Knowing the pregnancy examination schedule is responsible for yourself and the fetus in your belly. Expectant mothers need to do a lot of examinations during pregnancy. In order to make the examination go more smoothly, what are the pregnancy examination schedule and items? ?This article is the pregnancy test schedule and project information compiled by me, for reference only.
Pregnancy checkup timetable and items
1. First prenatal checkup: 12 weeks of pregnancy
Pregnancy checkup items: establishing a pregnancy health care manual, determining gestational age, Calculate the expected date of delivery, evaluate high-risk factors during pregnancy, blood pressure, body mass index, fetal heart rate, blood routine, urine routine, blood type (ABO and Rh), fasting blood sugar, liver and kidney function, hepatitis B virus surface antigen, Treponema pallidum, HIV screening, EKG.
Warm reminder: People who have not had premarital examinations or pre-pregnancy examinations before should be screened for thalassemia, and people who have pets at home should be screened for parasites. Experts remind: The first prenatal check-up has the most inspection items, which is also to comprehensively check the health of the expectant mother. Take the expectant father with you for a check-up, and learn about the health of you and his immediate family and family members.
2. Second prenatal check-up: 16 weeks of pregnancy
Prenatal check-up items: analyze the results of the first prenatal check-up, blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, Second-trimester blood screening for Down syndrome (15 to 20 weeks)
Warm reminder: The most important item for the second prenatal check-up is Down syndrome screening. The screening for Down syndrome will be done at 12 o'clock the night before No food and water will be allowed from now on, and you will come to the hospital for examination on an empty stomach the next morning. In addition, the examination is also related to the menstrual cycle, weight, height, accurate gestational age, and gestational age. It is best to consult the doctor for other preparations before the examination.
3. The third prenatal check-up: 20 weeks of pregnancy
Prenatal check-up items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, B-ultrasound fetal malformation screening (18 ?24 weeks), blood routine, and urine routine
Warm reminder: The most important item in the third prenatal check-up is B-ultrasound screening for fetal malformations. Ultrasound examination is done at 20 weeks of pregnancy, mainly to check the appearance of the fetus. Are there any major developmental problems? The doctor will carefully measure the fetus's head circumference, abdominal circumference, thigh bone length, and examine the spine for congenital abnormalities. If the expectant mother takes a four-dimensional color ultrasound, she can also see the baby's facial expressions in real time. Before having a color ultrasound, the mother-to-be should keep a calm mind. If she is too nervous, it will affect the movement of the fetus.
4. The fourth prenatal check-up: 24 weeks of pregnancy
Prenatal check-up items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, glucose tolerance screening (75g OGTT) , blood routine, urine routine
Warm reminder: The most important item in the fourth routine prenatal check-up is to screen for gestational diabetes. Glucose tolerance screening is usually done in the 24th week of pregnancy. Do not eat after 8 pm the night before the glucose tolerance test and drink less water. When drinking sugar water, don't drink it too fast. Drink it slowly, little by little. Don't drink it all in one gulp, but drink it within 3 to 5 minutes. It is best to move around more after drinking, as this will consume some energy within an hour and help lower blood sugar levels.
5. The fifth prenatal check-up: 28 weeks of pregnancy
Prenatal check-up items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, obstetric B-ultrasound examination, blood routine, Routine urine test
Warm reminder: The incidence of anemia increases during this period. Expectant mothers must have an anemia test. If anemia is found, it should be cured before delivery. Starting from the 28th week of pregnancy, prenatal check-ups will be held every two weeks, and the fifth and sixth prenatal check-ups are routine examinations.
6. The sixth prenatal examination: 30 weeks of pregnancy
Prenatal examination items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, blood routine, and urine routine
Warm reminder: This week’s prenatal check-up is a routine prenatal check-up. Expectant mothers should pay attention to counting fetal movements every day. If any abnormalities are found, they should seek medical attention immediately.
7. The seventh prenatal examination: 32 weeks of pregnancy
Prenatal examination items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, fetal position, blood routine, urine routine, Fetal heart rate monitoring
Warm reminder: Generally starting from 32 weeks, fetal heart rate monitoring will be added to the prenatal examination items. You can choose a comfortable position for monitoring and avoid lying down. If the fetus is unwilling to move during monitoring, it is very likely that the fetus is asleep. You can gently shake your abdomen to wake the fetus.
