Obstetrics latin Obstare it means to be waiting. It is a branch of the Health Sciences that deals with women throughout their reproductive period (pregnancy, childbirth and postpartum).
The OB-GYN, you will be referred to a specialist and is responsible for monitoring pregnant women in case they might cause problems during pregnancy, problems such as during the first trimester and second trimester vaginal bleeding, threatened abortion, abortion, etc. and during the third quarter of preterm delivery, placenta previa, gestational diabetes, gestational hypertension, etc.
Women during their fertile period and sexual activity, which is the absence of menstruation in regular menstrual cycles can suspect that is before pregnancy and can make a di diagnosis can be performed.
There are two ways to tell if you’re pregnant:
I. Test urine pregnancy (clearblue)
II. Identifying a blood fraction chorionic gonadotropin (B-hCG)
Ultrasound on ultrasound scanning in pregnancy is displayed indicating their location, ie, whether it is within or outside of a uterine pregnancy (e. Ectopic). It serves to make an early diagnosis of pregnancy and time valuing gestational age and to assess fetal growth and development during the various stages of gestation.
In Sants Gynecological clinic we provide you with the possibility to assess fetal growth and development during the first weeks of pregnancy by:
Transvaginal ultrasound: This is the type of ultrasound of choice for early diagnosis of pregnancy, given the proximity of the instrument (ultrasound probe) with internal gynecological structures. The internal genitalia and is defined more as you can pinpoint the location of intra or extra-uterine pregnancy. It requires no preparation to take place.
Abdominal ultrasound: is a type of ultrasound that allows us to visualize the internal genitalia through the abdomen using an ultrasound probe that facilitates the transmission of the image to a monitor.
If you want to make a diagnosis of pregnancy during the first trimester a good bladder filling (the woman an hour before drink one to two liters of water and come to the clinic without urinating for exploration) is required.
This type of ultrasound if carried out during the second and third quarter does not require any preparation.
Conducting Ultrasound is painless and is not harmful to health because it uses no radiation test!
In Sants Gynecological clinic in this section we have seen fit to put at your disposal the most fundamental and basic to consider:
Prenatal care is the query that must perform before getting pregnant. So if you decide to get pregnant you should consider the following:
1. Purpose of this consultation: The purpose of this consultation is to prepare to deal with an optimal level of health conception. So its objectives are:
-To Detect and treat diseases associated with poor reproductive process.
-To value the risk of pregnancy (particularly those at high risk).
-Preparation Of the couple for pregnancy, birth and newborn care.
It is to achieve the above objectives by:
Are all medical procedures that are performed throughout pregnancy and childbirth. They are important to achieve a reduction in maternal and fetal morbidity and mortality.
Assumptions: It is necessary that if you think you are pregnant (menstrual delay of more than five days’ pregnancy test urine positive “that you can apply at the pharmacy or make yourself buying the kit) you come quickly to the first visit to :
-Valuation Ultrasound gestational age will be more accurate the earlier the visit.
-Valuation Individual risk and determine what level of care is most appropriate for your monitor.
It is to perform:
Doctor visits: one visit per month until 36 weeks and suggest a biweekly to 40 weeks.
During these visits he will control:
-The Weight, blood pressure, albuminuria, edema, circulatory disorders.
-The Fetal heartbeat after 14 weeks.
-Situation And fetal position after 28 weeks.
– We will ask ultrasound and analytical relevant.
-Valuation Symptoms, ultrasound, laboratory you have in each visit and its corresponding treatment, or request other tests if required.
Ultrasound controls: During normal course of pregnancy are recommended to make four ultrasound examinations.
On the first visit should be sent: Complete blood count, blood group and Rh factor, blood sugar, serology (syphilis, toxoplasmosis, rubella and HIV if the previous immune status is unknown), urinary sediment.
At 15 weeks of pregnancy (according to ultrasound) should be sought sreening triple for risk assessment of Down and neural tube defects syndrome. It consists of a simple blood test and if the results are high risk, then performing amniocentesis which is what will give us the diagnosis is necessary.
Between 24-28 weeks and should be sent: CBC, Sullivan test and if positive blood glucose curve (used to detect a possible gestational diabetes), indirect Coombs test (if you are Rh negative), toxoplasmosis should be (if the previous quarter was negative) and urinary sediment.
Between 32-34 weeks and should be sent: CBC, coagulation indirect Coombs test (if you are Rh negative), hepatitis serology and urinalysis.
At 35 weeks it should be requested vaginal culture.
Iron supplement: only if they are necessary according to the results of the analyzes.