Pregnancy follow-up is the examinations carried out to evaluate the condition of the mother and baby, to inform the mother and father, to prevent problems that may occur with the mother and the baby, or to detect these problems during the process from the first pregnancy to the completion of the birth.
It is better to start these examinations as soon as the couples are planning a pregnancy before the pregnancy is achieved. The reason for this is, in this case, before the pregnancy period, it is investigated whether the expectant mother has any problems related to pregnancy or any other issue. Vitamins and other medicines are given if needed to prepare for the pregnancy period. By raising awareness of the family about pregnancy, it is ensured that the expectant mother takes the most healthy step towards pregnancy.
Pregnancy is a way of life that changes the life of the expectant mother as it is, and there is a life of 2 people in one body. Pregnancy follow-up is very important in order to pass this period in the most efficient way for both mother and baby. Couples should be followed up with the initiation of unprotected intercourse upon their desire to have children. The issues that will constitute the subject of follow-up in this step are the physical preparation of the woman for the pregnancy period and the provision of physiological conditions for pregnancy. The doctor makes some evaluations for the expectant mother who has decided to become pregnant. In addition to vitamin capsules containing folic acid, it can also offer some suggestions that can benefit the whole body. It is necessary to stay away from existing bad habits and make a transition to a better quality life.
The main purpose of the follow-up before the birth is to ensure that the baby is healthy together with the mother. For this purpose, too:
The expectant mother should make her first application to the gynecologist in the early period from the moment the pregnancy is detected. In the first application, a number of laboratory analyzes may be requested from each mother-to-be. These examinations are:
Doctor check-ups after the tests are carried out every 4 to 5 weeks until the 28th week of pregnancy, every 2 weeks between the 28th and 36th weeks, and then weekly.
Between the 16th and 18th weeks of the pregnancy period, the hormone called alphafetoprotein in the blood is examined for the purpose of detailed ultrasonography and scanning of the bone development around the baby's spinal cord due to phthalanoma screening. Also, between these weeks, a blood test called the triple test is done to screen for DOWN syndrome (mongolism). For DOWN syndrome, risk is determined as a result of a risk according to age and triple test. If the risk is above a certain rate, it is recommended to take water from the pregnancy sac (amniocentesis). Amniocentesis is recommended directly in pregnancies after the age of 35, as the risk of DOWN syndrome may be encountered. Amniocentesis has only one risk and that is a miscarriage. This probability is seen around 1% or 2%.
Every expectant mother is screened for hidden sugar. For this, the expectant mother is given a sugar solution equal to 50 g of glucose on a full stomach. In cases where the ratio of the value obtained after 1 hour is high, full sugar loading is applied to the expectant mother. In addition, full sugar loading can be done directly in the family, in first-degree relatives with diabetes, in those with a history of fetal loss and in those who have had a large baby before.
The expectant mother is asked to perform a repeat blood count and urine culture. In case of blood incompatibility (mother Rh-, father RH+), the required blood test is performed again during the controls.
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