Although pregnancy and childbirth are part of our daily life, it takes a lot of effort to make sure that there are no problems, or if they occur, to make the right decision. Therefore, the control of the course of pregnancy should be systematized.
Those who come with a suspected pregnancy and a delayed menstrual cycle are examined to determine the exact status of pregnancy. During this examination, it is possible to diagnose the pregnancy and determine whether there are any risks. At the first examination, we can detect the incompatibility of blood, the presence of pregnancy, the number of fetuses (single or multiple), additional problems (for example, maternal diseases such as uterine fibroids, ovarian cysts, etc.) and make a treatment plan depending on their presence or absence.
If no abnormalities were detected during the first visit, the next examination is usually scheduled between 11-14 weeks.
If there are no additional problems during the examination between 11-14 weeks, the age of the fetus is usually confirmed, the nuchal translucency (NT) measurement is performed, and additional assessments are made. A double or combined test is also performed, taking a sample of chorionic villi, assessing blood flow in the venous duct, blood flow in the c. All of this can help detect some serious fetal abnormalities and problems. In cases of single pregnancy without additional risk, the next control is usually scheduled for the twentieth week of pregnancy. Cases with additional risk are tracked according to the risk.
At 20-22 weeks, an examination is performed to identify such abnormalities of the mother, like anemia and the risk of premature birth. The fetus is also examined for the presence of developmental abnormalities. A thorough ultrasound examination conducted during this period helps to identify any serious health problems of the mother and child. If there are no additional risks, the next examination is scheduled for 24-28 weeks.
In the period from 24 to 28 weeks, the control is carried out to assess the development of the fetus and to detect diabetes in the mother. In cases of blood incompatibility, at the 28th week, an immunoglobulin Rh (also called RhoGAM or Anti D) procedure is performed, which is aimed at preventing sensitization of the mother during childbirth and has proven to be very successful.
If there are no abnormalities, a follow-up check is carried out in the period from 32 to 34 weeks, when both the development of the fetus and its and the mother's problems are evaluated.
In the absence of additional risks identified during the period of previous visits, the last examination is scheduled for approximately 38 weeks, when the method of future delivery is determined, and a control assessment of the fetus is made. The birth itself is planned for the 40th week. If by that time the birth does not begin, the doctors, in accordance with each case, decide on further actions.