8. The eighth prenatal examination: 34 weeks of pregnancy
Prenatal examination items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, fetal position, blood routine, urine routine, Fetal heart rate monitoring
Warm reminder: In the 8th prenatal check-up, in addition to the routine prenatal check-up items, expectant mothers need to do fetal heart rate monitoring. Before doing fetal heart rate monitoring, you should move around as much as possible or eat some snacks. , let the baby move, so that fetal heart rate monitoring can proceed more smoothly.
9. Ninth prenatal check-up: 36 weeks of pregnancy
Prenatal check-up items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, fetal position, blood routine, urine routine, Obstetric B-ultrasound examination
Warm reminder: During this prenatal examination, expectant mothers need to undergo a detailed ultrasound examination, including fetal biparietal diameter, placental functional classification, amniotic fluid volume, etc.
The doctor will use this to evaluate the weight and development status of the fetus at that time, and estimate the weight of the fetus at term. Once the fetus is found to be underweight, expectant mothers should supplement more nutrients.
10. The tenth prenatal examination: 37 weeks of pregnancy
Prenatal examination items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, fetal position, cervical examination (Bishop score) , blood routine, urine routine, fetal heart rate monitoring, fetal position check
Warm reminder: During the third trimester prenatal check-up, in addition to fetal heart rate monitoring, the doctor will also perform a fetal position check on you to confirm the fetal position to ensure that the expectant mother can naturally Childbirth or surgical delivery.
11. The eleventh prenatal examination: 38 weeks of pregnancy
Prenatal examination items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, fetal position, blood routine, and urine routine , cervical examination (Bishop score), fetal heart rate monitoring
Warm reminder: During this prenatal check-up, in addition to regular prenatal check-up items and fetal heart rate monitoring, the doctor will help the expectant mother check the pelvis and other comprehensive conditions. to determine the mode of delivery.
12. The twelfth prenatal check-up: 39 weeks of pregnancy
Prenatal check-up items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, fetal position, cervical examination (Bishop score ), blood routine, urine routine, fetal heart rate monitoring
Warm reminder: It is almost the expected date of delivery, and prenatal check-ups at this stage are still based on routine examinations and fetal heart rate monitoring. However, the most important thing is for expectant mothers to develop the habit of detecting fetal movement on their own every day.
13. The thirteenth prenatal examination: 40 weeks of pregnancy
Prenatal examination items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, fetal position, cervical examination (Bishop score ), blood routine, urine routine, fetal heart rate monitoring
Warm reminder: At the expected date of delivery, in addition to some routine examinations, the most important thing for prenatal check-ups at this time is fetal heart rate monitoring to ensure the safety of the fetus and the mother-to-be. .
Precautions for pregnancy check-up
When you go to the hospital for a pregnancy check-up for the first time, you need to fast, because you need to draw blood for a test at this time. The doctor will take a small tube of blood from your vein to conduct blood type testing. , hemoglobin, Rh factor, liver function, hepatitis B surface antigen, alpha-fetoprotein and syphilis serum to see if there are tests for rubella virus, serum cytomegalovirus, etc.
During the pregnancy check-up, there will be vaginal examinations. In addition to maintaining vaginal hygiene yourself, be careful not to keep any information secret from the doctor. If you have vaginal bleeding during early pregnancy, you must inform the doctor in time to rule out miscarriage. possibility, your doctor can help you find out the specific cause of vaginal bleeding.
Too many B-ultrasounds may cause embryonic cell division, abnormal brain formation, fetal skeletal dysplasia, malformation or stillbirth, so doctors generally do not recommend pregnant women under 18 weeks to have B-ultrasounds. .
Urine can detect many abnormal conditions in the body, so a urine test should be conducted at least once a month in the second trimester of pregnancy to detect kidney diseases early.
Starting from the 37th week of pregnancy, expectant mothers should have fetal heart rate monitoring once a week to determine whether the fetus is hypoxic.
Another thing to note is that if the expectant mother likes to keep pets and often has close contact with pets, she should do a test called TORCH (Toxoplasma gondii) when she is 3 months pregnant, because Many mammals may be infected with Toxoplasma gondii, which may cause miscarriage, stillbirth, neonatal diseases, or eye, brain, liver lesions and malformations after birth, so be sure to check this one!
Pregnancy examination items
There are many items during pregnancy examination, and they are very different at different periods. Generally, the main items are: height, weight, blood pressure measurement, abdominal circumference, gynecological internal examination, breast examination, pelvis External measurement, blood type, anemia test, electrocardiogram, syphilis serum reaction test, etc. Since the physical condition of pregnant women and the development level of the fetus are different at each stage, the examination items are also different at different stages of pregnancy.