HOW DO YOU KNOW THAT YOU ARE PREGNANT?
These are symptoms that may occur in different diseases other than pregnancy. These are:
Delay in the expected menstrual period
Vomiting, nausea, craving (It is especially severe in the morning and decreases towards the evening)
Increased vaginal discharge
Darkening of skin color (armpit, face, around the navel, midline below the navel)
Fullness and tenderness in the breasts
Frequent urination
Increased salivation
Weakness, fatigue, tendency to sleep.
The exact beating of the baby is determined by imaging the baby with USG. In the 6th week of pregnancy via vaginal route,
The baby itself and its heartbeat can be seen on the screen. USG performed through the vagina does not harm the baby.
The earliest definitive diagnosis of pregnancy is made with this method.
PRE-PREGNANCY COUNSELING
In the pregnancy planning phase, every couple must have a gynecological examination before getting pregnant.
During these examinations. Routinely, blood and urine tests and smear tests should be taken from the expectant mother. Blood tests include liver and kidney tests, as well as infection screenings, which can cause negative situations, especially in the first period of pregnancy.
functions and thyroid functions should be evaluated in detail. More detailed tests may be required by evaluating previous pregnancy and
birth history. These include the clotting factors of the expectant mother, as well as the genetic evaluation of the couple and detailed
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It may include imaging methods. At the end of all these evaluations, folic acid should be started for all expectant mothers before getting pregnant, although the doses may vary depending on the previous pregnancy status. spinal cord
Problems in its development should be prevented.
WHY IS PREGNANCY FOLLOW-UP IMPORTANT?
Determining the gestational age correctly and monitoring the baby's development until birth,
To detect the diseases that are present in the mother and may be exacerbated during pregnancy, to make the necessary
treatment,
To detect the problems that may arise due to pregnancy in advance, to take preventive measures
for these problems and to provide the necessary treatment. To ensure,
To detect possible structural disorders in the baby in the early pregnancy period; possible unse
treating these in the womb,
educating the mother about pregnancy, birth, puerperium and baby care; When necessary
Pregnancy follow-up is of great importance to provide psychological support.
HOW SHOULD PREGNANCY FOLLOW-UP BE DONE?
The expectant mother realizes that she is pregnant. He/she should consult a physician regardless of whether he/she has a complaint or not
and have his/her first examination.
The purpose of this examination is; To determine whether there are risk factors for the mother and the baby,
to make a pregnancy follow-up plan, and to inform the expectant mother about this plan.
WHAT IS DONE IN THE FIRST EXAMINATION?
During the first examination. The existence of pregnancy is confirmed. Gestational age is determined by vaginal USG. USG performed during this period is of great value. For; Multiple pregnancies, the presence of a mass in the uterus and
ovaries, and whether there is an ectopic pregnancy are determined with this first USG.
The necessary information is obtained from the pregnant woman and it is investigated whether the pregnancy is a 'risky pregnancy' and this
>Complaints that occur during pregnancy are questioned. The expectant mother's medical history is questioned. In addition, all system examinations of the expectant mother are performed. Blood pressure and weight
are measured and recorded. Edema, varicose veins and breast checks are performed. Blood group is checked. Blood count
is done. Urine test is done. Fasting blood sugar is checked. HBsAg is checked.
WHAT ARE PREGNANCY EXAMINATION PERIODS AND WHAT ARE THEY? IS IT DONE?
First or early period examination: It is performed to determine the gestational age and the number of embryos,
to diagnose internal or ectopic pregnancy, whether the baby is alive or not.
11-14. Between weeks: It is performed to detect neck skin transparency, presence of nasal bone and major anomalies in the baby.
In the triple test, after information such as beta HCG, uE3, AFP, ultrasonographic measurement, age, etc. are obtained.
Then in the computer, mongolism (trisomy 21 = Down syndrome), Trisomy 18 and NTD (congenital exposure of nerves or other structures with an opening in the waist
)
22 -24. Between weeks: To detect anomalies in the baby, to determine the location of the placenta and to measure the size of the mouth of the uterus
32. per week: To evaluate the baby's growth
38. A week: It should be seen by the physician at least 5 times in total, to evaluate the condition of the mother and the baby at the time of birth.
Apart from these examinations, if the physician deems it necessary or if the pregnant woman has any abnormal symptoms. If
additional examinations may be performed depending on the new picture that emerges.
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