Jul 25, 2008

Teach you to understand gynecological examination report

After stopping 40 days, you do pregnancy urine sample was positive, the doctor will tell you: "You pregnant." Doctors will also explain to the prospective mother vigilance ectopic pregnancy, if abdominal pain, bleeding should immediately see the emergency. If all normal until 14 weeks pregnant again at the hospital for tests. By 14 weeks, to do more comprehensive examination of the project.

Blood routine inspection

Inspection: hemoglobin, platelets, WBC, and so on.

Judgement is whether the mothers anemia, the normal value is 100 ~ 160 g / L. Mild anaemia in pregnant women and childbirth little effect on severe anemia can cause premature birth, low birth weight infants, and other adverse consequences.

● interleukin-in to play in the eradication of pathogens, to defend the health of the role of the normal value is 4 ~ 10 × 109 / L, exceeding the scope of this note is the possibility of infection, but pregnancy can be increased slightly.

● platelets to stop bleeding in the process plays an important role in the normal value for the 100 ~ 300 × 1012 / L, if the platelets less than 100 × 1012 / L, will be the impact of the prospective mother's blood coagulation.

Urine routine examination

Inspection: protein in urine, sugar and ketones, such as examination and interleukin red blood cells.

Under normal circumstances, these indicators were negative.

● If the protein-positive, suggesting that a pregnancy-induced hypertension, kidney disease may be.

● If sugar or ketone positive note with diabetes may be required further examination.

● If it is found that there are red blood cells and interleukin, the tips of a possible urinary tract infection, the need attention, such as with frequency, urgency and other symptoms, take timely treatment.

Liver and kidney function tests

Inspection: GPT (GPT), aspartate aminotransferase (GOT), urea nitrogen (BUN), creatinine (Cr), and so on.

● normal liver function: GPT 0 ~ 55 U / L, aspartate aminotransferase 0 ~ 55 U / L.

● normal renal function: urea nitrogen 9 ~ 20 mg / dl, creatinine 0.5 ~ 1.1 mg / dl.

These are mainly mothers in order to check whether hepatitis, nephritis, and other diseases.

Check the blood type

Inspection: 1. ABO blood type, 2. Rh blood group.

Check blood type, to prepare for production at the blood transfusion, mothers know their blood type is very important.

● if the husband as Type A, B or type AB blood type, O-type blood for pregnant women, produce the babies are ABO hemolytic possible.

● Asians in the Rh negative blood type less, for the majority of Rh-positive blood type. If the Rh blood group incompatibility between men and women can also happen babies hemolysis.

Syphilis serology test

Inspection: 1. Spiral of hemagglutinin antibody test (TPHA); 2. Rapid-reaction plasma test (RPR).

Syphilis is caused by syphilis a sexually transmitted disease. If pregnant women suffering from syphilis can be passed directly through the placenta of fetal, neonatal lead to the possibility of congenital syphilis.

● normal pregnant women these two test results are negative. RPR positive specificity is not high, will be the impact of other diseases arising from false positive, TPHA positive can be diagnosed as syphilis experiment.

AIDS serological examination

Inspection: AIDS (HIV) antibody.

AIDS is acquired immunodeficiency syndrome literal translation of the name, is a serious immune deficiency diseases, HIV is the virus pathogens. Normal pregnant women for HIV antibody negative.

● If infected with the HIV virus, the result was positive. HIV virus will spread to the fetus through the placenta, the cause of neonatal HIV infection.

Gonorrhea of the bacteriological examination

Inspection: gonococcal culture.

Gonorrhea is caused by gonorrhea MI of sexually transmitted diseases, spread through unclean direct sexual intercourse, gonorrhea can be contaminated clothing, Pianpen, such as communication equipment, but also with the mother through the birth canal transmission to newborns.

● general for pregnant women is cervical secretions do gonococcus training, training in normal pregnant women results were negative. If positive, that there gonococcal infections, to be timely treatment.

Hepatitis B (HBV) virology inspection

Inspection: hepatitis B virus antigen and antibodies.

In viral hepatitis, with the highest incidence of hepatitis B in early pregnancy can increase the response to early pregnancy, and easy for the development of severe acute hepatitis, life-threatening. Hepatitis B virus infection through the placenta of fetal, mother to child transmission of the probability of more than 90 percent.

