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Screening in high-risk pregnancies

Anna Piotrowska Source: J.W.Dudenhausen: Practical obstetrics and obstetric surgery; PZWL 2009,Warsaw, p.35.37.

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Screening in high-risk pregnancies

medforum

Pregnancy check-ups

A high-risk pregnancy means a pregnancy in which there is a risk to the woman or the baby.

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Tests that will detect abnormalities include:

  • blood count,
  • ultrasound examinations also in 3D,
  • blood glucose levels,
  • urine test, PAPP-A test (a test to detect congenital and genetic defects),
  • hCG triple test,
  • blood pressure measurement
  • cytological examination
  • vaginal cultures,
  • fetal heart rate test,
  • rubella antibody and toxoplasma testing.

Cardiotocography (CTG) - is the listening to the fetal heart tones, a continuous recording of heart function and uterine contractions.

Phonocardiography - receiving heart tones from the mother's abdomen using a special microphone.

Electrocardiography (ECG) - direct reception of the signal using an electrode attached to the foetus or directly to the mother's abdomen.

photo: pantherstock

Beat-to-beat method - heart rate calculated from the interval between two heart evolutions.

A woman whose pregnancy may be at risk must be under the constant care of a doctor. Visits to the surgery should be regular. Any worrying symptoms should not be ignored.
Women who are planning to enlarge their family should already remember about a healthy lifestyle before becoming pregnant, take care of their diet, provide their organism with the necessary vitamins and consume folic acid.