1. When the first time for antenatal checks?
analyzed later in pregnancy about 12 weeks of pregnancy, pregnant women, prenatal care to the hospital for the first time.
first prenatal attach to pregnant women to conduct a comprehensive medical examination, asked in detail about the history of women and mates of disease, private history and family history.
the contents of the first prenatal
: appoint, age, occupation, marriage age, digit of births. No menstrual time in the quondam, and afterward the pregnancy, and maternal history of cancer alternatively surgery. History of household members without the genetic history of the disease, with or without history of multiple births, genital abnormalities. Pregnant women in early pregnancy, whether the virus infection, pill history, history of exposure to radiation. First pregnancy prenatal examination, the medic among the reproductive organs of productive women ambition be attending check to discern the uterus, ovaries and pelvic location, in addition to the medicinal check-up, check the heart, blood oppression, the value of weight, check with bosom evolution without exception, to understand changes in the absorbent system of productive women, such for nausea, spewing, constipation or diarrhea and nutritional status, understand the habits of pregnant women with or without alcohol, with or without respiratory diseases. Taking these inspection, you can understand the health status of pregnant women, pregnancy conditions and initial fancies as future making methods, granting doctors to pregnant women have a more complete understanding.
2. when the second antenatal check for?
after the first antenatal visit, usually four weeks before a second check, in the 28 weeks before the first check are around 28 weeks later audited once every 2 weeks to 36 weeks after the check once a week .
every subsequent prenatal care, blood pressure ought be fathomed, weighed, almost 18 to 20 weeks of pregnancy, prenatal attention should hear to fetal heart rate each period, commonly per minute, 120 ~ 160 times / min, less by 120 hammers / min or more than 160 beats / min, and more that the phenomenon of fetal hypoxia and necessitate instant manipulation, the intrauterine fetal necrosis or they may be, regular blood pressure during pregnancy does not exceed 140/90 mm Hg (18 / 12 kPa). Hypertension with edema, proteinuria, known as ashore 2 kg, weight acquisition during this period the slow fetal growth may be needy, should do beyond checks. Excessive weight gain, pregnant women may be
In addition, each prenatal examination, the doctor must observe the abdominal fashion, size, extend marks and the presence of edema, measurement of uterine height and abdominal circumference touching the fetal position, maternal health and fetal development to understand the situation, to know whether the normal fetal location , more than 30 weeks should be actively corrected erratic fetal location to dwindle dystocia. Late pregnancy, the doctor should be measured in the pelvis, pelvic size estimates.
3. antenatal routine lab tests
stage of pregnancy, according to a lot of routine laboratory tests, some tests just check again, while others need to be reiterated examination.
each prenatal examination, urine routine examination should be carried out, the best use urine, so to avoid false-positive urine protein results if there protein in urine, urinary tract infection may also be a If the positive urine may be diabetes, renal blood flow may be caused by pregnancy, glucose tolerance test should be conducted to confirm the diagnosis.
hemoglobin - red blood cells to transport oxygen is hemoglobin, and its content is less than 10 grams per 100 ml, is the exception. Hemoglobin decreased from that of anemia, usually when the pregnancy test once, without exception, the last 10 weeks of pregnancy, check again.
blood - to determine blood type, ease of sudden crisis blood transfusiin due timely emancipate.
leukocytes - pearly blood cells during pregnancy is slightly higher than when not pregnant, but if too high, should consider whether there is inflammation of infection.
syphilis - the routine testing of pregnant women should be, to the health of the womb, if the subsistence of syphilis, to use antibiotics.
4. antenatal special inspection
ultrasound scan is a high-frequency sound waves through the orientation of the abdominal wall through the mother, the fetus into the amniotic fluid as a method of observation. This method is safe for mother and fetus, but the best throughout pregnancy does not exceed 3 to 4 times, using this method can determine the gestational time, enumeration of expected and so on.
