Why do you need a therapist in a antenatal clinic. Visiting a therapist during pregnancy

The field of therapy includes diseases of the respiratory (ARVI, influenza, bronchitis, pneumonia), cardiovascular (arterial hypertension, hypertension, heart rhythm disturbances, heart failure), urinary system (pyelonephritis, urolithiasis disease, cystitis), gastrointestinal tract (gastritis, gastric ulcer and duodenal ulcer, cholecystitis, constipation, colitis), blood (anemia), connective tissue (arthritis), etc.

How does conception take place? How to choose a day for conceiving a child?

How to determine what to give birth very soon?

When is emergency contraception needed? What drugs to choose?

Reprinting or partial copying of site materials is allowed only by agreement.

Why does a pregnant woman need a therapist? Answers to important questions

Many expectant mothers, both on the Internet and among themselves, are discussing an important question: why go to a therapist, after all, bearing a child means, basically, consulting an obstetrician-gynecologist? But without the conclusion of a therapist, you cannot even get an exchange card, which is required for registration in a maternity hospital. Naturally, it is important to figure out for what purpose the woman goes to see a therapist and what she should prepare for.

We asked the most pressing questions to Irina Mikhailovna Mellina, Doctor of Medical Sciences with 42 years of experience. Dr. Mellina has been dealing with extragenital (not related to the reproductive system) pathology of pregnancy for many years. It works both in antenatal clinic, and in maternity wards, as well as in intensive care and intensive care units. Today Irina Mikhailovna is the head of the scientific group for hypertension Department of endocrine and fetal pathologies of the State Institution "IPAG NAMS of Ukraine", as well as a consultant doctor for therapy and cardiology at the Center for Healthy Motherhood.

Irina Mikhailovna, when should an expectant mother visit a therapist?

Preparing for motherhood begins at childhoodwhen parents take care of the girl's health. It is not only about healthy development and puberty, but also about health in general. To teach a girl to be attentive to her well-being, to visit a doctor on time is also the task of parents. It is advisable to contact a therapist even at the stage of pregnancy planning, regardless of the woman's age and the thickness of her medical record, even if the potential mother is only twenty years old and does not have any diseases.

How to choose a doctor for such cases?

When referring to a therapist in preparation for pregnancy, it is important to choose a doctor who specializes in extragenital pathology in pregnant women. What does it mean? The doctor must be versed in specific issues that arise precisely during the carrying of a child. Even at the planning stage, he may recommend postponing conception until recovery or the stage of compensation for the disease.

What health problems require special attention?

For a pregnant woman - any. Extragenital pathology affects the condition of a woman, including the ability to bear a healthy child and safely, on time, give birth to it. In a special way it is necessary to monitor the condition of pregnant women with cardiovascular diseases, diseases of the kidneys, gastrointestinal tract, liver, urinary system, diabetes mellitus and a number of other problems.

It is known that many methods of treatment are not suitable for the expectant mother, far from all drugs are allowed ...

Yes, that is why it is important to find a specialist who, together with a gynecologist, will help you choose the right tactics for managing pregnancy and even the method of delivery, since the load on the cardiovascular system is maximum during and after childbirth.

What if a woman claims to be healthy?

First, not every potential and future mom knows about his disease. The state of health is normal, there are no symptoms, and the disease progresses, creating serious risks! For example, hypertension may not manifest itself for a long time. Secondly, even if a woman knows about her diagnosis, the therapist needs to assess her condition and adjust the therapy. It is categorically impossible to take medicines without the knowledge of the doctor, at your own discretion - and this is done very often! Thirdly, a woman may know about the disease, but with a normal state of health, do not attach importance to her condition, do not receive treatment, do not go to a doctor. During pregnancy, the body experiences increased stress, therefore, even if nothing hurts for a long time, this is not a reason to avoid visits to a therapist.

What are the characteristics of blood pressure in expectant mothers?

It is necessary to focus not on the state of health, but on the data of the correct measurement of blood pressure. At the beginning of pregnancy, the level of hormones in female body, they have a hypotensive effect - blood pressure may decrease. Even in hypertensive patients, blood pressure is normal during this period. In the second half of pregnancy, gestational hypertension may occur: an increase in blood pressure. In healthy women, this is associated with an increase in circulating blood volume, load on the kidneys, and hormonal changes. Rarely, severe conditions such as preeclampsia and eclampsia, progressive and uncontrolled hypertension of pregnant women develop. The reasons are not fully understood, although there are risk factors - obesity, diabetes, kidney disease, arterial hypertension, multiple pregnancy other.

How to properly control pressure?

At each visit to the gynecologist, the pressure must be assessed throughout the entire period. Twice for pregnancy in the absence of indications, the expectant mother is consulted by a therapist. If there is evidence, the visits will be more frequent. Before the first visit, it is advisable to find out if there are cases of hypertension in the family, and also to remember if there have been episodes of increased blood pressure before. Every pregnant woman should be attentive to herself, control pressure and the rate of weight gain, observe her body for swelling or headaches, especially in the second half of pregnancy. And if something is wrong, rather see a doctor. Sometimes the therapist literally leads the pregnancy, helps to preserve it, to carry the baby hand in hand with obstetricians-gynecologists, to preserve the woman's health during pregnancy, childbirth and the postpartum period.

Interviewed by Irina Shender

Programs and offers

Taking tests at home

The Center for Healthy Motherhood provides the service "Collecting tests at home". You just need to make a phone call, and a qualified nurse will come to you any day from Monday to Friday from 8.00 to 11.00.

Comprehensive program "Breast health"

Program "Women's Health 20-45"

In gynecology, many diseases are often "invisible", completely asymptomatic at the very beginning of their development. The consequences of an inattentive attitude to one's health are chronic processes, often leading to infertility and other serious problems. Therefore, you should not go to the doctor when.

Contact us:

The address:

Phones:

Schedule:

Download the mobile app:

European medicine, organization medical care according to all international standards, a high level of service is the Center for Healthy Motherhood.

We will meet your expectations and even exceed them.

Role of therapist in pregnancy

During pregnancy, the expectant mother must visit such specialists as a dentist, ENT, ophthalmologist, therapist. Why should a pregnant woman go to a therapist? Especially if there are no complaints?

In my first pregnancy, I humbly visited all the doctors, took the necessary tests, but when the gynecologist advised me to visit the therapist, I asked if it was necessary and should I go to this doctor at all. It is necessary - this was the detailed answer of my doctor.

