Advice 1: How to determine that the pregnancy is developing

Nurturing a pregnancy, the expectant mother wants to be sure that her baby grows and develops properly. But until then, until the woman will start to feel the movement of the baby, her can doubt whether all is in order. To determine that the pregnancy is progressing and will help both the subjective experience and the achievements of modern medicine.
How to determine that the pregnancy is developing
Monitor your condition. Morning sickness, drowsiness, aversion to certain foods, sensitivity to smell, bloating and breast tenderness – these signs indirectly confirm a pregnancy and its development. Although by itself the disappearance of any of the symptoms or their combination does not mean that the pregnancy stopped, this fact should alert you.
If the Breasts have decreased in size, disappeared the morning sickness, do you feel any ailments that plagued you last week, contact your doctor to make sure that the pregnancy is progressing. Perhaps these changes will be a feature of your body, and the baby is all right.
Since the implantation of the fertilized ovum in the uterine cavity in a woman's body can detect human chorionic gonadotropin (HCG) – the pregnancy hormone produced by the chorionic tissue – embryonic shell, which is formed by the placenta. 1 to 11 a week from conception levels of HCG in a woman's blood is constantly increasing, and with 11-16 weeks gradually begins to decline as by this time the chorion is converted in the placenta.
To control the development of the pregnancy at the time to 16 weeks periodically donate blood to determine the level of HCG. If your antenatal clinic, such analysis is not done, contact a specialized medical center or the lab. A blood test for HCG surrender on an empty stomach in the morning or during the day, but not earlier than 2 hours after a meal.
With regular visits to an obstetrician-gynecologist you can monitor the development of your pregnancy for objective signs: increase in height of standing of bottom of uterus and abdominal circumference, which may be invisible. When the doctor will make these measurements, ask them to give you their values, record, and compare with previous values.
If Arsenal your doctor has a fetal Doppler, you can 12 weeks to hear your baby's heartbeat – a reliable sign of a developing pregnancy. Of course, if you can afford it, you can purchase this device for personal use and regularly monitor the child's condition, but keep in mind that it costs dearly.
The best way to determine ongoing pregnancy is ultrasonography (us). After 5-6 weeks the obstetric doctor can see the heartbeat of the embryo. So if you want to ensure that your pregnancy is developing in accordance with the term, please contact your clinic or other medical facility to the doctor of ultrasonic diagnostics. In the medical literature and among practitioners there is no consensus on how often you can do ultrasound, but if you have doubts about the correct course of pregnancy, its better to spend it.
Approximately 18-22 weeks expectant mother begins to feel fetal movements. With this period, additional research will need: a daily record of the movement of the baby, and all the necessary tests, ultrasound and determination of the heart rate of the child pass in a planned manner.
If ultrasound is not listening to the heartbeat of the fetus, or blood test for the HCG level shows no growth, or the doctor in the examination suspected missed miscarriage, conduct the research again, refer to other specialists to rule out possible medical errors.

Advice 2: How to understand that a normal pregnancy

For pregnant women, some feel, including unpleasant or uncomfortable, are the norm. To understand that the pregnancy is proceeding normally, with the future child, with the help of diagnostic methods. These data will be objectively reliable. You should bear in mind that pathologically proceeding pregnancy, e.g., preeclampsia in the second half, often with a healthy child, and the absence of unpleasant sensations and pathologies not always speaks about the full development of the fetus. That is, we must distinguish between the pathology of pregnancy and fetal abnormalities.
How to understand that a normal pregnancy

The first trimester and the first changes

Nausea, nervousness, drowsiness, changes in appetite – all this is the norm for the first trimester of pregnancy. Vomiting, which is not threatened by dehydration, is not a deviation. All these symptoms are called preeclampsia first trimester and not a danger to women and fetus. But the appearance of pulling pain in the abdomen, bleeding and frequent vomiting – are not the norm, an urgent need to call an ambulance, but before the arrival of the doctor to be on bed rest. In the first trimester, the body makes a decision to keep or not the pregnancy. To make sure the pregnancy is progressing normally and the embryo all is well, carry out the following research:
• Early pregnancy ultrasound (diagnose pregnancy, exclude ectopic pregnancy);
• Ultrasound at 12 weeks (diagnosed in the absence of malformations of the embryo);
• laboratory studies (including analysis of mother's blood, screening for anomalies);
• sometimes conducted a study of the fibers of the chorion (in the case that a high risk of birth defects and genetic mutations).

Hypertonicity or training fights?

Midwives say that in the second and third trimester the major task of the embryo to grow, as the beginnings of organs and systems already formed. At this stage it is important to maintain the health of the expectant mother and to warn of deviations in the course of pregnancy. Hypertonicity of the uterus is not the norm under any circumstances – it can cause the development of fetal hypoxia and risk of miscarriage. Dragging pain in the lumbar-sacral region, a sense of "petrified of the uterus - signs of hypertonicity. Unlike training hypertonus contractions that can begin early in the second trimester, speed, alternate periods of tension and relaxation of the uterus. Remember, "stone" belly and severe pain in the lower back is hypertonicity, need urgent medical help.

Weight: blame swelling or excessive appetite?

Increased appetite and thirst accompany nearly every pregnant. In some cases, however these symptoms may indicate gestational diabetes. For this study blood glucose (blood sugar). If these indicators are normal, then the extra weight is the result of excessive eating.

