Pregnancy is divided into three stages:
Ma Jing herself went to the hospital for examination at the 39th week of pregnancy. The doctor said that the child is a little hypoxic, and he has to go to the hospital to take oxygen every day, and he will meet other pregnant women who take oxygen. When we chat, we will talk about all kinds of worries when the child is in the belly. I hope the child can come out early and come out to see how the child is.
What can a mother do to judge whether the baby in her belly is healthy or not? It can be said that some can, and most can't. There are three kinds of abnormalities in children:
1, threatened abortion
Vaginal bleeding may occur when the fetus is unstable during the embryonic period. At this time, mother can feel that she may have found it.
2. Ectopic pregnancy
Some mothers won't have their first B-ultrasound until 12 weeks of pregnancy, but ectopic pregnancy is easy to rupture and bleed if B-ultrasound is not found in time, because pregnant women with internal bleeding will feel stomachache and want to defecate, which is already very good.
3. Fetal hypoxia
When the fetus is hypoxic, there will be abnormal fetal movement, such as abnormal fetal movement or no fetal movement most of the day or all day, then these extremely careful mothers can feel it.
Therefore, it is suggested that after 28 weeks, mother should count fetal movements every day.
1, embryonic dysplasia
For example, HCG does not rise during blood test, or it rises too slowly. In addition, early B-ultrasound did not see fetal heart or only found empty gestational sac, indicating that there was something wrong with embryo development.
2. Fetal malformation
Ma Jing, a best friend, wants an elderly child. As a result, she was unhappy. When she went to check, she found that the fetus had no brain and had no choice but to abort.
Generally, most fetal malformations will be found by B-ultrasound, and some will find heart problems such as congenital heart or other organ malformations at the 20 th week of pregnancy.
B-ultrasound is actually using ultrasound to see if the child's development in the stomach is normal.
1, hearing problems
Hearing screening should be done as soon as the child is born, because there is no way to check whether the fetal hearing is normal during pregnancy.
2. Other issues.
For example, hypothyroidism or some chromosomal infectious diseases will be slowly discovered during the child's development.
Whether the fetus in the stomach is healthy after pregnancy can generally be checked out. If pregnant women want to know whether the fetus is healthy, they need to have prenatal examination on time. Generally speaking, as long as it is not a particularly tiny deformity or an injury formed during childbirth, they can know whether the fetus in their belly is healthy when they are pregnant.
Pregnant women want to know whether the fetus in their belly is healthy, so they need to have prenatal examination on time, because it is difficult for us to see whether the fetus is healthy in our daily life. After all, the fetus is in the womb, which is hard to see with the naked eye. Pregnant women can count fetal movements even if they can feel them in the second and third trimester of pregnancy, but this is only used to self-test whether the fetus is dangerous in the uterus, and they cannot know the health status of the fetus.
During pregnancy, pregnant women need to do a lot of tests, in addition to the usual blood routine, urine routine, weight, blood pressure and other tests, there are more important tests. These important tests are used to check whether the fetus has chromosomal abnormalities, congenital diseases or abnormal symptoms.
The earliest examination is NT examination between the first and second trimester of pregnancy, which is done between 1 1 week-pregnancy 14 weeks. It is to check the thickness of the zona pellucida behind the neck of the fetus by B-ultrasound, and to judge whether the fetus has the possibility of chromosomal abnormalities and congenital diseases by the thickness of the zona pellucida behind the neck of the fetus.
The thickness of the posterior zona pellucida of normal fetus in NT examination should be less than 3cm. If the thickness of the zona pellucida behind the fetal neck is less than 2.5 cm, it is considered that the fetal examination result is normal. If the thickness of the zona pellucida behind the neck of the fetus is more than 2.5cm but less than 3cm, follow-up observation is needed. If it is more than 3cm, it means that the examination is abnormal, and the fetus may have chromosomal abnormalities or congenital diseases.
For NT examination, the gestational age is limited, because if NT examination is not carried out between 1 1- 14 weeks, the examination result will be affected. Because the zona pellucida at the back of the fetal neck may not be fully formed before 1 1 week of pregnancy, the correct value may not be detected if it is done in advance. However, at 14 weeks of pregnancy and above, the zona pellucida at the back of the fetal neck will become hard and thick, which will affect the accuracy of B-ultrasound measurement and easily lead to errors in the results. Therefore, it is unnecessary or meaningless to do NT examination at other times except this time.
