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Εξετάσεις εγκυμοσύνης
Determining if you’re pregnant
We start with:
“A urine or blood (beta human chorionic gonadotropin) test”
Pregnancy examinations scheduler
First trimester
6th - 7th week
Obstetric examination
11th - 13th+6d weeks
First trimester ultrasound
Women over the age of 35
6th - 7th week
Obstetric examination
Obstetric examination.
Details:
1.) Personal and family history of the couple
2.) Ultrasound screening for:
- Establishing intrauterine gestation
- Checking fetal pulse
- Defining gestational age
- Checking for multiple pregnancy
3.) Prenatal screening
- General blood test. Iron. Ferritin
- Screening for Thalassemia and Sickle Cell Anemia traits.
- Blood Group, Rhesus
- Hepatitis types B and C. Syphilis. Gonorrhea. AIDS
- Chlamydia
- Antibodies: Rubella,Toxoplasma, Cytomegalovirus (CMV)
- Blood sugar levels
- Urine analysis
- Screening for cystic fibrosi
4.) Administration of:
- Folic acid
- Magnesium
5.) Examination of:
- Breasts
- Body weight
11th - 13th+6d weeks
First trimester ultrasound
First trimester scan
For genetic anomalies.
Ultrasound: Nuchal translucency (NT)
The first trimester screening includes the nuchal scan and PAPP-A.
It is very significant because:
- We affirm the date of the pregnancy accurately and the expected date of delivery
particularly in women with an irregular menstrual cycle. - We diagnose major fetal abnormalities e.g anencephaly.
- We diagnose early miscarriage.
- We will find the fetus risk of Down’s syndrome or other chromosomal abnormalities.
- We will check the position of the trofoblast and the length of the cervix.
Nuchal translucency scan is performed between 11th and 13+6 weeks of gestation. It examines the thickness of embryo’s nuchal fold. The result depends, from the nuchal’s transparency measurement , the mother’s age and from the crown-rump length( CRL) of the fetus. Also is detected the appearance of nasal bone, blood flow through the fetal heart, umbilical cord and the uterus.
With the first trimester screening we estimate the probability of chromosomal abnormalities. Mainly checked:
- Trisomy 21 ( Down syndrome)
- Trisomy 18 ( Edwards syndrome)
- Trisomy 13
- Turner syndrome (45 XO)
- Major fetal cardiac defects
PAPP-A
PAPP -A is a maternal blood test, also used to look for fetal abnormalities by the check of the levels of pregnancy-associated plasma protein A and the human chorionic gonadotropin. The nuchal translucency with PAAP-A and the presence or not of the nasal bone increase detection rates ( 90-95%). It is important to detect early in the pregnancy the rates for chromosomal abnormalities, because if screening is positive , chorionic villus sampling or amniocentesis is required.
Women over the age of 35
Chorionic Villus sampling (CVS) or Harmony Test
Second trimester
14th week
Obstetric examination
16th Week
A-Test
17th - 18th week
Amniocentesis
17th - 18th week
Obstetric examination
21th - 24th week
Second trimester ultrasound
21th-24th week Laboratory testing
21th-24th week
Obstetric examination
14th week
Obstetric examination
Obstetric examination
Details
- General examination
- Weight measurement
- Blood pressure
- Blood pressure
16th Week
A-Test
A- Test: If you haven’t undergone a first trimester screening
17th - 18th week
Amniocentesis
Amniocentesis is performed when:
- Women over the age of 35
- There are abnormal results from the first trimester screen
- There is a history of chromosomal abnormalities
- Parent’s request / choice
17th - 18th week
Obstetric examination
Obstetric examination
Details
- Examination.
- Weight.
- Blood pressure
- Assessment of nuchal scan results
- Administration of iron and calcium
21th - 24th week
Second trimester ultrasound
Second trimester ultrasound
Details
- Detailed scan of foetus organs and bone structure.
- Check if there is appropriate blood supply from the umbilical cord vessels to the foetus.
- Check that there is appropriate blood supply to the uterine vessels.
- Check the amount of amniotic fluid, the placenta’s condition and the uterine cervix.
21th-24th week Laboratory testing
Laboratory tests
Λεπτομέρειες
- General blood test
- Serum iron
- Ferritin
- Urine analysis
- Glucose tolerance test.
- Indirect Coombs test, in Rhesus-negative mothers and Rhesus-positive fathers.
- Repetition of antibody testing, if negative for:
Cytomegalovirus.
Toxoplasma.
21th-24th week
Obstetric examination
Obstetric examination
Details
Examination of the pregnant woman, assessment of laboratory results
Third trimester
28th week
Obstetric examination
28th week
Laboratory tests
32nd - 34th week Third trimester ultrasound (Doppler)
32nd - 34th week
Obstetric examination
32nd -34th week
Laboratory tests
36th week
Obstetric examination
36th week
Laboratory tests
After the 36th week
Obstetric examination, once a week
28th week
Obstetric examination
Obstetric examination
Details
- Examination
- weight
- Blood pressure
- Growth scan at the surgery.
28th week
Laboratory tests
Εργαστηριακός έλεγχος
Details
- Urine analysis
32nd - 34th week Third trimester ultrasound (Doppler)
Third trimester ultrasound scan (Doppler)
Details
Μπορεί να γίνει από την 28η έως την34η εβδομάδα. Συνήθως αν δεν υπάρχει ιατρικός λόγος να γίνει νωρίτερα, το κάνουμε μεταξύ 31ης-34ης εβδομάδας κυήσεως.
With the Doppler we examine:
- Assessment of fetal development and its weight
- Έλεγχος της ροής αίματος μέσω του ομφαλίου λώρου στο έμβρυο.
- Έλεγχος της ροής του αίματος στα μητριαία αγγεία της μήτρας της μητέρας. Η φυσιολογική ροή είναι καλός δείκτης της έλλειψης σοβαρού κινδύνου να εμφανίσει η εγκυμονούσα προεκλαμψία.
- Καθορισμός της εμβρυϊκής θέσης και προβολής.
- Εκτίμηση του αμνιακού υγρού, της ωριμότητας και της θέσης του πλακούντα, το μήκος του τραχήλου της μήτρας.
32nd - 34th week
Obstetric examination
Obstetrics examination
Details
- Examination.
- weight
- Blood pressure.
- Ultrasound growth scan
32nd -34th week
Laboratory tests
Laboratory tests
Details
- General blood test.
- Serum iron.
- Ferritin.
- Urine analysis.
- Glucose tolerance test.
- Indirect Coombs test, in Rhesus -negative mothers and Rhesus -positive fathers.
- Repetition of antibody testing, if negative for:
Cytomegalovirus και Toxoplasma.
Αν υπάρχει υποθυρεοειδισμός ή υπερθυρεοειδισμός έλεγχος του θυρεοειδούς.
36th week
Obstetric examination
Obstetric examination
Details
- Examination
- weight
- Blood Pressure
- Ultrasound growth scan
- Έλεγχος του μήκους του τραχήλου της μήτρας.
36th week
Laboratory tests
Laboratory tests
Details
- Urine analysis
- καλλιέργεια του κολπικού υγρού για στρεπτόκοκκο. (Η λήψη μπορεί να γίνει στο ιατρείο).
After the 36th week
Obstetric examination, once a week
Για την υπερηχογραφική εκτίμηση της καρδιακής λειτουργίας του εμβρύου, της ποσότητας του αμνιακού υγρού, του πλακούντα.
Έλεγχος του μήκους και της ποιότητας του τραχήλου της μήτρας.
Έλεγχος της αρτηριακής πίεσης και βάρους της εγκύου.