Generally, from pregnancy to delivery, expectant mothers have to go through 12~ 13 prenatal examinations (under normal circumstances), among which the most prenatal examination items should be the one filed in the third month of pregnancy, followed by four-dimensional color ultrasound and noninvasive DNA.
Why are prenatal examinations so many and expensive now? In fact, I don't go to the hospital every time during pregnancy, and there are many examinations. Many times, expectant mothers go for prenatal check-ups, basically just doing some routine checks (such as weighing, measuring uterine height and abdominal circumference, measuring blood pressure, etc.). ). Usually the fees for these projects are not very high, and some areas are even free.
Of course, it is not excluded that some hospitals (especially private hospitals) have to check many items every time pregnant women go for prenatal examination.
At present, there are many items of prenatal examination, the main purpose of which is to check the baby's development and screen out the possibility of fetal abnormality. For example, the most important and expensive four-dimensional color Doppler ultrasound, nt examination, non-invasive DNA and other items during pregnancy are all to check the possibility of fetal malformation.
Of course, other prenatal examinations during pregnancy are also important. After all, the baby's development is a constantly changing dynamic process (in short, the baby may be in danger at any time, so regular prenatal examination is particularly important).
With the improvement of people's living standards, people now pay more and more attention to the quality of education, compared with the previous concept that many couples will have several children to support the elderly. Even though the second child policy has been opened, the number of people who have a second child has not increased significantly.
Many young couples are increasingly pursuing the quality of life. In their view, having children is not about quantity, but about quality. Therefore, they pay special attention to the baby's health problems from the beginning of pregnancy and even when they are pregnant. In addition, people nowadays want to have a smart baby in addition to good health. Therefore, there are many inspection items, which also cater to the "needs" of prospective fathers and expectant mothers.
In short, although there are many items of prenatal examination, in fact, each item has the necessity of examination. As for the fees, in fact, the fees in each region and even each hospital are different. Take Down's Screening and NT for example, this inspection item is basically free in many areas.
From filing to delivery, it usually takes about 8- 12 prenatal examinations, and expectant mothers can check according to their actual situation! Generally speaking, early NT, Tang sieve, sugar sieve, and large-scale abnormal discharge are the four essential items for birth inspection! If there are no problems with these four tests, you just need to go to the hospital regularly for routine tests, such as blood routine, urine routine, fetal heart monitoring and so on! As for the charges, the charges vary from place to place. Please consult the doctor in the hospital for details! According to my own situation of having a second child, I had 10 pregnancy check-ups in Guangzhou. The total cost is less than 4000 yuan!
Before the birth of a daughter, the birth check-up was not reimbursed. Plus four dimensions, the cost of the whole pregnancy check-up is about 3500. It should be cheaper to get medical insurance now. If it's an elderly woman, it costs three or four thousand yuan just to have an amniocentesis, so the state advocates having a second child, but the main force is basically the 80' s, 90' s and 80' s. It is said that it is not easy to have children, and it is even harder to raise children.
3 1+ 1, so today I refused the four items prescribed by the doctor: blood routine, urine routine, vitamin D test and liver function. The doctor was furious. What can I do? The money in my pocket is only enough to pay for 20 yuan's inspection. Finally, the doctor wrote in the instructions: life is tight, and all consequences are at your own risk. Let me sign it. Sign it, who can see me wearing a mask because I have no money and refuse to check? I am in tears! No matter how hard life is, live it! I'm in my thirties, and I'm still in debt to my biological mother, not to mention my parents have run away. Now pregnant for 8 months, looking at her husband's face to live! I can't choose who my mother and father are and what kind of people they are, but they are unforgivable in this life! No matter how difficult it is, I will give birth to my son and bring him up!
According to the production inspection sheet you printed, you can see that many items are inspected under special circumstances.
1, cervical cytology examination, this note is for women who have not been examined for one year. If your company or private company has an inspection once a year, you don't need to do so.