After NT examination, the next important examination is in the second trimester. Down syndrome screening in the second trimester is very important, which is mainly used to check whether the fetus has Down syndrome. The examination time is between 15- 20 weeks of pregnancy, and pregnant women can make an appointment in advance. Down's screening does not use B-ultrasound examination like NT, but checks the concentration of free estriol, alpha-fetoprotein and chorionic gonadotropin in pregnant women's blood by taking venous blood, and then calculates the results.
If the risk of Down's screening is low, it means that the possibility of fetal Down's syndrome is very small and the test results are normal. In this case, pregnant women don't need reexamination or further examination.
If Down's screening results are high-risk, it means that the examination results show that the fetus may have Down's syndrome, which is an abnormal situation, and pregnant women need to do further examination to determine whether the fetus is healthy.
Another result is that Down's screening is neither high nor low risk, but critical risk. Attention should be paid to the critical risk of Down's screening, because the critical risk is that although the fetal examination results are within the normal range, they are already at the limit and close to abnormal values. Therefore, in this case, although the result is within the normal range, the possibility of abnormality still exists. Pregnant women can do further tests.
After NT and Down's screening, there is another important examination to check whether the fetus has malformation-malformation screening, which is what we often call four-dimensional or three-dimensional color Doppler ultrasound examination. This examination is to check whether there is any structural abnormality in the fetus through color Doppler ultrasound, that is, whether there is any abnormality in the fetus, including whether there is abnormality or atresia in the face, heart, liver, spleen, lung and kidney, biliary tract and urethra.
The screening time of malformation is between 22 and 28 weeks, and the best time is between 24 and 26 weeks. Because the fetal development at this time is more suitable, the bone sound conduction is good, and the amniotic fluid volume is moderate, it is more suitable for checking whether the fetus has developmental abnormalities.
Deformity screening takes a long time, usually about half an hour. If the pregnant woman has too much abdominal fat or the fetal position is not suitable, it will take longer or need to be re-examined. Therefore, in order to avoid this situation, pregnant women must eat and drink enough, move around more, and try to keep the fetus awake before doing deformity screening. In this way, if the fetal position is unclear during the next examination, the fetus can also be moved to change its position.
If pregnant women can't see clearly because their stomachs are thick or the fetus itself is blocked, they can wait for a while to check again. In the meantime, they can eat something and walk around. If you can't see clearly because you don't cooperate with the fetal examination, you can wait for a week or two before rechecking. Generally, you don't need to pay any more money when rechecking.
In addition to these important examinations, pregnant women should not fall behind in the usual prenatal examination, because the usual prenatal examination can record the growth curve of the fetus and observe the development of the fetus. If pregnant women have abnormal conditions in these tests, they can further check the situation. Pregnant women can have amniocentesis or noninvasive DNA. Amniocentesis is to take amniotic fluid from pregnant women and check whether it is normal. Especially for elderly pregnant women, the fetus may be more prone to illness than ordinary pregnant women, so it is more necessary for elderly pregnant women to have a prenatal examination on time. Older pregnant women can skip Down's screening and do non-invasive DNA directly.
The difference between noninvasive DNA and amniocentesis is that the accuracy of amniocentesis is relatively high, but pregnant women are more likely to be infected with abortion. The accuracy of noninvasive DNA examination is lower than that of amniocentesis, but it is safer for pregnant women and fetuses.
Pregnant women want to know whether the fetus is healthy, so they must have a checkup on time during pregnancy. In addition to these kinds of examinations to check whether the fetus has chromosomal heteroDown syndrome and whether it is abnormal, don't miss the usual examinations. Because it can be used to observe whether the growth curve of the fetus is normal, and to check the abdominal circumference and uterine height of pregnant women, it can be used to judge whether the fetus is stunted according to the growth degree of the abdominal circumference and uterine height combined with B-ultrasound. Therefore, the examination during pregnancy is very important. If you want to know whether the fetus in your stomach is healthy, you need to have a checkup on time.
