关于怀孕前的体检

coolyn

向各位妈妈们请教哈。

怀孕前提前多久体检比较好？

Beily

据医生说是，至少在打算要宝宝前的3个月做全面的体检

coolyn

要这么长时间啊!

我在Perth，将去Sydney，大家有什么好的华人女医生推荐么(Sydney)？

[ 本帖最后由 coolyn 于 2007-1-22 18:52 编辑 ]

Gina

全面检查都包括些什么呢？

coolyn

to Gina
这些是偶在国内的网站上看到的，不知道这里是不是也这样。
以下是一些针对普通人群的常规的孕前体检项目：

血常规：
检查项目：血细胞、红细胞、血沉、血红蛋白、血小板
检查目的：及时发现与营养、消耗、遗传以及贫血有关的疾病

尿常规：
检查项目：尿糖、红细胞、白细胞等
检查目的：排除糖尿病、尿道炎、尿道感染、肾炎等疾病

肝功：
检查项目：主要测乙肝表面抗原，阴性属正常，如为阳性，则需进一步检测
检查目的：排除患各型肝炎的可能性

身高、体重：
检查项目：测出具体数值
检查目的：如果体重超标，最好先减肥再受孕

血压：
检查项目：正常数值高压在90-130范围内
检查目的：怀孕易使高血压患者血压更高，甚至威胁到母亲的生命

内科：
检查项目：心电图、胸透
检查目的：确认内脏器官是否正常

口腔科：
检查项目：检查口腔内是否有龋齿、未发育完全的智齿及其他口腔疾病
检查目的：怀孕期间原有的口腔隐患会恶化，严重的还会影响到肚里宝宝的健康

妇科：
检查项目：做盆腔和阴道检查
检查目的：检测是否有发育畸形或妇科疾病，以免影响怀孕

体内微量元素检测：
检查项目：钙、锌、铁等
检查目的：微量元素缺乏直接影响到胎儿的发育和健康

艾滋病：
检查项目：抽血测试
检查目的：以防通过母体传染给胎儿

普通的孕前体检项目对处在特殊工作环境中的人可能还不够，还需要增加一些特殊的体检项目：
特殊人群：家中有宠物或从事动物养殖、进行过器官移植、生食过鱼类或肉类
检查项目：特殊病原体检测
具体内容：弓形体、风疹病毒、单纯疱疹病毒等
检查目的：防止引起胎儿宫内感染
特殊人群：高温工作环境（针对父亲一方）
检查项目：精液检测
具体内容：精子数、精子活动量等
检查目的：高温作业很可能引起男性不孕

另外对患有某些疾病的人，如果想怀孕最好先征得医生的意见，在病情治愈或得到控制的时候再怀孕。
1、 患阴道炎的女性
如果不经过及时的治疗，怀孕到一定阶段，易造成胎膜早破或早产。
2、 有贫血的女性
贫血的女性抵抗力低，容易感染。也会导致早产的发生。
3、 低蛋白血症患者
会影响胎儿的生长发育。
4、 肾炎、肝炎患者
如果怀孕，会对肾脏、肝脏的压力更大，加重病情。
5、 有心肌缺血的女性
怀孕时血流量会比平时增加50%，对心脏的压力极大，使病情加重。
6、糖尿病患者
在血糖高的情况下怀孕，易造成胎儿畸形。

白雪纷飞

原帖由 coolyn 于 2007-1-23 17:41 发表
to Gina
这些是偶在国内的网站上看到的，不知道这里是不是也这样。
以下是一些针对普通人群的常规的孕前体检项目：

血常规：
检查项目：血细胞、红细胞、血沉、血红蛋白、血小板
检查目的：及时发现与营 ...

这位tx很专业，我想问如果月经每月都推迟和经量不多，该做什么检查？我在国内检查说秘乳素很高，但过来这里检查又说正常，真是不理解？我是打算今年下半年或明年初要吧，所以有点担心。

hohoho

我昨天才做的检查， 只是抽了3支试管的血， 就ok了，结果还不知道 。医生告诉我可以开始吃叶酸了， 仅此而已。

coolyn

hohoho是在Sydney吗？医生有没有问你以前是否检查出妇科炎症？你什么时候能拿到结果？

[ 本帖最后由 coolyn 于 2007-1-29 12:50 编辑 ]

coolyn

再来一个澳洲的体检内容列表:

Giving your baby the best start in life means getting your own health sorted well before you get pregnant. Plan a year or so ahead if you can, so that changes to your diet and lifestyle have time to take effect. If you have an existing medical condition, such as epilepsy, asthma or migraine, you should arrange an appointment with your doctor to discuss your health, three months or so before you want to conceive.

