Many new mothers are looking forward to pregnancy, but they still don't know much about all kinds of problems during pregnancy, what to do at all stages, what to pay attention to, and so on. So here are five issues that pregnant mothers are most concerned about.
The five questions that pregnant mothers are most concerned about are 1 questions 1: What preparations should be made before the first examination?
Before the first examination, you should know the health status of your immediate family members and loved ones' families. If possible, he must confirm with you, especially the first time. He has to answer his previous health status and family history of genetic diseases. At the same time, he can also consult and understand many pregnancy-related problems, give you the best understanding and help throughout pregnancy, and share the happiness brought by pregnancy.
The first check-up time should start from the diagnosis of early pregnancy. Doctors generally need to do double-needle examination (combined examination of vagina and abdomen) to know whether the uterus size is consistent with the gestational age, which is the basis for predicting the expected date of delivery, especially for those with irregular menstruation. Menstruation is regular, but the size of uterus does not match the month of menopause, so further examination is needed to find out the reason and treatment is given if necessary. At the same time, the doctor will measure your basic blood pressure, check your heart and lungs, blood test, urine routine and related tests, and guide the next examination time. For those who have a family history of genetic diseases or a history of childbearing, the doctor will advise you to do further examination. For those who are not suitable to continue pregnancy, such as virus infection in the first trimester, exposure to toxic substances or serious diseases, the doctor will probably advise you to terminate the pregnancy. For pregnant women who are abnormal but can continue their pregnancy, pregnancy monitoring will be strengthened to ensure the safety of mother and baby.
Question 2: What should I check in the future?
The exam agreed in the future is not as comprehensive as the first time, and it doesn't take that long. Every examination is to find out what is uncomfortable after the previous prenatal examination, so as to find abnormalities and treat them as soon as possible. The details are as follows:
Ask if there are any abnormalities such as dizziness, headache, dizziness, vaginal bleeding and fetal movement changes after the previous prenatal examination. It helps to ensure the safety and health of pregnant women and fetuses throughout pregnancy and childbirth.
Measure and record weight and blood pressure, check whether there is edema and anemia, and review urine routine and blood routine to find out whether there is urine protein and anemia. Check whether pregnant women suffer from heart, liver, kidney, lung and other important organ diseases, vaginal bleeding, edema, hypertension and other pregnancy complications, and give corresponding treatment measures. If pregnant women should not continue their pregnancy, they can have an induced abortion as soon as possible.
Measure the height and abdominal circumference of uterus to find out whether the fetal size is consistent with the gestational age. At the same time, check the pelvis and birth canal, review the fetal position, understand whether the fetal position is normal, and listen to the fetal heart. B-ultrasound examination is carried out when necessary to understand the situation of the fetus in the uterus. Only in this way can we determine whether the fetus is well developed and correct it as soon as possible if it is abnormal. If it can't be corrected, we can make a delivery plan as soon as possible to ensure the safety of mother and baby.
Finally, the doctor will give you health education for pregnant women and make an appointment for the next visit.
Question 3: How often do I check?
When you are pregnant, you must go to the hospital for a prenatal examination: the doctor will ask you about the post-menopause situation and whether the husband and wife have a family history of pregnancy-related diseases and genetic diseases, measure your weight and blood pressure, do gynecological examination, and find out whether the uterus size is consistent with the gestational age, so as to screen some high-risk factors. If the pregnancy is diagnosed as early pregnancy within 0/2 weeks of pregnancy/kloc-,those who continue to be pregnant shall be registered and checked, and perinatal medical records shall be established. Follow-up visits should be made on schedule in the future, generally starting from 4 months and checking once every 4 to 28 weeks; Every two weeks for 28-36 weeks; Once a week after 36 weeks, until delivery. Pregnancy test generally needs 10~ 12 times.
The main contents of each examination include: asking whether there is any abnormality after the previous prenatal examination, checking whether there is edema and anemia, measuring body weight, blood pressure, uterine height and abdominal circumference, rechecking fetal position, listening to fetal heart rate, conducting B-ultrasound examination when necessary to understand the situation of the fetus in the uterus, and rechecking urine routine and blood routine. High-risk groups need to increase the number of inspections.
Question 4: What should I do if I don't check on time?
When some early pregnancy reactions began to appear, many pregnant women did not agree. I didn't tell my relatives at home in time and didn't take the initiative to go to the hospital for examination. It lasted for a month or two. In this way, when the pregnancy is confirmed, most of them have been pregnant for more than 3 months, missed the dangerous period of teratogenicity and easy abortion, and neglected the health care in the early pregnancy, which is extremely unfavorable to the health of mother and baby and may even lead to serious consequences. If prenatal examination is not carried out on schedule, pregnancy complications, fetal position and fetal abnormality can not be found in time, which is one of the important reasons leading to dystocia.
Therefore, going to the hospital on time is good for you and the fetus. If you don't go to the hospital in time due to special circumstances, you should go to the hospital for examination as soon as possible, and explain to the doctor everything that happened during the examination, such as abdominal pain, vaginal bleeding, fever, exposure to toxic substances, headache, dizziness, dizziness and other discomfort, abnormal fetal movement, leucorrhea, etc.
Question 5: Why did the doctor advise me to have an ultrasound examination?
