The first examination during pregnancy is important. For a healthy pregnancy, a healthy start must be made. For pregnancy follow-up and birth, you should see your doctor as soon as possible and if a pre-pregnancy examination has not been performed, you should be examined and pregnancy follow-up should be planned.
If you are currently pregnant, you should reduce the risks for both the baby and yourself, create a healthy environment for the developing fetus and You need to do many things to have a healthy baby.
Pregnancy is not just a 9-month journey. The first weeks of pregnancy are the most important time for the baby and it is very important to stay away from harmful habits and foods during this period. During this examination, the mother's health status and plans for pregnancy are made.
You may have health problems that will affect your pregnancy. Adequate information should be obtained about common diseases such as diabetes, hypertension, anemia and thyroid diseases on pregnancy and the effects of pregnancy on these diseases. Tests such as smear and blood tests should be done if breast examination was not performed before pregnancy.
The first few weeks are the most important time for baby development. However, many women do not even realize that they have become pregnant during this period.Checking your own health is the most important thing to do before planning pregnancy, and you should definitely have your pre-pregnancy examination (preconceptional examination).If the preconceptional examination has not been performed, the same examination is performed at the first visit during pregnancy. .
Family medical history:Detection of conditions such as hypertension, diabetes, mental retardation
Genetic test:Investigation of hereditary genetic diseases
Personal medical history:Detection of conditions that require special care during pregnancy, such as epilepsy, diabetes, hypertension, anemia, allergies
Previous surgeries: Effect of previous surgeries on pregnancy, if any
Previous pregnancies:Problems in previous pregnancies
Vaccination status:Have you been vaccinated against diseases such as rubella and tetanus?
Infection status:Detection of the presence of a sexually transmitted or other infection that may harm the baby.
Healthy pregnancy and fetal development before conception. There are 3 important nutritional supports for me. Most women know the importance of nutrition during pregnancy and lactation. However, the following 3 nutritional supplements in the pre-pregnancy period are important for fetal development and healthy pregnancy.
Similarly, the foods to start if not started before the first examination
- Folic Acid: It is the only vitamin that is needed twice during pregnancy. In women in the high-risk group (women with previous neural tube defects), folic acid showed a 72% protective effect and reduced the formation of neural tube defects (openings in the vertebrae). In another study, it provides an increase in the birth weight of babies and a decrease in infant growth retardation and infection in the mother.
- Zinc: It is necessary for fetal development and defense mechanisms. When the zinc level in the blood drops below 30% and zinc intake decreases during pregnancy, miscarriage, premature birth and birth problems increase. In addition, low zinc levels cause brain anomalies, an increase in the rate of neural tube defects and an increase in the rate of low birth weight and pregnancy poisoning (preeclampsia and eclampsia).
- Essential Fatty Acids: It is important during pregnancy because it is new. They have important roles in the development of new cells, the formation of new tissues and the formation of organ systems. When the levels of essential fatty acids decrease during pregnancy, there is a slowdown in nervous system and body development. A decrease in premature birth and an increase in baby birth weights have been observed in women taking omega-3 supplements.
It would be good to make healthy changes in our lives. Healthy nutrition is the first condition for a healthy baby.
Follow-up Examinations During Pregnancy
The health of the mother and the baby should be checked during pregnancy. At the first examination, the baby's size and gestational age (age according to the last menstrual period) are evaluated. If the two sizes are compatible and a fetal heartbeat is detected, the next examination will be on the 11th-13th day. It is done in weeks. If a heartbeat cannot be detected, it is re-evaluated after a week.
If there is a discrepancy between the size of the baby and the gestational age, it is evaluated at the 8th-9th week according to ultrasound measurement. weekly measurement of gestational age These are the weeks when it is most accurately determined. After this measurement, the next first examination is on the 11th-13th.
Next Examination Times
- 12th Week: 11-13 weeks Time for 2-fold scanning. A detailed ultrasound performed on this date gives a lot of information about the baby's health.
- 16. Week:15-19. weeksIt's time for a 3-way scan. If amniocentesis will be performed due to double and triple scans and other reasons, the most appropriate time is 17-18 weeks. The weeks with the lowest miscarriage rate due to amniocentesis are the 17th and 18th weeks.
- 20th Week: It is the middle of the pregnancy. The baby's development and the mother's health condition are monitored. Detailed ultrasound is performed to evaluate the baby's developmental problems, if any.
- 24. Week:Sugar loading test is performed. If gestational diabetes is detected, a diet program or insulin treatment is started.
- 28. Week:The last trimester begins. In those with blood incompatibility, an indirect Coombs test is performed and a blood incompatibility injection is given. In this and the following weeks, the way the baby arrives and grows, the location and condition of the placenta, and the amount of amniotic fluid are important in follow-up.
- 32. Week:The examinations necessary for the results during the follow-up are repeated. Especially for sugar-related problems, fasting or postprandial blood sugar is monitored.
- 35. Week:Again, the baby's arrival and growth, the placement and condition of the placenta, and the amount of amniotic fluid are monitored.
- 37. Week:A pelvic examination is performed. For vaginal normal birth, the condition of the bone structure in the pelvis is evaluated. Necessary tests are performed for anesthesia at birth.
- 38. Week and After:Weekly follow-ups are made in the 38th, 39th and 40th weeks. NST is requested depending on the condition of the mother and the baby.
If birth has not occurred by the 40th week, check the health of the mother and the baby every 3 days. situation is evaluated. If it is not possible with artificial pain at the 42nd week at the latest, birth is given by cesarean section.
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