Various tests and tests are carried out in different periods
from the beginning of pregnancy to the end. In fact, some tests are more
appropriate to do when couples decide to pregnancy before pregnancy. Some tests
should be done in certain weeks of pregnancy, and it cannot be done outside of
those weeks, therefore these tests should be carefully followed during
pregnancy, and their time should not be missed. Some of the tests performed
during pregnancy are performed routinely in every pregnant woman, and some
tests are performed only when certain conditions occur in some pregnancies. All
of these tests are described below, according to the weeks when pregnancy is
carried out from beginning to end.
Assays
performed at the first examination:
These tests are the tests made on the couple's first
application to the doctor. The most correct thing is that couples should
consult a doctor when they decide to conceive before the pregnancy occurs and
make the analyzes at this meeting. Because, according to some abnormalities
that can be detected in these tests, precautions can be taken before pregnancy
begins. However, the majority of couples consult a doctor after pregnancy
(menstrual delay). In this first view, female genital organs are evaluated by
gynecological examination and ultrasonography. If it has not been done in the
last 1 year, smear test should be done. General systemic examination can also
be performed and, if necessary, a consultation can be made to the relevant
specialist in the presence of abnormalities. Assays performed at the first
examination:
- Complete blood count (Hemogram): To investigate whether
there is anemia (anemia) in the mother.
- Mother and father blood groups: To take precautions if
blood incompatibility is detected.
- IDC (Indirect Coombs test) if there is blood
incompatibility
- Complete urine test (Urine culture if necessary)
- TSH: If the mother has goiter and thyroid hormone disorder,
it may affect the baby, and if the disorder is detected, it requires treatment
by the internal medicine specialist.
- Toxoplasma IGM and IGG
- Rubella IGM - IGG (Rubella tests)
- CMV IGM and IGG
- HBsAg and AntiHBs tests are performed for hepatitis B: If
hepatitis B is detected in the mother, the baby is given an antibody needle
after birth to prevent contamination.
- HCV test
HIV (AIDS) test
- The VDRL test is not routinely required for syphilis, but
it can be done.
- Fasting blood sugar in patients at risk for diabetes
- Biochemistry (cholesterol, kidney and liver tests, etc.) is
not a routine recommended test during pregnancy. It should be done if the
mother is old or has some systemic diseases.
Between
11-14 weeks:
In the ultrasound examination after the 11th week of
pregnancy, the nuchal thickness of the baby (NT) is measured and a double test
(blood test) is performed. This analysis can be done between 11-14 weeks, and
not after 14 weeks.
Between
16-20 weeks:
Between these weeks, triple test (triple test) or quad test
are performed. If this test result is risky, further investigation can be done
by performing amniocentesis (taking water from the baby).
Between
24-28 weeks:
- 50 g glucose loading test (sugar water test) is done
between 24-28 weeks. If this test result is higher than 140, 100 g OGTT test is
performed. In patients who missed these weeks and who came in the following
weeks, the diabetic susceptibility status of the patient can be evaluated by
looking at fasting and postprandial blood sugar.
- If there is a blood incompatibility between the parents,
IDC (indirect coombs test) is performed at the 28th week, and if this test is
negative, it indicates that there is no affection between the mother and the
baby due to blood incompatibility. In this case, a blood incompatibility needle
is made. If there is an effect (if the indirect coombs test is positive),
further examinations will investigate to what extent the baby may be affected.
The aforementioned are routine tests performed in almost
every pregnant woman. In some cases occurring during pregnancy and in some diseases,
other tests may be required other than the above tests.
Between
35-37 weeks:
Between these weeks, Group B Streptococcus (bacteria)
screening is recommended for the mother.
NST (non stress test) is taken, especially in the last weeks
of pregnancy, in cases where the baby is suspected of being in trouble and if
the day passes, you can reach detailed information about NST by clicking here.
The biophysical profile is another test to evaluate the condition of the baby,
in addition to NST, you can find detailed information by clicking here. When
some risky conditions related to the baby are detected, a test for further
evaluation is doppler ultrasonography measurement.
- FETAL NUCHAL THICKNESS MEASUREMENT
- NUCHAL TRANSLUCENCY SCAN TEST
- TRIPLE SCAN TEST
- WHAT IS QUADRUPLE BLOOD SCREENİNG TEST?
- INTEGRATED TEST
