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Confirmation of pregnancy
Although it sometimes happens that pregnancy is a surprise for a woman and she finds out about her only at the doctor's or in another non-standard situation, future mothers usually find out about pregnancy by taking a pregnancy test at home. It is fast and cheap way, but sometimes unreliable, so if you have doubts, it is worth taking a confirmation test at your nearest clinic. It involves more accurate than in the pharmacy test qualitative or quantitative determination in a hCG blood sample or chorionic gonadotropin - a hormone produced by the embryo. A positive result of this test is a sign for a woman that it is high time to make an appointment for the first visit to a gynecologist.
First visit to a gynecologist and examinations in the first trimester of pregnancy
After confirmation of pregnancy, you should sign up for a gynecologist and make an appointment, preferably between 6-8 weeks from the last menstrual period.
The first visit usually lasts quite a long timebecause the physician must gather a thorough interview, conduct an examination and inform the patient about specific recommendations. After collecting an interview, you will need to measure height and weight, as well as blood pressure. Then the doctor will proceed to perform the examination in the speculum together with the assessment of the pH of the vaginal secretion and collection of material for cytological examination, and then perform an internal examination and breast examination. The next step is to perform an ultrasound examination - during this period the embryo is already visible, thanks to which the doctor can determine the number of embryos (single or multiple pregnancy) and whether it is correctly located and developing properly. Then he will go on to assess pregnancy risk based on the history and tests performed, and recommend appropriate supplementation and inform his future mother about the need to lead a healthy lifestyle. The doctor will also issue referrals for laboratory tests such as:
- Determination of blood group and Rh factor,
- Determination of immune antibodies,
- Blood count
- General urine test,
- Fasting blood glucose test
- Determination of TSH and anti-TPO antibodies,
- VDRL test (for syphilis).
- The gynecologist also orders a dental consultation and tests for HIV, HCV, toxoplasmosis (IgG and IgM antibodies) and rubella. The results of all the above tests are recorded during the next visit to the pregnancy card established by the doctor.
What else awaits the future mother in the first trimester?
For the next visit to the gynecologist, the expectant mother should take hers pregnancy card and all published results of commissioned tests. It should take place between 11 and 14 weeks of pregnancy. During this visit, the doctor repeats the measurement of blood pressure and body weight, and supplements the patient's previous interview. Then he performs an examination in the speculum with an assessment of the vaginal secretion pH and an internal examination. The patient again receives a referral for a general urine test and, if necessary, for other tests. An obligatory point of the visit is an ultrasound examination, during which the gynecologist assesses the child's condition and development. Then they can also be carried out first screening (so-called double test) for genetically determined defects such as Down syndrome, Edwards syndrome or neural tube defects. However, this is not a mandatory study and it is carried out on patient's request for a fee.
And the trimester of pregnancy is an unusual time. The woman learns that she will become a mother - her body begins to slowly prepare for this moment, and she slowly begins to think about the first purchases for her child. Although it is certainly a time full of joy and excitement, remember that most important is health, both for the mother and the child. Therefore, it is necessary to conduct the tests described by us, because thanks to them you can check if everything is going well and the future mother can take care of preparations for the upcoming enlargement of the family.