This is an automatically translated article.
The article was professionally consulted by Dr. Nguyen Anh Tu - Doctor of Obstetric Ultrasound - Prenatal Diagnosis - Obstetrics Department - Vinmec Hai Phong International General Hospital.During pregnancy, there are important antenatal check-up milestones that pregnant women need to keep in mind in order to have timely check-ups, to monitor the health of mother and fetus, and to detect and promptly handle signs of illness. unusual reason.
To be able to best monitor the health of pregnant women and the development of the fetus in the womb, it is necessary to know the important antenatal check-ups. Important antenatal check-ups include the first 3 months (3 times), the second 3 months, and the last 3 months. Thus, during pregnancy, a woman needs to remember 7 essential antenatal check-ups, in some other cases of abnormal problems such as high blood pressure or other medical conditions during pregnancy. antenatal care will be more. A woman who is pregnant will be advised by her doctor about the regular schedule of antenatal check-ups, from which she will stick to the schedule and go to the medical facility to be examined. The milestones of antenatal care and important tests are explained in detail as follows:
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1. First visit
After a woman is 3 weeks late for her period and has signs of suspicion of pregnancy such as morning sickness, vomiting, nausea, pregnancy test results only 2 lines... then it is necessary to visit the antenatal clinic for the first time to confirm. Determine whether you are really pregnant or not. At this time, the tests that are done are blood tests and fetal ultrasound. Some diseases can be detected at the first prenatal check-up, such as heart disease (???), diabetes, high blood pressure... Then the doctor will advise on the current health status of the person. Should the mother continue to be pregnant or not, if she cannot afford it, there will be an indication to terminate the pregnancy right now. In addition, women also have a gynecological examination to detect dangerous diseases such as ovarian cysts, uterine fibroids, cervical cancer ..., from which there will be effective treatment methods.
Thăm khám phụ khoa phát hiện bệnh lý
2. 2nd antenatal checkup
The 2nd important antenatal check-up is done at 11-14 weeks. Around the 11th and 12th week, the pregnant woman has an ultrasound to see how the fetus is developing and to calculate the due date. , in order to have a basis for diagnosing a baby born at full term or born prematurely, knowing whether the pregnancy is old or not. At 10-14 weeks, women will have 3D, 4D ultrasound and this is also one of the only antenatal check-ups where women can measure nuchal translucency to diagnose Down syndrome.
3. 3rd antenatal checkup
The 3rd visit is done at 16-20 weeks. At 16 weeks, the pregnant woman has a detailed morphological ultrasound to check carefully for fetal malformations and conduct a number of paraclinical tests. to monitor fetal growth. Around 15-19 weeks, birth defects or fetal malformations can be detected.
If not detected early in these weeks, when the pregnancy is larger, it will be difficult to find abnormalities in shape, so women need to visit the doctor according to the regular antenatal checkup schedule given by the doctor. If there is a deformity, the mother may have to terminate the pregnancy or it will have to be treated as soon as possible.
By the 20th week, gestational blood pressure can be detected to prevent preeclampsia, eclampsia may occur in the following weeks. During this examination, it is possible to know if the fetus is malnourished in the uterus, from which there will be changes in the mother's diet to overcome this situation.
Các xét nghiệm cận lâm sàng được thực hiện vào lần khám thứ 3
4. 4th antenatal checkup
At week 21-25, the woman will have the 4th prenatal check-up. Around the 21-22 week, the woman continues to have a detailed morphological ultrasound to check carefully for fetal abnormalities and the development of the fetus. baby in utero. This is also one of the important antenatal check-up milestones that women need to pay attention to, because on women who have a cleft palate or have ovarian cysts, procedures such as cervical stitches, Removal and resection of ovarian tumors should be performed at this stage to treat these conditions.Details of fetal development week by week, every parent should learn:
5. 5th prenatal check-up
Pregnant women can have antenatal check-up and check-up at 26 weeks. In particular, during the regular antenatal check-up, this is the antenatal check-up where the mother will be given a shot of tetanus vaccine. , which can be the first injection or the booster injection.
6. 6th prenatal check-up
Performed at 31-35 weeks, from 31-32 weeks, pregnant women will be examined, ultrasounded and vaccinated against tetanus for the second time in their pregnancy. During this examination, we will know the position of the fetus, whether the pelvis is disproportionate to the weight of the fetus... so that it can be recognized in advance and predicted the best way.
Tiêm vắc-xin uốn ván lần thứ 2 trong thai kỳ
7. 7th prenatal check-up
This is the most important antenatal check-up in all routine antenatal check-ups. This can be the time of the mother's birth, it can be a natural birth or a cesarean section. In a number of cases, with the same presumptive, pelvic stenosis, and old incisions, cesarean delivery is mandatory. During this period of preparation for birth, the mother will be closely monitored for her health status, amniotic fluid status, placenta, fetal status, fetal heart rate, fetal weight, fetal position ... to prepare for the most favorable labor and delivery.
Knowing the important antenatal check-ups helps mothers to be more proactive in going to medical facilities to be examined and monitored about the health status of themselves and the fetus. During pregnancy, the mother's body undergoes great changes and health risks for both mother and baby can occur at any time, so a woman needs to go to the doctor for regular check-ups. The consultant can predict the problem in advance as well as have a plan to promptly handle the bad situations that occur.
The first 3 months are the most sensitive time during pregnancy, apart from taking note of the important antenatal check-ups during this period and the entire pregnancy. In order for mother and baby to be healthy, it is important to note:
Understand early signs of pregnancy, pregnancy poisoning, bleeding during pregnancy. Timely, correct and sufficient first prenatal check-up, avoiding too early/too late. Fetal malformation screening at 12 weeks detects dangerous fetal malformations that can be intervened early. Differentiate between normal vaginal bleeding and pathological vaginal bleeding for timely intervention to maintain pregnancy. Screening for thyroid disease in the first 3 months of pregnancy avoids dangerous risks before and during delivery. Vinmec currently has many maternity packages (12-27-36 weeks), in which the 12-week maternity package helps monitor the health of mother and baby right from the beginning of pregnancy, early detection and timely intervention of health issues. In addition to the usual services, the maternity monitoring program from 12 weeks has special services that other maternity packages do not have such as: Double Test or Triple Test to screen for fetal malformations; Quantitative angiogenesis factor test to diagnose preeclampsia; thyroid screening test; Rubella test; Testing for parasites transmitted from mother to child seriously affects the baby's brain and physical development after birth.
For more information about the 12-week maternity package and registration, you can contact the clinics and hospitals of Vinmec health system nationwide.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
