Tuesday, 28 January 2020

Important Investigations during pregnancy


Doctors use two types of blood tests to check for pregnancy:
·         Quantitative blood test (or the beta hCG test) measures the exact amount of hCG in your blood. So it can find even tiny amounts of hCG. ...
·         Qualitative hCG blood tests just check to see if the pregnancy hormone is present or not. So it gives a yes or no answer.

Tests for 1st Trimester of pregnancy
v Hemoglobin
v Hemoglobin electrophoresis
v TSH Thyroid profile
v Blood group
v Hepatitis b and C
v Blood sugar
v VDRL
v HIV
v Trans veginal  scan for fetal wellbeing
v Blood B HCG
v Double marker test
v NT & NB scan
v Amniocentesis in special cases  
v Alpha-fetoprotein (AFP) test or multiple marker test
v Chorionic villus sampling
v Cell-free fetal DNA testing
v Percutaneous umbilical blood sampling (withdrawing a small sample of the fetal blood from the umbilical cord)
v Ultrasound scan

Tests for 2nd Trimester of pregnancy
v  CBC
v  RPR, a rapid plasma reagin test for syphilis
v  sexually transmitted infections (STIs)
v  Urine test
v  Bacterial vaginosis
v  Ultra sound scan
v  Thyroid profile
v  One-hour glucose tolerance test (Glucola)
v  Triple screen test
In the second trimester, all women under the age of 35 should be offered a triple screen test. This is also sometimes called “multiple marker screening” and “AFP plus.” During the test, the mother’s blood is tested for three substances. These are:
·         AFP, which is a protein produced by the fetus
·         hCG, which is a hormone that’s produced in the placenta
·         estriol, which is a type of estrogen produced by both placenta and fetus
Ultrasound with a method called the “maximum vertical pocket.” 
Tests for 3rd Trimester of pregnancy
v Group B Streptococcus Screening
v Ultra sound
v Target scan
v STI Tests
v During the third trimester, your doctor might also check for sexually transmitted infections (STIs). Depending on your risk factors, your doctor might test for:
v Chlamydia
v HIV
v syphilis
v gonorrhea


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