Pregnancy Follow Up
Pregnancy Process and Follow-up
After the diagnosis of pregnancy is made, the pregnancy process is closely followed up with routine controls. After consulting with the obstetrician, a plan is made with your doctor, who has detailed information about the pregnancy process and pregnancy follow-up. Within this plan, your pregnancy period is carried out in a healthy way. With the blood tests of the first weeks of pregnancy and the formation of the sac, the follow-up process begins with ultrasonic tests. Usually, the second examination shows the sac.
The first four weeks of pregnancy are not noticeable by the pregnant woman. Patient makes the pregnancy test in the approximately 4th week with the delay of mensturation. When beta Hcg hormone starts to be secreted into the blood, pregnancy is diagnosed in the blood test.
Weeks of 4th and 5th, pregnancy diagnosis can be made with an ultrasonic device made from the bottom in weeks. However, around 5th week, the pouch starts to form. The sac is visible on the lower abdomen ultrasound and fetal heartbeat can be heard by the 6th week.
Week In these weeks of 6th and 7th, physiological changes occur in the expectant mother as the heartbeat is heard. It is possible to see conditions such as nausea, sensitivity to smell, feeling tired. Approximately 11 months after routine checks are made. The development of the baby is examined in detail with screening tests around the week.
Screening Tests During Pregnancy
Three screening tests are done during pregnancy. Double, triple and quadruple screening tests are applied in certain weeks with the development of the baby. The double screening test is performed between 11-14 weeks. After the ultrasonic examination, the results of the double test are evaluated with a blood test. In the dual screening test, BHcG and PAPP A hormones are examined. Triple screening test is taken between 16-18 weeks according to the development of the baby.
After ultrasonic examinations, B-HcG, free estriol and AFP levels are examined by blood test. The quadruple screening test was performed by examining the inhibin-A in addition to the parameters examined in the blood in the triple screening test.It is done in the 20th week.
Between 20 and 24 weeks, the baby's organs are examined with 2nd level detailed ultrasonography; It is detected in the presence of an anomaly in the baby.
Between the 24th and 28th weeks, the Oral Glucose Tolerance Test (OGTT) (sugar loading test) is performed. Routine ultrasonic examinations are performed. This examination is like prenatal evaluation. The doctor decides on the appropriate method of delivery for the patient.
High Risk Pregnancy Following
The age of the expectant mother (under the age of 18 or over the age of 35), chronic and existing diseases before pregnancy, the risks of the baby and /or the expectant mother during pregnancy indicate that the pregnancy is risky and requires intensive follow-up. The obstetrician follows the pregnancy by keeping in constant contact with the patient and tests such as screening tests, ultrasonic examinations, blood tests. Examination intervals are shorter than normal pregnancy period.
Pregnancy test is positive in ectopic pregnancy. However, vaginal bleeding and abdominal pain may occur. At the same time, the hormone called B-HcG begins to rise irregularly in the blood. Whether there is an ectopic pregnancy becomes clear after ultrasonic examination. The fetus needs to be in the uterus to develop. In the fallopian tubes, the fertilized egg located in the cervix cannot develop. Therefore, the pregnancy should be terminated. In some cases, it may cause internal bleeding and may constitute an emergency.
Problems In Pregnancy
Pregnancy diabetes can be handled in two different ways: pre-existing in the mother before pregnancy (pregestational diabetes mellitus) or emerging for the first time during pregnancy (gestational diabetes mellitus). It can be examined with sugar screening tests such as GCT-OGTT. The pregnancy process is followed up with blood tests, ultrasonic examinations, tests such as NST. It is followed up by a doctor as a high-risk pregnancy.
Blood pressure is another important risk factor during pregnancy. In a healthy pregnancy, the blood pressure value is expected to be below 140/90. If it is higher, the presence of high blood pressure is understood. As the mother-to-be will have high blood pressure problems before pregnancy, she may face high blood pressure for the first time during pregnancy. Different treatment methods are preferred for two different scenarios. A patient with hypertension who wants to become pregnant should consult an obstetrician before pregnancy and have the drugs he is currently using checked. If this problem is experienced for the first time during pregnancy, the doctor develops a treatment suitable for the pregnancy process.
Preeclampsia is a disease that develops mostly after the 20th week for some pregnant women. It's a very dangerous situation. Also known as pregnancy poisoning. In this case, the pregnant woman manifests herself with symptoms such as blurred consciousness, edema, high blood pressure. Although the symptoms are tried to be kept under control with examinations and medical treatments, the only solution is to have a healthy pregnancy with pluralism 34-37. It is the end of the week. The time of birth is determined by the condition of the pregnant woman, baby and the urgency.
Urinary tract infections, usually occurs on the 12th - 24th weeks of pregnancy. It refers to a bacterial inflammation in the bladder tract. There may be symptoms such as burning when urinating, incomplete urination, fever, chills, etc. It is intervened with antibiotic treatment (if necessary) or medication.
Abortion (Unwanted Pregnancy)
Legal termination of unwanted pregnancy is possible until the 10th week. . . In cases exceeding the 10th week, the presence of pregnancy should pose a risk to the mother's life or the presence of conditions such as the baby is not healthy. This procedure performed by obstetricians is a simple surgical operation. General anesthesia techniques are applied. It is recommended that the patient has a state of hunger and thirst for approximately 5-6 hours. With the light anesthesia given to the patient, the pregnancy is terminated by vacuum method while the patient is sleeping.