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Pregnancy follow-up is the examinations carried out to evaluate the condition of the mother and baby from the beginning of pregnancy to postpartum, to inform the parents, to prevent or detect possible problems with the mother and the baby. It is better to start these examinations before the pregnancy occurs when the couples are planning pregnancy because in this case, the presence of a pregnancy-related or other problem in the mother is investigated before pregnancy, vitamins and other drugs are given to prepare for pregnancy, if necessary, the family is informed about the pregnancy, so that the mother can start the pregnancy in the most healthy way. is provided.
Before pregnancy occurs, when you apply to the doctor at the planning stage, various tests are performed on the mother and according to the results of these, the risks that may occur in terms of pregnancy are tried to be prevented. For example, if the mother has anemia, it is corrected before pregnancy. It is investigated whether he has had rubella and similar infectious diseases. If the mother has not had rubella, she should be very careful not to have it during pregnancy because having a rubella infection during pregnancy can cause problems. If the expectant mother is overweight, it is recommended to lose weight before pregnancy. If the mother has diabetes, blood sugar should be regulated before pregnancy. The expectant mother is informed about the use of drugs, cigarettes and alcohol. All women planning pregnancy are started with folic acid vitamin at the recommended prophylactic dose for NTD (neural tube defect) prophylaxis. Carriage is investigated for diseases such as haemoglinopathies and cystic fibrosis in risky areas.
Then, depending on the condition of the pregnancy, your doctor will examine and evaluate you almost once a month. At each examination, the mother's blood pressure and weight are measured. (Weight gain during pregnancy) There are tests done in some months, they are done. Whether the baby's weight is normal or not is evaluated by ultrasound. The presence of anomaly in the baby is investigated, and the patient is referred for detailed ultrasonography, especially at the end of the 5th month. In the examinations performed near the birth, the mother's birth path and bone structure are compared according to the baby's posture and weight by performing a vaginal examination, and an approximate estimation is made about the possibility of normal birth. However, it cannot be guaranteed and cannot be known that a normal birth will take place until the moment of delivery. In some cases, normal birth is not expected because the baby is upside down or for other reasons , and the cesarean section day is determined before the birth begins and the birth is performed by cesarean section.
multivitamin supplementation is not recommended for every pregnant woman unless the mother's nutrition is severely inadequate . During pregnancy follow-up, multivitamin pills are given to those who have nutritional problems or vegetarians. Drugs and vitamins used during pregnancy are explained in a separate issue.
HBsAg is done to determine whether the expectant mother has hepatitis (jaundice). If the expectant mother is HBsAg (+), hyperimmunoglobulin and vaccine should be given to the baby immediately after birth to prevent the risk of transmission to the baby during delivery, and the vaccine should be repeated in the 2nd and 6th months after birth. All newborns are vaccinated against hepatitis B with the recommendation of the Ministry of Health. It is recommended that pregnant women with HBsAg (-) receive hepatitis B vaccine as a preventative measure against the disease.
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