination will be different from the normal situation, and pregnant women should follow the doctor's arrangement.
1: pregnant for 6~ 13 weeks, determine intrauterine pregnancy, calculate delivery date, establish pregnancy health care manual, evaluate high-risk factors during pregnancy, and check blood pressure, weight, blood routine, blood type, electrocardiogram, urine routine, liver function, renal function, hepatitis B surface antigen, Treponema pallidum and AIDS, among which 9-65438.
The second time: pregnancy 14 ~ 19 weeks, blood pressure, weight, blood routine, urine routine, uterine height, abdominal circumference, fetal heart rate, 16~20 weeks for Down's screening.
The third time: 20 ~ 24 weeks of pregnancy, blood routine, urine routine, blood pressure, weight, uterine height, abdominal circumference, fetal heart rate and four-dimensional color Doppler ultrasound were detected.
The fourth time: 24-28 weeks pregnant, you can do blood routine, liver function, renal function review, glucose tolerance test. If there is no four-dimensional color Doppler ultrasound, you can do four-dimensional color Doppler ultrasound at this time.
The fifth time: 30-32 weeks of pregnancy, obstetric ultrasound examination, uterine height, abdominal circumference, blood pressure, weight. Blood routine, liver and kidney function, HBsAg, Treponema pallidum, AIDS reexamination.
Sixth time: 32 ~ 36 weeks of pregnancy, generally check the uterine height, abdominal circumference, fetal heart rate and fetal position. Measure. Extrapelvic measurement. It can be used for fetal ECG monitoring.
The 7th ~11time: pregnancy 37 ~ 4 1 week, once a week except for prenatal examination: weight, blood pressure, uterine height, abdominal circumference, fetal heart rate, blood routine, liver and kidney function, hepatitis B surface antigen, Treponema pallidum, AIDS reexamination, obstetric color Doppler ultrasound and cervical score.
Generally, there is no examination before 12 weeks, but the doctor will ask you to make an appointment for some pregnancy examinations in advance.
There are still many prenatal examinations throughout pregnancy. It's good to have a timetable, so I know what I know. I downloaded two apps, Mama.com and Baobao.com, which contained the schedule of prenatal examination, and introduced the contents and precautions of each prenatal examination in detail. Push the index to five stars. Haha, it really helped me.
The first time I was pregnant for more than a month, the main items were B-ultrasound and blood drawing. B-ultrasound to determine whether it is intrauterine pregnancy. Blood samples were taken to check hcg value and progesterone value. At that time, my progesterone value was extremely low, and it didn't increase after half a month of injections and medication. In a fit of pique, I left it alone and stayed safely for three months. In fact, I want to tell you that if the progesterone level is low, don't worry too much. This is not absolute. As long as you are careful in the first three months, don't lift heavy objects or do strenuous exercise. But once there is bleeding or abdominal pain, you must go to the hospital immediately. Hahaha, it's a little far ~
The second time is 12 weeks (about three months), and the main project is 1. Establishing a file is a health manual for pregnant women, and the doctor will record the results of each examination and the time of the next examination. 2, measuring weight and blood pressure (convenient to do every time). 3, blood routine urine routine, my God, I took seven tubes of blood at that time. 4. B-ultrasound and nt examination are mainly used to check the size of the uterus, the length of the baby's head and limbs, and the thickness of the zona pellucida of the fetal neck (used to evaluate the probability of down syndrome in infants, so it is also called screening in the early Tang Dynasty).
The third 16 week is the best. Basic examination (blood pressure, heart rate, uterine height, abdominal circumference, fetal heart rate). Routine hematuria. More importantly, Down's screening, also known as mid-Tang screening. It is only a preliminary screening, and the detection rate is only 60%~70%. If the screening results in early Tang Dynasty are all low-risk, there will be no problem. In high-risk situations, further non-invasive or amniocentesis is needed. The mid-term Tang screening project is free. If it's non-invasive, it's free as long as you have a local hukou or residence permit. At their own expense, 2000~3000 yuan.
The fourth time is 20 to 24 weeks. Check those basically. The big project is sugar-tolerant screening. Check for gestational diabetes. Don't eat after ten o'clock the night before. You can't even drink water Only moisten your mouth. Usually the first blood draw is before 8: 30 in the morning. Soak a packet of glucose in water after smoking. Calculate time. Take a second blood draw an hour later. Wait another hour and draw blood for the third time. You can't drink water or eat during the period. This is the most painful prenatal examination, and many precious mothers have vomited. If you throw up, do it again next time.
The fifth time is 25 weeks to 28 weeks. Basic inspection. Blood tests for AIDS, hepatitis B and syphilis. The important thing is four-dimensional color Doppler ultrasound, also known as large row deformity. Check whether the baby's limbs are normal. No harelip, deformity, etc. This inspection is very important. A better hospital should make an appointment in advance. Basically 12 weeks, when you go for a check-up, the doctor will write a list for you to make an appointment in advance.
The sixth time is 29 to 32 weeks. Basic inspection. The second four-dimensional color Doppler ultrasound. In fact, a four-dimensional color Doppler ultrasound is enough. Later, I went to the local women and children, and the doctor said that I could check the baby's heart. I did it a second time.
The seventh time, 36 weeks. I forget what it's called. In addition to blood routine and urine routine, there will be vaginal discharge examination. Haha, I'm a little nervous about this project. Everyone must relax. The more nervous, the more painful.
Basically, from 12 weeks, I will check it every 4 weeks. After 32 weeks, I will check every two weeks and do fetal heart monitoring or something. After 36 weeks, I will monitor the baby's head circumference, weight and fetal position every week. The third trimester of pregnancy is the fastest time for a baby to grow up. Basically, my baby weighs one kilo in two weeks and reaches eight kilos at birth. Haha, it's too far. Pregnant mothers should not worry too much about missing the physical examination. After each examination, the doctor will tell you the time of the next examination. The whole phone bill is almost ten thousand. At that time, I thought it was expensive to have children, but now I know that raising children is more expensive (covering my face with my hands).
Finally, I wish you all a good pregnancy.
According to the most basic theory, pregnancy is confirmed for the first time; The second time is about 12 weeks, and the routine examination; The third time is 16 to 20 weeks; After the fourth 20 weeks to 24 weeks, there was a big abnormality; The fifth time around 28 weeks, I made a small row of abnormalities; The sixth 34-week fetal heart monitoring; After 36 weeks, basically check once a week until production.
But this is not the case. Take my pregnancy as an example. I had dozens of prenatal examinations during my pregnancy. I was fine in the early stage, and I frequently did B-ultrasound, blood test, fetal heart monitoring and so on in the later stage. The first time I was pregnant, I was inexperienced, and I was worried that my child had problems, so I had to go to the hospital. Coupled with my anemia and hypothyroidism, it is really hard to go directly to the hospital later.
In addition to the necessary examinations prescribed by some countries, the doctor will add many examination items according to your situation. What blood gas analysis, heart color ultrasound and so on. I didn't understand it at that time, but now I feel that some inspections are unnecessary. Luckily, Kang Sheng had a healthy baby. No amount of fatigue is worth it.