Before the birth of the mothers
Know the health of yourself and the fetus in time
Actively listen to the doctor’s opinions and suggestions
It will be more conducive to the healthy growth of the fetus
Facing the complexity schedule
Different projects at different stages
Do not confuse and panic
Let us listen
Deputy Chief Physician of the Medical Department of Beijing Maternity and Gynecology Hospital
What does Dr. Jiang Haili say
Jiang Haili Beijing Obstetrics and Gynecology Hospital Deputy Chief Physician
The first examination: When we know that after pregnancy, we usually go to the hospital for examination and determine that early pregnancy ultrasound prompts the size of the fetal buds and the movement of the fetal heart.The fetal heart is visible to the early pregnancy, but it cannot indicate whether the fetus has deformities, so doctors cannot answer whether the fetus is malformed.At this time, the general community hospitals will handle the "pregnant women’s health manuals" for expectant mothers. In the future, doctors will also conduct records and record them in time according to the inspection items recorded in the manual for each expectant mother.
The first birth check: 12 weeks of pregnancy
In a sense, expectant mothers will officially start the first birth inspection during the 12th week of pregnancy.Because the ultrasound judgment during early pregnancy has no other significance (can help check the pregnancy weeks, and the twins can help judge the villus activity).At this time, we will conduct ultrasonic screening malformations at 11-14 weeks, that is, NT ultrasound, and see the blood drawing report of the first birth check.
Second birth checkup: 16 weeks of pregnancy
At this time, expectant mothers have to do the second birth checkup.In addition to the basic routine inspection, expectant mothers can take blood for the screening of Tang’s syndrome (15-20 weeks) for more than 16 weeks.From 16 to 20 weeks, amniotic porpoles (about 19-24 weeks of our hospital), mainly to see if the fetus’s chromosomes are abnormal.
The third checkup: 22 weeks of pregnancy
At this time, expectant mothers will do the third checkup.Do an ultrasonic examination at 20-24 weeks during pregnancy (usually about 23 weeks), mainly to see if the fetus has a large problem in appearance development.See the length of the thigh bone and check whether the spine has congenital abnormalities.
The fourth birth checkup: 24 weeks of pregnancy
At this time, expectant mothers will do the fourth birth checkup.Most of the screening of gestational diabetes was carried out in the 24th week of pregnancy.If the expectant mothers have gestational diabetes, they must take dietary adjustment in treatment. If the blood glucose after meals can not be controlled in an ideal range after the diet is adjusted, insulin is needed.Oral blood glucose reduction drugs cannot be used during pregnancy, so as not to cause fetal malformations.
Fifth birth checkup: 28 weeks of pregnancy
At this time, expectant mothers will do the fifth birthday.At this stage, we will review the ospermia ultrasound (28-34 weeks). The specific time will look at the time of Bao Ma’s appointment. At this time, the baby grows more than 1000g, which is obvious. It can obviously measure the palace high and abdomen circumference.
Sixth birth checkup: 32 weeks of pregnancy
At this time, expectant mothers have to do the sixth birth checkup.Doctors should check whether there is edema for expectant mothers.Because most of the early eclampsia (used to be called pregnancy toxia) occur after 28 weeks of pregnancy. If the measurement is found that the blood pressure of the expectant mother is high, and the proteinuria and general edema occur, it is quasi -quasi -quasi -quasi -quasi -quasi -quasi -quasi -quasi -quasi -quasi -quasi -quasi -quasi -quasi -quasi -quasi -quasi -quasi -quasi -quasi -quasi -quasi -quasiMoms must pay more attention to avoid the danger of early eclampsia.
In addition, the expectant mothers should particularly prevent the occurrence of premature birth 37 weeks ago. If the pain exceeds 30 minutes and continues to increase, and the phenomenon of vaginal bleeding or water is combined, they must immediately go to the hospital for examination.(Of course, hypertension during pregnancy can occur in any gestational week, so doctors per month will conduct a routine hematuria test of pregnant mothers every month.
Seventh birth checkup: 35 weeks of pregnancy
At this time, expectant mothers will do the seventh birth checkup.By 34 weeks of pregnancy, expectant mothers need to do a detailed ultrasonic examination to evaluate the weight and development of the fetus at that time, and estimate the weight of the fetus at full monthly production.Once the fetal weight is not found, expectant mothers should supplement some nutrients; if the fetal weight is too heavy, the expectant mothers should be slightly controlled in their diet, so as not to be produced in cesarean section in the future, or the fetus is difficult to produce during the production process.
Starting from 33 weeks, GDM pregnant women’s maternity examinations can be changed once a week. The content of each inspection has not changed significantly, mainly: measuring weight, palace height, abdominal circumference, heart rate, blood pressure, fetal heart, regular measurement of hematuria routine, etc.The difference is that we have to start to do fetal heart monitoring.
The eighth checkup: 36 weeks of pregnancy
Starting from 36 weeks, expectant mothers will become closer to the date of production. At this time, the production inspection at this time is based on the principle of one weekly inspection and continuously monitor the state of the fetus.
Ninth birth checkup: 37 weeks of pregnancy
The ninth birth checkup will be performed at 37 weeks of pregnancy.As the fetal movement is becoming more and more frequent, expectant mothers should pay attention to the fetus and themselves at any time, so as not to be born in advance.At this time, the doctor will measure the pelvic measurement to understand the fetal pelvis. It is estimated that the size of the fetus is estimated to be given to childbirth.
Tenth Maternual Examination: 38 weeks of pregnancy
Starting from 38 weeks, the fetal position has been fixed, the fetal head has come down, and it is stuck in the pelvic cavity. At this time, expectant mothers should have the psychology of preparing production at any time.Some expectant mothers still have no signs of production after 41 weeks. At this time, they should consider letting doctors use oxytocin.
Of course, the above is only the approximate order of the birth check. The situation of each Baoma is different, and it has its own characteristics. All clinicians must determine the time and project of the birth test according to the condition.We will also tell pregnant women early to fully communicate, in addition to ensuring the safety of the baby, we can also know it.
There are also special circumstances, such as the examination of single -egg twins. Due to the large number of complications, the number of ultrasound and examination will be significantly more than a single or double -egg.