A week later I got ready to go to the appointment, but the night before I ... got poisoned. Strong. I barely waited until morning and took a taxi, between attacks, to the hospital. They put me on a drip right in the antenatal clinic. After a severe and prolonged reprimand from a woman I did not know, I learned that she was my therapist. After the dropper, it was she who prescribed my diet and rehabilitation. I did not receive more relevant advice from the therapist.

The therapist in the antenatal clinic deals with all diseases related to pregnant women, not related to gynecology.

At the first meeting (in the first trimester), the therapist must:

will measure the pressure;
calculates body mass index - to know what weight gain for a pregnant woman will be normal;
will issue a list of prescriptions for the diet of a pregnant woman (which should be abstained from);
will ask about all past illnesses, surgical interventions, chronic diseases;
will review all the test results obtained, paying special attention to the sugar in the pregnant woman's blood and the hemoglobin level;
find out if you have any complaints.

If it is necessary to consult narrow specialists, such as a surgeon, if the veins in the legs are disturbed, it is the therapist who prescribes the referral. Also, the therapist will prescribe an ECG if a pregnant woman complains of pain in the heart area. All blood and urine tests received by the GI gynecologist will also be reviewed by a therapist to detect the early stage of diseases such as GDD (gestational diabetes of pregnant women).

A banal cold during pregnancy is simply unsettling for many women, since many medications are contraindicated during pregnancy. It is the therapist of the antenatal clinic who will prescribe the necessary treatment and monitor the patient's condition.

Repeated visits, in the absence of complaints, the therapist will appoint for the second and third trimesters. This is done in order to comprehensively monitor the condition of the pregnant woman and, as a result, decide whether childbirth will take place on her own or the pregnant woman should be sent for a caesarean section.

Whether or not it is worth visiting a therapist is an individual decision of each pregnant woman, but, in my opinion, the more attentive people around the pregnant woman, the better!

Have you seen a therapist during pregnancy?

The most interesting thing is that the therapist is not listed on my sheet. But there is a psychologist. But I still went to the therapist with a sore back, in the end it turned out that all my tests were not in order ... and Ginya said they were excellent, who to believe?

probably better to play it safe and retake ... health to you!

a theropeut is a useful thing. however, I came to him on the day they gave me an exchange card.

turned out to be the nicest young lady who remembered me very young. I had to pretend that I remember her very well too)))

Oh, my therapist, in principle, normal, not particularly confused, measured the pressure, asked about the complaints, and that's all)) True, we must pay tribute to her for about two minutes, she still really looked at the tests. But nutrition, ECG and everything else, my G told me, and she gives directions herself. That's why she likes me, she asks everything, answers everything in detail, even if the question is stupid)))

Girls, tell me pliz! Who should give an extract No. 3 about the past diseases? And then they signed me up to a therapist in the LCD, but I don't know she gives an extract or my therapist, and whether to take an amb. a card from her clinic for breast cancer, or can she write from my words? Thank you.

Clear! It’s just not clear why I was assigned to the same specialist in the LCD.

Yes, of course, the second (or rather, I hope that the second)))

So far, I have only gone from free medicine to an ophthalmologist. who became indignant that they walk and walk. And when I realized that I was without a dispensary sheet, that I had to write a separate one on a piece of paper, it was generally melted there.

But since I decided to save money now, I also need to visit an endocrinologist and an ENT specialist for free. And to them an appointment through a therapist. Tomorrow I'll go to the GP, I hope. will not turn out to be as rude as an ophthalmologist, otherwise this attitude very, incredibly always oppresses me ((((

So they sent me to a therapist for some X too. I have already gone through all: a dentist, an ENT specialist, an ophthalmologist, an ecg, even a neuropathologist.

The body mass index before pregnancy is 23.3, the tonometer is at home, I measure 110/70 myself, what you can eat - I've already shoveled the whole Internet, the cesarean has already been prescribed by an ophthalmologist, hemoglobin, sugar are normal. Lor said how to be treated for a cold, I don't need a sick leave - I'm a freelancer.

Well, why do I need a therapist? At my site as a therapist, my grandmother is 76 years old ... She could not see bronchitis 10 years ago for 2 months until, excuse me, it became purulent. And now allergy from sinusitis does not distinguish neurosis from otitis media - checked. And an appointment for her for a week in advance at least and 2 hours stuck under the office, despite the number and that pregnant (theoretically) out of line.

I will try to go to the diagnostic center tomorrow. If they don't accept, I won't go at all, I will go on strike

nonsense ... everything that is written above ... clearly was not about my therapist ... pressure, weight, height, etc. did the nurse before visiting the city and the therapist asks what complaints? and prescribed horse doses of expensive hemoglobin tablets.

I also do not see the point in a therapist from a maternity hospital, who only knows that tests are paid to prescribe, and then to treat with expensive drugs. And she will not advise anything sensible, not to mention weight calculations or nutrition, the nurse also measures pressure and weight, incl. I see no point in a therapist, they just throw responsibility from each other, so they drive to doctors and paid laboratories. And generally speaking before women gave birth and without a lot of paid tests, and now they are simply pumping money out, they collect tests, and then they will not put their mind to what to do with them. Profiting from pregnant women who are unnecessarily anxious and trusting because they are afraid that everything would be fine with the child. An example of my sister, with the first pregnancy I ran through all the doctors and analyzes, what horrors I just didn’t listen to from the doctors, and the second pregnancy just got registered and went to the village to visit my mother for natural products and clean air and was not nervous about doctors and tests and childbirth were successful.

1 time passed, she just asked me any complaints? no, that's it! I didn't even measure the pressure! nothing

My gynecologist and my gynecologist measured the pressure and checked the weight and asked about the complaints, prescribed a medicine for the common cold, I came all in snot, and took a smear and everything else.

Do you need to go through the therapist at the end?

Hello everyone, I went to the therapist in the LCD because the gynecologist sent me because I was sick with ARVI and the temperature was at that moment, so the therapist sent me to my local therapist and generally advised me to call an ambulance at home to see and open the hospital, when asked why he and herself all this will not do she said that she is a therapist only in the residential complex and does not open hospital

It would be much more convenient if a therapist in a residential complex and not in a polyclinic ... I'm afraid I somehow sit in a general queue

I have abnormalities in cardiology. I know that they will appoint a cesarean. I go for a consultation directly to the cardiologist. Why do I need a therapist?