Some pregnant women
blood biochemical liver function and the need to check whether the carrying hepatitis C virus, and now has convert a routine examination of these checks, some pregnant women need to detect Rh factor, Rh factor is a biological particle in ruddy blood cells really belong to Check into a class of blood. Maternal blood during early pregnancy can also check whether they are infected with rubella virus, AIDS caused by HIV infection, although the incidence of very few people in our country, but as time goes on, its incidence is promising to increase, so test of whether they are HIV infected, the hospital will be included in routine examination.
amniocentesis to find Down's syndrome, primarily, that is a congenital disease, cerebral stupidity, as well as some pregnant women with a family history of congenital disease. These are more usually accustom test method, the doctor also based on the characteristic circumstances of pregnant women choose other methods of prenatal examinations and tests.
5. check the amniotic fluid cells, methods
fetal amniotic fluid is feeding the embody closely relative to fetal growth and development of proteins, lipids, enzymes, hormones, sugar and salt, there are a number of metabolites and the fetus from the fetal skin, digestive tract, respiratory tract, urinary tract epithelial cells shed. Amniotic fluid extraction point, you can check a lot of projects, prenatal diagnosis of amniotic fluid pumping, mostly in 4 to 5 months of pregnancy when, in late pregnancy can be carried out.
extraction method is to use a special needle, piercing the amniotic cavity from the lower paunch, taking 5 to 10 ml amniotic fluid.
6. check the significance of amniotic fluid cells
extract amniotic fluid examination, very clinical significance:
do
trimester amniotic fluid compartment civilizations taken, you can check the availability of fetal chromosomal abnormalities, and through chromatin ###### chromosome or inspection, estimation,
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common, taken after the mid-pregnancy amniotic fluid, little chance of an chance, is more secure, through the pumping of amniotic fluid examination, can understand the fetal blood and various biochemical indicators, such as AFP,
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7. fetal maturity check
when the pregnant woman's physical condition does not allow her to proceed pregnancy, and pregnant women less than 36 weeks of pregnancy, the need for fetal maturity examination. Because at this placental dysfunction, such as early induction of labor, will give birth to a premature fetal death occurs in preterm children. If you know the maturity of the fetus, to take some measures to improve the maturity of the fetus, decisive by checking to see the fetus does have early maturity, then induction of labor can accomplish the purpose of improving survival rate of premature children.
Determination of fetal manhood, generally the end of the clinical use of measurement of uterine height and abdominal circuit, along apt a formula of fetal heaviness, gestational old is estimated to surmise the amniotic liquid, menstrual dates were no to make sure fetal size and maturity. Also Tongguo B-type ultrasonic checkup, decision of biparietal diameter and a sequence of indicators to make sure fetal size and maturity. In appending tin too check the placenta in motherly prolactin, estriol and additional biochemical markers to the determination of fetal maturity and knowing of placental aging.
but in recent years by biochemical methods of determination of amniotic fluid fetal maturity by measuring amniotic eggs phosphate / sheath ratio of phosphate ester content (L / S) and the amniotic fluid bubble test, fetal lung maturity to understand the situation. When the L / S is equal to 2 or greater than 2, or amniotic fluid foam test was affirmative, indicating fetal lung is mature, when the amniotic fluid in the muscle frail amount is equal to or greater than 2% in 2 mg, that have been mature fetal kidney, entirely disappear if the bilirubin in amniotic fluid, fetal liver function that has matured.
8. fetal movement - fetal safety signs
health of the fetus, though at present available, but he has been spirited in the womb, Although he were nativity in the womb, can never be a negate person, but all the time shows the vitality of his new life. Baby 3 months, he began organ systems work, and occasionally the lungs of amniotic fluid swallowed; then spit it out. Sometimes we even special reaction: his thighs, feet, and head will shake the thumb; his jaws will open, close, or swallowing; activate his eyelids, his eyes tapered put; touched his hands, he will make a fist; whether touched his mini feet, he carried the toes Zhang Kaicheng flare
shape. These abilities are innate reflex, can be retained only faded a few months after birth.
