Maternal classroom | strategy of neonatal prenatal examination

1、 12 weeks pregnant

Get the maternal health manual

Do all basic checks

Most expectant mothers will officially start the first prenatal examination at the 12th week of pregnancy. At this time, the hospital will handle the "maternal health manual" for mothers. Each prenatal examination in the future will be carried out and recorded according to the inspection items recorded in the manual.

The main inspection items are: inquiry, measurement of body weight and blood pressure, inspection of various parts of the body, listening to the baby's heartbeat, checking the size of the uterus, as well as blood drawing and urine test.

2、 13 ~ 16 weeks pregnant

Routine inspection

Down syndrome screening

Since the birth inspection, expectant mothers have to carry out routine inspection every time, including weighing, measuring blood pressure, questioning, checking the size of the uterus and looking at the baby's fetal heart sound.

In addition to the basic routine examination, if the expectant mother is over 35 years old, it is recommended to draw blood for Down syndrome screening. If the zona pellucida of the fetal neck is greater than 3.0mm and the probability of blood drawing results is greater than 1 / 270, the possibility of Down's disease should be arranged for amniocentesis. In principle, the trial time of amniocentesis should start from 16-20 weeks, mainly depending on whether the fetal chromosome is abnormal or not.

3、 17 ~ 20 weeks pregnant

Routine inspection

First fetal movement

Detailed ultrasound examination

At 16 weeks of gestation, the baby's gender can be seen, but at 20 weeks, the accuracy will be higher. The expected first fetal movement will also appear at 18-20 weeks. Ultrasound examination at 20 weeks of pregnancy is mainly to see whether there are major problems in the appearance and development of the fetus. Doctors will carefully measure the fetal head circumference, abdominal circumference, thigh bone length and whether there are congenital abnormalities in the spine.

4、 21-24 weeks of gestation

Routine inspection

Gestational diabetes screening

Screening for cholestasis of pregnancy

Screening for most gestational diabetes mellitus and gestational cholestasis is conducted within twenty-fourth weeks of gestation. If the expectant mother has gestational diabetes, the diet should be adjusted on the treatment. If the postprandial blood sugar can not be controlled in the ideal range after adjusting the diet, it must be controlled by injecting insulin. It is noted that in order to avoid affecting the fetus, oral hypoglycemic drugs can not be used during pregnancy. If the bile acid rises, it is cholestasis of pregnancy, which requires monitoring and medication until postpartum, and some even terminate pregnancy in advance. After the second trimester of pregnancy, anemia and calcium deficiency are easy to occur, so mothers to be should eat more iron containing food and pay attention to calcium and iron supplementation during this period.

5、 25-28 weeks of gestation

Routine inspection

Hepatitis B antigen test

Syphilis serum test

AIDS antibody

The most important thing at this stage is to draw blood for the expectant mother to check for hepatitis B. The purpose is to check whether the expectant mother carries hepatitis B virus. If both tests of hepatitis B are positive, the expectant mother must inject vaccine for the newborn within 24 hours after giving birth to the fetus, so as not to infect the newborn.

In addition, it is necessary to reconfirm whether the syphilis reaction made by the mother to be last time is positive or negative. In this way, the expectant mother can thoroughly treat syphilis before the fetus is born.

6、 29 ~ 32 weeks pregnant

Routine inspection

Lower extremity edema examination

After 28 weeks of pregnancy, the examination of the mother to be is once every 2 weeks. The doctor should successively check whether there is edema for the mother to be. As most pre eclampsia will occur after 28 weeks of pregnancy, if the measurement results show that the blood pressure of the mother to be is high, proteinuria and systemic edema occur, the mother to be should pay more attention to avoid the risk of pre eclampsia.

Pregnant women and their families can do a simple self-examination. Press the thumb on the tibia of the lower leg. When pressed, the skin will be concave and will not recover soon, which means there is edema. Expectant mothers should prevent edema. They can usually wear elastic socks, raise their feet when sleeping, and lie on the left side.

In addition, expectant mothers should especially prevent the occurrence of preterm birth before 37 weeks of pregnancy. If the labor pains exceed 30 minutes and continue to increase, and are combined with vaginal bleeding or water outflow, they must be sent to the hospital for examination immediately.

7、 33 ~ 35 weeks pregnant

Routine inspection

Ultrasonic examination

Assess fetal weight

By the 34th week of pregnancy, expectant mothers need to do a detailed ultrasound examination to assess the weight and development of the fetus at that time, and estimate the weight of the fetus until full-term delivery. If the fetus is found to be underweight, the mother to be should supplement more nutrients; If the fetus is found to be overweight, it needs to be slightly controlled in diet to avoid cesarean section or fetal dystocia in the process of production.

8、 36 weeks pregnant

Routine inspection

Preparation of production matters

From the 36th week of pregnancy, the date of birth is getting closer and closer, and the birth examination is also changed to once a week, but there is no obvious change in the contents of each examination, such as measuring body weight, uterine height, abdominal circumference, heart rate, blood pressure, fetal heart rate, regular measurement of hematuria routine and other items. Parents to be at this stage can start preparing some things for admission, so as to avoid being too hasty on the day of production and becoming in a hurry.

9、 37 weeks pregnant

Routine inspection

Pay attention to the signs of labor

As the fetus grows up, fetal movement becomes more and more obvious. Expectant mothers should pay attention to the fetus and their own situation at any time to avoid the early birth of the fetus. Symptoms such as stiff abdomen, serious frequent urination, reduced fetal movement and vaginal bloody secretions are all signs of approaching production. Expectant mothers should be prepared at all times. If they break water, they should lie flat immediately and be rushed to the hospital.

10、 38 ~ 42 weeks pregnant

Routine inspection

Fetal position fixed head down

Preparation for production consideration

From the 38th week of pregnancy, the fetal position begins to be fixed, and the fetal head has come down and stuck in the pelvic cavity. At this time, the expectant mother should be ready to give birth at any time. Before giving birth, you should still check 1-2 times a week, and let the doctor conduct B-ultrasound examination and fetal heart rate monitoring to understand the amniotic fluid and the condition of the fetus in the womb. If there is no sign of delivery after 41 weeks, the mother to be should be hospitalized to urge labor, because if it is too late, the fetus will face the risk of hypoxia in the uterus.

After 36 weeks, the pregnant mother will enjoy a benefit of 29900 yuan

Complimentary upgrade package of the same room type

The quantity is limited, and the order will be finished immediately

Activity validity

Mother and child center

2021.11.1-2021.11.31

*Special rooms are not shared with other discounts