Mom won't miss

women on baby.ru

Our pregnancy calendar reveals to you the features of all stages of pregnancy - an extremely important, exciting and new period of your life.

We will tell you what will happen to your unborn baby and you in each of the forty weeks.

Therapist for a pregnant woman

During pregnancy, women are referred to various specialists, including a therapist. Let's see why pregnant women need to be examined by a therapist, when you need to go to see him, how he can help planners and women in a position, with what complaints you can turn to a therapist.

The role of the therapist

It is the therapist who deals with all the problems associated with diseases of the internal organs, which are not related to gynecology. A therapist for pregnant women is a physician who has undergone special training, a specialist in extragenital pathology. The clinic does not always have such a doctor. But, usually, you can contact him in the antenatal clinic, in maternity hospitals and private clinics.

The role of the therapist during pregnancy is quite significant. Indeed, from his recommendations, primarily after an obstetrician-gynecologist, it largely depends on how a woman will feel for the next 9 months.

During pregnancy, the load on all internal organs increases many times over. And therefore, women often experience exacerbation of chronic diseases, sometimes new diseases appear. It is the therapist's job to control changes and prevent any complications.

Examination by a general practitioner consists in determining general condition woman's health. That is, your blood pressure and temperature will be measured, and you will be asked about all your complaints, illnesses, operations and chronic diseases. In addition, the doctor will study all the test data, possibly prescribe additional studies and, based on the examination, will give recommendations.

When should a pregnant woman see a physician?

The therapist advises pregnant women about all complaints not related to gynecology. That is, pregnant women should go to see a therapist for various pains from the gastrointestinal tract, with toxicosis, with pain in the lower back or joints, with headaches, increased blood pressure, increased heart rate, edema, constipation, painful urination and other matters.

"The therapist will help prevent some complications and choose the right treatment for problems that have already arisen," says Vadim Zhezhera, a therapist for pregnant women, a specialist in extragenital pathology at the Healthy Motherhood Center, "If a specific pathology is identified, the doctor will refer you to a specialist for consultation." ...

For various colds and acute respiratory viral infections, it is also better to contact a therapist, and not a gynecologist. This doctor will prescribe an effective and safe treatment, will monitor the health of the expectant mother. Medication should be taken only under the supervision of a doctor, so as not to harm the health of the pregnant woman and baby.

In addition to treatment and preventive measures, the therapist will give recommendations on nutrition, taking vitamins, adherence to the daily regimen (sufficient rest and good sleep), and will tell you how to protect yourself from colds.

Scheduled examinations of a pregnant woman by a therapist

But even in the absence of complaints, pregnant women are referred to a therapist twice - the first time when registering, the second before going on maternity leave. For the first time, the doctor will conduct an examination, establish whether there are chronic diseases, advise on how to prevent their exacerbation and prescribe preventive measures.

“Visiting a therapist at early dates pregnancy can prevent pathologies and complications that could arise on later dates"- explains Vadim Zhezhera.

At the second consultation, the therapist will monitor the progress of the pregnancy up to 30 weeks. And he will also find out if there are acute diseases and if exacerbations of chronic diseases have occurred; will give recommendations on prevention and treatment. In addition, the doctor will tell you how to prepare the body for childbirth and what to do in the postpartum period.

With the pathology of internal organs, women in a position require a therapist's guidance before and during the entire pregnancy, as well as after childbirth.

Did you go to a therapist during pregnancy?

2 Registration of a trademark for goods and services by Kimberley-Clark Worldwide Inc., USA. Disposable babies Haggis Ultra Comfort for girls / boys. Virobnik: “Kimberli-Clark s.r.o.”, Czech Republic. Visnovok of the state sanitary and epidemiological examination No. 0-3 / 6357 dated December 23, 2016, visions of the State Food Service of Ukraine. Baby diapers panties HUGGIES® (Haggis) for girls / boys. A letter of state sanitary and epidemiological examination No. 0-3 / 6356 dated December 23, 2016, visions of the State Food Service of Ukraine. Virobnik: “Kimberli-Clark s.r.o.”, Czech Republic. Haggis Classik.

3 Registration of a trademark for goods and services of Kimberly-Clark Worldwide Inc., USA. Disposable Children Haggis Classic. Virobnik: TOV "Kimberli-Clark", Russia. Testimony about the state restoration No. 10554/2011 dated 06/10/2011, as seen by the State Service of Ukraine from the politicians' duty, following the order of the State Service of Ukraine. Before zasosuvannyam consult a doctor. Advertising of medical virobes. The organization has been optimized to accept claims from those living on the territory of Ukraine. TOV z ІІ "Kimberli-Clark Ukraine", 03038, Ukraine, m. Kyiv, st. Mykoli Grіnchenka, 2/1, tel. +10.

Medical consultations during pregnancy

Let's try to figure out why a pregnant woman needs to undergo a medical examination.

Physician-therapist

The therapist keeps the entire history of visits, complaints, diagnoses and prescriptions of the patient. Examining a pregnant woman, the therapist pays attention to the presence of chronic diseases, assesses their severity and the possibility of influencing the course of pregnancy or the child.

If a woman, as an option, has problems with blood pressure - hypertension or hypotension, or is diagnosed with diabetes mellitus, then she will be observed by a therapist throughout the pregnancy.

With a standard bypass, the therapist is visited last, after passing all the specialists during pregnancy, but it is he who writes the conclusion of the medical commission, so you definitely cannot do without him.

Dentist

The dentist, examining the oral cavity of a pregnant woman, first of all excludes the presence of foci of infection, caries, and inflammatory processes.

If the expectant mother's teeth have become sensitive to cold or hot food, and this happens quite often, the dentist will give recommendations for caring for them, prescribe drugs to strengthen them.

Otolaryngologist (ENT) and ophthalmologist (ophthalmologist)

Usually, consultation and examination of an ENT during pregnancy is needed if a woman has any chronic or hereditary diseases of the ear, throat or nose. In all other cases, it is enough to say that there are no complaints, and the doctor will put the appropriate record.

As for the ophthalmologist during pregnancy, his examination is required. For some types of ophthalmic diseases natural childbirth are contraindicated, so the doctor checks the retina and fundus of a pregnant woman.

Cardiologist

During pregnancy, a woman's blood volume increases by almost 1.5 times. And along with it, the load on the heart increases.

