Pregnancy

During pregnancy controls are performed up to 34 weeks of gestation at intervals of 4 – 6 weeks and then, from 34 weeks of pregnancy until term once every 1 – 2 weeks, and in the last month each week. The mother to be can then be transferred to the ambulatory care setting of the medical institution, where she will be admitted by mutual agreement- at the latest, at the date of the term of delivery.

At every check-up, patient weight is measured, urine analysis, blood pressure measurement and often determination of haemoglobin levels.

Laboratory tests up to 14 weeks:

  • Determination of blood group and Rh factor
  • Screening for irregular antierythrocytic antibodies,
  • Determination of haematocrit, haemoglobin level, number of erythrocytes, leukocytes and platelets,
  • Serological examination of HIV, HBsAg and antibodies against syphilis,
  • Fasting glycaemia.

During pregnancy, 3 Ultrasound examinations are standardly performed: ultrasound examination at 11 – 14 weeks, at 18 – 23 weeks, and at 30 – 32 weeks of gestation. The so-called first trimester screening includes the collection of maternal blood and fetal examination. The examination is carried out between 11 and 14 weeks of gestation.

At every check-up, patient weight is measured, urine analysis, blood pressure measurement and often determination of haemoglobin levels.

Laboratory tests up to 14 weeks:

  • Determination of blood group and Rh factor
  • Screening for irregular antierythrocytic antibodies,
  • Determination of haematocrit, haemoglobin level, number of erythrocytes, leukocytes and platelets,
  • Serological examination of HIV, HBsAg and antibodies against syphilis,
  • Fasting glycaemia.

During pregnancy, 3 Ultrasound examinations are standardly performed: ultrasound examination at 11 – 14 weeks, at 18 – 23 weeks, and at 30 – 32 weeks of gestation. The so-called first trimester screening includes the collection of maternal blood and fetal examination. The examination is carried out between 11 and 14 weeks of gestation.

In the mother’s blood, we determine the value of free ß-HCG and protein PAPP-A; by ultrasound we measure the so-called Nuchal Radiance (NT – Nuchal translucency). These three values — NT size, ß-HCG level and PAPP-A — are used to calculate the risk of fetal disability with a certified computer program. If the risk is increased, further examinations are indicated.

The result of the examination is not the definitive value. We can only determine the risk estimation. For example: Risk of 1:500 means that from 500 women with the same values of measured parameters, one defect can be expected. A higher number indicates a greater  probability for a healthy child.

There is also the possibility to administer the so-called NIPT (non-invasive prenatal test) in which, from the blood taken from the mother it is possible to capture the cells belonging to the fetus and perform their detailed analysis. The test is a very sensitive to the detection of trisomy 21, 18, 13 and disorders of the sex chromosomes. It can be done from 11 weeks of gestation.

In the mother’s blood, we determine the value of free ß-HCG and protein PAPP-A; by ultrasound we measure the so-called Nuchal Radiance (NT – Nuchal translucency). These three values — NT size, ß-HCG level and PAPP-A — are used to calculate the risk of fetal disability with a certified computer program. If the risk is increased, further examinations are indicated.

The result of the examination is not the definitive value. We can only determine the risk estimation. For example: Risk of 1:500 means that from 500 women with the same values of measured parameters, one defect can be expected. A higher number indicates a greater  probability for a healthy child.

There is also the possibility to administer the so-called NIPT (non-invasive prenatal test) in which, from the blood taken from the mother it is possible to capture the cells belonging to the fetus and perform their detailed analysis. The test is a very sensitive to the detection of trisomy 21, 18, 13 and disorders of the sex chromosomes. It can be done from 11 weeks of gestation.

Detailed evaluation of fetal morphology is carried out at 18-23 weeks of pregnancy. Ultrasound examination at 30-32 weeks of pregnancy is used to evaluate fetal growth.

Examinations in the 2nd trimester:

  • Oral glucose tolerance test at 24-28 weeks
  • Antepartal prophylaxis of RhD alloimmunisation in RhD-negative women from 28 weeks

Laboratory examinations at 28 – 34 weeks:

  • Determination of haematocrit, haemoglobin level, number of erythrocytes, leukocytes and platelets,
  • Repeated clinical and serological examinations for syphilis

Detailed evaluation of fetal morphology is carried out at 18-23 weeks of pregnancy. Ultrasound examination at 30-32 weeks of pregnancy is used to evaluate fetal growth.

Examinations in the 2nd trimester:

  • Oral glucose tolerance test at 24-28 weeks
  • Antepartal prophylaxis of RhD alloimmunisation in RhD-negative women from 28 weeks

Laboratory examinations at 28 – 34 weeks:

  • Determination of haematocrit, haemoglobin level, number of erythrocytes, leukocytes and platelets,
  • Repeated clinical and serological examinations for syphilis

At 36 weeks of pregnancy, we perform a culture examination of the vaginal environment to exclude the presence of B-Streptococci. If this bacterium occurs in the vagina, the future …. (missing text)

Care in pregnancy follows in detail the development of fetal and maternal pregnancy changes. The aim is to ensure a calm course of pregnancy, timely identify possible risks and prevent complications. Part of our philosophy is preparation for childbirth, with a specific analysis of the first and second time so that a healthy child is born and the woman has not been damaged during childbirth.

Routine pregnancy controls includes:

  • Blood pressure measurement
  • Urine analysis
  • Consider
  • Blood collection
  • Abdominal examination by palpation
  • Listen to the child’s heart activity from 25. Gestational week.
  • Glucose stress test at 24 + 0 and 28 + 0 gestational age to exclude pregnancy diabetes
  • Regular ultrasound examination

Mothers during the beginning of childbirth receive one dose of antibiotics, which protects the newborn baby from possible development of streptococci infection. (GBS). A pregnant woman may be offered ultrasound screening of fetal growth restriction at 36 – 37 weeks, however, as of yet it is not covered by public health insurance.

Routine pregnancy controls includes:

  • Blood pressure measurement
  • Urine analysis
  • Consider
  • Blood collection
  • Abdominal examination by palpation
  • Listen to the child’s heart activity from 25. Gestational week.
  • Glucose stress test at 24 + 0 and 28 + 0 gestational age to exclude pregnancy diabetes
  • Regular ultrasound examination

Mothers during the beginning of childbirth receive one dose of antibiotics, which protects the newborn baby from possible development of streptococci infection. (GBS). A pregnant woman may be offered ultrasound screening of fetal growth restriction at 36 – 37 weeks, however, as of yet it is not covered by public health insurance.

3D/4D Ultrasound in pregnancy

3D/4D ultrasound allows for visualization of the fetus, which has not recently been possible. However, this is only a supplementary examination, it is not intended as a method to diagnose developmental defects. The best view can be obtained between 25 and 30 weeks of pregnancy. Modern ultrasonic technology allows for visualization of the baby while still in the womb. The details of the face, body and limbs are visible. For you as a mother, the video can be a unique memento. The video and images can be taken home in an electronic format.

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