In April this year, Ms. Liu was pregnant again after two successive miscarriages, with bleeding, so she went to Longgang maternal and child health care hospital for treatment, and the doctor suggested that she be hospitalized for child care. Except for the short-term discharge of about half a month at the end of July, Ms. Liu was hospitalized to cooperate with the doctors in various examinations and recuperations. Each B-ultrasound did not indicate that the fetus was abnormal. Results the baby had no ear hole, eyes could not be closed, hands and feet were bent, and there were holes in the tail vertebra. Mr. Liu, the father of the child, said it was all broken. The hospital admitted that there were some deficiencies in the connection between gynecology and obstetrics, which affected the early detection of fetal malformation, and was willing to consult with family members. If the consultation failed, it was suggested to go through legal procedures.
What tests should be done during pregnancy?
Initial prenatal examination:
1. At the time of diagnosis of pregnancy, check the reproductive tract and the specific time of conception, and calculate the accurate expected delivery period.
2. Blood pressure, urinary protein and hemoglobin were measured to evaluate the basic situation of pregnant women.
3. Routine auxiliary inspection during other book building:
Fasting blood glucose, liver function, plasma protein, total protein, albumin, globulin, plasma iron, calcium, magnesium and other elements, hepatitis virus index (also known as two and a half), renal function, electrocardiogram, to understand the health status of pregnant women.
Blood group determination: to determine the ABO blood group and Rh blood group of pregnant women and their husbands, not only to prepare for childbirth, but also to know whether there is any maternal fetal blood group incompatibility;
Screening test for human immunodeficiency virus (HIV) and syphilis (RPR): screening pregnant women for intangible transmission of sexually transmitted diseases, reducing mother to child and iatrogenic transmission.
Determination of Toxoplasma, cytomegalovirus and rubella virus: because these virus infections can cause different degrees of damage to the fetus, leading to congenital abnormal abortion and stillbirth.
Total bile acid in blood: if it is increased, it indicates that ICP is possible. ICP is a special disease of pregnant women, which has no adverse effect on the prognosis of the mother and has a greater impact on the fetus.
14-21 weeks gestation: Down's syndrome serum screening
24-28 weeks of gestation: maternal blood was taken for examination to screen the congenital abnormalities such as 21 trisomy, 18 trisomy and open neural tube defects.
Once a week after 35 weeks of pregnancy: fetal heart monitoring
13-27 weeks card creation: white belt routine
Every prenatal test: urine routine
In addition to the initial check-up, another check-up should be made at 32 weeks of pregnancy and before delivery: blood routine