Can't see or touch, how do you know if the baby is doing well in the mother's stomach? Is it healthy? This is a curious but anxious question for many expectant mothers. Don't worry. In fact, although you can't talk to your baby, you can judge whether he is healthy in many ways. First of all, expectant mothers need to strengthen monitoring during pregnancy and respond to possible problems in time. Choosing a suitable hospital for filing, making regular prenatal examinations and accumulating pregnancy data through a series of regular examinations are the guarantee for the final safe production of the fetus, thus ensuring the healthy development of the fetus and the health of the pregnant woman herself during pregnancy.
Pay attention to monitoring fetal position
During normal delivery, the baby's head comes out first, so the head position is called normal fetal position, but the baby is not always obedient, and there will be abnormal fetal positions in activities, such as breech position and transverse position, which makes it difficult for the baby to pass through the birth canal smoothly during delivery, thus causing dystocia. Therefore, it is very important to monitor fetal position during pregnancy.
The fixed time of fetal position varies from person to person. Most primiparas can be fixed after 30-32 weeks of pregnancy, and will not change after 36 weeks of pregnancy. However, if the fetus is too small, or the mother, or for other reasons, the fetal position changes a lot after 32 weeks of pregnancy and even before labor.
Pay attention to monitoring fetal movement
Fetal movement is a very simple and intuitive means to judge the baby's health, so expectant mothers should learn to judge the baby's health according to fetal movement.
How much fetal movement is normal? The baby has been counting the fetal movements. If there is a pause in the middle, the interval is more than 2~3 minutes, which is another fetal movement. Under normal circumstances, the average apparent fetal movement of 1 hour is not less than 3~5 times, and some times of 12 hours are as high as 100 times, and some times are only 30~40 times. As long as the fetal movement is regular, rhythmic and has little change, it means that the baby is normal. When expectant mothers find that fetal movement is less than 20 times in 12 hours, or less than 3 times per hour, it means that the baby is hypoxic and the baby may be seriously threatened.
Fetal movement counting method: choose three fixed times every day, morning, middle and evening, and count the fetal movements 1 hour. Multiply the number of fetal movements of 3 hours by 4, which is the number of fetal movements of 12 hours, and record the results on the table in time. Continuous fetal movement meter once every 5 minutes.
Sometimes the expectant mother's abdominal wall will have paroxysmal regular beating. This is actually a baby hiccup, but it is difficult for most expectant mothers to distinguish it from fetal movement. Baby hiccups are not abnormal, they are physiological phenomena, so don't be too nervous.
Monitoring placental function
After more than 30 weeks of pregnancy, expectant mothers should regularly monitor whether the function of placenta is sound and measure whether the function of placenta is declining, which is often called "placental aging", mainly depending on the maturity of placenta. The maturity of placenta is divided into four grades: 0, I, II and III. Grade 0 is immature, grade I is early placental maturity, grade II is near placental maturity, and grade III is placental maturity.
Many mothers in the third trimester are concerned about the maturity of placenta. Will the baby be born?
In fact, placental maturity is not directly related to fetal development maturity and when the fetus gives birth. Placenta maturity is only a judgment mark of placenta, and the imaging evaluation of placenta is not the key and decisive factor to determine the above situation.
For this question, I think it is also the most urgent need for pregnant mothers to know. After all, the baby is in the mother's belly, and it is difficult for us to see it intuitively. The baby's specific situation will inevitably worry.
1, and complete the delivery inspection on time.
There are about 7~ 10 prenatal examinations during the whole pregnancy, each of which is very important, and each prenatal examination aims at different items, but it is to check the development of the fetus. It is the most basic and important thing to do every birth check-up on time.
2. Control weight gain.
After pregnancy, pregnant mothers must control their weight gain. The weekly weight gain should not exceed 500g after the second trimester, and it is ideal to control the weight gain during the whole pregnancy at 10~ 12.5kg. Pregnant mothers who grow too fast may be prone to edema and pregnancy syndrome, which is very dangerous for pregnant mothers.
