The key points of a 40-week pregnancy checkup in one go

8 ~10 Weeks to see the fetal heartbeat After determining that the embryo is in the uterus, the next step is to determine if the embryo has a heartbeat. Director Lai pointed out, "Generally speaking, the heartbeat of the fetus will be obvious when you are more than 7 weeks pregnant. If you use *** ultrasound, you can see the heartbeat at 6 weeks. However, the normal abdominal ultrasound is about 7 to 8 weeks before the heartbeat can be seen more clearly," he said.

The reason why we need to confirm whether the embryo has a heartbeat first is because we are worried about "atrophic embryo" or fetal death, Dr. Chen Yiyong explains: "It means that the embryo sac is developing in the uterus, but there is no embryo forming in the sac. In addition to this, there is also the fear that the embryo will suddenly lose its heartbeat, resulting in fetal demise. Therefore, at 8 weeks, we will determine whether the heartbeat of the fetus is normal or not. Generally speaking, if there is a heartbeat, more than 90% of pregnant moms will be able to have a full-term pregnancy.

However, once an atrophic embryo or an embryo with no heartbeat is detected, it is usually tracked for 1 to 2 weeks, and if there is still no heartbeat or embryo, medication to expel the embryo or abortion may be recommended. Dr. Chen explains, "Taking medication to expel an atrophic embryo mainly uses prostaglandins to dilate the cervix, causing the uterus to contract violently to expel the embryo. However, if you are worried that the uterus will not be able to expel the embryo, you can also undergo surgery, mainly based on the results of the discussion between the patient and the physician.

As for the timing of when the physician issues the Maternity Booklet, generally speaking, the timing varies from hospital to hospital. In large hospitals, it is usually issued between 10 and 14 weeks, after the heartbeat is confirmed and there is no chance of early miscarriage. The purpose of the blood test is to confirm the pregnant woman's blood type and Rh blood type, and check for anemia, hepatitis B, syphilis, AIDS. As for the urine test, it mainly detects the value of urine sugar and urine protein, so as to know whether there is diabetes or kidney disease in the first place. At the same time, the white blood cells in the urine will be checked to see if they are too high. The first thing you need to do is to get your hands on some of the most popular products and services in the world, and then you'll be able to get your hands on some of the best ones.

Director Lai added that the purpose of blood pressure measurement is to check whether the mother's blood pressure is high, in order to understand whether there is a complication of gestational hypertension or pre-eclampsia, and usually the general project examination can be found in about 60% of the abnormalities. Because of the advanced ultrasound nowadays, most of the ultrasound examination will measure the head circumference, abdominal circumference and thigh bone length to convert the weight of the fetus. Dr. Chen pointed out that in the past, the measurement of the height of the uterine floor, that is, the height of the pubic bone to the uterus in order to assess the size of the fetus, is now replaced by ultrasound.

Special programs Although the general examination can detect 60% of the abnormalities, there are still 40% of the problems that can not be detected by the general obstetrics program, so there is a need for some special obstetrics programs. The first thing you need to do is to get your hands on a new pair of shoes or boots, and you're going to be able to get your hands on a new pair of shoes or boots that you want to wear.

In addition, a screening test for gestational diabetes will be conducted at 24 to 28 weeks to drink sugar water to detect whether the pregnant mom has metabolic diseases such as gestational diabetes. In addition, amniocentesis is performed between 16 and 20 weeks; as for 35 to 37 weeks, screening tests for Streptococcus B in the birth canal will be done to find out if there is any Streptococcus B carrier in the birth canal and the lower gastrointestinal tract.

Other special programs, for example, the endopelvic examination is usually done at 38-39 weeks to understand the maturity of the cervix, and high-level ultrasound is done at 20-24 weeks. In addition to this, there is also the very popular amniotic fluid microchip test, which performs a microchip test of the mother's blood fetal cells to check for any genetic abnormalities.

At 40 weeks of pregnancy, each stage of the pregnancy has a different focus and important obstetric tests, which are essential for pregnant mothers to know and not to miss? The first thing you need to do is listen to what a professional obstetrician and gynecologist has to say. The first thing you need to do is to get a good understanding of what it means to be a good mother and father, so that you can be assured that your baby will be fine! Never Miss !

Almost every pregnant woman knows the importance of a checkup, and most pregnant women nowadays receive them on time. However, Lai Tsung-hsiang, senior attending physician at the Department of Obstetrics and Gynecology and director of the Center for Reproductive Medicine at Cathay General Hospital, has encountered a number of cases of failure to comply with the rules of checkups, which has left him with a deep impression.

The first case is a landed spouse. As her significant other also works in the mainland, she has to travel frequently between the mainland and Taiwan. She did not receive a maternity booklet in the early stages of her pregnancy because she did not undergo a maternity check in Taiwan. Her maternity booklet was issued by a medical institution in mainland China, but the maternity checkups done in mainland China were not exactly the same as those done in Taiwan. It wasn't until about 24 weeks into her pregnancy that she went to the hospital outpatient clinic for a maternity checkup.

Mr. Lai pointed out, "This 35-year-old pregnant woman, although she had a general ultrasound examination in mainland China, she did not have an amniocentesis examination or a high-level ultrasound examination, which made us feel uneasy. After careful high-level ultrasound examination, it was found that the fetus had a slight harelip condition," she said. After the mom-to-be gave birth, Dr. Lai referred the baby to the Huey-Fu Lo Craniofacial Foundation for surgery.