2, the mother is type O blood, and further examination is needed if necessary. If it's not type O blood, you don't have to do it, because the mother's type O blood is afraid of hemolysis with the child.
3. Non-invasive DNA and amniocentesis, which is when you do Down's screening in 18 weeks. If the result is high risk, the doctor should choose one of them for further examination according to your specific situation. If your Down's screening results are normal and low-risk, then this is unnecessary.
4. Further examination of some pregnant women with diabetes. If there is no gestational diabetes, some tests are unnecessary.
So: the doctor's list only lists all the pregnancy tests you may have to do during pregnancy, not all of them. In fact, many tests are necessary, and the doctor is also responsible for you and the baby in your belly.
Why do you feel that it is too expensive to check too many items now?
There are about eight or nine examinations during the whole pregnancy, but because of the different physical conditions of each pregnant woman, the items and times of examination are different, but many basic examinations are needed.
Because the focus of each prenatal examination is different and the examination items are different, the fetus is a process of gradual development and perfection, and the examination in each period is different. It's no problem to look at the list on the topic. It's all items that need to be checked during pregnancy.
What does the prenatal examination include? About 40-50 days after menopause, it is necessary to do color Doppler ultrasound to identify intrauterine and ectopic pregnancy and rule out the possibility of ectopic pregnancy. This is also an item that must be done to determine intrauterine pregnancy and early pregnancy in the first trimester.
At this time, if you don't see the fetal heart germ, you need to check the color Doppler ultrasound every one or two weeks until you see the fetal heart germ, so as to confirm whether the current fetal development is normal.
2. Second inspection
When examining NT, the best number of weeks is 1 1- 13 weeks and 6 days, mainly to check whether the thickness of the transparent layer of fetal neck is normal, the normal range is less than 3mm, and Down syndrome is also excluded. At this time, it is recommended that pregnant mothers do relevant examinations.
3. The third inspection
16- 18 weeks, we need to check the gestational age by color Doppler ultrasound to see if the fetal size meets the requirements of production and development. Most doctors will ask pregnant mothers to have an examination.
4. The fourth inspection
Non-invasive DNA or Down's screening mainly excludes chromosome problems. It is generally recommended to do non-invasive DNA directly over the age of 35, so that the results will be more accurate and pregnant mothers will be more assured.
5. Fifth physical examination
It is also the most important examination item during pregnancy, which is called large-scale abnormal examination. 22-24 weeks is the best number of weeks to screen the fetus and the best time to check the fetal heart.
The main screening of fetal malformations, such as cleft lip and palate, nasal bone loss, short limbs and heart valve defects, can be screened out.
Therefore, at this time, many pregnant mothers are very worried about the abnormal situation of the fetus, but it is also necessary to do prenatal examination on time.
6. Sixth physical examination
Because the fetus is a process of continuous development and perfection, it needs continuous development and continuous examination, which can not be completed at one time. You need to do four-dimensional color Doppler screening at 28-32 weeks, which is what everyone calls small ovulation. Doesn't mean there was no problem in the last inspection. There is no need to check it again. This idea is wrong.
7. Seventh physical examination
36 weeks is a very important sign of the third trimester of pregnancy. Not only do you need to do color Doppler ultrasound, but you also need to do fetal heart monitoring every week after 36 weeks to detect fetal heart. Pregnant mothers must pay attention.
In fact, the prenatal examination mentioned above is not comprehensive, and only includes basic prenatal examination items. If pregnant women have special circumstances, they need multiple examinations, and the frequency and cost may be relatively high, but only the fetus is healthy. In fact, it is worthwhile to spend more money. Why do you need to do such an examination during pregnancy? This also requires pregnant mothers to have a check-up on time during pregnancy, and don't miss the best check-up time to avoid finding some abnormalities in the fetus.
