If you want to prepare for pregnancy smoothly, the production factories and bases in the rear are very important. In order to ensure their normal operation, you can help us check one by one through some systematic examinations, which is what we often call pre-pregnancy examinations. Let’s first talk about the specific examination items of future expectant mothers.
Recommendation of Pregnancy Preparation Examination Items
女性备孕需要做哪些检查呢?大致上分为Basic Items、Recommended Items以及针对Recommended items for specific groups三大类.
Basic Items
Gynecological examination, cervical examination TCT and HPV detection, uterus and ovary B ultrasound, hepatitis B, hepatitis C, syphilis screening, leucorrhea routine examination, thalassemia screening (Guangdong, Guangxi, Hainan, Hunan, Hubei, Sichuan, Chongqing and other regions).
For these basic examination items, you can go to the hospital to hang up the gynecology department and tell the doctor that you plan to prepare for pregnancy. If you want to have a routine physical examination before pregnancy, you can get the examination form for these items.
Recommended Items
TORCH screening, thyroid function, breast B-ultrasound, thyroid B-ultrasound, liver and kidney function examination, liver, gallbladder, pancreas, spleen and kidney B-ultrasound.
There is also an important examination that is easy to be ignored-oral examination before pregnancy. It is recommended to go to the hospital 6 months in advance to see a stomatologist and have a necessary oral examination so as to avoid the onset of oral diseases during pregnancy. Many treatments cannot be done and are miserable.
Relevant examinations are recommended for specific groups.
- Irregular menstruation
Friends with irregular menstruation may have irregular ovulation and are more likely to have abnormal ovulation. For example, menstruation often does not come for more than 40 days, or either comes once every half month, etc., requiring sex hormone examination.
- Have a medical illness
In particular, mothers who are preparing for a second child with a high-risk pregnancy for their first child also need to undergo relevant examinations, such as heart disease, hypertension, kidney disease and lupus erythematosus.
- Women with a history of bad pregnancy
Need to go to eugenics or genetic clinic consultation, have more than two spontaneous abortion history is called recurrent abortion, these situations need to do more relevant examination under the guidance of doctors.
Mothers-to-be who are old enough to prepare for pregnancy should pay attention to these
We said in the first article that there are risks in preparing for pregnancy at an advanced age, and expectant mothers who prepare for pregnancy at an advanced age should also pay special attention to relevant examinations. What should be done specifically?
At present, there are more and more elderly women preparing for pregnancy. According to their particularity, they can be roughly divided into the following two types:
- Older women preparing to have a second child
If the previous cesarean section is ready to give birth to a second child, pay attention to B-ultrasound examination before pregnancy, and see how the wound healing of cesarean section is. If menstruation is always unclean and menstrual period exceeds a week at ordinary times, we should be alert to whether there is uterine diverticulum and pelvic magnetic resonance imaging is required when necessary.
- Older women who have never been pregnant
If there has been no regular contraception but no pregnancy, ovarian function needs to be checked and follicles monitored to see if ovulation can be normal. If there is no problem and ovulation can be normal, tube examination is also required, such as salpingography to judge the condition of fallopian tube and pelvic cavity, and hysteroscopy to see uterine cavity morphology and endometrium when necessary.
In addition, all elderly women preparing for pregnancy must undergo cervical TCT examination and HPV examination before pregnancy to eliminate cervical lesions. At the same time, attention should be paid to B-ultrasound examination of uterus and ovary to see if there are any diseases such as hysteromyoma or ovarian cyst. When problems are found, they should be actively dealt with so as not to delay pregnancy preparation.
What if there is a problem?
What if problems are found during the inspection? Need to be treated differently:
- Vaginitis
Vaginitis is a minor problem. At that time, symptomatic treatment can be carried out according to the results of leucorrhea examination. When there is a need for pregnancy preparation, the doctor can be told to choose a drug treatment that will not affect pregnancy preparation. After treatment, leucorrhea can be reexamined and pregnancy preparation can continue after returning to normal.
- Ovarian cysts and uterine leiomyomas
If ovarian cysts and uterine leiomyomas are found, It needs to be discussed in detail with obstetricians and gynecologists. Estimate the nature of ovarian cyst, decide the next treatment plan according to the size, location and menstrual condition of leiomyoma, According to the specific analysis of personal situation. Most benign ovarian cysts and hysteromyoma < 5 cm, menstruation is normal, can regular ovulation, generally does not affect pregnancy preparation. If cysts or leiomyoma > 5 cm, menstruation is abnormal, or normal ovulation is not possible, according to the doctor’s advice to decide whether surgery is needed first, and then according to the postoperative recovery to determine pregnancy preparation time.
- HPV positive or cervical lesion
What if HPV positive or cervical lesions are found? It also needs to be treated differently. Simple HPV is positive, there are no sexually transmitted diseases such as cervical abnormalities and condyloma acuminatum, and normal pregnancy preparation is sufficient. If there is cervical lesion, the treatment plan and the time to recover from pregnancy after treatment shall be determined according to the results of colposcopy and biopsy.
- Breast nodule or thyroid nodule
If breast nodules or thyroid nodules are found, go to general surgery or nail and breast surgery and consult a doctor. If there is no possibility of malignancy, follow-up review during pregnancy and postpartum is sufficient.
Do a good job of examination, eat a balanced diet, ensure good living habits, prepare for pregnancy without what concerns.
Some people will ask, what about men? In the next article, let’s talk about men’s preparations.