There are 3 types of fetal manoeuvre
: 6 months of pregnancy began to violently punt or a collision; prenatal 3 months all but slowly crouching or twist; third is the type of fetal movement turbulent spasms. Fetal activities can be anticipated out of the aptitude of the first annual. Strong fetal movement for 6 months after the birth of a child motor development is also quickly. Mother kicked in the tolerate allegedly rampage child after birth registration is a In addition, subject to some stimulation of the fetus, fetal movement will seem, with the women together to talk about, they will say a lot of amusing trivia to prove that the fetus has motor feedback to decisive stimuli. Mother was a typist case in point, while typing, increasing fetal movement, leaving his mother uncomfortable and affect mood. Board to hear the voice of the fetus beat, also will swivel. If the mother struck close the belly ring,
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How many times
fetal movement, speed, strength, etc., often expressed with the safety of the fetus, therefore, it is the fetal movement as a sign of fetal safety. Normal fetal movement, said that placental function was good, ample oxygen distribution to the fetus,
GHD Diamond Flag 2011, the fetus in the womb sound. Happy little life in the womb to live with. Normal pregnant women 18 to 20 weeks of pregnancy, pregnant women can feel their movements. According to specialists in obstetrics and gynecology observation, the normal fetal movement was less than 3 to 5 times per hour; the number of fetal movement for 12 hours was about 30 to 40 times. However, due to individual differences in the fetus is different from some of the fetus within 12 hours, up to 100 times more than the number of fetal movement. But at the peak of a regular fetal movement, tempo, little change is that fetal development is normal.
the number of pregnant women, fetal movement the fetus base to reduce or even fetal movement suddenly stop, to signify the health of the fetus is abnormal or that there are not, shall approaching the hospital. Within 12 hours if less than 20 times the number of fetal movement, fetal movement or 1 hour less than 3 times, often because of fetal hypoxia, the small may be a serious threat to life, some people phoned this must not be taken softly. Disappearance of the fetus to fetal death from fetal movement, a process that usually takes 12 hours to 2 days all but, and most within 24 hours. When the pregnant women who have cold, bad expiration, detriment of desire, fatigue, or random vaginal bleeding, generally determine the fetus has died. Therefore, pregnant women to detect fetal movement if not properly and promptly to the hospital for examination and treatment, the fetus can often save the day, eliminating the unfortunate occur. Of course, just a subjective feeling fetal movement, but also the sensitivity of fetal movement by the pregnant women, the amount of amniotic fluid volume, abdominal wall thickness, taking tranquilizers or magnesium sulfate and other drugs. Therefore, in judging the accuracy of this message whether or not fetal movement, should be excluded from these factors.
pregnant fetal movement should be how to calculate the number of observations and it?
general method of calculating the number of fetal movement is very simple, pregnant women can choose a nailed time every night (as of 9:00 every night), in fetal movement before going to nap test time of 1 hour. If the conditions were, in early, middle and late fetal movement during the time of the test times better. Of way, the baby's fetal movement count, can do only reflect a sign of fetal safety. As for the fetal development of the situation, with or without malformations and other abnormalities, you need to check with other medical equipment, and other ways to be a comprehensive analysis by a doctor, and then under the precision of the judgments.
maternal fetal movement observed if attention to the timely detection of anomalies, timely treatment, which for the little angel will be born, must have barnyard benefits.
9. a fetus readme
darling mother, you hear my voice it? I'm raising your abdomen is about to close in October-old unborn child. Upon leaving the cradle of the divine fetus worked, I absence to grow in her mother's footsteps and personal emotions cradle differentiate my dear mother, to narrate the globe that all parents, especially those who will serve as told parents of youth human.
people in the age calculation, the absolute used to from the moment when we were born, in fact, where I have 10 months of doll. In the first years of life, I have come a long history, completed a milestone reform - invisible fertilized egg from growing to 3 kilograms, 50 centimeters in length lovely little man. But many parents are blind to our presence, or the like as to what marriage is not conscious that the needs of their own interests, regardless of their children. Parents to know what each person must be marital that day, even in marriage before that time, it is essential to bear offspring to prepare for the mission. Strong parents, children can be strong Yeah, this is eugenics, and prenatal pedagogy. With the development of medical genetics perception and awareness of prenatal and postnatal care to study, many parents can pay attention to this problem, which parents do not want your baby clever, lively, robust it? Many parents once gave birth to healthy children, to blame each other, and even count on us comprised in this world of these children just the head, really wronged people, ah!
