The Medical Supervision During Pregnancy
Author: gostjobles
Long gone and the time when women wore her pregnancy and gave birth without medical supervision at home! Currently waiting for a baby is a highly controlled period, with 7 mandatory testing. Consider the medical control during pregnancy.
The first consultation
It should be at 15 weeks of amenorrhea, ie at 13 weeks of pregnancy. It is the most important, you will complete a medical questionnaire to take stock of your overall health.
It is a comprehensive study, taking into account your medical history, surgical, gynecological and obstetrical, and how you are living the beginning of pregnancy.
The doctor will try to determine the date of conception and will ask about family history which may influence the development of pregnancy (allergies, hereditary diseases …).
The doctor also monitors your weight, your heart, your legs and your blood pressure.
Will also perform a pelvic exam, breast and neck with the speculum, and a Pap smear if necessary, and obstetric care (vaginal palpation of the uterus).
You can also perform an ultrasound to check the location of the embryo in utero, as well as their appearance and heart rate.
The doctor will also request a blood test, the results get. This analytic enables:
- Completely determine the blood group
- A numbering blood count and platelets,
- Serology for rubella and toxoplasmosis, HIV and, if necessary, for hepatitis C.
A urine test to determine the presence of albumin and sugar, and detect infection or renal failure.
Need another consultation with your doctor to discuss the results. Then have a visit every month to take stock of developments in your health since the first time.
Consultation of the 4th month
A gynecological exam is performed. They look at the nature of the cervix, its size and the baby’s heart. Also performed a comprehensive review of your health and a urinalysis.
Each month you will be weighed and will draw blood if you have not vaccinated against toxoplasmosis, to verify that you have not contracted.
Maybe the doctor will also propose a psycho-social consultation if deemed necessary during the 4 th month.
Check the 5th month
Morphological ultrasound is performed, to detect possible defects. At this point the doctor will suggest if you want to know the sex of the baby. The doctor may also propose you a blood test for trisonomía 21.
Consultation month 6
In addition to the usual tests, we performed a serology for hepatitis and diabetes possible, and to study the agglutinins (antibodies) in women with irregular Rh negative. If you are Rh negative and your partner Rh positive, you will a vaccine.
Consultation of the 7th month
Routine visit to check that all is well.
Month 8 Consultation
In this control, normally done by the obstetrician takes place the third ultrasound. It also examines the pelvis to prepare for delivery.
We also perform an analysis of albumin in the urine every 10 days to detect a toxemia of pregnancy or urinary tract infection.
A vaginal biopsy to study Streptococcus B.
Consultation of the 9 th month
It is the last before the big moment! The obstetrician will determine with you, if conditions allow, the mode of delivery, especially if the baby is breech.
In addition, during the last two months of your pregnancy, you have a date with the anesthesiologist to prepare the best possible delivery.
Practical Aspects
Consultations are free. The procedure, from the first consultation, is to forward the declaration of pregnancy that the doctor will give Social Security before 14 weeks.
Then, on each query sent to the Social Security leaf disease that will give the physician.
When you pick the low, it sends the certificate to the Social Security.
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