The woman who is going to become mother has to undergo a number of inspections that at the available deviations in time to carry out prevention of complications. At pregnancy the load of heart, kidneys and a liver increases therefore these bodies are included in the list of the main medical inspection.
Instruction
1. The obstetrician-gynecologist carries out registration and observation of pregnancy development. This doctor looks through results of planned analyses of the pregnant woman, measures pressure, palpates hypostases, appoints ultrasonic inspection of a uterus and a fruit. At once after registration future mom is directed to medical inspection at several experts.
2. At early stages of pregnancy the woman consults at the therapist. Previously future mom passes several researches – clinical and biochemical blood test, the general analysis of urine, electrocardiography, blood test on HIV and hepatitis. The therapist collects the anamnesis of life of the pregnant woman, asks on existence of addictions, estimates results of researches. Further the doctor examines the patient, measures pressure, considers number of warm reductions and respiratory movements, auskultirut respiratory organs and an aorta. Estimating the general condition of the pregnant woman, the therapist renders a verdict about possible complications which registers in the prenatal record in points on a scale from 0 to 5.
3. At suspicion or detection of pathology of internals the therapist appoints additional consultations at doctors of narrow specialization. If the pregnant woman has deviations in the ECG – it is sent to the cardiologist, at detection of increase in a thyroid gland or at increase in level of glucose to blood - to the endocrinologist, at pastosity of the lower extremities – to the nephrologist, at identification of antigen to a virus of hepatitis B, C – to the infectiologist, etc.
4. Medical examination of pregnant women includes consultation at the ophthalmologist. The oculist estimates sight at the woman, examines vessels on a retina, eye day and estimates risk of development of complications in a five-point scale. If the pregnant woman has a short-sightedness or far-sightedness, there is a question of an artificial rodorazresheniye since at natural childbirth at the woman pressure in vessels of an eye bottom increases that can provoke an otsloyka of a retina and, respectively, loss of sight.
5. Young mom surely is examined by the dermatologist. The doctor examines skin and mucous, at violation of their integrity (rash, ulcerations) or hyperaemia of certain sites, the dermatologist appoints additional inspection, and then - the corresponding treatment. If the pregnant woman has manifestations of an allergy – the doctor will lead an explanatory discussion how to reveal allergen which demands an exception of the pregnant woman's food.
6. The woman who is going to become mother surely hands over dabs and blood which investigate on presence of a venereal infection (trichomoniasis, syphilis, clamidiosis, etc.). With these analyses the pregnant woman goes for survey to the venereologist. At positive results the doctor appoints treatment or recommends abortion since some activators make the negative impact on a fruit incompatible with his life.
7. The pregnant woman needs to have examination at the stomatologist. In case of detection of painful teeth the treatment and sanitation of a mouth is carried out them. Not healed center of inflammation can provoke pregnancy complications, do harm to health of the kid and mother.
8. In certain terms of pregnancy or according to the emergency indications the woman undergoes ultrasonography of a uterus and a fruit. At this inspection the ultrasonographer-gynecologist estimates development of a fruit, a condition of a placenta and the place of its attachment and also some other factors.