Stating that some different screening tests should be applied in certain weeks of pregnancy in order for the pregnancy to continue in a healthy way and a healthy baby to be born, Obstetrics and Gynecology Specialist Op. Dr. Müge Temel explained that with these tests, it is possible to detect many problems such as blood incompatibility, infections, congenital diseases and growth retardation and to make the necessary interventions.
WHAT TESTS SHOULD MOTHER CANDIDATES HAVE TAKEN DURING THE PREGNANCY PROCESS?
Stating that various tests are applied to the patients who are followed up during pregnancy, Op. Dr. Müge Temel stated that the beginning of the tests was actually done by measuring the level of Beta HCG hormone at the stage of pregnancy detection, and after this stage, a general blood test is applied to mothers who have a positive pregnancy test, and blood count, kidney and liver function tests, thyroid hormone levels and some vitamin levels are checked. He suggested to be made.
Kiss. Dr. Müge Temel said, “If the gestational sac can be viewed as it should be in the ultrasound examination in the 4-5th weeks of pregnancy, a definite pregnancy diagnosis is made. Especially if there is a Rh factor incompatibility between the mother and the father, that is, if the mother is Rh negative and the father is Rh positive, it can be used as a blood incompatibility test. “Also known as the indirect Coombs test is applied. In addition to these, the necessary tests for perinatal infections and some infections that can affect both the mother and the baby are required. Then, with the beginning of the second trimester, the tests for the possibilities such as chromosomal disorder or growth retardation in the baby are switched.”
“CHROMOSOME DISORDERS ARE DETECTED”
Before starting the second trimester, 11-14. Pointing out that the nuchal translucency test should be applied to investigate Down syndrome between weeks and weeks, Op. Dr. Müge Temel said the following:
“At the beginning of the second trimester, double, triple and quadruple screening tests can be used to detect Down syndrome and other chromosomal disorders. If the mother is 35 years old or older, has a pregnancy with a previous chromosomal abnormality, or there are suspicious results in the screening tests, amniocentesis in the following weeks, More detailed tests such as chorionic villus biopsy, fetal echocardiography, Doppler measurements are required. These tests are completed between the 16th and 20th weeks.In addition, detailed ultrasonography is performed between the 18th and 22nd weeks to provide information about the growth and development of the baby, organ development, and the condition of the placenta. Sugar loading test is required to investigate gestational diabetes between 24 and 28 weeks. NST application and group B streptococcal culture examination tests are also recommended before birth between 35 and 37 weeks. “
“NON-RETURNED PROBLEMS SHOULD BE AVOIDED”
Speaking about whether all expectant mothers should have these tests or not, Op. Dr. Temel said, “These tests are very important for each pregnancy, to have information about mother and baby health and to prevent irreversible problems that may be encountered later. Among these tests; Ectopic pregnancy, intrauterine growth retardation, miscarriage or miscarriage risk, chromosomal disorders. It is possible to detect hidden infections, preterm birth risk, stillbirth risk, blood incompatibility, gestational diabetes and problems related to the placenta and many more, “he said.
“RIGHT TIME INTERVENTION IS IMPORTANT”
Op. Dr. Temel said, “Unfortunately, these tests can be neglected by many pregnant women. However, it is very important to have the tests recommended by the physician in the pregnancy follow-up for both mother and baby health,” and all expectant mothers should apply to health institutions in accordance with the week of pregnancy. He suggested that he take the tests.