The other case was also a landed spouse. This mom-to-be went back to the mainland after getting her maternity booklet, even though she was in Taiwan for her delivery in the early stages of her pregnancy. When she showed up at the hospital again, she was already 38 weeks pregnant, and there were already signs of labor pains. Director Lai asked her if she had undergone high-level ultrasound, to which she replied, "I don't think so"; and if she had undergone screening for gestational diabetes, she said, "This screening is not available in mainland China. She said, "There is no such screening test in mainland China."

As the mother insisted on having Lai deliver the baby, Lai confessed, "Because I didn't know what had happened to the mother during her pregnancy, and I wasn't sure if the baby was normal or not, I was really nervous when I was delivering the baby, and I was in a cold sweat! The company's website is a great place to find out more about the company's services, and it's a great place to learn more about the company's services.

In addition, Dr. Lai recently met a pregnant woman with lupus erythematosus who had three miscarriages. In her fourth pregnancy, she didn't show up for her checkup until she was 32 weeks. When her blood pressure was measured, Dr. Lai found that her blood pressure was too high, which was suspected to be gestational hypertension, and prescribed medication for her to take. However, when she returned 2 weeks later, she found that the fetus had no heartbeat. Due to the lack of regular obstetrics, the tests that should have been done were not done, and the condition of the lupus erythematosus could not be properly controlled, resulting in the inability to continue the pregnancy.

Modern information development, coupled with the Department of Health, Ministry of Health and Welfare, National Health Service subsidizes the cost of 10 times the maternity examination, and the convenience of access to health care in Taiwan, only a very small number of pregnant women are not in accordance with the schedule to do the examination. The newest addition to the list is the newest addition to the list, the newest addition to the list, the newest addition to the list.

In fact, the rules of obstetrics can be early detection of fetal and maternal problems, in addition, the obstetrics in each stage of the focus, for example: 5 to 6 months of pregnancy, the fetal organs, the structure of the development of almost, at this time to carry out high-level ultrasound examination will see more clearly. If the weeks are too small, the development is not complete, so it is not clear; weeks are too large, there may not be enough space, it is not easy to complete the examination.

13 ～16 Weeks, Organisms and appearance are complete The fetus is now fully formed, with the organisms and appearance complete, and the development of its functions maturing. At this point, you can see the baby's face and limbs clearly, and you can hear voices in your ears. The baby's skin is transparent with a pinkish color and begins to move. At this point in time, the sex organs are also maturing, but sometimes it's not easy to tell the sex of the baby through ultrasound.

After explaining the development of the fetus in the early stages of pregnancy and the key points, we are now in the middle of the main event: the prenatal checkup, and the related items are as follows:

1. Inquiring about the history of the disease, the history of pregnancy, the history of the birth of a child

The first time you are pregnant, you will be able to find out what you need to do to make sure that you have a good understanding of the disease, and what you are looking for. The patient is not only the mother, but also the fetus, so in addition to the obstetrics and gynecology examination, you have to go back to the original internal medicine department to adjust the medication," said Mr. Lai, Director of the Department of Medicine.

As for the history of pregnancy and childbirth, including the birth of the previous child, whether or not a cesarean section, etc., the doctor will be informed in advance as a reference for this child.

The doctor will also ask if there are any medical problems with the current pregnancy, including nausea, vomiting, and severe pregnancy-related illnesses. In principle, it is important to inform your physician of any chronic or specialized illnesses for which you have been taking medication for a long period of time, as well as any hereditary diseases that run in your family.

2. Blood test The first blood test during pregnancy includes: blood type and Rh factor, syphilis screening, German measles antibody and AIDS screening. However, Dr. Chen Yiyong pointed out: "The current routine blood test is only to screen whether the hemoglobin and blood cell size is normal, to confirm that there is no anemia, but also can not test whether there is a marine anemia genes. If a routine blood test detects a small average blood cell volume, it may be iron deficiency anemia or marine anemia, which requires further testing.

3. Urinary Routine Tests Urinary Routine Tests include: urinary proteins, urinary glucose, red blood cells and white blood cells in the urine. Dr. Chen explains, "Every time you go to the hospital, you'll use test strips to check for urine sugar and urine protein; however, at the first hospital visit, you'll also check for the number of white blood cells and red blood cells, to make sure that you don't have any urinary tract infections. Pregnant women often have asymptomatic urinary tract infections, which can lead to pyelonephritis. Once in pregnancy, due to the decline in resistance, it is easy to increase the chance of sepsis, toxic shock, severe acute renal failure, causing premature birth, fetal death, etc. Therefore, once found in the urinary tract infection, will be given antibiotic treatment immediately.

4. Initial Down syndrome screening + fetal nuchal translucency (11 ～13 weeks + 6 days

These are the first time I've had a baby in my life, and it's been a long time since I've had one. strong>

5. Non-invasive maternal fetal DNA testing (NIPT) (after 10 weeks)

Self-pay. strong> Self-pay. Blood sampling non-invasive maternal fetal DNA screening can be done after 10 weeks of pregnancy, there is no weekly limit, and must be self-paying, although the cost can be as high as $25,000, so it is recommended to decide whether or not to do it depending on need.

Dr. Chen said, "This screening test can only look at whether the number of chromosomes in the 13th, 18th, and 21st pairs is normal, and the accuracy is comparable to that of an amniocentesis, but it can't replace an amniocentesis, which is a test that can detect many more problems.