Pregnancy Consultation and Important Things Inside


Pregnancy Consultation and Important Things Inside




Pregnancy consultation is a routine examination procedure during pregnancy to check the condition and development of the fetus in the womb.

The period of pregnancy is a time when the embryo is formed, grows, and develops in the woman's womb as a result of fertilization between the egg and sperm cells. The embryo will continue to develop to form a fetus within 36-40 weeks. To ensure that the mother and fetus in the womb are in good health, regular consultation and prenatal care are needed.

Pregnancy Consultation and Important Things Inside - Alodokter

In addition, pregnancy consultation is very important because it has several objectives, including:

    Check conditions and monitor fetal development in the womb.
    Reducing the risk of complications that may occur in pregnant women and fetuses in the womb.
    Detect abnormalities or disorders that may occur in the fetus from an early age.
    Make it easier for pregnant women to undergo pregnancy.
    Streamlining labor and reducing risks that endanger the mother and fetus during labor

Doctors who specifically handle pregnancy examinations are called obstetrics and gynecology specialists (Sp.OG), or generally referred to as obstetricians.
Indications of Pregnancy Consultation

Pregnancy consultation is highly recommended for every pregnant woman from the beginning to the end of pregnancy. The consultation schedule is generally carried out according to the age of the pregnant woman, namely:

    1 time in 1 month for 4-28 weeks of pregnancy.
    2 times in 1 month for content of 28-36 weeks.
    4 times in 1 month (every week) for the womb age 36 weeks to labor.

In addition, there are several conditions that require pregnant women to undergo pregnancy consultations more often than scheduled. Among others are:

    > 35 years old.
    High-risk pregnancy. If a woman is considered susceptible to certain complications during pregnancy, for example diabetics or high blood pressure.
    Twin pregnancy
    History of preterm birth. If pregnant women have experienced premature birth or premature birthmarks during pregnancy.

Before Pregnancy Consultation

There are several things that need to be prepared by pregnant women prior to pregnancy consultation, including:

    Overall health history. Consultation of the first pregnancy will usually review the history of the pregnant woman as a whole, including the medical history of the spouse and family. Pregnant women should carry all the results of previous examinations, such as X-rays, laboratory test results, and other investigative results (CT scan or MRI).
    Types of drugs or herbal products that are or have been consumed. Pregnant women should bring a list of medicines, including vitamins and supplements, which are being consumed. This is because some types of drugs are not safe for consumption during pregnancy.
    A list of questions. Before undergoing a pregnancy consultation, pregnant women should make a list of questions about the things they want to know about pregnancy. Sort questions from the most important.

Procedure for Pregnancy Consultation

Types of pregnancy consultations and examinations performed during pregnancy can be different, depending on the age of the pregnancy.

    Consultation for 1st trimester pregnancy (0-12 weeks). In the first trimester of pregnancy, the type of examination performed, among others:
        Medical history check. The doctor will ask several questions and determine the estimated date of birth (HPL). Determination of HPL allows doctors to monitor the growth and development of pregnancy, and determine the consultation schedule and examination procedures to be carried out in the future. Meanwhile, the types of questions that will be asked include:
            Menstrual cycle.
            Previous pregnancy history.
            Medical history of the patient and the patient's family.
            Types of medicines that are being consumed, including prescription drugs and supplements.
            The lifestyle of the patient, including smoking habits or consumption of alcoholic beverages.
        Physical examination. This examination is carried out to check and ensure the condition of the patient's healthy body during the early period of pregnancy. The types of checks performed include:
            Measurement of the patient's height and weight, so the doctor can determine the ideal body mass index according to the development of pregnancy.
            Examination of vital signs, including blood pressure, heart rate, and respiratory frequency.
            Pelvic examination. The doctor will perform a pelvic examination by inserting two fingers into the vagina and one hand in the abdomen to determine the size of the patient's uterus and pelvis.
        Laboratory examination. The obstetrician will also instruct the patient to run
blood tests and urine tests with the aim of:
            Check blood type, including ABO and resus (Rh).
            Measuring the amount of hemoglobin. A low amount of hemoglobin is a sign of anemia and if left unchecked can endanger the development of the condition of the fetus in the womb.
            Check the immune system against certain infections, such as rubella and chickenpox.
            Detect the possibility of exposure to infection in pregnant women, such as hepatitis B, syphilis, and HIV.
        Imaging. The type of imaging test performed during the consultation of the first trimester of pregnancy is ultrasound. The type of ultrasound performed can be either pelvic ultrasound or transvaginal ultrasound, with the aim of:
            Helps confirm the age of the womb.
            Detecting disorders that may be experienced by pregnant women.
            Detect abnormalities in the fetus.
            Hearing the fetal heartbeat in the womb (when the age is 10-12 weeks).