dear mother, you know you are pregnant and I am the first 3 months is the critical period is the person I see favor from the fertilized egg into an important period?
then let baby tell you it. As I embryos, the basic shape and the time of organ formation are: the brain - 2 ~ 11 weeks; Eye - 3 to 7 weeks; heart - 3 to 7 weeks; limbs - 4 to 8 weeks; teeth - 6 to 10 weeks; ear - 6 to 12 weeks; lip - 5 to 6 weeks; mouth palate - 10 to 12 weeks. This period is represented by fast change my, stability, once formed, not to change, fair as the foundation of high-rise buildings, once created, is difficult to change, if the subject line of intercourse during this period, alcohol expense, smoking, teratogenic drugs , harmful chemical, physical factors and the strong stimulation of needless, not only do not make your child look like adults. And because the spirit of over-excited, the vagina and uterus and other organs will congestion, a congestion uterus, uterine flat muscle to stretch tight, most likely narrow-minded, or even that I would be squeezed out, resulting in abortion. Especially in my weapon my first 3 months, the placenta no longer in jail on the uterus, fair as the flowers just tender thanks, like fruit, delicate touch, will fall, how it was in! To the final 2 months of pregnancy, the mother's body began to make arrangements for the encounter I was born. This time, if the subject line of the uterus intercourse, drinking, smoking, redundant fatigue, extravagant mental stimulation or shock of the disease, it is easy to cause precocious birth, which, as presently ripe fruit, more like the fall, although the edible fruit , but not sweet; child is able to survive, but inherent. Sometimes, although not caused by premature birth, but because of congestive very taut uterus, and placenta ripped part, this bleeding will occur, so that either the fetus and placenta and uterine harm, resulting in inadequate nourishment or mother of my uterus inflammation and other diseases . Mom, you are growing for their own health of future generations, in order to protect my pregnant belly. Carefully, worked so hard with me through 10 months, now you lovely children will be born, and when you saw my exterior, you will be elated tears, then my mother will be pregnant feelings tell all the people to be parents, let them also gave birth to a wishful future generations.
10. how to measure the fetal body weight and low birth weight children
now look how old the fetus? Prospective parents on how their child is concerned about the ah! Then your own child in the end be? How can we measure it?
the cardinal indicator of the size of the fetus is the fetal weight and length, principally in weight is momentous to measure the content of the situation of fetal development. Adequate fetal weight and fetal width is adult, lusty vitality of the chief conditions. Measurement of fetal weight is more, when others are quite complex, but all methods are rowdy estimates, it should be uncomplicated is better. Currently there are basically 2 simple ways:
(1) fetus exposed first portion (the base part of the fetus, fetal head or the fetal buttock), not into the pelvis, can be used the retinue formula: fetal body weight (g) = uterus at the end height (cm) for a 12 & ; amp; # 215; l55.
(2) the fetus has been the first into the exposed portion of the pelvis, with the following formula: fetal body weight (g) = uterus at the end height (cm) a 11 & # 215; 155.
sample, pregnant women 40 weeks of pregnancy, fundal height of 33 cm, using the on (2) was thought as 3410 g birth weight, indicating that fetal development is agreeable.
birth length growth rate relatively constant, uniform. Birth length measurement method is to use a lofty end women's uterus to measure estimate. With the increase in the month of pregnancy, gradually increase the height of the uterus at the end. Generally 8 weeks of pregnancy, the uterus can touch the end of the pubis; to 16 weeks, the end of the pubic bone and navel Palace, between 20 to 22 weeks of the umbilical; 32 weeks between the nave and the xiphoid process; 36 weeks Under the learned of reaching the xiphoid. Clinicians to determine the fetal length as the root for the month.