Ultrasonic examination, referred to as B-ultrasound, is an advanced physical diagnosis technology, which can play an important role in diagnosing fetal malformation, developmental abnormality and diseases such as placenta, umbilical cord and amniotic fluid. In order to ensure the safety of mother and baby, the doctor will advise you to have a B-ultrasound examination under the following circumstances:
Vaginal bleeding in early pregnancy, excluding ectopic pregnancy, threatened abortion and hydatidiform mole. When the number of weeks of pregnancy does not match the size of the uterus, it is helpful to know the development of the fetus, whether there is abortion, irregular menstruation and so on. To know whether there is fetal malformation, it should be done at 18~20 weeks of pregnancy. Understand the growth and development of the fetus, whether there is intrauterine growth retardation, mostly in the second and third trimesters of pregnancy. Estimate the size of the fetus before delivery and determine whether it can be delivered through vagina. When it is suspected that the fetal position is not correct and cannot be determined, B-ultrasound examination can help diagnose. If the pregnancy exceeds the expected date of delivery, it is necessary to know the fetus, amniotic fluid and placenta through B-ultrasound.
Five prenatal problems that pregnant mommy is most concerned about 2 What should be paid attention to in early pregnancy?
It should be noted that the first prenatal examination should start when the early pregnancy is diagnosed, and should not exceed three and a half months of pregnancy. Generally, I went to a trusted hospital for the first check-up in 1 1 2 weeks of pregnancy and got a maternal and child health manual. Most expectant mothers check 1 time every 4 weeks, every 2 weeks after 28 weeks, and every week after 36 weeks until delivery.
At every birth check-up, pregnant mothers should wear loose clothes that are easy to put on and take off. The heels of shoes should not be high heels, but they should not be flat heels. Two or three centimeters of low heels are better. There are many items to check, so prepare a package and put all the necessary check lists together to avoid losing them every time. Always ask your doctor if you are confused about your physical reaction at home and if you don't understand the test results.
What does the prenatal examination in the first trimester include?
Early pregnancy examination generally includes the following items:
Gynecological endoscopy: this is to look at the vagina and cervix, exclude whether the reproductive organs of pregnant women are abnormal, and provide a channel for the baby to be born smoothly; Observe whether the vaginal mucosa is congested, whether the color and quantity of vaginal secretions are normal, and whether there is odor; See if the cervix is erosive and whether there are cervical polyps; Especially when bleeding in the first trimester, observe whether the cause of bleeding is related to vagina and cervix, and provide basis for treatment.
Leucorrhea examination: To know whether trichomonas and mold exist in vagina, and check chlamydia, mycoplasma and gonococcus if necessary. If the above microorganisms exist, it is easy to cause upward infection, affect embryo development and induce abortion.
Cervical curettage: Due to the increase of blood volume and abundant blood supply during pregnancy, if there is a tumor in the cervix, timely treatment can improve the survival rate. Therefore, this examination is mainly to understand the morphology of cervical epidermal cells and exclude the occurrence of cervical tumors. Of course, cervical curettage is a relatively primary examination method. When in doubt, you can further do colposcopy or cervical biopsy pathological section to make a clear diagnosis.
Gynecological trinity examination: mainly to understand whether the size of uterus is consistent with the menopause month and whether the embryo develops normally. When the size of uterus does not coincide with the month of menopause, B-ultrasound is needed to exclude hysteromyoma, abnormal uterine development and abnormal embryonic development. If there are uterine fibroids, it is necessary to estimate the size, growth position and whether it affects the growth and development of embryos. It is necessary to terminate the pregnancy in time and estimate the nature of fibroids as much as possible. At the same time, the doctor's examination also includes whether the bilateral appendages are normal. When the ovary is enlarged, it is necessary to distinguish between functional enlargement and organic enlargement caused by pregnancy. If the function increases, it will naturally subside after three months of pregnancy. If it is benign and organic, surgery should be performed after three months of pregnancy as far as possible to reduce the abortion rate.
What is an early pregnancy test?
Early pregnancy examination is the examination at the beginning of pregnancy. Because there is a high risk during pregnancy, some potential diseases will have no symptoms or mild symptoms before pregnancy, but during pregnancy, the symptoms will be particularly serious because of the increase of blood volume and metabolism.
For example, German measles, chickenpox, syphilis, AIDS and other infectious diseases are the most common diseases that affect fetal growth, and are also some basic inspection items for pregnant mothers in early prenatal examination.
Therefore, in order to prevent the occurrence of these diseases in time and ensure the healthy development of the baby, pregnant mothers must conduct early pregnancy tests in time!
When are you going to have an early pregnancy check-up?
There are many pregnant expectant mothers who don't know much about some things because they are pregnant for the first time. For example, when is the best time to have the first prenatal examination?
Generally, 1 1 or 12 weeks of pregnancy, the prenatal examination is officially started 1, that is, the so-called prenatal examination in the first trimester. Generally choose a hospital you trust and prepare for a checkup here.
Since it has entered a relatively stable stage at this time, the General Hospital will handle the Handbook of Pregnant Women's Health for mothers. In the future, when doctors do various prenatal examinations for each expectant mother, they will also make records according to the inspection items recorded in the manual.