3. Do fetal heart monitoring on time.
After 28 weeks of pregnancy, the items of fetal heart monitoring will be added at every birth check-up. This examination is different from our usual monitoring of fetal heart rate. Although there are only two short lines in fetal heart monitoring, it can reflect the function of placenta, the quantity and quality of amniotic fluid and the healthy environment in uterus. It is an important means to monitor fetal safety in the third trimester.
4, insist on counting fetal movements
Fetal movement is a simple and easy method that can directly reflect the health status of the fetus in the uterus. Pregnant mothers count fetal movements at 1 hour three times a day, as long as the number of fetal movements is more than five times each time. Fetal movement will be more frequent after eating, bathing or strenuous exercise. It is recommended to count fetal movements to avoid these times, and then count them after half an hour.
I've read too many reports recently, all of which say that I insisted on prenatal examination but gave birth to deformed children. Nevertheless, a prenatal examination is absolutely necessary. Because prenatal examination is prenatal screening, which can screen out most fetal malformations, if prenatal examination is not carried out on time only because of some circumstances, there may be great trouble or failure to know the health status of the fetus in time during delivery, let alone timely intervention.
In addition, prenatal examination and B-ultrasound are not omnipotent. Ultrasonic examination is helpful to understand the health status of the fetus, but it is impossible to know whether the physiological functions of the fetus such as intelligence, vision or hearing are normal.
In a word, it is the scientific means to ensure timely check-up after pregnancy, adjust diet and change living habits according to doctor's advice.
Whether the baby is healthy or not is an important thing in the hearts of treasure mothers. How to rule out whether the fetus is abnormal is also an important examination item in prenatal examination. As an obstetrician, I will explain to you how to judge whether the baby in the belly is healthy or not.
Down's screening, NT and non-invasive DNA examination are prenatal screening methods, which mainly screen aneuploid chromosome abnormalities. The diagnosis depends on amniocentesis, chorionic collection and karyotype analysis of cord blood puncture.
Systematic B-ultrasound can know that the fetus has structural defects, but some small deformities can't be seen by B-ultrasound. Conventional B-ultrasound can know the growth and development of the fetus.
The examination methods to judge whether the baby is hypoxic mainly include fetal heart monitoring, fetal blood vessel Doppler examination and fetal biophysical score.
To sum up, we mainly know whether the fetus is abnormal through the above-mentioned examination in labor, but even if we do a full set of prenatal examination, nearly 5% of the fetus still has birth defects. Good luck with your pregnancy.
During pregnancy, how do you know if your baby is healthy?
This problem should also be a problem that puzzles many mothers, right? Now our living environment and habits are not very good, which leads to many mothers suffering from fetal arrest; Or because the baby is too naughty, the umbilical cord is entangled. In either case, if mothers can know in advance, the chances of the baby's survival are great.
So can mothers confirm their baby's health in some way without going to the hospital?
The answer is yes, that is fetal movement.
Fetal movement represents the overall situation of the baby to a certain extent. Generally speaking, if the fetal movement and frequency are normal, the baby generally grows up healthily; If the fetal movement is abnormal or there is no fetal movement, it means that the baby is in danger in the mother's stomach.
Therefore, it is very important to accurately calculate fetal movement and judge fetal movement.
Many mothers are confused about the start time of fetal movement. Generally speaking, for primiparas, when the baby is about 4 months old, they begin to feel fetal movement one after another. The more accurate time is 18 weeks -20 weeks. With the growth and development of the baby's limbs, you can start to do some big moves to make your mother feel good. Of course, some mothers who are sensitive themselves will feel fetal movement earlier.
In addition, the second-born mother, because of the experience of the first child, will be more keenly aware of fetal movement before it comes, so she will feel fetal movement earlier.
For most babies, fetal movement is actually very regular.
Generally speaking, mother's fetal movements will be more frequent during the relaxation time after meals and before going to bed. The calculation of fetal movement should find three time periods in a day when the baby's fetal movement is more frequent.
The specific calculation method is also very simple. Mothers choose 1 hour in each time period and count the number of fetal movements in this 1 hour. Then add up these three fetal movements and multiply them by 4 to get the number of fetal movements of the baby 12 hours. This number can be used as a benchmark, and compared with the number of fetal movements every day in the future, you can know the baby's health status.