During pregnancy, a cardiologist makes an electrocardiogram to the patient to assess the work of the heart and identify the risks for pregnancy and childbirth from the cardiovascular system. According to the indications, the cardiogram should be repeated in the 3rd trimester of pregnancy, when the abdomen is already large enough. A cardiologist will be able to assess the risk of complications during childbirth with greater confidence than in earlier stages of pregnancy.

Endocrinologist

An endocrinologist during pregnancy is interested in how the thyroid gland works in a pregnant woman, whether she copes with an increase in the total load on the body.

To do this, the expectant mother takes standard blood tests - for the hormones T3, T4 and TSH.

In addition, the doctor conducts a visual examination of the thyroid gland for its enlargement.

Other specialist doctors

If necessary, a pregnant woman can be referred for examinations to other specialist doctors:

to a geneticist if the results of screening or ultrasound are abnormal;
to a nephrologist, if a woman's kidneys are "naughty";
to the gastroenterologist, if the gastrointestinal tract "rebelles";
see a surgeon if there is a scar on the uterus or other scars / wounds;
to a phlebologist if a woman develops varicose veins;
to a psychologist if a woman is afraid of childbirth.

A pregnant woman should listen to the recommendations of the obstetrician-gynecologist who is observing her and timely visit the specialists to whom he refers.

Live topics on the forum

your periods may not start, but there will be daubs. This is almost always the case for me, drugs inhibit periods.

TanR, I'm thinking about taking angioflux, omega and active vitamins B9 and 12, a month before the transfer.

We don't have such doctors. Clexane is not prescribed even after 2 losses and seemingly obvious reasons, they laugh.

The best articles in the library

Home pregnancy tests are familiar to almost every woman now. A few dozen more.

Reproduction of site materials is possible only with an active direct link to www.babyplan.ru

Therapist for pregnant women

Why is an endocrinologist's consultation needed, is it possible to take sedatives during pregnancy and what happens to the cardiovascular system of a pregnant woman - the therapist answers.

Pregnancy 24 weeks. I feel good. In a blood test, glucose is 5.2 mmol / l. The doctor refers me to a consultation with an endocrinologist. What for?

In your case, an endocrinologist's consultation is needed, most likely, to exclude gestational diabetes mellitus, or pregnancy diabetes. This disease first occurs during gestation and can lead to a pathological course of pregnancy and childbirth, and also affect the health of the child. The fact is that in non-pregnant women, the fasting blood glucose level is 3.3–5.5 mmol / l, and while waiting for the baby, the normal level of glucose in the blood is 4.0–5.2 mmol? /? L.

This is due to the fact that by the 20th week, the level of pregnancy hormones is already high enough, and they partially block the action of insulin, a hormone that promotes the absorption of glucose in the body. Therefore, the cells of the pancreas that produce insulin must produce 2-3 times more insulin. If the organ does not cope with the increased load, then insulin deficiency develops, the mother's blood sugar rises and gestational diabetes mellitus develops.

I am 19 years old, first pregnancy, 15 weeks. A difficult situation at work, I worry, I sleep badly. Can I take sedatives?

You are in the second trimester of pregnancy, when the laying of the main organs and systems in the fetus is almost complete. During this period, herbal sedatives can be used on the recommendation of a doctor, unless, of course, the mother is allergic to their components. These are VALERIAN EXTRACTS (valerian in drops or tablets), DESERT EXTRACTS in the form of tablets, as well as ready-made combined herbal preparations - PERSEN, NOVO-PASSIT.

The emotional background is also affected by the deficiency of B vitamins, therefore, multivitamin complexes for pregnant women prescribed by your doctor should be taken, it is also recommended to introduce more foods containing this group of vitamins into the diet: dairy products, cereals, meat, fish, legumes, nuts. All sedatives of chemical origin are strictly forbidden to receive, as they affect the development of the fetus and the health of the pregnant woman.

I am 32 years old, I have the 2nd pregnancy, the 1st was at the age of 20, it was proceeding normally, nothing but nausea did not bother me. Now the period is 20 weeks, periodically I feel a rapid heartbeat. This happens when I rest and when I do something. The doctor says that this happens in pregnant women, does not prescribe anything significant, says that the pressure is normal, they did an ECG, they did not find anything. What do i do?

During pregnancy, certain changes take place in the cardiovascular system of the expectant mother. They represent compensatory mechanisms in response to the increasing load on the woman's body while waiting for the baby. In particular, the heart rate increases by 10–20 beats / min (reaching 100 beats / min or more), reaching its maximum values \u200b\u200bat the end of the second or beginning of the third trimester of pregnancy, which can be felt by a woman as a rapid heartbeat.

Often, extrasystole is also detected - manifested by a feeling of irregular contraction of the heart and its periodic fading. All these phenomena are related to arrhythmias. Most arrhythmias during pregnancy are benign, i.e. do not threaten the life of mother and fetus, usually go away after childbirth and do not require treatment.

However, if complaints persist, rhythm disturbances are accompanied by loss of consciousness, pain in the heart, cough, edema, it is necessary to exclude a more serious pathology. A cardiologist can prescribe you not only an ECG, but an ECG during an attack, an ultrasound of the heart (echocardiography or ECHO-KG), an ultrasound of the vessels, if necessary, Holter ECG monitoring during the day (recording an ECG during the day), a study of the thyroid gland.

Comments on the article

Your comment:

What guides you: mind or feelings?

Reading now

What are they talking about

latest comments

Partners

Mass media registration certificate El No. FSot 10.03.2016. Registering authority: Federal Service for Supervision in the Sphere of Communications, Information Technology and Mass Media (Roskomnadzor).

All materials published on the site are the property of the publisher. Reprinting, partial or full use of articles in open sources is prohibited without the permission of the publisher. Editorial opinion may be different from those of the authors. The editors are not responsible for the content of materials published as advertising.

What kind of doctors undergo during pregnancy?

When a woman feels the signs of pregnancy, she first of all buys a test at the pharmacy, which shows two cherished stripes. The first thing that the expectant mother will need is a consultation with a gynecologist. He will examine the woman, determine the gestational age and draw up a schedule for routine examinations.

The next thing to do is get the tests prescribed by the doctor: a series of blood tests, general analysis urine and gynecological smear for microflora.