● normal pregnant women indicators were negative.

● If only hepatitis B surface antibody (HBsAb) positive note before the hepatitis B virus infection, has now recovered, and the hepatitis B virus has immunity.

● If the other indicators (HBsAg, HBeAg, HBeAb, HBcAbIgG, HBcAbIgM) would positive attention that the virus is contagious, the doctor should be consulted.

Hepatitis C (HCV) virus check

Inspection: hepatitis C (HCV) antibody.

Hepatitis C virus is the causative agent of hepatitis C, 75% of the patients and asymptomatic, only 25% of the patients have fever, vomiting, diarrhea, etc.. Hepatitis C virus can also pass through the placenta of fetal.

● normal pregnancy results were negative, if positive, that a hepatitis C virus infection, to be aroused the attention of doctors and pregnant women.

Prenatal screening for Down's syndrome

Inspection: serological screening for Down's syndrome.

Prenatal screening for Down's syndrome is a more economic, simple, no damage to the fetus of the detection method, in pregnant women can find to have Down's Syndrome fetus high-risk individuals. The incidence of Down's Syndrome 1 / 1000 (newborn), is a serious obstacle to innate intelligence one of the main reasons couples have normal reproductive potential of children with Down's Syndrome, and as mothers age has also increased its incidence rate Higher.

● mothers in the Second Trimester every 14 to 20 weeks between the inspection, the only negative report shows that the fetus of a congenital abnormality of opportunity is very low and can not be completely ruled out such anomalies. Prenatal screening results to risk that is less than 1 / 275 for screening positive, would do further checks amniotic fluid.

TORCH syndrome prenatal screening

Inspection: rubella virus (RV), toxoplasmosis (TOX), cytomegalovirus (CMV), herpes simplex virus (HSV) antibody.

Mothers during pregnancy four months ago if infected with these viruses above could, in a serious fetal congenital malformations, and even abortion.

● preferably in preparation for pregnancy before the inspection, the normal negative, if the inspection was positive and should be treated after pregnancy. For home in a Pet of the mothers have to be checked.

ECG

Inspection: electrocardiogram.

This inspection is to rule out heart disease, to confirm whether or not to be capable of mothers maternity leave.

● under normal circumstances results for the normal electrocardiogram. If abnormal electrocardiogram, to be timely to doctors advice, and do further checks.

Ultrasonography

Tests: B-chao.

B-check in 18 to 24 weeks, so the first time. Detecting whether the fetus can survive, whether for multiple births, and even whether the identification of fetal malformation.

● amniotic fluid in the depth of between three to seven centimeters to normal, more than seven centimeters for the increase in amniotic fluid, less than 3 cm compared with amniotic fluid reduction, the adverse fetal growth.

● fetal heart rate exists that fetal survival. Normal fetal heart rate of 120 to 160 times / points, below or beyond the scope of the fetus in the uterus has prompted the possibility of hypoxia.

Vaginal discharge inspection

Inspection: Leucorrhea cleanliness, candidiasis and trichomonas, leads cells.

Leucorrhea exudation of the vaginal mucosa, cervical and endometrial glandular secretions such as mixed.

● under normal circumstances for the cleanliness of Ⅰ ~ Ⅱ, Ⅲ ~ Ⅳ of the abnormal Leucorrhea that vaginal inflammation.

● candidiasis or trichomonas infection positive note, the need to make the appropriate treatment, the normal negative.

● clues of bacterial vaginosis is the most sensitive indicators of the most specific, in the vaginal secretions of cells to find a clue to bacterial vaginosis the diagnosis, such as negative note normal.

Screening for gestational diabetes mellitus

Inspection of items: 50 grams of glucose load test.

This is a pregnancy diabetes screening tests. In 24 to 28 weeks of pregnancy, oral glucose containing 50 grams of water, one hour after the blood plasma glucose test.

● If not less than 7.8 mmol / L (or 140 mg / dl), while screening positive note, the need for further 75 g glucose tolerance test, with clear whether gestational diabetes mellitus.

Through these, the prospective mothers of these tests on the opponent a clear understanding of single-the point » If there is abnormal, to arouse the vigilance and timely advice to doctors ah.

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