The first step in avoiding risks during pregnancy begins with planning before pregnancy. Pregnancy should primarily be a planned action, and when couples decide to have a baby, that is, when they feel spiritually and sociologically ready to have a child, they should definitely go to a gynecologist and get counseling.
< br /> Is it possible to avoid risks during pregnancy?
Avoiding risks during pregnancy should actually start before pregnancy. Getting pregnant should be a planned action, and when couples decide to have a baby, they should definitely consult a gynecologist and get advice. You should be informed about the risks before you even get pregnant, and after one week of your menstrual period, you should consult a doctor with suspicion of pregnancy and be followed up. Many pregnant women wait to see a doctor after 1 week of their menstrual period, thus missing the chance of early detection of ectopic pregnancies and timely intervention for threats of miscarriage. Since pregnancy risks continue until after birth, they should not lose contact with their physician until the 40th day after birth.
What are these risks?
Risky pregnancies have two dimensions: risks arising from the mother and the risks from the fetus. However, the mother and the fetus are in such a close relationship that risks for one often carry high risks for the other during pregnancy. Gestational age is one of the most important risks arising from the mother for the pre-pregnancy period. The ideal pregnancy age is between 20-30 years old. Although the boundaries are being pushed with developing technology, pregnancies under the age of 18 and over the age of 35 carry high risks. Because the frequency of genetic diseases increases with age, the risk of exposure to chronic diseases increases, and the mother's resistance to the increase in physical load that may occur during pregnancy decreases. Since expectant mothers under the age of 18 cannot complete their physical and spiritual development, they experience pregnancy risks more intensely. High blood pressure is also an important risk factor during the pre-pregnancy period. Mothers with high blood pressure are more vulnerable to problems related to the strain on their cardiovascular systems during pregnancy. Additionally, when pregnancy is complicated by hypertension, it can cause life-threatening problems for both the mother and the baby. she ker disease can also prevent pregnancy. The mother's impaired metabolism during pregnancy creates an additional burden for the mother and increases the frequency of structural anomalies in the fetus, which can cause many problems for babies after birth. The mother's severe anemia, systemic diseases such as heart, kidney and rheumatic diseases, being underweight or overweight, alcohol, smoking, regular drug use, and the presence of myoma are important risk factors.
Can risks occur after pregnancy?
Of course. Pregnancy blood pressure and the complications that may develop due to it, gestational diabetes create an increasing physical burden for the mother and cause the mother's organs to be under pressure due to more than one baby taking up space in the abdomen, as well as in monozygotic twins or monogamous twin babies, which can steal blood from each other, causing both babies to lose blood. Multiple pregnancies, pregnancy-related forms of some rheumatic diseases, premature breaking of the mother's waters, obstruction of the birth path by the baby's partner, and congenital defects in the mother's womb are risks that develop during pregnancy.
When and how are these risks detected?
Structural and chromosomal anomalies that may occur in babies are the most important risks. For this reason, families should definitely have the evaluation test at 11-14 weeks and the second level ultrasonographic evaluation at 18-23 weeks to identify problems. Among these problems, those that can be treated in the womb should be treated, appropriate conditions should be provided for babies requiring medical or surgical intervention after birth, and for anomalies that are not compatible with life, families should be counseled and protected from shocks that may occur after birth. In fact, when pregnancy control and routine tests to be performed during this period are added to the 11-14 week evaluation test and 18-23 week detailed ultrasound, a general impression can be obtained about the risks that may develop. The two most important steps of all risky pregnancy screenings are this period. And these two tests are meaningful if they are performed in experienced hands and with good quality.
Is there anything that needs to be done afterwards?
According to the risks identified during this period Pregnancies at risk should be monitored specially with more sophisticated methods, while other pregnant women should return to routine pregnancy follow-ups.
What can be done to reduce risky pregnancies?
As much as possible, at an age over 18 and under 35 and socio-economically and psychologically The decision to give birth should be made at the appropriate time. Complete information should be given to the physician about chronic diseases and genetic problems in the family, a balanced diet should be maintained during pregnancy, and check-ups should not be interrupted. 6-7. Starting from the first month, baby movements should be counted regularly. (The baby should play at least 10 times during the day.) In case of water breaking, bleeding or genital discharge during pregnancy, a doctor should be consulted immediately. Families with the means should not neglect the 11-14 week evaluation test and the 18-23 week detailed ultrasonographic examination.
What are the limits of technology in detecting pregnancy risks today?
With the surprisingly developing technology and knowledge, the baby's nasal bone and nuchal thickness can now be measured. We can scan for chromosomal anomalies by measuring the size of the jaw bones. By measuring uterine blood flows with Color Doppler ultrasound, we can predict the possible development of pregnancy hypertension (pregnancy poisoning) and growth and development retardation in the fetus. By measuring the baby's cerebral blood flow, we can monitor the degree of anemia in the baby while it is in the womb, or we can determine the baby's oxygenation in the womb by examining some of its vessels. With the laser method, we can operate on blood leaks between twins in the womb. By using cameras as small as a pen, we can image the baby in the womb and perform some surgeries on the baby in the womb.
Is there any exciting development in this field recently?
In recent years, it has been determined that the cells of the fetus in the womb mix with the mother's womb. Based on this, these cells can be detected with some special methods and the genetic structure of the baby can be evaluated by taking a simple blood sugar test from the mother. With this method, the baby can be diagnosed especially with Down Syndrome and many genetic defects through an invasive procedure (entering the womb with a needle and sampling amniotic water or from his wife to a biopsy Diagnosis can be made without requiring risky procedures such as surgery. Studies conducted to date have shown that if the chromosomal disorder sought does not exist, it does not exist, but if it does, invasive procedures must be performed since there is a 2% margin of error. Technological developments related to this procedure are developing in a dizzying way in a short time, perhaps in the near future, such as 10 years, invasive diagnostic procedures will be required very rarely. we will need it.
Read: 0
