At the first visit to the antenatal clinic regarding the onset of pregnancy, a woman donates blood for research. Consider the indicators that are checked first of all, and what they carry in themselves, so as not to leave it all on the conscience of the doctor and not be content with his grunt.
In case of any deviations from the norm, suspicions or possible complications, the pregnant woman is sent for additional studies, which already require deeper knowledge in medicine.
So, during the normal course of pregnancy, it is checked:
1. Blood type and Rh factor of the mother . The blood type and Rh factor of the future father are also checked, on the basis of which the doctor concludes that there is a possibility of a Rh conflict.
2. Glucose in the blood, which allows you to identify the risk of developing diabetes. Normally, the indicators should be in the range of 3.3-6.6 units. TSH (glucose tolerance test) is done according to indications.
3. Disease for AIDS, syphilis, hepatitis B. It is done 1-2 times during the entire pregnancy. With a positive result, a decision is made on possible treatment and constant, enhanced monitoring of the pregnant woman. Syphilis, for example, can cause damage to the liver, nervous and vascular systems of the fetus.
4. General clinical indicators (hemoglobin, leukocytes, ESR).
wrote about what hemoglobin and how to increase it in our article on the shop-ultra website. Hemoglobin in pregnant women is significantly reduced due to the fact that the volume of circulating blood increases (especially during the laying of the circulatory system of the fetus). The norm is 100-130 units. An excessive decrease in hemoglobin should not be allowed in any case!
Leukocytes describe the work of the body's immune system. If the number of leukocytes in the blood is increased, then they were formed in order to absorb bacteria and toxins, which means that this may indicate inflammatory processes, bacterial and viral infections, etc. Normally, a pregnant woman has 4.0-9.0 units. leukocytes.
ESR (erythrocyte sedimentation rate) normally fluctuates up to 15 mm per hour. If the erythrocytes settle too quickly (30-40 mm / h), then an inflammatory or infectious process is taking place in the body.
5. Analysis for TORCH infection.
Testing for HIV, syphilis and hepatitis can be done on its own or as part of a TORCH test. Whether or not to take an analysis for TORCH depends on whether there is any indication from the mother, for example, if the first pregnancy ended in a miscarriage.
TORCH infections are a serious threat to the normal development of the fetus, while being practically harmless to adults. The abbreviation TORCH is easily deciphered (in capital letters of infections)
T - toxoplasmosis, toxoplasmosis,
O - others, other infections (hepatitis B and C, syphilis, chlamydia, gonococcal infection, HIV infection, chicken pox),
R - rubella, rubella,
C - cytomegalovirus, cytomegalovirus,
H - herpes, herpes.
If a woman first becomes infected with one of the infections included in this group, then such an infection has a simply detrimental effect on the baby and can cause miscarriage, stillbirth and congenital malformations, up to disability.
If you want to conceive and give birth to a healthy child, it is better to pass an analysis for the TORCH group in advance. If you already have antibodies to these infections, ie. If you have been ill or vaccinated, then nothing threatens the child. If there are no antibodies, you will need to be extremely careful during pregnancy.
It is important for pregnant women to take timely not only blood tests, but also urine tests. They will help in time to identify various diseases of the urinary-genital system of pregnant women, for example, acute cystitis, pyelonephritis, diabetes mellitus or ketonuria.
The article was prepared for the BiWomen.ru website.