If the pregnancy caused by malnutrition due to manifold reasons, it will affect fetal growth and development, and even malnutrition, resulting in lower than normal birth weight infants (normal babies 3000 g or more), are known as term low birth weight children, and so on are concerned, it should try to dodge the incidence of term low birth weight children.
cause low birth weight children for many reasons, but mainly the nutritional status of pregnant women. In general, due to physiological changes and needs, pregnant women with gestational month increased appetite will gradually increase, as well as a journal intake of 300 to 500 kcal of heat is not difficult. However, if the pregnant woman's diet is unreasonable, in addition to pregnant women, picky eaters, the partly eclipse, taboos and other reasons, may be caused by inadequate intake of nutrients, the fetal weight beneath normal. Therefore, pregnant women should pay attention to increase nutrition, with particular attention to the diversity of food to ensure fetal well-developed, this is an important part of eugenics. Of course, pregnant women should also be appropriate nutrition, or excessive weight gain, the fetus is too long, will increase the burden of pregnancy and childbirth difficulties.
11. Winter women's self-care
When the cold winter comes, pregnant women in order to better shoulder the task of reproduction,
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first entity to note clothes and living. Low winter temperatures, temperature changes, airway resistance is low, very susceptible to rubella, influenza, chickenpox, pestilence rib pancreatitis. These diseases can outcome in different levels of fetal harm. For example, the flu symptoms of fever is not only ache the development of the fetal central nervous system, and the virus can be transmitted to the fetus through the placenta, fetal abortion, death, or cause deformities. The flu can also cause pregnant women to take medication do not eat dilemma. Such as aspirin, phenacetin chilly medications, these drugs can cause fetal nervous system, bone and kidney abnormalities occur. Taken late in pregnancy, but also the head of newborn and fetal hematoma, purpura, or blood in the stool. Without medication, will be stretched illness, or even into other serious diseases, fetal development is also very bad. Therefore, pregnant women should take a positive outlook, good self-care, not sick as well. Main approach is to pay attention to wear warm, temperature to stabilize, when the cold wag kick, the defense should be cold when they go out to catch cold. Pregnant women, such as the renowned position of viral disease and can not go out, but can not go to theaters, shopping malls and other compact public locations to go. Alone or in elements of people undergoing from these diseases, pregnant women and patients should be taken to avoid exposure to prevent infection. Also note that the indoor regular skylight ventilation to keep air fresh.
Pregnant women also constantly
sun, because pregnant women need more calcium in order to ensure robust self-skeletal system and fetal bone development. Calcium absorption and utilization in the body can not do without vitamin D, but it requires the participation of ultraviolet light in the sun, were synthesized by the body. Therefore, pregnant women, better climate in the winter day, every day should be over half an hour the sun drying.
pregnant women should also be noted in the winter diet, which is against external disadvantageous factors of important measures. As more body heat in winter, pregnant women should eat more than other seasons, better.
in northern China, due to low winter temperatures, sleet big, slippery ice on the floor often, pregnant women, awkward body, mobility, very easy to fall and sprain, or even months of difficult pregnancy that led to the fruit Therefore, freezing wind and snow season, the women try not to go out. If you go out, walk or voyage should be avoided in the floor where snow and ice to prevent accidents. Whatever the season, pregnant women, especially pregnant women should not be a large month high-heeled shoes, plastic soled shoes, wear shoes, soft soled shoes to prevent sprains and falls.
12. to protect the baby's
matrons breast health is worth attention. This not merely relates to women's health, but also on the healthy growth of the fetus after birth, therefore, defend the baby's should disburse care to breast health care. Before marriage and pregnancy, matrons should not dress a tight bra, normal pregnancy with no bra as many as likely, so that the breast is entirely loosened; do not wear tight-fitting T-shirt and bra, and prevent breast Jinshu affect the normal development of mammary gland. Young girls are not due to the adverse effects of traditional feudal ideology, long-term cause inverted breast bra, once fashioned the situation of depression in general is difficult to correct, often resulting in rue of the Mo and trouble. In fact, quite suddenly a pair of full breasts, petticoat bend shape is not only required for fitness, but also after the birth of a child can be fully milk edible for the health protection Khan. Nipple is hollow, if no measures are taken after pregnancy, breast fullness after childbirth, the baby sucking difficulties, the mother is due to collection of milk can lead to a great number of the accident of mastitis. Therefore, pregnant young women after 6 months, each night ahead mattress should be gently heave depression of the breast several times, and insisted on fatigue, may activity a role.
