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Usually, the last prenatal examination requires routine blood and urine blood grouping, electrocardiogram, liver and kidney function, blood glucose, coagulation, infectious disease screening, ultrasonography, and fetal heart rate monitoring. Others will be checked according to the situation.
Note: General liver function test requires fasting, it is recommended that you go to the hospital on an empty stomach for examination, pay attention to the fetal movement in the third trimester of pregnancy, and go to the hospital for examination if the fetal movement is too much or too little**.
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The last prenatal examination B ultrasound, electrocardiogram, blood routine, coagulation four items, urine, prenatal examination, and fetal heart rate monitoring all need to be checked. It mainly checks the child's fetal position, placenta, amniotic fluid, and fetal heart and fetal movement.
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With the growth of gestational months, pregnant women not only have to bear the various needs of their own body's metabolic growth and rapid changes, but also take on the need to ensure the normal growth and development of the fetus in the womb. Prenatal check-ups are the key to detecting problems at any time and responding to them in time to avoid accidents, so they are becoming more and more necessary, and generally if there is an abnormality, doctors will increase the number of check-ups to ensure the safety of the mother and child. Prenatal check-ups are generally done the closer you are to labor, the more frequent the visits.
Pre-labor examination mainly includes understanding whether the fetal position is correct or not, whether the blood pressure is high, whether there is edema, urine protein, etc.; Know the size of the pelvis; Measure the weight of pregnant women, etc.
In these examinations, it is understood that the size of the pregnant woman's pelvis is very important, because the fetus must pass through the pelvis when it is delivered from the mother's body, which is the so-called "bone birth canal", and the smooth delivery of the pregnant woman is closely related to the size and shape of the pelvis. Prenatal testing can help you understand the size and shape of your pelvis and estimate the ratio between the size of the fetus and your pelvis. The size and shape of the pelvis vary from person to person, and the size and shape of the pelvis vary from person to person due to different physical conditions, nutritional status, genetic factors, and ethnicity.
The size of the pelvis is indicated by the distance between the bones that make up the pelvis (i.e., the pelvic diameter), if the measurement of the pelvic diameter is normal, the pelvic shape is mostly normal, and the fetus can be delivered smoothly; On the other hand, if the pelvis is too narrow, too small and asymmetrical, or there is a malformation, even if the measurement value is normal, it will affect the passage of the fetus and cause dystocia. Experts remind: prenatal examination can understand the physical condition of pregnant women at any time, as well as understand the growth and development of the fetus by calculating the fetal heart sounds, and timely and effectively prevent problems such as preterm birth, gestational hypertension syndrome and abnormal fetal position.
At the same time, it can also provide guidance on how to self-test pregnant women and deal with prenatal problems in a timely manner.
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It's quite simple here, it's still easy to see a doctor, and there are a lot of experienced doctors.
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First of all, it is necessary to do a virological test for intrauterine infection: check for cytomegalovirus, rubella virus, herpes virus, etc., to determine the infection. If you are found to be positive for antibodies before pregnancy, it is best to undergo ** and regular monitoring under the guidance of a doctor for the health of the next generation until the antibodies turn negative before considering pregnancy.
Second, both spouses should have blood drawn before pregnancy to check for hepatitis B virus. The hepatitis B virus can cause intrauterine infection across the placenta, causing the fetus to become a carrier of the hepatitis B virus after birth. In addition, it is best for women to do it once before pregnancy.
Some pathogenic microorganisms in the reproductive tract can also cause intrauterine infection of the fetus and affect the normal development of the fetus. If there is an infection, conception should be delayed, first**. Finally, women of childbearing age should also have a B-ultrasound examination before pregnancy to understand the basic conditions of the uterus and appendages.
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The first obstetric examination items of pregnancy include pelvic measurement, gynecological examination, leucorrhea examination, blood test, urine test, abdominal circumference, uterine fundus height examination, fetal heart rate examination and degree B ultrasound examination, etc., which are used to understand the physical condition of the pregnant woman and the development of the embryo, determine whether the ectopic pregnancy is confirmed, and determine whether it is a single birth, twin or multiple birth.
Note: Some blood test items of the first prenatal examination should be fasting, if the gestational age is small, you need to hold urine when doing abdominal gyrus color ultrasound, and the urine should be taken in the middle of the urine test. In addition, it is best for the husband to accompany the husband for the first prenatal check-up so that he can understand the family genetic history, disease answers, etc.
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The time, items, and cost of the first prenatal visit.
1. The time of the first prenatal checkup.
The first formal prenatal check-up is filed at 12 weeks of pregnancy and no later than 16 weeks of pregnancy. The next prenatal check-up is done every 4 weeks until 28 weeks of pregnancy; 28 bi-weekly for 36 weeks; After 36 weeks, once a week until delivery. Under the premise that the health of the expectant mother and the fetus is not subject to special circumstances, 10 to 12 check-ups are generally required during pregnancy.
