First visit to the obstetrician
Suspecting be pregnant, check with your doctor. It is important that pregnancy is controlled from the beginning. You see, in most cases, you need only follow the directions of your doctor to carry a pregnancy to term without risk. At your first visit to the doctor, being pregnant, do not forget to mention if you are taking any medication.
Surely the specialist you’ll be sorry, you take blood pressure, your heart rate and hear you perform a pelvic exam by vaginal similar to that makes you gynecologist. Because many problems of pregnancy can be inherited your doctor will ask you questions about your family history.
Usually you perform the following tests indicate:
* Pap smears and colposcopy (if you have not done in the last twelve months)
Blood tests to identify your blood type and Rh factor, hemoglobulina level, level of blood sugar, immunization against rubella, infections such as HIV, syphilis, hepatitis B, toxoplasmosis, Chagas and coagulation.
* Analysis to determine the presence of diseases like sickle cell, the Tay-Sachs or thalassemia. These tests will be conducted only if the pregnant woman or her partner belongs to those considered at-risk groups: according to your medical history and your ethnic origin (natives of Africa, Eastern European Jews, French Canadians and their descendants populated the Mediterranean) .
* Analysis to determine if you’re diabetic. If you are very overweight, you have high blood pressure, family history or if you have previously had a large baby.
* Urinalysis to rule out urinary tract infections.
Also in this first visit, determine your estimated due date. and prompt you for an ultrasound to know and confirm gestational age, whether a single or multiple pregnancy and confirm that the embryo is located in utero.
Hits the second quarter
Some women describe the second trimester of pregnancy as the golden quarter: at this time have declined or disappeared nausea and fatigue, your hormones begin to balance, you feel full of energy and the chances of losing the pregnancy are much lower.
In the 10th week of your pregnancy and you can hear the heartbeat of your baby. Your doctor will use a special device called a Doppler that amplify the sound … is very exciting to hear that your little heart beat fills the room twice as fast than the adult heart.
Commonly, your doctor will make scans regularly and you will see your baby. Through ultrasound was able to verify the estimated date of delivery and detect anomalies. And from week 14-16 you can diagnose the sex of the baby through it.
After 20 weeks your doctor will measure your abdomen to check the baby’s size, its growth and position. After 20 weeks until the 36th and your belly will grow about 1cm per week. Corresponding numbers for the week with the number of centimeters, eg at 28 weeks your belly measured 28 cm.
Consult your doctor if you develop varices and / or hemorrhoids, and if you get swollen feet and hands.
In many cases around week 17, the doctors suggest the completion of tripletest to determine whether there are risks of Down syndrome and neural tube defects.
Usually around 24 and 30 weeks your doctor will tell you to do a blood test (glucose) to determine whether gestational diabetes, and another blood test to detect iron deficiency in your body.
Prenatal visits in recent weeks
After 36 weeks the frequency of obstetric visits are conducted every 10 days or weekly, until the due date. Past your due date the doctor will most often cited.
Maintaining the basic controls: weight, blood pressure, measurement of the abdomen, your baby’s heartbeat and usually add vaginal examination (touch) that is feeling the cervix to see if it t is preparing for labor and to assess whether the head of baby is accommodating to the pelvis. Also assess obstetrician by touch if your pelvis is appropriate for childbirth.