General Pregnancy Follow Up


General Pregnancy Follow Up

Regular follow-up of pregnancy enables us to early diagnose and treat health problems that may arise during pregnancy, thus increasing the likelihood of a healthy pregnancy and the birth of a healthy baby.

On your first visit to the doctor when planning pregnancy or during pregnancy, it is necessary to accompany your husband with you, as the doctor during this meeting collects sufficient medical information about you and your families, and then determines the examinations for each of you, and determines treatments and consultations and the like, as It must be done before conception and during pregnancy.

Preferably, the management and focus of pregnancy follow-up should be done by one physician or one agency. As the multiplicity of treatment facilities does not guarantee the best treatment and may even make the follow-up and treatment process difficult.

Medically Recommended Pregnancy Tests:

These tests include pre-pregnancy tests and tests during pregnancy, which would lead to a pregnancy free of health problems for the mother and the fetus.

* Please note that there are some tests that a pregnant woman may not need, and there may     be some additional tests that are not mentioned here in this table, which the doctor   determines as necessary.

Examination date​ Examination​ Examination Target​ ​Notes
Before pregnancy or as early as possible during pregnancy​ ​ ​A blood test to detect a hereditary disease carrier ​Discover couples with enhanced risk of having a baby with a genetic disease. As needed, additional tests are conducted to diagnose the fetus's condition. ​In every pregnancy, you should check and inquire if new tests are added that are recommended to be performed. A leaflet on this subject can be obtained at the Mother and Child Center.
Immediately after the first visit at the center, preferably until the 12th week of pregnancy​ ​ ​​Blood test for count, blood type and Rh-, fasting glucose; Anti-syphilis (syphilis) and urine examination for a general examination ​​Discovery of anemia, thalassemia pregnancy, incompatibility in the blood type of the spouses, pre-pregnancy diabetes and hidden urine contamination.  ​​If you are Rh negative, an anti-Rh test will be done. Other examinations are carried out according to medical considerations. 
Week 6 - 12 ​ ​Ultrasound ​Determining the gestational age, its safety and the number of fetuses. 
Week 10 - 12 ​ Placenta test ​​Examination of the fetus's chromosomes, and the diagnosis of a genetic disease in the fetus. 
Week  11+0 – 13+6 ​ ​ First trimester survey, which includes:
1. Ultrasound Back of the Head Transparency
2. A blood test for -PAPP-A and -free beta HCG
​​Early detection of various birth defects and early determination of the level of risk for Down syndrome in the fetus.  ​​If the examination indicates an increased risk of a congenital defect - directive genetic counseling. 
Week  13 – 17 ​ ​Early ultrasound scanning of organs ​Detection of congenital or exceptional defects in the structure of the fetus.  ​The examination is not in place for scanning in the 19-25 weeks. 
Week  16 – 20 ​ ​Triple diagnosis (fetal protein, HCG, estriol) Or the second trimester scan: Quadrant Diagnosis (Triple Diagnosis + Inhibin) ​Determining the level of risk for Down syndrome and/or serious defects in the brain and neural tube, in the inner wall of the abdomen, and others.  ​Tests are not performed after the 20th week and it is important that they be done on time and before this week.
Quadrant Diagnosis is more sensitive than the Triple Diagnosis for determining the level of risk for Down syndrome. 
16th week onwards  ​ ​Amniotic fluid test ​Examination of fetal chromosomes and diagnosis of a genetic disease in the fetus. 
Week 19-25 We recommend week 20-23 ​ ​ Ultrasound scans for a "primary" organ scan. Or an Ultrasound scan for a "comprehensive" organ scan. ​​Detection of congenital or exceptional defects in the structure of the fetus. Examination is done as usual in every pregnancy.  ​The comprehensive examination gives more details and information about the fetus, but it does not include all the organs of the fetus. 
​​During the second or third trimester of the pregnancy ​Ultrasound examination directed to a specific organ or focused on a specific clinical case Provide an answer to a specific and focused question regarding a defect in the fetus or a medical condition in the mother or fetus. 
​​Week   24 – 28  ​Blood count, check sugar levels. (Rh antagonists as needed) ​Diagnosis of anemia, suspected gestational diabetes. ​Rh antagonists are only tested in Rh negative women. 
​Third trimester ​Ultrasound examination in the third trimester ​Monitoring the growth of the fetus and diagnosing the position of the fetus. 
​After the estimated date of birth ​Follow-up by a doctor, including ultrasound examination and monitoring of fetal movement ​To ensure the safety of continuing the pregnancy. ​ 

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