Extended reading: Attention! The three types of expectant mothers should have frequent prenatal check-ups.
2. The items of the first prenatal examination.
The first prenatal check-up conversation will be more content, and the doctor should know the past history of the pregnant woman so that he can understand the level of pregnancy risk, and the pregnant woman should tell the doctor truthfully.
Obstetric examination items include pelvic measurement, ** examination, leucorrhea examination, blood test, urine test, abdominal circumference, uterine fundus height examination and fetal heart rate examination and B ultrasound examination, etc., which are used to understand the physical condition of the pregnant woman and the development of the embryo, determine whether the ectopic pregnancy is made, and determine whether it is a single child, twin or multiple births.
3. The cost of the first prenatal checkup.
The cost of the first prenatal check-up ranges from 200 to 2000, and the cost of the prenatal check-up depends on the specific items examined, the local hospital fee standard and the local consumption standard. Bring enough cash or bank cards for prenatal checkups. In addition, in some places, the medical insurance policy can reimburse the cost of prenatal examination, and you can consult the guide or the department responsible for medical insurance expenses of the hospital before the prenatal examination.
3. What are the precautions in the process of prenatal examination?
1. Midstream urine is best.
A urine test for prenatal care must have midstream urine. When retaining urine, the first half of the urine is dissolved first, and the middle section of clean urine is left for testing, so that the test results are more realistic.
2. Measure blood pressure when the body is calm.
When measuring blood pressure, it should be done calmly, at least half an hour after eating, and without exercise. In this case, the measured blood pressure can objectively reflect the true situation of blood pressure, so that mild hypertensive diseases of pregnancy can be detected and cured as soon as possible.
3. Keep the case and write down the date of the next examination.
Some hospitals will help pregnant mothers keep the medical records and files of the prenatal examination, and some require them to keep them themselves. When asking for self-custody, the expectant mother can take a document bag to put the information of the prenatal examination, and bring it with it during the next examination to avoid loss. Generally, the doctor will inform you of the date of the next prenatal visit, so be sure to remember it.
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The first prenatal examination is more comprehensive, and the prenatal examination time is relatively long, and the subsequent prenatal examination is mainly to check whether the pregnant woman has any abnormalities during pregnancy, so as to make an early diagnosis and carry out the corresponding **. The specific inspection items are as follows:
1) The doctor will ask the pregnant woman if there is any abnormal condition after the last prenatal checkup, such as bleeding, headache, dizziness, etc., and analyze and solve the problem to ensure the health and safety of the pregnant woman during pregnancy and childbirth.
2) The doctor will weigh the pregnant woman, check her blood pressure, and perform basic tests such as urine and blood tests. The doctor will also ask the woman if she has any abnormal pregnancy reactions and problems so that she can take appropriate measures. In addition, the doctor will make recommendations on whether the pregnant woman is suitable to continue the pregnancy.
3) The doctor will check whether there is any abnormality in the growth of the fetus, grasp the condition of the fetus in all aspects in the womb, and use ultrasound if necessary.
4) The doctor will tell the pregnant woman what to pay attention to during this time and make an appointment for her next visit.
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Height and weight.
During the first prenatal check-up, the doctor will examine it carefully. Measure your height, weight, blood pressure, uterine height, and abdominal circumference to perform a physical examination of your whole body and check your gestational age.
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The formal prenatal check-up should be done at 12 weeks of pregnancy, when it needs to be filed, after which all the items and conditions of the examination will be recorded in the maternity handbook.
But in fact, when we are pregnant, we all go to the hospital for 1-2 check-ups before we file a file. Before accompanying a friend to set up a file in Beijing Tongren Hospital, I first did a strategy on the Internet to check the specific requirements, the first time was to confirm the pregnancy, fasting blood drawing, B ultrasound to confirm the pregnancy, and register to make an appointment to file. The second time I went, after all the checkouts came out, there was no problem, and it was ready to be officially filed.
After that, the first prenatal check-up will be done according to the regular process:
12-week prenatal check-up items:
1.Routine measurements: Measurement of abdominal circumference, uterine height, fetal heartbeat, height, weight, electrocardiogram, blood pressure, etc., these are generally free examinations.
2.The laboratory test items are: blood and urine routine, liver function and kidney function, blood sugar and blood lipids, coagulation function, trace elements, and perfect thyroid function.
It is also necessary to do NT examination, which is an abdominal color ultrasound to check the nuchal translucency of the fetus, which is very important.
That's all I know, please leave a comment if you have additional and questions, thank you.