    Consultation for 2nd trimester pregnancy (13-28 weeks). The purpose of consulting pregnancy in the second trimester is to ensure that the pregnant woman and the fetus are in good health. The types of examinations performed during the consultation of 2nd trimester pregnancy include:
        Basic check. Obstetrician will measure blood pressure and weight of pregnant women. The doctor will also ask for complaints that may be experienced during pregnancy.
        Examination of the condition of the fetus. This examination generally includes several things, including:
            Check fetal development. Examination is done by measuring the distance from the pubic bone to the top of the uterus.
            Hearing fetal heartbeat. Examination of the fetal heart rate is carried out using a Doppler instrument.
            Observe fetal movements. When entering 20 weeks of gestation, pregnant women usually begin to feel a movement in the form of a small push or kick. The obstetrician will examine the movements of the fetus.
        Prenatal test. During the second trimester, the obstetrician will encourage pregnant women to undergo several tests, such as:
            Blood test. Blood tests are conducted to calculate blood cell counts and iron levels, detect symptoms of diabetes that may develop during pregnancy, and detect possible infections.
            Urine test. Urine samples are used to detect the presence of proteins or signs of infection.
            Genetic examination. This test is carried out using blood samples to detect genetic disorders that may occur in the fetus, such as Down's syndrome and spina bifida.
            Fetal ultrasound. This type of ultrasound is done to help doctors evaluate fetal anatomy and find out the sex of the fetus.
            Diagnostic test. If the results of a blood test or ultrasound show signs of a high-risk pregnancy, your doctor may recommend that pregnant women undergo diagnostic tests, such as amniocentesis. The aminosentesis procedure is carried out by taking a sample of amniotic fluid from the uterus for further examination in the laboratory.
    Consultation for 3rd trimester pregnancy (28-40 weeks). The types of examinations performed during the consultation of 3rd trimester pregnancy include:
        Re-check base. The obstetrician will measure the blood pressure and body weight of pregnant women again, and monitor the movements and heart rate of the fetus in the womb. Urine tests are also returned to detect proteins or infections.
        Examination of fetal position. At the end of the pregnancy, the obstetrician will estimate the weight of the fetus and observe the position of the fetus. Has the fetal head been at the door of the uterus. If the fetal buttocks are near the uterine door (breech), the obstetrician will try to change the position of the fetus by pressing the belly of the pregnant woman so that normal labor can still be done.
        Examination of Group B Streptococcus infection (GBS). This type of bacteria is often found in the intestines and lower genital tract, and is usually not dangerous for adults. However, if the baby is infected with this bacteria during labor, it can experience serious health problems. The doctor will take a sample by rubbing the lower part of the vagina with cotton to be analyzed in the laboratory. If the test results are positive for GBS, pregnant women will be given antibiotics by infusion during labor.
        Examination of the cervix. When a pregnant woman approaches labor, the obstetrician will perform a pelvic examination to detect changes in the cervix. At this stage, the condition of the cervix will begin to soften, enlarge, and thin. Towards labor, the cervix will open, and the opening is expressed in cm.

After Pregnancy Consultation

After pregnant women undergo consultation and antenatal care, the obstetrician will review the results of the physical examination, laboratory test results, and the results of the supporting examinations that have been carried out. From these results, obstetricians can find out several things:

    Condition

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