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Pregnancy and anamnesis

Pregnancy and anamnesis


I do not know the reasons that have prevented you from presenting until now to a doctor to be recorded as pregnant and for a good monitoring of the subsequent evolution of pregnancy, but without this step do not show responsibility for the future child; and you have no way to prevent any pregnancy problems.
Pregnancy involves a number of changes to your body, some of which are elements of early pregnancy diagnosis.
Of the symptoms that it is normal to notice include: lack of menstruation (there are situations in which menstruation is maintained for several months simultaneously with the state of pregnancy), the breasts strengthen and become more sensitive to touch, morning sickness may occur, of agitation, emotional instability, fatigue, the onset of sleepiness during the day which can go up to the reversal of sleep-wake rhythm, more frequent urination, sometimes increased appetite (both sexual and food).
These changes may or may not occur, depending on each individual woman, or only certain changes may occur with the absence of others.
However, any changes whose causes you are not aware of or that are of concern to you, it is advisable to inform the obstetrician you will choose to monitor your pregnancy.
Thus, once you have noticed that the delay is occurring, so a period of amenorrhea has been installed, it is good to show up at a gynecology office.
On this occasion you will have an anamnesis = the discussion with the gynecologist from which he will find out about the symptoms that determined you to present to the doctor, about the chronic illnesses existing in your family, about the development and your health up to the moment of the presence at the doctor - the first menstruation, the regularity of their occurrence, the history of pregnancy interruptions, of the missed pregnancies, of the previous births; the history of your and your husband's chronic conditions;
When you can specify your anxiety about the fatigue condition that persists even when you are already administering vitamin products specific to the period of pregnancy.
Later you will be examined by examination with valves, vaginal cough and / or rectal cough. You will probably undergo a cytobacteriological examination of the vaginal secretion and an ultrasound (ultrasound with the endovaginal probe can determine the existence of a pregnancy at the earliest 4-5 weeks of its evolution).
After finding the pregnancy and confirming its presence in the uterus, you will be asked to perform the following investigations:

  • blood group and your Rh and your spouse (if any group or Rh incompatibility is found, during the whole pregnancy, the appearance of anti-group or anti-Rh antibodies will be followed, and if they occur, quantitative dosing, because from certain concentrations may interfere with the normal development of the fetus);
  • the hemolithogram;
  • summary of urine or uroculture;
  • blood glucose, liver transaminases, urea, creatinine, uric acid
  • VDRL or RBW test (for syphilis) and HIV.
    These tests are included in the mandatory set of tests that the pregnant woman must perform during the first trimester of pregnancy and, with reference from the family doctor, they are free.
    From doctor to doctor, you may be indicated to perform:
  • antibodies to hepatitis B and C
  • tests for toxoplasmosis, chlamydia, cytomegalvirus, herpesvirus and rubella (diseases that can have adverse effects on the fetus).
    They are not settled by the health insurance company in Romania, so you will have to pay them. Once noted by a gynecologist, he or she will recommend a monthly visit (in case there are no problems) to the gynecology office, or more often, depending on the problems that arise.
    During these visits you will also be able to recommend other types of tests if deemed necessary (testing of three markers in maternal blood, improperly known as "triple test"; markers being: - alpha-fetal protein, chorionic gonadotrophin human beta and unconjugated estriol.
    The value of this test is indicative, the results are correlated with a multitude of other parameters to calculate an eventual risk of development of various genetic disorders; an increased risk does not imply certainty, but requires further investigation in this regard).
    Dr. Ciprian Pop-Began
    - Obstetrics and Gynecology - Clinical Hospital of Obstetrics-Gynecology Prof. Dr. Panait Sarbu

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