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Prenatal care

On average, pregnancy lasts 280 days, beginning from the first day of the last menstrual period and varying from 266 to 294 days. This length has been determined with regard to the fact that in spontaneous pregnancy the exact date of conception is difficult to be identified. Pregnancy is counted in “lunar months” taking 28 days each, i.e. 10 months. Pregnancy itself lasts 269 days on average.

The first day of the last menstrual period is important to remember for the calculation of the expected date of delivery. Your gynecologist will confront this date with ultrasound scans, in particular at the beginning of pregnancy to make the expected date of delivery as precise as possible.

During the first trimester (1 – 12 weeks of pregnancy) the pregnant woman generally finds a gynecologist. Within prenatal counseling the first blood tests are performed: full blood count, blood type and Rh factor, antibody screening tests, BWR test (syphilis test), HIV, HBsAg (hepatitis B test) and the first integrated screening test of congenital developmental disorders (at 10 – 12 weeks). Blood count tests are repeated in the second trimester and before delivery, combined with a coagulation test.

Until 36 weeks of pregnancy (physiological pregnancy) you will appear for regular monthly prenatal examination for the purpose of weight and blood pressure control, urine tests, and vaginal examination of uterus cervix.  Fetal development will be monitored by ultrasound scans.

In the second trimester (13 - 28 weeks of pregnancy), the second blood test within integrated screening test of congenital developmental disorders will be made. Between the first and second trimester (between 11 and 13 weeks of pregnancy) the first ultrasound scan for the early detection of fetal congenital developmental disorders, and between 18 and 22 weeks of pregnancy the so called morphology ultrasound scan will be performed. Both scans will be made by our certified ultrasound specialists.

Between 26 and 28 weeks of pregnancy, screening test for gestational diabetes will be made. If you are Rh-negative, you will be vaccinated against the baby’s erythrocyte antibodies to avoid any damage.

In the third trimester (between 29 and 40 weeks of pregnancy) your weight, and blood pressure will be checked and urine tests will be made. At about 30 weeks of pregnancy, blood vessel ultrasound scan (Doppler) of your baby and fetal growth will be monitored.

Starting at 36 weeks of pregnancy you will attend regular weekly prenatal checkups during which an additional cardiotocographic examination (monitoring the heartbeat and uterine contraction activities by a special device - cardiotocograph) will be made.

Unless you have attended prenatal examinations in this hospital from the very beginning, you should make an appointment for prenatal checkup in this hospital between 34 and 36 weeks of pregnancy if you wish to deliver the baby in this sanatorium.  

 

Your attending gynecologist will give you more details.