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Gynecological consultation after a positive pregnancy test

Gynecological consultation after a positive pregnancy test

Question:

- I found out 3 weeks ago that I was pregnant (I did a home pregnancy test). I did this test because it slowed my cycle and in the morning I had nausea. The problem is that by the time I discovered the pregnancy I didn't have a proper diet and I was taking vitamins. Do you think the future child would suffer from this fact?

Answer:

More important than what we think at the moment is to raise awareness of the need for a specialized consultation. Thus, once you have noticed that the delay is occurring, so a period of amenorrhea has been installed, it is good that you have performed a pregnancy test.

More important than what we think at the moment is to raise awareness of the need for a specialized consultation. Thus, once you have noticed that the delay is occurring, so a period of amenorrhea has been installed, it is good that you have performed a pregnancy test.
But, especially in the case of a positive test, you must present yourself to a gynecology office. On this occasion you will have an anamnesis = the discussion with the gynecologist from which he will find out about the symptoms that determined you to present to the doctor, about the chronic illnesses existing in your family, about the development and your health up to the moment of the presence at the doctor - the first menstruation, the regularity of their occurrence, the history of pregnancy interruptions, of the missed pregnancies, of the previous births; the history of your and your husband's chronic conditions; when you can specify your anxiety about the diet used (regarding vitamins, usually they are not forbidden in pregnancy, there are dry vitamin products that are administered during pregnancy).


Later you will be examined by examination with valves, vaginal cough and / or rectal cough. You will probably undergo a cytobacteriological examination of the vaginal secretion and an ultrasound (ultrasound with the endovaginal probe can determine the existence of a pregnancy at the earliest 4-5 weeks of its evolution). After finding the pregnancy and confirming its presence in the uterus, you will be asked to perform the following investigations:
  • blood group and your Rh and your spouse (if any group or Rh incompatibility is found, during the whole pregnancy, the appearance of anti-group or anti-Rh antibodies will be followed, and if they occur, quantitative dosing, because from certain concentrations may interfere with the normal development of the fetus);
  • the hemolithogram;
  • summary of urine or uroculture;
  • blood glucose, liver transaminases, urea, creatinine, uric acid
  • VDRL or RBW test (for syphilis) and HIV.
    These tests are included in the mandatory set of tests that the pregnant woman has to perform in the first trimester of pregnancy and, with reference from the family doctor, they are free.
    From doctor to doctor, you may be indicated to perform:
  • antibodies to hepatitis B and C
  • tests for toxoplasmosis, chlamydia, cytomegalvirus, herpesvirus and rubella (diseases that can have adverse effects on the fetus).
    They are not settled by the health insurance company in Romania, so you will have to pay them. Once noted by a gynecologist, he or she will recommend a monthly visit (in case there are no problems) to the gynecology office, or more often, depending on the problems that arise.
    During these visits you will also be able to recommend other types of tests if deemed necessary (testing of three markers in maternal blood, improperly known as "triple test"; markers being: - alpha-fetal protein, chorionic gonadotrophin human beta and unconjugated estriol.
    The value of this test is indicative, the results are correlated with a multitude of other parameters to calculate a possible risk of development of various genetic disorders; an increased risk does not imply certainty, but requires further investigation in this regard).
    Dr. Ciprian Pop-Began
    - Obstetrics and Gynecology -
    Clinical Hospital of Obstetrics-Gynecology Prof. Dr. Panait Sarbu