Chapter 2 What are the prenatal check-ups in the first trimester?
Let's talk about it today, what are the prenatal checkups to be done in the first trimester?
The cycle of our pregnancy, that is, the gestational week, is calculated from the first day of the last menstrual period to the day the baby is born, and the entire pregnancy period will go through 280 days, a total of 40 gestational weeks.
We divide the 40 weeks of pregnancy into 3 stages of prenatal care. That is: the first trimester, the second trimester, and the third trimester. The first 12 weeks of pregnancy are the first trimester; 13-28 weeks, the second trimester; 29-40 weeks is the third trimester.
Therefore, the prenatal check-up items to be done in the first trimester of pregnancy are the pregnancy check-ups to be done in the first 12 weeks of pregnancy. Let's go into chronological order.
(1) If you are pregnant, do you want to go to gynecology or obstetrics?
First of all, after we found out that we were pregnant, we went to the hospital to hang up on the gynecology, not the obstetrics. Many people will be confused and think that giving birth is going to the obstetrics, no.
After pregnancy, you should first do some early pregnancy examinations, at this time it is [gynecology], and then when you are 3 months pregnant, there is a fetal heart and fetal bud, and then go to the hospital to hang the [obstetrics] file, and the prenatal examination after the file is hung [obstetrics].
(2) What is archiving
Filing is to build a booklet of your own in the hospital, and the doctor will write down your prenatal check-up items and prenatal check-up status in this booklet, such as: weight, blood pressure, fetal heart rate, pregnancy risk assessment, etc. Documentation is to keep doctors informed of all aspects of the pregnant woman and fetus.
For filing, the local household registration generally provides the ID cards of both parties; Foreign residents generally need to provide a real estate certificate or residence permit; (Subject to local hospital requirements)
The booklet we have on file is called "Maternal and Child Health Handbook", and the Changshu side is called "Maternal Health Book", and the name used in each region is different. This booklet must be kept, because after giving birth, this booklet will be taken away by the local health center. (Changshu and Jiaxing are like this, because Juan'er and I were taken away)
(3) Prenatal examination items in the first trimester
Generally speaking, there are not many tests that need to be done in the first trimester, basically a blood draw HCG, and a blood test for progesterone.
The serum human chorionic gonadotropin test is a blood draw HCG. The two of them are the same thing, but each hospital uses a different unit to describe the results, and it is okay to see if the value is normal.
HCG is a glycoprotein secreted from the trophoblast cells of the placenta, so when we become pregnant, we will have HCG in our blood and urine.
The pregnancy test is used to determine whether you are pregnant by measuring the HCG in the urine, but there are some diseases that can also cause the concentration of HCG in the urine to rise.
Therefore, compared with the measurement of HCG in urine, the result of blood sampling to measure the HCG value in blood is more accurate, the error is smaller, and the pregnancy time can be measured shorter.
Therefore, in order to test the accuracy of pregnancy, the doctor will first give us a blood HCG.
(4) Progesterone
When the blood HCG is tested, progesterone will be tested at the same time.
Progesterone is a type of progesterone that is necessary for the maintenance of pregnancy. Low progesterone carries a risk of threatened miscarriage or miscarriage.
But don't be too nervous, because if progesterone is low, progesterone supplementation is fine. It can generally be made up in the later stage. Moreover, after 3 months of pregnancy, the placenta will secrete a certain amount of progesterone, and the progesterone value will slowly rise.
My good friend Juan'er's progesterone in the first trimester was very low, so she went to the hospital for testing several times, and she was always taking medicine to protect the fetus in the early stage.
When I was pregnant, I also had low progesterone, and there were 2-3 times because of repeated ** bleeding, which is a threatened miscarriage, and I went to the hospital in the middle of the night to see an emergency. The doctor prescribed a uterine ultrasound to see the situation, and the problem was not big, so he asked me to continue to take tocolytics.
Juan'er and I basically had a green light all the way to the later prenatal checkup, they were all smooth deliveries, and our physical recovery was quite good.
Don't be too anxious, if you need to protect the fetus, just take some tocolytic pills and recheck it after a while;
If you don't need to protect the fetus, you can just eat folic acid, calcium tablets, and DHA normally.
My advice is: listen to the doctor and cooperate well.
That's all for the prenatal check-up in the first trimester, take care of the pregnancy~