In fact, since we went for a prenatal check-up, we definitely hope that the baby will be healthy. As long as the doctor asks for a prenatal examination, we must do it on time, no matter how many times or how much it costs. As long as the fetus develops healthily, it is the best result! It did cost a lot of money, but dialectically, my two children are 10 years old. My biggest feeling is that the items examined are more and more detailed, and many items have been added, so the cost is naturally much higher. But now our community health center can do free routine examination (which was impossible before). You can go to the hospital for a big examination, and a small examination is also a good choice and should be done.
Too many inspection items are too expensive, so we should analyze them in detail. Having been a nanny for 5 months, I think I have the experience to answer this question! Since I found two lines with test paper at home, I went to the hospital to do these tests:
6-8 weeks, blood samples were taken to check HCG and progesterone to determine whether they were pregnant.
10 weeks intrauterine pregnancy was confirmed by B-ultrasound.
During 12- 13, the first prenatal examination (blood pressure, weight, uterine height, abdominal circumference, Doppler fetal heart rate), gynecological examination, small abnormal B-ultrasound examination, routine hematuria, blood type, hepatitis B, hepatitis C, AIDS, syphilis, liver function, fasting blood sugar and electrocardiogram were performed.
15-20 weeks for Down's screening or non-invasive DNA testing.
From 22 to 26 weeks, routine abnormalities and hematuria were examined by four-dimensional color Doppler ultrasound.
Liver function, cholic acid and diabetes were screened at 28 weeks.
30-32 weeks, do color ultrasound examination to see fetal position and routine hematuria.
Fetal heart monitoring began after 34 weeks, once every two weeks.
Once a week after 37 weeks, prenatal examination includes fetal heart monitoring and routine hematuria.
Prenatal examination and B-ultrasound to estimate fetal weight.
The above is the content of the prenatal examination. Personally, I think it is necessary.
There are several tests that I don't think need to be done: progesterone, folic acid and trace elements. Friends in the hospital also think that these three tests are useless. )
Because I am 30 years old when I am pregnant, I am more cautious! Don't talk about eating and drinking (pregnant women's milk powder, bird's nest, fruit, fish, shrimp, pigs, beef and mutton, vegetables, walnuts and so on. In addition, folic acid (gold element), DHA, iron agent, calcium tablets, etc. are not lost. So when it came to the examination, in addition to the non-invasive DNA free of charge, the maternity insurance examination was reimbursed for more than 700 yuan, which cost me about 3,000 yuan or 4,000 yuan. Basically, I did everything the doctor said. I think this cost is not high. Pregnant women are always cautious when they are pregnant, so it's reassuring to do one more check! Secondly, having children is a great event in a woman's life. If the examination is clear, the doctor will know more about the situation of pregnant women and babies, and can also ensure the safety of pregnant women and children!
There are many examination items, which are also in line with the current concept of fertility. Prenatal examination excludes some deformed or problematic babies. In addition, many young people now have bad living habits, such as staying up late, smoking and drinking, and then eliminating some genetic diseases and infectious diseases. This is also a responsible practice for pregnant women and babies.
It must be time-consuming to check many items. Generally, there are many people in maternal and child health centers every day, and a check-up is basically a whole day. If you go late, it will take 2 days. Therefore, it is recommended to arrange the time in advance, go out early, be accompanied by family, bring some snacks and water, and avoid starving yourself and your baby!
On the one hand, it is to make money, on the other hand, it is to check the baby's development. The baby has no regrets and makes parents feel more at ease.
It's really too expensive to have a prenatal examination now. In the third trimester, I checked all the tests in the first trimester. I remember when I first came to file, the doctor asked my husband to check it together, which cost almost 15600. Later, once a month was hundreds. Fortunately, during the period of fetal health, the doctor did not ask for any nutrition supplement or prescribe it, otherwise it would cost hundreds. Sales are even greater in the third trimester. Basically, once a week, every time you have to have a blood test, it costs two or three hundred yuan. Sometimes it costs seven or eight hundred dollars, so why are so many people reluctant to have a second child now? These are the reasons of high cost and torture.