Generally speaking, fetal movement has two dimensions: one is frequency and the other is strength.
Next, Happy Dad will tell you how to analyze fetal movement from these two dimensions.
The first is the number of times.
For babies, the common number of fetal movements is about 30 times. If it is less than 20 times, the baby will have the possibility of umbilical cord around the neck. If it is less than 10 times, it means that the baby may suffocate and needs to see a doctor in time.
The other is strength.
In the case of similar times, the strength of fetal movement can also reflect the baby's health on the one hand. If the baby's fetal movement has been very strong, and suddenly one day the baby's fetal movement becomes very weak, then there is the possibility of intrauterine hypoxia. And if the baby's fetal movement has been relatively small, suddenly one day the fetal movement has increased a lot, or it may be intrauterine asphyxia.
Through the performance of these two dimensions, we can comprehensively judge the baby's situation.
In fact, it is very convenient to judge the baby's health through fetal movement, and mothers can do it at home. However, this is only an auxiliary means. If you are not sure, Happy Dad still suggests that mothers go to the hospital for examination, and it is better for the baby to follow the doctor's advice.
Can't see or touch, how do you know if the baby is doing well in the mother's stomach? Is it healthy? This is a curious but anxious question for many expectant mothers. Don't worry. In fact, although you can't talk to your baby, you can judge whether he is healthy in many ways.
First of all, expectant mothers need to strengthen monitoring during pregnancy and respond to possible problems in time. Choosing a suitable hospital for filing, making regular prenatal examinations and accumulating pregnancy data through a series of regular examinations are the guarantee for the final safe production of the fetus, thus ensuring the healthy development of the fetus and the health of pregnant women themselves during pregnancy.
Pay attention to monitoring fetal position
During normal delivery, the baby's head comes out first, so the head position is called normal fetal position, but the baby is not always obedient, and there will be abnormal fetal positions in activities, such as breech position and transverse position, which makes it difficult for the baby to pass through the birth canal smoothly during delivery, thus causing dystocia. Therefore, it is very important to monitor fetal position during pregnancy.
The fixed time of fetal position varies from person to person. Most primiparas can be fixed after 30-32 weeks of pregnancy, and will not change after 36 weeks of pregnancy. However, if the fetus is too small, or the mother, or for other reasons, the fetal position changes a lot after 32 weeks of pregnancy and even before labor.
Pay attention to monitoring fetal movement
Fetal movement is a very simple and intuitive means to judge the baby's health, so expectant mothers should learn to judge the baby's health according to fetal movement.
How much fetal movement is normal? The baby has been counting the fetal movements. If there is a pause in the middle, the interval is more than 2~3 minutes, which is another fetal movement. Under normal circumstances, the average apparent fetal movement of 1 hour is not less than 3~5 times, and some times of 12 hours are as high as 100 times, and some times are only 30~40 times. As long as the fetal movement is regular, rhythmic and has little change, it means that the baby is normal. When expectant mothers find that fetal movement is less than 20 times in 12 hours, or less than 3 times per hour, it means that the baby is hypoxic and the baby may be seriously threatened.
Fetal movement counting method: choose three fixed times every day, morning, middle and evening, and count the fetal movements 1 hour. Multiply the number of fetal movements of 3 hours by 4, which is the number of fetal movements of 12 hours, and record the results on the table in time. Continuous fetal movement meter once every 5 minutes.
Sometimes the expectant mother's abdominal wall will have paroxysmal regular beating. This is actually a baby hiccup, but it is difficult for most expectant mothers to distinguish it from fetal movement. Baby hiccups are not abnormal, they are physiological phenomena, so don't be too nervous.
Monitoring placental function
After more than 30 weeks of pregnancy, expectant mothers should regularly monitor whether the function of placenta is sound and measure whether the function of placenta is declining, which is often called "placental aging", mainly depending on the maturity of placenta. The maturity of placenta is divided into four grades: 0, I, II and III. Grade 0 is immature, grade I is early placental maturity, grade II is near placental maturity, and grade III is placental maturity.
Many mothers in the third trimester are concerned about the maturity of placenta. Will the baby be born?
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