Three groups of people need to do pre pregnancy examination and examination items

summary

Pre pregnancy check-up is a check that people can do before they plan to get pregnant. Generally speaking, pre pregnancy check-up can guide whether couples are suitable for pregnancy to a certain extent, and some people need to go to the hospital in advance to prepare for the corresponding check-up work in order to avoid giving birth to a sick baby. Let's share with you the three groups of people who need to do pre pregnancy check-up and check-up items It's about knowledge.

Three groups of people need to do pre pregnancy examination and examination items

First: obese women: reasonable balanced nutrition guidance should be given to obese, overweight or biochemical abnormalities, such as hyperlipidemia, hyperuricemia, hypercholesterolemia and high blood glucose. After individualized assessment of the nutritional status of obese women, they were given diet therapy and appropriate exercise. It is suggested that there should be no obesity after pregnancy, but a limited plan should be made for calorie, nutrient distribution and weight gain. For this kind of people, the hospital should also closely monitor the early symptoms and signs of related diseases (such as hypertension) to help with early treatment. Examination items: comprehensive routine physical examination + full set of biochemical examination for both husband and wife.

Second: women with a history of abortion: for the special history of Obstetrics and Gynecology, such as: infertility, habitual early abortion, birth history of congenital malformations, unexplained stillbirth, neonatal death history and genetic history, we need to carry out the corresponding examination, analyze the causes, treat the causes, and improve the pregnancy outcome. Examination items: couple chromosome, abortion immune series, thyroid function, glucose metabolism, iodine, lead and occupational poison detection, coagulation function (anticardiolipin antibody, antinuclear antibody, lupus erythematosus coagulant, coagulation five), hormone determination, semen determination, hysteroscopy, treatment of complications, etc.

Third: the woman has diabetes: it is suggested that oral hypoglycemic drugs should be stopped three months before pregnancy (which can cause fetal malformation), and insulin should be used instead to control blood glucose and glycosylated hemoglobin at an ideal level. Insulin does not pass through the placenta, so it is not teratogenic. Diet therapy combined with exercise. To guide obese people to reduce weight and reduce pregnancy complications caused by weight. Examination items: blood glucose and glycosylated hemoglobin. If patients with heart, kidney, retinopathy and peripheral neuropathy have poor prognosis after pregnancy, comprehensive physical examination and laboratory examination should be done.

matters needing attention

White collar, sub-health couple: focus on lifestyle, behavior, reasonable nutrition, appropriate activities and other guidance. To intervene and adjust the bad living habits and behaviors, such as smoking, alcohol, drug addiction, excessive fatigue, excessive pressure, psychological anxiety, depression, etc., and use drugs and psychotherapy when necessary.