At certain stages of pregnancy - from 10 to 12, from 20 to 22 and from 30 to 32 weeks - a pregnant woman is sent for an ultrasound scan. This is necessary to clarify the duration of pregnancy, check the functioning of the placenta and assess the development of the fetus. In the second half of pregnancy, it will be possible to determine the sex of the baby and see how it moves. Ultrasound examination at a later date helps to see the presentation, to approximately estimate the weight of the fetus, the maturity of the placenta, and to identify pathologies.

List of tests and ultrasound for pregnant women

The most important and frequently visited doctor during pregnancy will be your gynecologist. He will lead the pregnancy from start to finish, send for tests and examinations to other specialists, measure the tummy, listen to the baby's heart, write everything into your card. Tell your gynecologist about chronic diseases and inherited diseases of your relatives. In case of any deviations, you will be sent for additional research, to narrow specialists.

I would like to add that in municipal and district polyclinics, a district gynecologist at the beginning of pregnancy should give the expectant mother vitamins for pregnant women free of charge, and if you were not offered, then ask for it yourself.

After the first visit to the gynecologist, a pregnant woman comes out with a bunch of referrals, and she will have to pass such tests:

clinical blood test (taken after the first visit to the gynecologist, and then every trimester, if there are no abnormalities);
biochemical blood test (taken after the first visit to the gynecologist and at 30 weeks, if there are no deviations);
determination of the blood group and Rh factor (done after the first dose, and if the pregnant woman and the child's father different groups blood and Rh factors, then there may be a Rh conflict. In this case, the expectant mother is checked for hemolysins. We will have to carry out such checks until the end of gestation, because such differences in the group and the Rh factor can lead to hemolytic disease a newborn, and a woman in labor may need a blood transfusion);
a general urine test (it is given almost before each appointment of a gynecologist, and allows you to identify inflammation in the body);
coagulogram (rented once a trimester);
a vaginal smear for hidden infections and cytology (your gynecologist takes at the first visit and within a week);
a blood test from a vein for various infections, which are described below (they are taken after the first admission and at 30 weeks, and the analysis for syphilis approximately 2 weeks before the upcoming birth).

Blood tests for infections determine the presence of:

If necessary, your doctor will prescribe treatment that will minimize the risk of childbirth.

If any deviations are found in the above analyzes, they can be sent for additional research:

blood for hormones;
whey complex;
blood for hemolysins or Rh antibodies;
urine according to Nechiporenko;
analysis for PPI (genital infections).

All pregnant women are sent for ultrasound. Someone is doing this research in a paid clinic, since in a regular clinic there are tangible queues, and in a private center they will show everything in detail, tell you, give you a look at the little boy, give you pictures, and sometimes a disc with a record of the little girl.

An ultrasound examination is usually carried out in:

5-6 weeks (to establish the localization of the corpus luteum, to confirm that the pregnancy is uterine);
11-12 weeks (screening for Down syndrome and neural tube defect);
22 weeks (check the final formation of the fetus, the state of the internal organs and the placenta);
32 weeks (assess the function of the placenta - study using a Doppler);
36-38 weeks of pregnancy (estimate the approximate size of the fetus, presentation, blood flow).

List of doctors for pregnant women

The first and last trimesters of pregnancy are the periods when the following doctors must go through without fail:

ophthalmologist to assess the condition of the retina. This doctor must definitely examine the future woman in labor,

an infectious disease specialist to exclude or identify infections that adversely affect the development of the fetus.

The woman should also be constantly monitored by a therapist. In the presence of such pathologies as hypertension, diabetes, heart disease, visits should be strictly according to the schedule prescribed by the doctor.

A dermatologist is also needed who can detect allergic rashes and cure them, develop a nutritional system in the presence of food allergies.

Some shy away from visiting the dentist, but this is important. Firstly, the formation of the bones of the child's skeleton "takes away" calcium from the mother, as a result of which she may lose several teeth. Secondly, after the birth of the baby, it will be very difficult for mom to find time to visit the dentist if acute pain occurs.

You should also visit an otolaryngologist and cardiologist. If the mother is no longer very young and there are hereditary diseases in the family, she may be prescribed a genetic examination at a specialized center.

Some pregnant women, especially those who have had genetic hereditary diseases in the family, have had previous children with developmental defects, should visit genetics. It is also worth going to a geneticist for a consultation if the expectant mother is over 35 years old, the father is over 40 years old, and lived in poor environmental conditions.

In some regions of our country, pregnant women are referred to a tubologist, endocrinologist, psychotherapist, surgeon, nephrologist, urologist, and so on. As a rule, only those who have indications for this are referred to narrow specialists.

In some cities, they ask to do a fluorography for the child's father, an ECG for the expectant mother, if there are heart problems.

Before starting examinations, a woman must register for pregnancy. It is advisable to do this no later than 8-10 weeks. Then all planned and unscheduled examinations, and, if necessary, treatment will be carried out in a timely manner.

A physician therapist deals with all issues of pregnant women that do not relate to gynecology. The first appointment with a therapist should take place in the first trimester of pregnancy.

During the first appointment, the therapist:

Will measure blood pressure;
It will calculate the body mass index of the pregnant woman, for further monitoring the weight of the pregnant woman, in order to know what kind of weight gain during pregnancy will be the norm for you.
Will tell you about the diet that you need to adhere to during pregnancy.
She will recommend a menu in which all the products necessary for the pregnant woman will be present for the normal development of the child and the normal well-being of the woman during the entire period of pregnancy. Which foods should be consumed more, and which should be avoided or consumed in small quantities.
Learns about the diseases that the pregnant woman had, possible diseases suffered in childhood, chronic diseases, surgical operations, if they were in the pregnant woman.

Also, the therapist pays great attention to blood tests - the level of sugar and hemoglobin in the blood, whether the indicators are normal. If abnormalities are found, the therapist prescribes an appropriate diet or prescribes treatment.

At an appointment with a therapist, a pregnant woman tells all her complaints about her well-being. The doctor, after examining and studying the analyzes, gives a conclusion.

If necessary, the therapist prescribes the patient to undergo an appointment with narrow-profile specialists.

If a pregnant woman is concerned about the veins in her legs, the therapist will appoint a consultation with a surgeon.
If there are complaints of pain in the heart, then the therapist refers to the cardiologist and recommends to undergo an ECG (electrocardiogram).

Colds in pregnant women can sometimes not go well because most antiviral drugs should not be taken during pregnancy. Therefore, a therapist's consultation will be simply necessary, it is the therapist who will prescribe the necessary therapy, prescribe medications that are not contraindicated during pregnancy, and wake up to monitor the state of health.

