Pregnancy

Beginning

Control of the pregnancy

The control of the pregnancy is the most important in these 9 months.

All this is what your doctor will control and will take care during your pregnancy. That's why it is fundamental that you do not attack any medical control, since on that it depends that everything goes out well.

You visit the doctor

The first interview:

During the pregnancy, the relation with your obstetra is fundamental. It is necessary to create a tie of confidence and empathy with him. Since it is logical, it is always better to feel safe, suppressed and listened... Also the tie is very important with the midwife, since she will be with tigo earlier, (in the course I preset off), and during the childbearing, helping you with the respiratory exercises, the panting and the relaxation, so that you carry the childbearing pains. Even, if it was a Cesarean section, it is good to do the course and to have it next to you at the moment of the intervention.

You must choose the obstetra and meet to the first one interviews as soon as possible. Well do not even have the assertion of the pregnancy. Since the first trimester is the most delicate of the gestation.

In the first visit the doctor will ask you in the date of your last menstruation, to calculate the probable date of childbearing. T and it will be in charge to do some studies of blood and urine, to verify between other things: your blood type, the level of glucose and iron in blood, quantity of hematocrito and red globules, sensibility towards infectious illnesses as for example: toxoplasmosis, German measles, hepatitis B and C, syphilis, or VIH (AIDS). He will ask you for your case history and familiar precedents: illnesses precedents in the family, multiple pregnancies in the family, blood compatibility with the dad of the baby, previous pregnancies, childbearings, Cesarean sections, abortions, surgeries, type of work, since it is your feeding, symptoms of the pregnancy, etc. it will prescribe You, if you are still not taking: Fólico acid and vitamin B 12.

- some obstetras do a vaginal exploration, to see the state of the neck of the womb, and a cytology, if it was doing very much you were not doing one to yourself. Other actions that perhaps take:

- it will weigh you and will take the blood pressure.
- also it will indicate you the first ultrasound scan.
- after this first interview, if it is a normal pregnancy (otherwise, the visits will be more followed), you will have to come to his office once a month. Do go to no consultation.
- towards her semana15, you will be able to listen to the beats of the heart of your baby, with a device ultrasound that the doctor will put in your paunch.

In mothers of more than 35 years, about the week 12, the doctor can recommend a study called screening, which measures the probability that has the fetus of enduring chromosomal alterations. If this one should throw some alteration, the doctor might indicate an amniocentesis, to confirm or to discard suspicions, during the week 15 of pregnancy.

About the week 20, the second ultrasound scan is realized. To himself the doctor will be able to study the organs and skeleton of your baby. In some cases, already it will be possible to know the sex of the baby, depending in that position is at the moment of the ultrasound scan.

In the week 24 not all the obstetras carries out a blood test that measures the glucose levels in blood of the mom, (they will give to you prepared of glucose to drink before the analysis), they ask for it. If this study should give altered, another more finished study would be indicated you, called it curls of glycemia, to discard or to treat the diabetes gestacional.

In the third trimester they ask for the last analyses before the childbearing and one asks 33 for the third ultrasound scan, in the week 32 to verify the growth of your baby.

From the week 38, or 36 if it is a pregnancy of high risk, the reviews will be weekly. They will do a fetal monitoring to you, to see if there is no fetal suffering, to verify the beats of the heart of your baby, and if there are contractions.

If it was a programmed Cesarean section, in the last week of gestation, they will be in charge to you to do the presurgical studies: anti-tetanus vaccine, electrocardiogram, and blood test and urine. In the Argentina the obstetras work with a midwife of his team. In the last trimester, it will be in charge to you to do with her the course prechildbearing, this midwife will be present at the moment of the childbearing.

When to come to the urgency obstetra

 To consult immediately:

1. If it has bled genital, it might be a miscarriage symptom, in the first trimester; or of premature childbearing in the following trimesters.
2. Intense abdominal pain, with or without blood losses; it might be a symptom of extrauterine pregnancy
3. Vomiting with a lot of frequency, there might be dehydration risk
4. Strong headache; it might be a preclampsia symptom (high blood pressure that an eclampsia can announce with convulsions)
5. Blurry or shaken vision; also it might be a preclampsia symptom
6. Pain on having urinated; it might be a symptom of urinal infection.
7. Loss of amniotic liquid, although there are few drops.
8. Long absence of movements of the baby. Loss of conscience or sickness with a lot of frequency.

1. Vomiting more than 4 times in the day; they might provoke dehydration and undernourishment.
2. Distension of eyelids, hands and feet.
3. Increase of very rapid weight; it might be a gestosis symptom.
4. Temperature over 38 grades; it might provoke premature contractions
5. Vaginal flow with great itch, it might be a symptom of vaginal infection.
6. Frequent contractions; every 10 minutes for one hour, and later they stop.