Our patients should start 400 mcg of folic acid at the beginning of pregnancy, if possible, 3 months before pregnancy.
first examination: gestational sac with ultrasound (5-6 of pregnancy.week) and the detection of the baby's heartbeat (7-8 of pregnancy.after that, blood pressure and body weight are measured and recorded. To determine whether the pregnancy is a risky pregnancy, information about previous pregnancies, complaints arising during this pregnancy and diseases and surgeries that the expectant mother has previously undergone, medications she uses, smoking and alcohol use, hereditary diseases in the couples' family and whether there is kinship between the spouses should be questioned Dec. Fasting blood sugar, blood group and hepatitis tests are ordered.
Second examination: 11-14. in addition to measuring body weight and blood pressure during the weeks of pregnancy, ultrasound repetition is required. For Down syndrome screening with ultrasound, skin thickness measurement at the nape of the neck and the presence of nasal bone (nasal bone) are checked; blood is taken for measurement of PAPP-A and f-beta HCG. Babies with Down syndrome with this test ?’i can be identified. The IDC test is repeated in Rh - pregnant women.
Third Examination:16-18. the levels of HCG, estriol and alphafetoprotein and inhibin, which are checked in the maternal blood during the weeks of pregnancy, are evaluated together with the maternal age during the week of pregnancy(quadruple screening test)to determine the baby's risk of Down syndrome.
We have healthy days..
Gynecology and Obstetrics Specialist
Opr. Dr. Gizem Banu BÜYÜKKÜBCÜ
