For the mother and foetus to be as healthy as possible, general check-ups are required during pregnancy, with the aim of monitoring the evolution of the pregnancy and advising the woman. The frequency of consultations depends on the specific needs of each woman and the associated risk factors. The minimum is a periodic check-up every 30 days from the first month until the eighth and a check-up every 15 days from the eighth month until the ninth.
The specialist will also educate the patient regarding the pregnancy, birth and post-birth care, indicating different ways to improve their health.
Another main objective is providing appropriate psychological support to the couple and their family, since we are well aware of the changes a pregnancy brings to a family environment.
The clinical check-ups begin on the first appointment with a detailed medical history and general exam, estimation of the gestational age and estimated due date, and a routine blood test request. Subsequent appointments, as per the recommended schedule, will enable additional risk factors to be detected.
Blood Tests: three blood tests are performed during the pregnancy, one per trimester. Each test includes analyses to rule out certain problems which can occur during pregnancy.
The first trimester test includes a complete haemogram, blood type and Rh, indirect Coombs test if applicable, TORCH, LUES, HIV and CHV serology, urine sediment and urine culture. O´Sullivan test if applicable.
The second trimester test (at 24-28 gestational weeks) includes: complete haemogram, urine sediment and urine culture, O´Sullivan test and indirect Coombs test if applicable.
The third trimester test (at 32-36 gestational weeks) includes: complete haemogram, coagulation tests, urine sediment and urine culture and vaginal and rectal swabs for screening Streptococcus B.
Ultrasound scan: An initial scan is required at 12-13 gestational weeks, in order to estimate the gestational age, provide an approximated due date and determine the nuchal translucency. As the pregnancy progresses, several scans are performed in order to check its correct development. They include foetal measurements (biometry), placental location and characteristics and foetal position.