During pregnancy the kidneys are working in emergency mode: pushing the enlarged uterus, accounts for the additional load due to the increase of circulating blood volume and use of the pregnant liquid to a greater than usual volume. Mild swelling is not a pathology, but extensive swelling can cause serious gestosis and can lead to malnutrition of the fetus, provoke a persistent increase in blood pressure. To understand whether you have fluid retention, have for at least a week to monitor the volume of alcohol consumed and discharged liquid. If the difference between the values of more than 100-300 ml – you have fluid retention.

Some of the research carried out in the second and third trimesters?

During the second and third trimesters conduct ULTRASONIC examination to exclude pathology of the fetus and placenta. The doctor looks at the volume of amniotic fluid, the point of attachment of the placenta and the study of blood flow. To get these subjective methods is impossible, and therefore we should not abandon diagnosis. At the same time, it is possible to diagnose the fetal abnormality. If you plan to keep the pregnancy, then additional diagnostics all the more reason to go. Knowledge of violations of fetal development, many of which are successfully treated, will allow you to prepare for the birth of a special child, to find good people to correct violations.

Colostrum is the norm

Enlarged Breasts, increased sensitivity around the nipples and the appearance of colostrum is a symptom of normal pregnancy. Indirectly the condition of the breast can be understood that the baby was okay. If the pregnancy is stopped, the hormonal status changes dramatically reduced breast, colostrum ceases to stand out. Lack of colostrum is not a deviation, in some women it appears before or after delivery.

Fetal movements: what is normal?

The norm is that the woman feels fetal movements from 17-22 weeks. Every day you should commit to the 12 perturbations cycles or every hour to note the presence of activity of the fetus. As quiet and active behavior could be evidence of the norm and pathology. If your child is always calm, while it is confirmed that fetal hypoxia does not, then it is for a specific pregnancy the norm. Concern can serve as an abrupt change in the behavior of the fetus: an active child became lethargic, and quiet – too active. You should contact a local midwife or call an ambulance.

Hypertension threat to the development of seizures

Increase in blood pressure of even a few tens of units is a cause for concern and hospitalization pregnant. The fetus suffers oxygen starvation, can cause developmental delay and one of the most dangerous complications of pregnancy – eclampsia and the occurrence of seizures. Seizures can result in placental abruption, intrauterine fetal death, fractures in pregnant women and premature birth. If you are diagnosed with high blood pressure, and you feel a sharp headache combined with loss of orientation, stupor, tunnel vision – immediately seek medical help.

Spotting is always cause for concern

Allocation bright red blood is always a danger. A common myth is that monthly go through a pregnant uterus can cause miscarriage. Sometimes the allocation of coagulated blood can be a few days after instrumental inspection on the chair. The reason is friable cervix and the vaginal walls and increased vascular permeability, and not the carelessness of a doctor, as many believe.

You should know that the presence of complications during the first pregnancy does not affect subsequent pregnancies. Often during the first pregnancy women suffer from hypertonicity of the uterus, nausea gives them great inconvenience, and increased sensitivity of nipples. The women who already had children more ready for changes in the body, and therefore distinctive, sometimes unpleasant sensations do not cause them serious discomfort, and complications such as hypertonicity and the risk of eclampsia in multiparous are much less common.

Advice 3: When a doctor can determine pregnancy

In order to establish a pregnancy, the gynaecologist not only examines the woman on the gynecological chair. It also evaluates the results of ultrasound or blood test for special hormone. For each particular method has its own rules, when the doctor sees that the woman really pregnant.
When a doctor can determine pregnancy
To understand whether the pregnant woman, she gives blood for human chorionic gonadotropin (HCG). Produces the hormone the shell of the embryo. From the moment he was introduced in the lining of the uterus (approximately the 3rd week of pregnancy), the HCG level doubles every 2-3 days. Blood hormone more than in the urine. Therefore, laboratory analysis of blood is an early and reliable method of determining pregnancy, when compared to the domestic Express tests. Already on day 10 after fertilization, the analysis will be positive (that is, in 3-4 weeks of pregnancy). For accurate results, it is recommended to donate blood for HCG a few times with a break of a few days in the same laboratory, because in another place in the rules can vary. The level of hormone in the blood the doctor can determine the duration of pregnancy. In the case of an ectopic or missed abortion (when the fetus stops developing) HCG grows much slower or not happening at all, so the cases better and earlier establish other ways of research.
The use of the ultrasound study to determine whether pregnancy is perhaps the most popular way home after rapid tests. When the embryo reaches a size of 1 cm, the doctor will be able to see it on the monitor. Typically, the baby grows so by about week 6. But there may be individual characteristics (long cycle in women with late ovulation or attaching to the uterus), then the pregnancy is confirmed 8-9 week. At the same time with the help of ultrasound one can establish the fetal heartbeat. It is very important for the diagnosis of missed abortion. On the monitor of the ultrasound, the gynecologist can also make an ectopic pregnancy or the presence of twins (triplets). In addition, the doctor may adjust the period of pregnancy up to the day, as in the 1st trimester individual variations in the size of the fetus is almost there.
If a woman knows about pregnancy and is drawn in female consultation, the doctor will examine her in the wheelchair. During this manipulation, he will see discoloration of vagina and cervix, and increase the size of the uterus and softening of its walls where the embryo is attached. It is potentially possible to palpate a pregnancy at 4 weeks, but this early on it can make only a very talented and experienced obstetricians-gynecologists. This occurs most often around 8 week. Therefore, the inspection on the gynecological chair is not the most early and authentic way of establishing pregnancy.
Useful advice
Before you go to the doctors, you should calculate how much days the expected delayed menstruation, and hold home of the rapid pregnancy test.
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