primiparous women, the alteration tender breasts sucking sudden infant powerful, easy to cause nipple ruffling. Little attention, it will cause a bacterial infection, particularly in lactating mastitis is a common disease. Female breast is an organization wealthy in fat and glands, each breast about 15 to 20 composed of gland. Therefore, the total of 15 to 20 breast duct leadership to the nipple and the outdoor world, so the nipple skin erosion or laceration, do not pay attention to cleanliness and protection, it is prone to mastitis.
after childbirth, bathe your hands with warm water before each feeding to clean teats. After feeding a small towel to use protection of tits neat. After cleaning and pulling the nipple, nipple thickening of the skin inevitably, increase toughness, you can stand the baby's sucking. If the nipple laceration or feeling ache, in relation to suspension feeding, keep the affected side nipples dry and wash, rub some 50% of the cod liver fuel, or bismuth compound tincture of benzoic acid, and sucked out the milk with a breast pump to fared the baby. Deposition is not to milk an important direction to prevent mastitis. Each feeding, let the child completely milk depletion. If the child eat small, more milk, a cigarette achieve, need to use a breast pump to dissipation, or to hand out, but pay attention to hands to light, to slow. Lumps in the breast, generally are recessive mastitis, can be partially heat the water with fresh onions to slacken, and then hike away or a breast pump to nectar squeeze, suck out. Milking may in some ache, but to put up with, or otherwise alter mob, is threaten to aggravate mastitis.
13. ###### on pregnancy influence it?
inconsistency among man and an of ordinary beasts that he can reason over sensation, control, physiological needs, for the second generation of safe and healthy.
marriage between husband and wife couple ###### is very normal and magnificent life. But when his wife was pregnant, how ###### is what should be a high precedence. In array to ensure the health of pregnant and fetus, the first 3 months of pregnancy should avoid ######ual intercourse. 4 to 8 in between the months of pregnancy, although you can have ######, but there should be some method of restraint and changes in ######ual intercourse. Late pregnancy, especially in labor 3 weeks before the ######ual intercourse must be banned to prevent postpartum infection. History of miscarriage or preterm birth in pregnant women, should pay attention to ######ual restraint.
Why
the first 3 months of pregnancy to deter ######ual intercourse it?
This is because women
endocrine function changes after pregnancy, the requirement of ######ual intercourse decreased. As well as psychological factors, fret about ###### will affect the normal fetal development and security, as well as physical factors, body ponderous, inflexible, slow, inconvenient and so on. More importantly, the first 3 months of pregnancy, the embryo is in the developmental stages, especially in the placenta and the maternal uterine wall does not close the connection, if ######ual intercourse, it may be due to improper operation or when the spirit of inadvertent over-excited, the uterus by the impact, it is cozy to fall off the placenta, resulting in abortion. Even if ######ual intercourse is very scrupulous, because pregnant women, pelvic congestion, uterine synopsises, can also cause miscarriage. ###### pairs should be considerate and understanding each other. If the man can not do this, it is cozy to cause pregnant women and couples unpleasant emotional barriers, therefore, can the publish of ######ual intercourse, you should first consider their future children be affected.
when 4 to 6 months of pregnancy to abstain from ######ual intercourse when. This is because the uterus is gradually increasing this time, fetal membranes in the amniotic fluid volume additions, increasing the tension of fetal membranes, maternal body weight increased, and the maladroit body, skin elasticity decreased. During this period the uterus is most important is to nourish the permanence of the normal fetal environment protection insurance. If ######ual intercourse also many times, relatively large coerce, oppression pregnant belly