Pregnancy follow-up: the visits and the different tests to pass

Our today topic is problems in getting pregnancy.We will talk about problems in getting pregnancy.If you do not have any health problems and your pregnancy is going well, you should meet your health care provider at this frequency:When To Take Childbirth Classes  

A first visit before 12 weeks of pregnancy;problems in getting pregnancy
One visit every 4 to 6 weeks during weeks 12 to 30 of pregnancy;
One visit every 2 to 3 weeks during weeks 31 to 36;
One visit per week from the 37 th week of pregnancy until delivery.
Who will take care of my pregnancy monitoring?
Depending on the services available in your area, you may decide to be followed by a family doctor, obstetrician or midwife. Midwives can follow women who have a normal pregnancy and have no medical history requiring special monitoring. Regardless of your choice, pregnancy monitoring is fully covered if you hold a valid RAMQ health insurance card.

Follow-up appointments
At the time of your first visit, your health care provider will ask you a series of questions about your family and medical history in order to have an accurate picture of your condition and tailor the follow-up to your needs. A complete physical examination (blood pressure, weight, height, auscultation of the heart and lungs, breast examination, etc.) will also be performed. If you had chosen to give birth with a midwife, it is at this time that she will determine if you are eligible to continue your follow-up with her.problems in getting pregnancy

During other visits, the health professional will check the progress of your pregnancy by checking certain clinical parameters:

Your weight ;
Your vital signs (blood pressure, pulse, breathing rate)
The heartbeat of your baby and his movements;
The size, shape and height of the uterus ;
Growth and position of the baby (later in pregnancy);
The presence or absence of contractions, loss of fluid or blood.
In general, the doctor or midwife will perform a vaginal examination only during visits near your expected date of delivery.

Your health professional is also there to answer your questions and give you advice. He should also discuss with you the important aspects of pregnancy, ie nutrition, common ailments and available tests (ultrasound, prenatal screening, etc.).

The choice of place of birth
The majority of women followed by a midwife give birth at a birthing center. However, it is also possible to give birth in hospital or at home. Thus, during antenatal care, your midwife will discuss with you the question of the place of birth.problems in getting pregnancy
The tests
Regardless of the professional who follows you, he will prescribe urine tests and blood tests during your pregnancy. These tests will make it possible, among other things, to determine your blood group (groups A, B, AB or O and Rh system [see box on the incompatibility Rh]), to check if you have anemia, to make a screening for diabetes and to detect infectious diseases such as syphilis, HIV infection and hepatitis B. You will also be offered cervical cancer screening (Pap test) and other tests for certain communicable infections. sexually.

You will also be offered the following tests to make sure your pregnancy is going well and your baby is doing well:

A prenatal screening test ( trisomy 21 , trisomy 13, trisomy 18 and spina bifida): a first blood between the 10 th and the 13 th week of pregnancy and a second between the 14 th and 16 th week. Decision-making regarding Trisomy 21 screening is yours. An ultrasound may also be proposed to you (between 11 th and 13 th pregnancy week) to assess the nuchal translucency of your baby. This measurement allows you to know the thickness between the skin of your baby’s neck and his spine. A higher than normal measurement may indicate a probability of trisomy 21. However, the proposed tests may differ according to whether the screening is done in a private clinic or through the Quebec prenatal screening program;problems in getting pregnancy
An ultrasound between the 18 th and 20 th week of pregnancy;
A gestational diabetes screening test (glucose tolerance oral) between the 24 th and 28 th week;
A screening test for GBS to the 36 th week: B streptococcus is a bacteria that is sometimes found in the vagina, the rectum and the bladder of women. This bacterium is safe for the mother, but can sometimes cause serious infections in the newborn. Experts estimate that 15-40% of pregnant women carry the bacteria and 40-70% of them will pass it on to their babies during delivery. From 1 to 2% of babies will develop a streptococcus B infection. If you get a positive result for the streptococcus B test, you will be given an antibiotic prescription at the time of delivery.
What is Rh incompatibility?
Blood tests done during your pregnancy can help you detect the possibility of Rh incompatibility between you and your baby.

On the surface of red blood cells, there are sometimes proteins that are part of a group called Rh system. If a person has these proteins on the surface of its red blood cells, it is said that it is Rh +, whereas if these Proteins are absent, the person is Rh -. Sometimes a mother is Rh – while the baby she is carrying is Rh +. If the fetal blood passes through the placenta, the mother’s immune system could react and produce antibodies that would attack the fetal red blood cells.problems in getting pregnancy

To prevent the health of the child is endangered, pregnant women who are Rh – are injected with antibodies to the 28 th week of pregnancy, the WinRho®. This injection will prevent the mother’s immune system from reacting against the baby’s blood. This treatment is effective in preventing complications and does not pose a risk to the baby or the mother. In very rare cases, an allergic reaction may occur in pregnant women, but professionals present at the time of injection will be ready to intervene to prevent complications.

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