Repeated visits to a therapist during pregnancy are the second and third trimesters of pregnancy. Consultation of a therapist during this period is necessary to monitor the health of the pregnant woman and the health of the unborn child. Also, a consultation with a doctor is needed in order not to miss deviations from the norm and, if deviations are found, to start treatment on time.

Pregnant women need to undergo a full physical examination several times during the entire time. This is done to control the condition of the fetus and the expectant mother herself. The antenatal clinic therapist is the first to examine a pregnant woman, to diagnose and treat diseases during pregnancy. The doctor's competence does not include the treatment of gynecological or obstetric pathology. A woman needs to be examined by a therapist to issue an exchange card.

The competence of the GI therapist

GK therapist - a doctor to whom a woman turns during pregnancy with any health complaints. The doctor deals exclusively with pregnant women, because he reliably knows the norm and pathology of laboratory parameters and the characteristics of the course of diseases.

The competence of the doctor includes:

Making a bypass sheet for a woman who first applied to an antenatal clinic.
Control over the passage of a medical examination at a certain period of each trimester of pregnancy.
Measurement of blood pressure, regardless of the complaints presented.
Appointment of the necessary laboratory tests.
Measurement of height and weight at the first and subsequent visits to the antenatal clinic.
Palpation, percussion, auscultation, if necessary.
Prescribing drug treatment.
Conducting instructions on the rules of behavior during pregnancy.
Creating a schedule of visits to antenatal clinics.
Referral for consultation to related specialists (surgeon, gynecologist, ophthalmologist, ENT).

The doctor does not examine the woman on the gynecological chair. This is done by the gynecologist of the antenatal clinic. The GI therapist should be experienced in treating common conditions before embarking on treatment for pregnant women. The doctor of this specialty should be versed in drug therapy, since some drugs can harm the development of the fetus.

What organs does the LC therapist deal with?

Patients contact the therapist of the antenatal clinic with any complaints. It could be a simple runny nose or abdominal pain. The doctor must be ready to carry out diagnostic measures, and then create a treatment plan.

In his practice, the doctor is faced with the pathology of such organs:

Brain.
Eyes.
Upper respiratory tract.
Pharynx.
Oral cavity.
Lungs, bronchi, trachea.
Esophagus, stomach, duodenum, small and large intestines.
Pancreas, liver, spleen, kidneys.
Bladder.
Lower back muscles.
Spine.
Upper and lower limbs.
Thyroid.

The GI therapist is engaged in general practice, treats associated diseases, when several organs are involved in the process. During pregnancy, a woman experiences a sharp hormonal jump when the amount of sex hormones increases. This reaction is vital for the development of the fetus. However, this is a serious stress for a woman's body, which will disappear only after childbirth.

What complaints should one go to a GI therapist with

Women come for a consultation with a ZhK therapist for different terms pregnancy. The nature of the symptoms that are observed in the patient may depend on this. At the doctor's appointment, you can hear the following complaints from pregnant women:

, exhaustion, weakness.
, which intensify in the evening, when the weather changes.
during a sharp change in body position.
Runny nose, stuffy nose.
Difficulty nasal breathing.
Constant discharge from the nasal cavity of a viscous consistency.
Increased body temperature.
Cough.
Dyspnea.
Chest pain.
Soreness and discomfort in the chest.
After climbing the stairs, you need to take a break, stop for a few minutes.
Swelling of the legs in the lower leg area.
Sore joints, especially with prolonged standing.
Discomfort and feeling of fullness in the stomach after eating.
Cramping abdominal pain.
Constipation.
Diarrhea after drinking milk, kefir, fresh vegetables with sunflower oil.
Lower back pain, which radiates down the abdomen, genitals.
Painful and frequent urination.
Discharge of colored urine.
Pain in the muscles of the lower back, along the spine.
Pain in the eyes, blurred vision.
High blood pressure.

A woman can contact a therapist at any time when complaints have appeared and the disease has joined. Often, doctors observe pregnant women more intensively, sometimes they are hospitalized in hospitals. This is due to the concomitant diseases that the woman has. There are ailments for which pregnancy planning is contraindicated. For example, type 1 diabetes mellitus or kidney failure. In this case, carrying a child can threaten the life of the mother.

How is an appointment with a LCD therapist

It is advisable to make an appointment with the LCD therapist in the morning, when you can still not have breakfast for the tests. If the medical examination is planned, then the woman herself must bring a urine test from home for laboratory research... Then, on an empty stomach, a finger blood test is taken, and the pregnant woman goes to see a doctor.

The therapist conducts the consultation as follows:

Measures blood pressure on both hands, taking the average value.
The woman gets on the scales and the height meter, and the doctor calculates the body mass index.
The doctor writes down all the data in the exchange card and compares it with the previous ones, fixing the changes in the indicators.
If necessary, when there are complaints, the specialist prescribes instrumental research methods (ultrasound, examination by a surgeon, ophthalmologist, ENT).
The doctor evaluates the swelling of the lower extremities.
Upon receipt of the test results, the doctor makes recommendations or prescribes treatment.
The therapist sets the date for the next check-up.

After an appointment with a therapist, a woman must definitely visit an obstetrician-gynecologist. This is necessary to determine the condition of the fetus.

What diseases does the GI therapist encounter?

A woman can make an appointment with an LCD therapist for any reason if she has health complaints. Often the doctor deals with preventive examinations.

