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Every woman needs to have regular health checks before and after she becomes pregnant. Dr. VKV American Hospital Women's Health Unit. Alper Mumcu, Most of the expectant mothers are worried about the health of their child, who says that this is normal, but can be controlled after tests and treatments.
The first and the most important question that will fool the minds of every woman who learns that she is pregnant and maybe even decides to get pregnant is whether her baby will be healthy. This is an extremely justified concern. However, it should be kept in mind that most of the pregnancies are completed without any problems in the mother or the baby. The aim of pregnancy follow-up; the problems that may arise during this 280-day period, if possible, can be foreseen, if possible, can be recognized and treated if possible.
The basic condition for the birth of a healthy baby is that the mothers are healthy. Therefore, those who decide to conceive should review their own health; routine gynecological examinations and pap smear tests should never be neglected. In addition, check-up controls and breast examinations performed by general surgery specialists should not be omitted.
If it is not known before pregnancy, it is also useful to perform some laboratory tests such as determination of blood group, blood count, determination of rubella. It is also important to stop smoking and alcohol consumption and to pay attention to nutrition.
After getting pregnant, the most important issue is routine doctor checks. These controls examine the health and development of both the mother and the baby. The importance of routine controls is clear in giving birth to a healthy baby. However, advanced ultrasound devices and laboratory tests used in pregnancy follow-ups are not always sufficient; There are some problems in the baby can not be detected. Unfortunately, regular visits to the public are perceived as a guarantee of having a healthy baby. This is not an accurate determination. Although most of the problems in the baby can be detected during the follow-up of pregnancy, especially the problems that can be seen in the heart; unfortunately some of the adversities cannot be noticed in today's medical conditions. Therefore, it is extremely important to go to regular control; it should never be seen as a guarantee of a healthy baby.
If a problem is detected in the baby, the issue of whether this problem is compatible with life gains importance. In situations that are incompatible with life, that is, it is certain that the baby will be lost shortly after birth; pregnancy can be terminated by a board decision. Since cleft palate, cleft lip, conjoined fingers or similar conditions do not affect the baby's chance of survival; Even if they are noticed during pregnancy, no attempt is made and pregnancy is not terminated. If chromosomal disorders such as Down syndrome are detected, pregnancy can be terminated with the consent of the family.
During the follow-up of pregnancy, some laboratory and ultrasound examinations monitor the health status and development of the baby. If further investigations are deemed necessary according to the test results, these can also be performed. During follow-up 6-8. In the first week of pregnancy, the first ultrasound examination determines whether the pregnancy is in the uterus, how many babies there are and whether they have heartbeats.
11-14. The ultrasound examination will be performed in the following weeks and the nuchal thickness of the baby is measured and the nasal bone is monitored. These findings are especially important for Down syndrome. 11-14. ultrasound examination is very important and it is one of the so-called sine qua non of pregnancy monitoring. During these weeks, a double test is performed to determine the risk of down syndrome. This test does not show whether the baby has Down syndrome; it only shows the risk value. In case of high risk or suspicious findings on ultrasound are detected; chromosome analysis can be performed by taking samples from the cells that make up the placenta of the baby (chorionic villus biopsy) or by taking the sample from the liquid that the baby is in (amniocentesis) in the following weeks.
15-20. In addition, a triple test can be performed in the blood to determine the risk of Down syndrome, or a protein called alpha feto protein can be examined to determine the risk of the baby's nervous system.
Another indispensable part of the pregnancy follow-up is the detailed fetal examination performed around the 22nd week. This ultrasound examination is performed by experienced specialists and the baby's heart, brain and other organs are examined in detail. In case of doubt, it may be necessary to examine the baby's heart with a different system by pediatric cardiologists and in some cases MRI may be necessary. Although some rare anomalies can be detected by detailed fetal examination; unfortunately, only 60-70% of all problems, especially heart problems, can be detected.
In the following periods, the development of the baby and the status of its water and placenta are evaluated by ultrasound. In the examination called NST, the baby's heartbeat and uterine contractions are examined and it is tried to determine whether the baby is in distress or not.
During these follow-ups, the health status of the expectant mother is also examined. In cases where the life of the mother or the baby is in danger, it may be necessary to terminate the pregnancy prematurely. Contrary to popular belief, pregnancy follow-up and normal follow-up of everything, development of the baby's senses such as vision, hearing, whether there are problems such as autism or intelligence level does not provide information.