Some GPs will also book you in for a general pre-pregnancy health check-up, even if you do not have an existing health problem. Some private health insurers also offer a pre-pregnancy health check.
Medical history

If you do have a pre-pregnancy health check, your doctor will ask about your health and lifestyle; about your eating and exercise habits and any possible exposure to environmental hazards (such as lead) at home or at work.

Your doctor will also want to know about any existing conditions such as diabetes or lupus, as well as any genetic problems in your family such as Down's syndrome or cystic fibrosis.

Also tell your doctor what kind of contraception you're using and whether you've had any ovulation or menstruation problems, terminations, miscarriages, ectopic pregnancy, delivery complications and the like.
Internal examination
An internal examination may be carried out if you have had problems in the past with menstruation or a pelvic infection. If you have an infection or a condition such as fibroids or ovarian cysts, you can start treating the problem now and increase your odds of a healthy pregnancy.
Cervical smear

Check when you last had a cervical smear test done, and book in for one if you are due to have one within the next year.
Urinalysis

If there is any chance that you may have a urinary tract infection (UTI), you may be asked for a urine sample so that it can be checked. UTIs have been associated with miscarriage, low-birthweight babies and premature labour, so if you have one you'll want to get it cleared up before you conceive.
Blood test

You may be given a blood test to check your type and look for anaemia or any other abnormalities. Depending on your ethnic background and medical history, you may also be tested for sickle-cell anaemia, Tay-Sachs disease, and thalassaemia. People of African, Jewish, or Mediterranean descent are most at risk for these problems.
Blood pressure check

Pregnant women with high blood pressure (hypertension) are more likely to develop pre-eclampsia and have placental problems, so it's important to control high blood pressure before you conceive.
Test for sexually transmitted diseases

If you are at high risk of having any sexually transmitted diseases, such as herpes, chlamydia, or HIV/AIDS, it's extremely important for your doctor to know about them. Being screened and treated (or in the case of HIV/AIDS, managing the disease) before you conceive can significantly increase your odds of a successful pregnancy.
Check your immunisation records

Many preventable infections can cause miscarriage or birth defects. A quick blood test will reveal whether you've been inoculated for diseases such as rubella. If you need to be vaccinated with a live viral vaccine, as for rubella (German measles), you should wait three months before trying to conceive. Your body will need time to eliminate the injected virus, and it's theoretically possible for an unborn child to contract the virus and (as with rubella) suffer birth defects including deafness, encephalitis, and heart problems.

You may also want to have a tetanus booster, and, if you're at risk for hepatitis B, you may wish to consider being vaccinated against that disease as well.
Parasitic disease check

Parasitic diseases such as toxoplasmosis are relatively harmless in adults but can be dangerous to newborns and a developing baby. A simple blood test can determine whether you've had toxoplasmosis - most often transmitted through cat faeces or undercooked meat - and are therefore immune. If not, you can take extra care to avoid eating raw or undercooked meat and have someone else empty the litter tray. If you own a cat, you are very likely to be immune.

miss99

我是意外怀孕，该怎么办啊也没有检查过啊 ！

牙齿不好 现在应该有漏洞 不敢补

eve

don't worry, get the GP make the first check for you after you know you are pregnant.

then choose hospital immediately and make the appointment with hospital for combined test held at 10 weeks (blood test) & 12 weeks (ultrasound) because you should make the appointment 3 weeks before you go otherwise the hospital may be fully booked (my experience).

then take the reference letter from GP and all the test results you did at GP's place to the hospital, then the hospital will arrange all the following checks till you give the birth of the baby.

miss99

谢谢啊！！我等， 我等，我再等3天 看看是不是真怀孕了！！！

pisces

原帖由 miss99 于 2007-2-23 16:19 发表
谢谢啊！！我等， 我等，我再等3天 看看是不是真怀孕了！！！

啊，你还没确定啊？

miss99

生理期推迟一个星期了，我测，一会阴一会阳，把我都弄疯了！！！！

也不知道乍整的

美讶

好惊险。
要个宝宝真不容易， 大人都被折腾坏了。

miss99

是啊，现在老公下班见到我第一句话 就是 今天你测了没有

游来游去

LS的好象已经测出来了吧

美讶

有了吗？ GX啊！

coolyn

期待结果哦。

iamdudu

好象是没怀上

高密公主

看来我也不算早
过些日子抽空去做吧。

gwenily

大家可以顺便把pap test也做了。我上个星期去体检的时候就一起查了查，仔细算算，离上次检测也有2年了。

高密公主

谢谢，我去年刚做好的PAP加上抽血化验，一切正常的，不过这些做孕前好像不够？

贝贝妈妈

不用过分紧张，平时注意点作息就是了。