What are checked before pregnancy

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Pregnancy planning has now become the norm. But often, the number of tests offered to hand over the woman before proceeding directly to conceive, exceeds all reasonable limits. Are they all necessary?

Some doctors advise before pregnancy to check the contents of trace elements in the blood, while others say that it is possible to limit TORCH-complex recommend others to be tested for all existing genital infections. On what the tests is imperative to take before pregnancy and what to do, says doctor gynecologist, endocrinologist, K. Mr.. Nosacheva Tatiana I., head clinic "VITAMED."


Recently, I began to notice that the average age of pregnant women wishing to become pregnant and women who come to our clinic is about 27-30 years. Women began to give birth later and approach the issue consciously. And that's fine, because the planned pregnancy always runs more smoothly than the spontaneous, as correct training (replenishment of vitamin deficiency, screening, identification of predispositions and adverse conditions, diagnosis of possible diseases and their correction) will prevent most complications that develop during pregnancy.

There is a state of the harmful effect of which on the pregnancy can be completely removed if identified in advance. For example: the lack of immunity to rubella. If a woman is infected during pregnancy, it is usually (in 50% of cases), it will lead to fetal malformations of the fetus. However, having done well in advance (three months), only one vaccine can completely protect themselves and the unborn child.

Another condition that can be prevented — iodine. It is diagnosed in30-40% Of Russian women. Receiving daily 150 mg of potassium iodide before and 200 mg during pregnancy completely solves this problem. Complication of iodine deficiency disorders can be: miscarriage, intrauterine fetal death, mental retardation in children, etc.

There are conditions that can not be prevented, but early detection and correction of which (prior to pregnancy or in early pregnancy) allows you to save and make the desired child. For example, antiphospholipid syndrome, hyperandrogenism (increased levels of male sex hormones), various endocrinopathies (diabetes, thyroid disease).

Talk about the joys of motherhood, we can only when the baby is born healthy. This requires very serious about his desire to have children.

So what does it take to make a woman who plans to become pregnant in the near future?

  1. Consult a doctor gynecologist. The doctor should carry out inspection to assess the condition of the cervix by colposcopy and cytology. Also make sure that you do not infectious and inflammatory diseases of the pelvic organs. To do this, pass the following tests: planting the flora andPCR for infections, sexually transmitted infections (Chlamydia, Mycoplasma, Ureaplasma, cytomegalovirus, herpes, HPV) and their sensitivity to antibiotics of the vagina. If the infection or inflammation to be detected, the reality can not become pregnant. Need to be treated and get negative tests, after that — the green light to his goal. For infection is recommended to pass not only to you but also to your husband.
  2. Pelvic ultrasound on5-7 and21-23 day cycle. In the first case, the general condition of the pelvic organs in the second — the presence of the corpus luteum (if ovulation has occurred) and the transformation of the endometrium.
  3. Hormones blood. First (5-7 day of the menstrual cycle) and the second (21-23 day) phase of the cycle (TSH, T3, T4, free, ATTPO, LH, FSH, PG, T, estradiol, DHA-S, 17-SR etc.). Only a doctor may prescribe which hormones and in what phase of the cycle must pass for you.
  4. Gemostaziogramma, coagulation — especially blood clotting.
  5. Biochemical analysis of blood.
  6. Find out the blood group andRh factor woman and her husband. If a woman Rh-negative blood, and her husband Rh-positive and there is no title Rh antibodies then before a planned pregnancy is necessary to Rh-immunization. If the titer is found (in quantitative terms), it is necessary during pregnancy to monitor the growth of the title. If a woman has one blood, and my husband any other, that, during pregnancy, once a month to donate to the group antibodies.
  7. The definition of lupus anticoagulant, antiphospholipid antibodies, antibodies to cardiolipin, to human chorionic gonadotropin — they are factors miscarriage.
  8. Total blood count.
  9. General analysis of urine.
  10. Consultation of the dentist — dental solutions to problems outside of pregnancy. If a problem arises with your teeth during pregnancy, you will not be able to do x-ray, if it is necessary, besides doctors will be limited in the choice of therapeutic drugs.
  11. TORCH-complex — A group of diseases that are dangerous to the fetus: rubella, toxoplasmosis, herpes, tsitomegalovivusnaya infection, etc. Any one of them a woman "in the state" — a direct indication for termination of pregnancy is necessary to determine beremennosti.Do antibodies to toxoplasma, cytomegalovirus, chlamydia, rubella pathogens and herpes — a quantitative analysis (titer). The presence of IgG antibodies indicates immunity to these infections and is not an impediment to pregnancy. The presence of IgM indicates acute stage of the disease — in this case, the plan should be delayed until recovery. If no antibodies to rubella IgG, should be vaccinated. Do not ask your parents if you are ill rubella, it is impossible to know for sure — the disease can occur under the guise of acute respiratory infections and vice versa. Accurate information can only give a blood test for antibodies. Rubella vaccine — a live, immunity is developed 2-3 the month in which you want strict protection. If by chance to be vaccinated in early pregnancy does not have to interrupt it — the vaccine strain is safe for the fetus. Safe and chat pregnant women without immunity to the just vaccinated people, including children, in contrast to the real suffering of people. When detection of cytomegalovirus infection is necessary to antiviral therapy and, in some cases, immunization certainly. This infection is very dangerous. It causes a variety of abnormalities in fetal development and pregnancy — polyhydramnios, hydrocephalus, hepatomegaly, abortion, fetal death, etc.
  12. A blood test for HIV, hepatitis B, hepatitis C, RW.

Finally we wish all women who are preparing to become mothers, love and trust — your body, her husband, the unborn child, the doctor destiny. It will be then, and so, when and how it should be from you.

Source: Clinic "Vitamed"

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