What Tests Are Required on the Day of Establishing a Medical Card?
After becoming pregnant, as we are unable to understand the development and condition of the fetus, it is necessary to regularly visit the hospital for prenatal checkups, which serve as significant safety guarantees for both the child and the mother. Once a woman has initially confirmed her pregnancy, she needs to establish a medical record at the local hospital, also known as a pregnancy handbook. During each examination, doctors will record the specific conditions of the pregnant woman in the handbook, allowing for timely understanding of the conditions of both the pregnant woman and the fetus. What kind of examinations are required on the day of establishing the record? Let's take a closer look at the detailed introduction.
Carefully inquire about the current pregnancy process, the accurate date of the last menstrual period, in order to estimate the expected date of delivery. Inquiry about early pregnancy reactions, fever, and medication history during the early stages of pregnancy, as well as symptoms such as vaginal bleeding, palpitations, and edema in the lower limbs. Obtain detailed information about menstrual history, past pregnancy and childbirth status, past physical condition, surgeries undergone, family history of genetic diseases, the age and occupation of the pregnant woman (whether she is exposed to toxic or harmful substances), and the physical condition of the husband.
Perform routine physical examination, with attention paid to measuring blood pressure and weight, and examining the heart and breast development. Gynecological examination: listen to the fetal heartbeat, understand the size of the uterus, and check for any abnormalities in the birth canal and surrounding the uterus. Ancillary tests: check blood routine (red and white blood cell count), blood type, coagulation time; urine routine (urine protein, urine sugar, urine sediment microscopy), hepatitis B five items, liver and kidney function, serum alpha-fetoprotein, syphilis reaction.
Prenatal examination during the second trimester, from weeks 16 to 32 of pregnancy, with monthly visits to the hospital. Specific examination content includes inquiring about the health status of the pregnant woman and the timing of fetal movements. Obstetric examination: measure blood pressure and weight; measure the height of the uterine fundus and abdominal circumference, listen to the fetal heartbeat, and understand the growth and development of the fetus; pay attention to whether the pregnant woman has edema. Ancillary tests: repeat blood routine and urine protein tests; abdominal ultrasonography to understand the development of the fetus in the uterus and detect malformations early.
Establishing a record is essentially establishing a medical archive, where doctors will record simple pregnancy information such as gestational age and other relevant examinations. It seems that pregnancy is not a simple matter. With improved conditions, listening to the doctor's advice and undergoing additional examinations is not a big deal, as it is ultimately for the benefit of the child.
