What are the pre-pregnancy examination items for women?
Pre-pregnancy examination refers to the physical examination that couples undergo in the hospital before preparing to have children. It focuses more on detecting the health status of the reproductive organs and hormone levels of both partners. This examination is carried out to ensure normal pregnancy, give birth to healthy babies, and achieve better childbearing.
So, what are the pre-pregnancy examination items for women?
Gynecological experts introduce: The best time for a pre-pregnancy check-up is generally recommended to be 3-6 months before pregnancy, including both partners. The best time for women's pre-pregnancy check-ups should be within 3-7 days after menstruation ends, and it is best not to have intercourse before the examination.
Pre-pregnancy physical examination items for women:
[1] Physical Examination
A comprehensive and systematic examination of various organs such as the heart, liver, kidneys, etc. If certain systems have had diseases, you should consult a doctor to see if they have healed or improved. Only when the doctor tells you that you are suitable for pregnancy, can you consider getting pregnant.
[2] Blood Pressure Measurement
Measuring blood pressure also helps detect gestational hypertension early. When systolic blood pressure exceeds 140mmHg and diastolic blood pressure exceeds 90mmHg, attention needs to be paid.
[3] Oral Examination
Mainly checks female dental, periodontal, denture, and oral mucosa conditions. Since the oral health of pregnant women directly affects the oral health of infants and young children, if oral problems occur during pregnancy, considering the impact of treatment methods and medication on the fetus, treatment will be restricted, making it harder for the expectant mother.
[4] Gynecological Examination
Mainly checks the external genitalia, vagina, cervix, and other routine gynecological examinations, as well as vaginal discharge tests and cervical smears. Checks for various inflammations in the external genitalia, Bartholin's gland cysts, etc.; inflammations in the vagina; and whether there is cervical erosion. These issues are best treated before pregnancy, as they may be limited during pregnancy.
[5] Laboratory Tests
① Complete Blood Count (CBC) and Blood Type: Understand the level of hemoglobin. If anemia is detected, it can be treated before pregnancy. Understand coagulation conditions, and if any abnormalities are found, they can be treated beforehand to avoid unexpected situations like heavy bleeding during childbirth. Know your blood type, in case you need a blood transfusion due to heavy bleeding during delivery.
② Urinalysis: Understand the general condition and changes of the kidneys, whether other organ diseases affect kidney function, and the impact of drug treatments on the kidneys.
③ Stool Test: Check for parasite eggs, occult blood test, red blood cells, white blood cells in the stool, and exclude intestinal inflammation, hemorrhoids, polyps, and other lesions.
④ Liver and Kidney Function Tests: Examine various indicators of liver and kidney functions, diagnose whether there are liver and kidney diseases, their severity, and evaluate clinical treatment effects and prognosis.
[6] Special Tests
① Hepatitis B Virus Antigen-Antibody Testing: The hepatitis B virus can cause intrauterine infection through the placenta or infect through the birth canal, leading to newborns becoming carriers of the hepatitis B virus. Therefore, it is necessary to understand if you carry the hepatitis B virus.
② Sexually Transmitted Disease (STD) Testing: Syphilis and AIDS are sexually transmitted diseases that severely affect fetal health. If either partner suspects having an STD or has previously had one, STD testing should be conducted. If abnormal results are found, timely treatment is required.
③ TORCH Testing: TORCH includes toxoplasma, rubella virus, cytomegalovirus, and herpes simplex virus testing. If vaginal herpes is found before pregnancy, it should be cured before conceiving.
④ ABO Hemolysis Test: Includes blood type and anti-A, anti-B antibody titer detection. If a woman has a history of unexplained miscarriages or her blood type is O while her husband’s blood type is A or B, this test should be performed to avoid hemolytic disease in the baby.
⑤ Diabetes Testing: Includes fasting blood glucose testing and glucose tolerance tests. Pregnancy increases the burden on the pancreas, often making diabetes symptoms more pronounced or causing gestational diabetes, and even severe complications. Therefore, women with pre-existing diabetes must first consult a doctor for evaluation before deciding to get pregnant. If the doctor confirms that pregnancy is possible, then strict monitoring and treatment under medical guidance are necessary.
This article is excerpted from the official website of Changchun Gynecology Hospital. Original address: http://www.tjfk999.com/zaoyunjiancha//201105152417.html For more information about gynecological diseases, please visit the official website of Changchun Gynecology Hospital.