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[Pregnancy care] [Daily question] What kind of examinations should I do when I am pregnant? This prenatal examination strategy is for mothers to be! [Copy Link]

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From the moment of pregnancy, women assume the responsibility of two people. Regular prenatal examination is an important "umbrella" for mothers and infants , can understand the growth and development of the fetus and the pregnant mother's physical condition, once abnormal, can take timely measures, or terminate the pregnancy.
Today, Xiao Bian took the expectant mother to see how many important examinations are waiting for you after pregnancy.

 Production Inspection Strategy 1.png
How many times do I need to do the production inspection?

13-27 weeks
Check once every 4 weeks
36 weeks~delivery
Check once a week
0-12 weeks
First inspection
28~35 weeks
Check once every 2 weeks

Routine inspection items

○  height : Used to estimate whether the mother to be is overweight or underweight, and the size of the pelvis.  
○  weight : It can indirectly detect fetal growth.  
○  blood pressure : It can monitor the occurrence of pregnancy hypertension.  
○  Palace height and abdominal circumference To estimate the intrauterine development of the fetus.
○  Blood test : Check whether the mother is anaemic or infected.
○  Urinalysis : Monitor pregnancy hypertension, kidney stones, bladder stones and other diseases.  
○  B-mode ultrasonography : Early determination of embryo implantation and embryo number/mid-term focus on teratology/late determination of fetal position and umbilical cord status.
○  electrocardiogram : Understand the heart function of expectant mothers, exclude heart disease, and confirm whether they can bear childbirth.

 WeChat picture_20180604135154_Copy. jpg
Key screening items at each stage




● Early pregnancy ● 
12 week Down's initial screening B-ultrasound NT examination
Free testing for AIDS, syphilis and hepatitis B
● Second trimester ● 
16 week Down syndrome screening
20 week B-scan
24 week gestational diabetes screening  
● Late pregnancy ● 
32~34 weeks B-ultrasonic examination
37 week hepatitis B and syphilis test
38 week B-scan
Early pregnancy (0-12 weeks): Survive high sensitivity period safely  
one
0-12 weeks
The key stage of the morphological development of the main organs of the fetus
two
Main risks
Organ malformation
three
How to avoid
Nutrition intervention+timely delivery inspection

First delivery inspection Pregnancy 0-11 weeks
0~5 weeks
The menstruation stopped, the preliminary pregnancy test began to be unpleasant
5-6 weeks
B ultrasonic examination, check the number of embryos
6-8 weeks
Fetal heartbeat and yolk sac can be seen
9-11 weeks
Hearable fetal heart sound

The doctor will calculate the baby's due date according to the mother's last menstruation and menstrual cycle, and remember the date of the last menstruation clearly.  
At this time The baby has begun to take shape, and you can hear the baby's heartbeat.

Key nutrients
 WeChat picture_20180604135257_Copy. jpg
Second trimester (13-27 weeks): Ensure nutrition during rapid growth period
one
Comprehensive nutrition supplement
Especially the supplement of key nutrients such as protein, iron and calcium.  
two
Pay attention to weight
The weight gain of pregnant women should not exceed 500 grams per week.

Key nutrients
protein
Function: form the "skeleton" of life organism
Daily requirement: 70g.
Supplementary method: add 1~2 portions of food rich in high-quality protein to the diet every day.
iron
Function: It is a basic element for blood production and a basic mineral required by the immune system
Daily requirement: 24 mg (up to 42 mg)
Supplement: eat more iron containing foods. If necessary, supplement iron under the guidance of a doctor.
calcium
Function: the structure and functional pillar of bones and teeth
Daily requirement: 1000 mg
Supplemental method: While eating foods rich in calcium, supplement vitamin D. If necessary, supplement calcium under the guidance of a doctor.


Second production inspection 16 weeks gestation
Routine health care
Routine check items, check the baby's fetal heart sound, etc.  
Down syndrome screening (16~18 weeks is better)
If the screening shows a high risk, the doctor will recommend amniocentesis for chromosome examination, which is in principle carried out at 16-20 weeks.  

  Tips:
If Down's screening shows high risk, it is not sure that the baby is a Down's baby, and only amniocentesis can diagnose it, so mothers to be should not be too worried.



Third prenatal inspection Pregnancy 20 weeks
Routine inspection items
B-ultrasound
   Measure the fetal head circumference and abdominal circumference to see if there is any congenital abnormality in the thigh bone length and spine.  

  Tips:
The pregnant mother may feel the fetal movement for the first time.
The baby's development is accelerating and needs adequate nutrition. The expectant mother should pay special attention to iron intake to prevent anemia symptoms.



Fourth prenatal inspection 24 weeks gestation
Routine inspection items
Gestational diabetes screening
Find out if your mother has gestational diabetes. If so, timely intervention or treatment is required.  

  Tips:
Mothers to be have bigger stomachs, making it more inconvenient for them to move. They should pay attention to safety and rest.
This period is easy to constipation, so expectant mothers should eat more food rich in fiber, and can also drink milk powder added with probiotics for pregnant women.
Your baby's hearing has been formed. You can sing and chat with your baby!

Late pregnancy (28 weeks~delivery): Sprint after Z  
one
Main tasks
Your baby's internal organs have developed, 8

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