The GI therapist deals with the treatment of such ailments:

SARS are viral diseases that are more common in winter or early spring. Patients complain of a runny nose, headache, sneezing, nasal discharge, and coughing.
Bronchitis is an inflammation of the bronchial mucosa. Accompanied by strong cough with expectoration, sometimes elevated temperature body.
Laryngitis is an inflammation of the larynx mucosa. Women report hoarseness, dry cough, and pain when making sounds.
Pneumonia is an uncommon pathology in pregnant women, which is characterized by inflammation of the lung tissue. Chills, high body temperature, persistent cough, chest pains, weakness and malaise appear.
- characterized by severe bouts of pain in one half of the head. A woman at this time cannot do anything, holds on to her head, and any stimuli (bright light, loud music) increase the pain.
Gastritis, duodenitis - inflammation of the mucous membrane of the stomach and duodenum. Patients complain of abdominal pain, nausea, one-time vomiting, heartburn.
Calculous cholecystitis - inflammation of the gallbladder and the presence of stones in the lumen of the organ. At the same time, pains appear in the right hypochondrium with irradiation to the scapula and collarbone, nausea, bitterness in the mouth.
Enteritis, colitis - inflammation of the small or large intestine. A pregnant woman complains of diarrhea, a rise in body temperature, nausea, weakness.
Pyelonephritis is an inflammation of the renal mucus and tubular system. Patients complain of lower back pain, high temperature body, chills, pain when urinating, cloudy urine.
Cystitis is an inflammatory disease bladder... It is characterized by frequent and painful urination, burning sensation and twitching above the pubis.
Syndrome of the inferior vena cava - the condition occurs in the last trimester of pregnancy, when the enlarged uterus with the fetus presses on the inferior vena cava in the abdomen. This happens if a woman lies on her back, everything goes away on her side. Complaints - swelling in the legs, pain in the lower abdomen, pressure drop, general weakness.
Vegeto-vascular dystonia is a functional state when the patient has constant low blood pressure, dizziness when changing body position, general weakness.
Constipation is a stool disorder when a pregnant woman cannot recover for a day or more. This is due to the enlargement of the uterus and intestinal displacement.

The lion's share of visits to a GI therapist is made up of complaints of cough, runny nose and sore throat. This is due to the fact that such viral ailments are easily transmitted from person to person by airborne droplets.

Research methods prescribed by the therapist

The GK therapist at the reception will definitely prescribe the following laboratory tests:

General analysis of blood and urine.
Urine protein and glucose.
Blood glucose.
Urea and blood creatinine.
Total blood protein.
Bilirubin.
Alanine aminotransferase (ALT).
Aspartate aminotransferase (AST).
Diastasis of urine.
Blood type.
Rhesus factor.

In the case of pathology, a general blood test can provide a lot of information about the presence or absence of the disease. Looking at the leukocyte count and ESR, the doctor can sort out the existing disorder. The blood group and Rh factor must be determined during the first appointment with a doctor. Also, data on the blood group and Rh factor of the father are entered into the card of the pregnant woman.

If necessary, the doctor prescribes the following instrumental studies:

Ultrasound examination (ultrasound) of the abdominal organs, kidneys, bladder.
Esophagogastroscopy.
Bronchoscopy.
Electrocardiography (ECG).

Important! Pregnant women are strictly forbidden to take x-rays of any part of the body. It can affect fetal development.

Instrumental methods, such as ultrasound, do not negatively affect the unborn child. Other invasive methods should be prescribed only when indicated to reduce the risk of affecting the fetus.

The health of the unborn child depends on many factors. First of all, a woman should take care of herself on her own, protect herself from viral and infectious diseases. The GI therapist advises the following:

Pregnancy always needs to be planned.
If you suspect pregnancy, you should immediately contact the antenatal clinic.
Before pregnancy, you need to consult with a GI therapist, especially in the presence of type 1 diabetes mellitus, glomerulonephritis, congenital pathology in the expectant mother.
A woman must control her own blood pressure.
In the later stages, it is necessary to reduce the consumption of table salt by 5 grams per day.
To remove swelling in the legs, after walking, you need to throw the limbs back onto the pillow so that they are 10-15 cm higher than the body.
During pregnancy, you need to follow a diet to reduce the intake of fats and carbohydrates.
It is forbidden to drink sweet carbonated water, as it has a large amount of sugar.
Medication intake should be coordinated with the GI therapist to reduce the risk of influencing the unborn child.
It is forbidden to take pain relievers if your stomach hurts.

The LC therapist should be the first to learn about the problems of a pregnant woman in order to protect the expectant mother and child from diseases.

The field of therapy includes diseases of the respiratory (ARVI, influenza, bronchitis, pneumonia), cardiovascular (arterial hypertension, hypertension, heart rhythm disturbances, heart failure), urinary system (pyelonephritis, urolithiasis, cystitis), gastrointestinal tract ( gastritis, gastric ulcer and duodenal ulcer, cholecystitis, constipation, colitis), blood (anemia), connective tissue (arthritis), etc.

How to determine what to give birth very soon?

In what cases is it necessary, which drugs to choose?

Reprinting or partial copying of site materials is allowed only by agreement.

Why does a pregnant woman need a therapist? Answers to important questions

Many expectant mothers, both on the Internet and among themselves, are discussing an important question: why go to a therapist, after all, bearing a child means, basically, consulting an obstetrician-gynecologist? But without the conclusion of a therapist, you cannot even get an exchange card, which is required for registration in a maternity hospital. Naturally, it is important to figure out for what purpose a woman goes to see a therapist and what she should prepare for.

We asked the most pressing questions to Irina Mikhailovna Mellina, Doctor of Medical Sciences with 42 years of experience. Dr. Mellina has been dealing with extragenital (not related to the reproductive system) pathology of pregnancy for many years. She works both in the antenatal clinic and in the maternity wards, as well as in the intensive care and intensive care units. Today Irina Mikhailovna is the head of the scientific group on hypertension of the department of endocrine and fetal pathologies of the State Institution IPAG of the National Academy of Medical Sciences of Ukraine, as well as a consultant doctor for therapy and cardiology at the Center for Healthy Motherhood.

Irina Mikhailovna, when should an expectant mother visit a therapist?

Preparation for motherhood begins in childhood, when parents take care of the girl's health. It is not only about healthy development and puberty, but also about health in general. To teach a girl to be attentive to her well-being, to visit a doctor on time is also the task of parents. It is advisable to consult a therapist at the stage of planning pregnancy, regardless of the woman's age and the thickness of her medical record, even if the potential mother is only twenty years old and does not have any diseases.

How to choose a doctor for such cases?

What health problems require special attention?

For a pregnant woman - any. Extragenital pathology affects the condition of a woman, including the ability to bear a healthy child and safely, on time, give birth to it. In a special way, it is necessary to monitor the condition of pregnant women with cardiovascular diseases, diseases of the kidneys, gastrointestinal tract, liver, urinary system, diabetes mellitus and a number of other problems.

It is known that many methods of treatment are not suitable for the expectant mother, far from all drugs are allowed ...

What if a woman claims to be healthy?

