At your first antenatal checkup in addition to a physical examination your doctor
will get a few routine tests done. These will include urine and blood tests and an Ultrasound scan.
- Blood pressure
- Height and weight
- Routine urine examination and microscopy
- Includes test for sugar and protein in the urine
If you have a high risk of developing diabetes you may need other special tests like the GTT (Glucose Tolerance Test). If you have a strong family history of diabetes you should talk to your treating doctor about it.
- Complete blood count
- Includes Hemoglobin, Red blood cell counts to rule out anemia
- Blood type and Rh type testing( A,B,AB,O AND Rh+ve or Rh-ve need to be determined)
- HIV/Hepatitis B tests
- Syphilis(by VDRL test)
- Pap smear
The serology for TORCHES is done based on the history, risk factors and physical examination by the treating doctor.
Second and Third Trimester:
During this trimester your doctor will monitor your weight gain and also the baby's growth by ultrasound. Blood tests may be done only if deemed necessary or if you have any specific problems.
- Regular BP check up
- Weight gain monitoring
- Blood Glucose around 24th week of Pregnancy as is the time to detect Gestational Diabetes
- Urine Culture at 28th week
- Urine routine examination including for sugar and protein.
- Ultrasound as anomaly Scan at 18 to 20 weeks and subsequently final scan at 28 to 32 weeks.
There are few more investigations that are not routine but based on the conditions and the risk factors such as Chorionic Villous Sampling done at 10 to 12 weeks, Amniocentesis done around 18 weeks.
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