Women's consultation: a guide for pregnant women

Here come the long - awaited moment- you think that you are pregnant. What to do? Where to go? All known since the ancient times, the hospital – clinic for women.

Consultations are usually located at district clinics and hospitals. They face a dual task – to care as the health of the expectant mother and the health of her unborn child. When should you seek counseling? Even if the pregnancy test showed a positive result, do not rush to the doctor. Wait at least a couple of weeks of delay, as the sooner it is unlikely the doctor will be able to confirm pregnancy 100%.

Accurately diagnose pregnancy doctor can the period not earlier than 4 weeks from its occurrence, it's just two weeks after the date of menstrual period. However, much to delay a visit to the doctor is not worth it, so early diagnosis will allow more accurately determine the date of birth, time pass all the examinations and diagnose various problems, if any.

At the first visit to the gynecologist the doctor will do an exam of the uterus, the appendages, to evaluate their condition, to correlate the uterine size and estimated gestational age, to identify the beginning problem in pregnancy. Here the doctor confirmed that you are pregnant. Now you can congratulate you! But ahead of in addition to the joy waiting for you also a lot of worries associated with various medical examinations, tests, visits to different specialists.

This at first seems a bit cumbersome, but it is better to identify the different problems and prevent complications, than an unnecessary risk for herself and baby. I would like to try to Orient you in advance of all upcoming events. Understanding washed all these procedures and activities, you can more intelligently and consciously approach the issue of your health in this complex and important period, because now you are responsible also for the future health of another person.

At the first examination, the doctor will weigh you, tell you how much weight you should gain during pregnancy. Will certainly do the procedure of measuring the size of the pelvis, not outside, of course, the volume, and the inner, the so-called pelvic. This is necessary in order to determine whether you have the need for a caesarean section or you are able to give birth alone. This must be defined in advance.

Also, the doctor will measure your blood pressure, as with pregnancy it can vary. To follow him in the process, it is necessary to know its original performance. During the inspection you to the chair, the doctor will take a swab to determine the presence of various infections, gonorrhoea, trichomoniasis, candidiasis, etc. You have to pass many tests such as General blood and urine, biochemical blood analysis, blood glucose (sugar) AIDS, syphilis (Wassermann reaction), markers of viral hepatitis (A, b and C), the determination of blood group and rhesus factor and.

According to individual indications, for example, the problem of miscarriage, the blood will be tested for presence of antibodies to the causative agents of such infections as rubella, cytomegalovirus, herpes infection, toxoplasmosis. A little later, closer to 10 weeks of pregnancy, you will be referred for an ultrasound to clarify the term, determine the number of fetuses, exclusion of chromosomal abnormalities in fetal development, ectopic pregnancy, threatened miscarriage.

You will put on the account, will lead a special card, which will celebrate all childhood and adult diseases, surgery, blood transfusion, the course and outcome of previous pregnancies, and diseases of relatives, features and conditions of your residence and work. Then you have to visit other specialists such as an internist, otolaryngologist (ENT), ophthalmologist, dentist, in some regions, the endocrinologist, if necessary, it is also a urologist, nephrologist, neurologist, etc.

The therapist will evaluate your internal organs, cardiovascular and respiratory systems, kidney, gastrointestinal tract and other organs, will tell you what medications you can use during pregnancy and will answer all your questions. The optometrist will check your vision, assess the condition of the retinal vessels, indicating that the state of the vessels of the uterus and blood pressure. There are diseases that can cause serious complications during childbirth, such as myopia, raised intraocular pressure etc.

In certain diseases eye doctor may recommend a cesarean section. The dentist will examine your mouth, will cure bad teeth, give advice on oral health during pregnancy. The otolaryngologist will examine the nose, if necessary, will prescribe a safe treatment. According to individual indications you may be referred for consultations in various special diagnostic centers.

In normal pregnancy to visit a doctor you will need 1 time per month in early pregnancy (before 20 weeks), then to 30 weeks – once every two weeks and after 30 weeks, every week. At each visit the doctor will weigh you, measure your blood pressure, the height of the bottom of the uterus, listen to the baby's heartbeat, examine you for the presence of edema in the legs, in order in time to prevent fluid retention in the body and the development of late toxicosis.

Next, in the period of 18-20 weeks you will have to undergo a second ultrasound to determine the location and characteristics of the placenta, elimination of possible anomalies in the development of a fetus. On term of 24 weeks is the third (last) ultrasound, allowing to assess the overall condition of the fetus, its development according to the gestational age, and in this study, you can already determine the gender of your future child. Later ultrasound is performed only for medical reasons – if there are signs of hypoxia, polyhydramnios or wrong presentation of the fetus.

With a narrow pelvis just before birth, carry out another study to determine the need for caesarean section. All the tests you have to pass again in the period of 30 weeks and a swab for infection needs to be repeated twice at 30 weeks and before birth at 38 weeks. The urine give up regularly, before each doctor visit that allows time to detect and prevent possible violations of liver function, the development of late toxicosis. For anemia regularly seems a common blood test for monitoring the level of hemoglobin.

After 28 weeks you will be handed a card exchange, which has all the data about the course of your pregnancy and the results of all surveys and analyses. Only with this card you can take to the hospital, it doesn't matter what you paid the clinic was observed. The card only gives women advice. If you are a resident of the Russian Federation, you can contact any advice on place of residence rather than actual residence.

Even if you are registered in Uryupinsk, and live in the moment, in Moscow, according to Russian law you and your child are required to provide free medical assistance at your place of actual residence.