Firstly, not every potential and expectant mother knows about her disease. The state of health is normal, there are no symptoms, and the disease progresses, creating serious risks! For example, hypertension may not manifest itself for a long time. Secondly, even if a woman knows about her diagnosis, the therapist needs to assess her condition and adjust the therapy. It is categorically impossible to take medicines without the knowledge of the doctor, at your own discretion - and this is done very often! Thirdly, a woman may know about the disease, but with a normal state of health, do not attach importance to her condition, do not receive treatment, do not go to a doctor. During pregnancy, the body experiences increased stress, therefore, even if nothing hurts for a long time, this is not a reason to avoid visits to a therapist.

What are the characteristics of blood pressure in expectant mothers?

It is necessary to focus not on the state of health, but on the data of the correct measurement of blood pressure. At the beginning of pregnancy, the level of hormones in the female body changes sharply, they have a hypotensive effect - blood pressure may decrease. Even in hypertensive patients, blood pressure is normal during this period. In the second half of pregnancy, gestational hypertension may occur: an increase in blood pressure. In healthy women, this is associated with an increase in circulating blood volume, load on the kidneys, and hormonal changes. Rarely, severe conditions such as preeclampsia and eclampsia, progressive and uncontrolled hypertension of pregnant women develop. The reasons are not fully understood, although there are risk factors - obesity, diabetes, kidney disease, hypertension, multiple pregnancies and others.

How to properly control pressure?

Interviewed by Irina Shender

Programs and offers

Taking tests at home

The Center for Healthy Motherhood provides the service "Collecting tests at home". You just need to make a phone call and a qualified nurse will come to you any day from Monday to Friday from 8:00 to 11:00.

Comprehensive program "Breast health"

Program "Women's Health 20-45"

In gynecology, many diseases are often "invisible", completely asymptomatic at the very beginning of their development. The consequences of an inattentive attitude to one's health are chronic processes, often leading to infertility and other serious problems. Therefore, you should not go to the doctor when.

Contact us:

The address:

Phones:

Schedule:

Download the mobile app:

European medicine, the organization of medical care in accordance with all international standards, a high level of service - this is the Center for Healthy Motherhood.

We will meet your expectations and even exceed them.

Medical consultations during pregnancy

Let's try to figure out why a pregnant woman needs to undergo a medical examination.

Physician-therapist

If a woman, as an option, has problems with blood pressure - hypertension or hypotension, or is diagnosed with diabetes mellitus, then she will be observed by a therapist throughout the pregnancy.

Dentist

The dentist, examining the oral cavity of a pregnant woman, first of all excludes the presence of foci of infection, caries, and inflammatory processes.

If the expectant mother's teeth have become sensitive to cold or hot food, and this happens quite often, the dentist will give recommendations for caring for them, prescribe drugs to strengthen them.

Otolaryngologist (ENT) and ophthalmologist (ophthalmologist)

As for the ophthalmologist during pregnancy, his examination is required. In some types of ophthalmic diseases, natural childbirth is contraindicated, so the doctor checks the retina and fundus of the pregnant woman.

Cardiologist

During pregnancy, a woman's blood volume increases by almost 1.5 times. And along with it, the load on the heart increases.

Endocrinologist

An endocrinologist during pregnancy is interested in how the thyroid gland works in a pregnant woman, whether she copes with an increase in the total load on the body.

To do this, the expectant mother takes standard blood tests - for the hormones T3, T4 and TSH.

In addition, the doctor conducts a visual examination of the thyroid gland for its enlargement.

Other specialist doctors

If necessary, a pregnant woman can be referred for examinations to other specialist doctors:

to a geneticist if the results of screening or ultrasound are abnormal;
to a nephrologist, if a woman's kidneys are "naughty";
to the gastroenterologist, if the gastrointestinal tract "rebelles";
see a surgeon if there is a scar on the uterus or other scars / wounds;
to a phlebologist if a woman develops varicose veins;
to a psychologist if a woman is afraid of childbirth.

A pregnant woman should listen to the recommendations of the obstetrician-gynecologist who is observing her and timely visit the specialists to whom he refers.

Live topics on the forum

Olga Alyokhina, Olya, how are you? HCG was handed over in dynamics? Reddis, Natasha, when do you have an ultrasound scan?

You have a low threshold for a normal menstrual cycle and therefore may have problems with your ointment.

Hello girls. Tell me, with two negative IVFs (there was still a miscarriage before IVF), the husband is asked.

The best articles in the library

Reproduction of site materials is possible only with an active direct link to www.babyplan.ru

Congratulations in prose Happy New Year

Nickel wedding: congratulations in prose and poetry

Compliments to the girl in verse

Original Birthday Gift List

Why do you need a therapist in a antenatal clinic. Visiting a therapist during pregnancy

Why does a pregnant woman need a therapist? Answers to important questions

Programs and offers

Taking tests at home

Comprehensive program "Breast health"

Program "Women's Health 20-45"

Contact us:

The address:

Phones:

Schedule:

Download the mobile app:

Role of therapist in pregnancy

Mom won't miss

Therapist for a pregnant woman

The role of the therapist

When should a pregnant woman see a physician?

Scheduled examinations of a pregnant woman by a therapist

Medical consultations during pregnancy

Physician-therapist

Dentist

Otolaryngologist (ENT) and ophthalmologist (ophthalmologist)

Cardiologist

Endocrinologist

Other specialist doctors

Live topics on the forum

Popular blog posts

The best articles in the library

Therapist for pregnant women

Why is an endocrinologist's consultation needed, is it possible to take sedatives during pregnancy and what happens to the cardiovascular system of a pregnant woman - the therapist answers.

Comments on the article

Your comment:

What guides you: mind or feelings?

Reading now

What are they talking about

latest comments

Partners

What kind of doctors undergo during pregnancy?

List of tests and ultrasound for pregnant women

List of doctors for pregnant women

The competence of the GI therapist

What organs does the LC therapist deal with?

What complaints should one go to a GI therapist with

How is an appointment with a LCD therapist

What diseases does the GI therapist encounter?

Research methods prescribed by the therapist

Why does a pregnant woman need a therapist? Answers to important questions

Programs and offers

Taking tests at home

Comprehensive program "Breast health"

Program "Women's Health 20-45"

Contact us:

The address:

Phones:

Schedule:

Download the mobile app:

Medical consultations during pregnancy

Physician-therapist

Dentist

Otolaryngologist (ENT) and ophthalmologist (ophthalmologist)

Cardiologist

Endocrinologist

Other specialist doctors

Live topics on the forum

Popular blog posts

The best articles in the library