One of the biggest mistakes made in our society in general is that pregnancy monitoring begins after the pregnancy reaches a certain stage. However, ideal pregnancy follow-up should begin with the couple planning to become pregnant. Our primary aim in the first pre-pregnancy evaluation is to identify the candidate patient group, which we will call the high-risk group and whose pregnancy follow-up will be non-standard. Some characteristics of this high-risk group are; Advanced age, obesity, having additional cardiovascular diseases such as blood pressure and heart, having additional endocrinological disorders, especially thyroid, having a bad pregnancy history in the past (premature birth, high blood pressure during pregnancy called pregnancy poisoning, presence of pregnancy-related diabetes… ..).
However, our other important goal with this first examination is to start additional medications that will support both the neurological and structural development of the baby to be born (folic acid and iron supplements when necessary). ), determining whether infections have been previously experienced, which can be very harmful to the baby in case of an active disease during pregnancy (such as rubella, hepatitis),
performing vaccination when necessary and whether the couple is psychologically ready for pregnancy. It is the determination that it is not.
Pregnancy is not a disorder but a very beautiful phase and part of life. Therefore, we think that follow-up should be carried out with as many examinations and examinations as necessary in order not to cause any distress to both the mother and the pregnancy.
Our ideal follow-up scheme in a pregnancy that is not at high risk is as follows;
1. Routine evaluation before pregnancy
2. Ultrasonography to confirm the gestational age within the first 12 weeks after pregnancy detection
3. 12-14. Screening test for chromosomal abnormality risk calculation between weeks 4. If necessary after this test, chromosomal risk calculation from maternal blood
5. Detailed ultrasonography at 20th week
6. 24-28. Test for gestational diabetes in the group deemed necessary in the week
7. Doppler ultrasonography for developmental delay around the 32nd week
8. 34-36. Follow-up, which we call fetal monitoring, where heartbeats and contractions are monitored from the first week until birth.
9. Around 40 weeks birth
The question of whether pregnancy can shift to the high-risk group is always kept in mind at every stage of this summary follow-up scheme. When necessary, amniocentesis, cordocentesis, follow-up with Doppler ultrasonography every 2-3 days, and hospitalization should be continued.
However, the most important point that should not be forgotten and that we always keep in mind is that every pregnant woman is unique and every pregnant woman is only affected by the stress she may have. may even require its own special follow-up scheme.
Gynecology
Gynecological diseases generally develop secondary to disorders in the gynecological organs and other endocrine organs that can affect these organs hormonally. .
This group of diseases, which has a wide range of complaints, sometimes causes complaints in a newborn baby, and sometimes occurs in the post-menopausal period.
Contact us for information about these diseases and our approaches to them, only some of which can be shown with rough diagrams below.
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