Although pregnancy and birth continue in the normal flow of life, it is necessary to understand whether there is any problem during pregnancy and, if there is a problem, to make an effort to solve it with up-to-date information. Therefore, it is recommended that every patient who thinks she is pregnant should undergo a certain examination and evaluation system. In this way, it is possible to understand whether there are any problems with the mother, the fetus or the newborn, as much as current possibilities allow, and if there is, the problem is tried to be solved.
First visit
When you are pregnant. Every individual who is considering pregnancy and has a menstrual delay should be examined to determine whether there is a pregnancy. During this examination, pregnancy can be diagnosed and it can be determined whether there is any initial risk. During the first examination, blood incompatibility, presence of pregnancy, number of fetuses (single or multiple) and additional problems (such as maternal diseases, uterine myomas, ovarian cysts, etc.) can be recognized and a management plan can be made according to their presence or absence.
If the first visit reveals a healthy intrauterine pregnancy, sees the heartbeat of the fetus and shows that there are no additional problems, the second visit is usually planned between 11-14 weeks.
If there are no additional problems during the examination between 11-14 weeks, the age of the fetus is usually confirmed. Nuchal translucency (NT) measurement is performed and additional evaluations (double or combined test, ductus venosus blood flow, tricuspid valve blood flow are evaluated, and some major anomalies and problems of the fetus can be diagnosed. If CVS is planned, CVS is performed in this period. At the second visit, i.e. 11 days old. Singleton pregnancies that do not have any additional risks between weeks 14 and 14 are usually called for a check-up in the twentieth week of pregnancy. Cases with additional risk are excluded from this management and are followed according to risk
In the 20-22 week evaluation, maternal anemia, premature birth, etc. are evaluated. While the fetus is being investigated for problems, it is also evaluated to understand whether there are any problems with its development, what it is, and how it will be managed. Detailed ultrasonographic examination performed during this period, maternal factors, technical possibilities and fetal Although it is affected by conditions such as the position of the baby, it helps to see many major anomalies and, if possible, to plan treatment.
The cases that do not carry any additional risk in the 20-22 week evaluation are generally evaluated at 24-28 weeks. It is called for both evaluation of fetal development and screening for gestational diabetes in weeks 25. In cases with blood incompatibility, the application of Rh immunoglobulin (also called RhoGam or Anti D) at the 28th week is aimed at preventing the mother from sensitizing during birth and is quite successful.
If pregnant women do not pose any additional risk in previous visits, they are usually called for a last visit around 38 weeks to decide on the mode of delivery and evaluate the condition of the fetus. If there is no condition requiring birth, a visit is usually planned for the 40th week, and if birth does not occur in the 40th week, further follow-up is carried out in terms of term expired.
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