Routine tests that should be done before becoming pregnant in patients with no known disease include:
• Complete blood count
• Complete urinalysis
• Blood groups of parents
• Toxoplasma related tests
• Rubella (rubella) related tests
• Tests on hepatitis B
• Fasting blood sugar
• Chromosome investigations (it is recommended that those who have been consanguineous and who have given birth to infants with genetic disorders)
• In the presence of a systemic disease, a consultation is requested from the branch physician and followed up and treated together.
Recommendations for those who want to get pregnant
• Vaccination is recommended if no immunity is determined for rubella. 3 months after vaccination should not be pregnant.
• If diabetes is present, blood glucose should be kept under control.
• Cigarettes or other addiction should be discontinued as soon as possible
• Alcohol use should be limited.
• It is recommended to avoid stress as much as possible
• Nutrition should also be regulated when you decide to conceive. Artificial sweeteners, caffeine use should be reduced. Moldy cheeses, undercooked eggs, non-pasteurized dairy products, spicy meat paste (pate), well-unwashed salads, cold prepared meat and pre-cooked food should be avoided.
• Women who feed the cat at home should ask for help or help someone else to clean the cat filth, and wash their hands when it’s done.
• Women who are planning to become pregnant should avoid eating sharks, swordfish or marlin, and should reduce the amount of tuna too much.
• Avoid unnecessary medication and exposure to radiation.
• It is recommended to start supplementation of 400-800microgram folic acid daily 2-3 months before pregnancy.
• It is also useful to do regular sports.
Tests to be performed during pregnancy:
Various tests during pregnancy are worshiped. Some of these tests are recommended for all pregnant women and to control the health of the baby or mother; others are for specific risk factors or mothers with health problems.
Blood tests during pregnancy;
• Complete blood count and blood group determination
• Complete urinalysis and urine culture
• Fasting blood sugar
• HBs Ag (indicates jaundice carrier)
• HIV testing
Syphilis (VDRL) (known as syphilis, a sexually transmitted disease)
• TORCH (Toxoplasma, chicken pox, scarlet fever, mumps, gonorrhea, Cytomegalovirus, Herpes simplex type 2)
• Sugar loading test (50 grams of glucose at 24 – 28 weeks of gestation)
• Indirect Coombs test (in Rh incompatible couples)
• Thyroid function tests
• Ultrasonography: A full view of the baby and the placenta is obtained. Ultrasonography is considered safe for both mother and baby. And;
• To determine the size and week of the baby
• Determine the position of the baby and the placenta
• Controlling physical problems in the baby and the placenta
• To identify multiple pregnancies
• Other diagnostic tests are useful to help.
To investigate the presence and risk of a problem in the baby;
• 11-14. between the gestational week and the ultrasound scan of the nuchal translucency and bilateral screening
• 16-18. Alpha Feta Protein test between gestational week
• 20-24. ultrasonographic fetal anomaly and fetal biometry (2nd level ultrasonography) are performed at the gestational week.
When the test results are positive (risky), when maternal age is above 35, genetic disease in previous pregnancy, invasive tests in infants with Down’s syndrome and karyotype analysis may be necessary.
CVS (Chorion Villus Sampling) (It is performed at the 10-12th gestational week, results in the early period. There is 1-3% risk of losing the baby.)
Amniocentesis (ideally between 16 – 18 weeks of gestation, the liquid in which the baby is contained is a fluid intake with a needle and there is a low risk of 1%).