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Analysis: Hello, the first prenatal check-up is usually done 3 months before pregnancy, so it is correct for you to choose May 23.
Opinions and suggestions: The first prenatal examination mainly includes the following aspects:
1.Medical history: including age, menstrual history, previous medical history or surgery history, maternal history, family history, etc.
2.Physical examination: It is to look at your nutritional status, height and weight, as well as abdominal circumference, uterine height, pelvic size, etc.
3.Some routine auxiliary tests: blood routine, electrocardiogram, B-ultrasound, etc.
Weekly check-ups should be repeated every 4 weeks from 12 weeks to 28 weeks, 2 weeks from 28 to 32 weeks, and once a week after 32 weeks. Of course, it will be much simplified, mainly depending on the situation of the fetus.
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It is recommended that you go after 3 months, not too early.
I only went there for more than 4 months at that time.
For the first examination, it is generally a blood test, urine test, B-ultrasound, electrocardiogram, and just bring more money. When I first checked, it cost more than 1,000 points, and then there were not so many items and money for inspection.
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How much does the first prenatal examination cost mainly depends on the items of the prenatal examination, generally the first prenatal examination should be about 40 days of pregnancy, if the color ultrasound examination needs about 100 yuan, if you do chorionic gonadotropin and progesterone value examination, blood routine, urine routine, liver function and electrocardiogram examination, it will cost about 300 yuan. The most important thing for the first prenatal checkup is the color ultrasound examination, which is a mandatory check-up item, and the other check-up items are optional check-ups, as long as there are no uncomfortable feelings and symptoms in the body, if you don't want to do it temporarily, you can do it later. If you have symptoms, you need to follow your doctor's instructions.
The specific examination fee is related to the level of the hospital, and there is also a certain relationship with regional economic differences, so it is best to consult the charging department of the hospital to be more accurate.
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The second prenatal check-up during pregnancy should be around 12 weeks, and the examination items that need to be done include the following aspects, the first is to do B ultrasound, the main purpose is to measure the NT value, determine the size of the fetus, the condition of the amniotic fluid and the position of the placenta. Basic screening for malformations in the first trimester of pregnancy. Clause.
2. If conditions permit, it is recommended to do early Down screening, because early Down screening can be done in combination with NT and blood draw results to determine whether the fetus has chromosomal malformations. Clause.
3. If there is a need, chorionic villus biopsy can be done at 12 weeks, so that prenatal diagnosis can be carried out earlier. In addition to the above prenatal check-up items, routine prenatal check-ups are also required, mainly through blood sampling to test the mother's blood routine, coagulation, liver and kidney function and other items.
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1. Blood and urine routine, liver and kidney function, coagulation function test;
2. Hepatitis A, hepatitis B, hepatitis C, syphilis, AIDS and other infectious diseases;
3. B-ultrasound examination: it should be carried out with the change of gestational age;
4. Blood glucose level examination: about 24 weeks of pregnancy, early screening for NT, mid-term screening for malformations;
5. Down's screening.
Prenatal examination should be carried out in conjunction with the gestational week, and the corresponding examination should be carried out under the advice of the doctor, and if the above examination is found to be abnormal, the relevant examination should be supplemented to ensure that the mother and fetus are normal.
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Hello, generally like this:
Early pregnancy within 12 weeks: blood routine, urine routine, ** examination, syphilis screening 16-18 weeks of the first preliminary examination: obstetric examination (weight, blood pressure, heartbeat), blood type (ab0, rh) examination, blood routine, urine routine, leucorrhoea, liver function, two and a half, kidney function, electrocardiogram, gonococcal culture, cervical cancer smear examination, B ultrasound (this set of more than 1000).
Second examination at 20-24 weeks: obstetric examination, urinalysis, B-ultrasound (be sure to do a B-ultrasound at 24 weeks, so that if there is anything bad, you can be in time**), fetal heart Doppler auscultation.
The third examination at 24-30 weeks: obstetric examination, fetal heart rate Doppler auscultation, diabetes screening, urinalysis, nutrition consultation.
The fourth examination at 30-34 weeks: obstetric examination, urine routine, blood routine, fetal heart Doppler auscultation, 5th examination at 34-36 weeks: obstetric examination, urine routine, fetal heart Doppler auscultation, B ultrasound 6th examination at 37 weeks:
Obstetric examination, urinalysis, fetal heart Doppler auscultation 38 weeks 7th examination: obstetric examination, fetal heart Doppler auscultation, urinalysis routine, fetal monitoring 39 weeks 8th examination: obstetric examination, urinalysis, fetal heart Doppler auscultation, B ultrasound 40 weeks 9th examination:
Obstetric examination, urinalysis, fetal heart rate Doppler auscultation, fetal monitoring.
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