With pregnancy follow-up, it is aimed to evaluate the well-being of the pregnant woman and the baby with some tests and analyzes in certain weeks determined by the obstetrician, from the detection of pregnancy to the end of pregnancy, to inform the prospective parents about pregnancy and the baby, and to prepare the pregnant for delivery.
In fact, an examination by a gynecologist in the pre-pregnancy period should be included in this process in order to plan a healthier pregnancy. A couple who is planning a pregnancy should first consult a doctor and find out if there is any harm in conceiving or if there is a health problem that needs to be treated before pregnancy. For example, infections such as thyroid disease, anemia, toxoplasma and rubella, hemorrhoids, diabetes, some gene diseases and similar conditions should be investigated. If any health problem is detected, it is recommended that this problem be treated. Because this health problem can get worse during pregnancy, it can affect the baby by passing or being transferred to the baby. Vitamins and other drugs can be given to prepare for pregnancy.
It is important for every woman with delayed menstruation and suspected pregnancy to detect pregnancy with a pregnancy test without wasting much time, and to evaluate the gestational sac in the earliest period when ultrasound is detected, in terms of a possible ectopic pregnancy risk. In order to reduce the risk of neural tube defects, folic acid, which was started in the pre-pregnancy period, is continued until the end of the third month. In the first examination of the pregnancy, if it was not done in the pre-pregnancy period, specific tests are performed for the person.
Combined test (double test and nuchal translucency measurement), which we call first trimester screening, 11-14. done within weeks. This test is done to determine the baby’s risk level (such as low, medium and high risk) in terms of some chromosomal diseases such as Down syndrome. According to the result of this test, it cannot be said that “your baby has Down syndrome or not”. Chorionic villus biopsy (sampling from the baby’s partner) or amniocentesis (sampling from baby’s water) is recommended for pregnant women who are in the high-risk group to confirm the diagnosis.
Advanced screening or diagnostic testing is not recommended for pregnant women whose combined test results in a low risk group. However, for pregnant women who have not had the combined test, 16-20. Quadruple or triple test is recommended between weeks.
Multivitamin support is not recommended for a pregnant woman who has an adequate and balanced diet. Iron supplementation is generally recommended as the need increases. Vitamins or additional medications can be given to people with nutritional problems or vegetarians.
Ultrasound, which is performed in every period of pregnancy, should be done carefully and in detail in order to detect some abnormalities specific to that period. However, due to the clarification of fetal anatomy, 20-22. The importance of detailed ultrasound performed every week is different.
24-28th of pregnancy. It is recommended to perform a sugar loading test in weeks. If it is not a risky pregnancy, NST examination is added to the examination to monitor the well-being of the baby from the 34th week.
For mothers who work at 32 weeks, a report of working until 37 weeks or unable to work until 40 weeks is issued.
In the last weeks, an examination is performed to understand the compatibility between the baby’s head and the mother’s roof bones to determine the mother’s suitability for vaginal delivery. Despite this examination, the feasibility of vaginal delivery becomes definite only during the delivery process.
As a result; Pregnancy follow-up is done, the development of the baby is monitored monthly, the parents are informed in detail about the pregnancy and the baby, and the birth process is more planned and prepared.