How to judge whether the child in the belly is healthy?

1, insist on regular physical examination.

Generally, about 10 prenatal examinations are needed throughout pregnancy. Regular check-

How to judge whether the child in the belly is healthy?

1, insist on regular physical examination.

Generally, about 10 prenatal examinations are needed throughout pregnancy. Regular check-ups can not only keep abreast of the growth and development of the fetus, but also ensure the health of the fetus and expectant mothers.

In addition to routine examinations, there are some specific examinations for different gestational weeks. For example:

① NT examination at 1 1- 13 weeks of pregnancy to judge whether the fetus is abnormal or not.

② In the Tang screening test of pregnancy 15- 18 weeks, blood tests are needed to judge the risk of Down syndrome in the fetus. If Down's screening results show that the risk of Down's syndrome in the fetus is high, further diagnostic examination-amniocentesis or non-invasive DNA detection is needed.

(3) Large-scale abnormal examination during 22-26 weeks of pregnancy was completed by three-dimensional or four-dimensional color Doppler ultrasound. It can intuitively and stereoscopically display the fetal dynamics, let expectant mothers closely observe every tiny movement of the baby, and also observe the growth and development of the fetus in the uterus from multiple angles to check whether the fetus is deformed. In addition, you can also learn about placenta and amniotic fluid.

(4) Glucose Tolerance Test At the 24th week of pregnancy, blood is drawn to determine whether the expectant mother has pregnancy complicated with diabetes. If the expectant mother has gestational diabetes, it needs to be controlled in time, because the incidence of fetal malformation in pregnant women with diabetes is very high, especially heart malformation.

⑤ Fetal heart monitoring; It is a compulsory item in the third trimester, and it can be observed whether there is intrauterine hypoxia.

⑥ The last ultrasound examination at 38-39 weeks of pregnancy is mainly to check whether amniotic fluid, fetal position are normal, placenta maturity and umbilical cord are around the neck.

2, insist on counting fetal movements

Fetal movement is an important index to understand the situation of intrauterine fetus, and the decrease of fetal movement is a signal of intrauterine fetal hypoxia.

Under normal circumstances, fetal movement begins at about 16-20 weeks of pregnancy, when the amplitude of fetal movement is relatively small, irregular and sometimes absent. With the increase of gestational age, the baby's fetal movement will be more frequent, the fetal movement will be larger, and the fetal movement will become regular.

From the 28th week of pregnancy to labor, doctors will ask expectant mothers to count their fetal movements for one hour every morning, noon and evening. Under normal circumstances, the number of fetal movements per hour is more than 3-5. If it is slightly 3 times/hour, it is likely that the fetus is abnormal in the uterus and needs to go to the hospital immediately.

This question depends on which stage of pregnancy the subject is in.

Pregnancy is divided into three stages:

Ma Jing herself went to the hospital for examination at the 39th week of pregnancy. The doctor said that the child is a little hypoxic, and he has to go to the hospital to take oxygen every day, and he will meet other pregnant women who take oxygen. When we chat, we will talk about all kinds of worries when the child is in the belly. I hope the child can come out early and come out to see how the child is.

What can a mother do to judge whether the baby in her belly is healthy or not? It can be said that some can, and most can't. There are three kinds of abnormalities in children:

1, threatened abortion

Vaginal bleeding may occur when the fetus is unstable during the embryonic period. At this time, mother can feel that she may have found it.

2. Ectopic pregnancy

Some mothers won't have their first B-ultrasound until 12 weeks of pregnancy, but ectopic pregnancy is easy to rupture and bleed if B-ultrasound is not found in time, because pregnant women with internal bleeding will feel stomachache and want to defecate, which is already very good.

3. Fetal hypoxia

When the fetus is hypoxic, there will be abnormal fetal movement, such as abnormal fetal movement or no fetal movement most of the day or all day, then these extremely careful mothers can feel it.

Therefore, it is suggested that after 28 weeks, mother should count fetal movements every day.

1, embryonic dysplasia

For example, HCG does not rise during blood test, or it rises too slowly. In addition, early B-ultrasound did not see fetal heart or only found empty gestational sac, indicating that there was something wrong with embryo development.

2. Fetal malformation

Ma Jing, a best friend, wants an elderly child. As a result, she was unhappy. When she went to check, she found that the fetus had no brain and had no choice but to abort.

Generally, most fetal malformations will be found by B-ultrasound, and some will find heart problems such as congenital heart or other organ malformations at the 20 th week of pregnancy.

B-ultrasound is actually using ultrasound to see if the child's development in the stomach is normal.

1, hearing problems

Hearing screening should be done as soon as the child is born, because there is no way to check whether the fetal hearing is normal during pregnancy.

2. Other issues.

For example, hypothyroidism or some chromosomal infectious diseases will be slowly discovered during the child's development.

For this question, I think it is also the most urgent need for pregnant mothers to know. After all, the baby is in the mother's belly, and it is difficult for us to see it intuitively. The baby's specific situation will inevitably worry.

1, and complete the delivery inspection on time.

There are about 7~ 10 prenatal examinations during the whole pregnancy, each of which is very important, and each prenatal examination aims at different items, but it is to check the development of the fetus. It is the most basic and important thing to do every birth check-up on time.

2. Control weight gain.

After pregnancy, pregnant mothers must control their weight gain. The weekly weight gain should not exceed 500g after the second trimester, and it is ideal to control the weight gain during the whole pregnancy at 10~ 12.5kg. Pregnant mothers who grow too fast may be prone to edema and pregnancy syndrome, which is very dangerous for pregnant mothers.

3. Do fetal heart monitoring on time.

After 28 weeks of pregnancy, the items of fetal heart monitoring will be added at every birth check-up. This examination is different from our usual monitoring of fetal heart rate. Although there are only two short lines in fetal heart monitoring, it can reflect the function of placenta, the quantity and quality of amniotic fluid and the healthy environment in uterus. It is an important means to monitor fetal safety in the third trimester.

4, insist on counting fetal movements

Fetal movement is a simple and easy method that can directly reflect the health status of the fetus in the uterus. Pregnant mothers count fetal movements at 1 hour three times a day, as long as the number of fetal movements is more than five times each time. Fetal movement will be more frequent after eating, bathing or strenuous exercise. It is recommended to count fetal movements to avoid these times, and then count them after half an hour.

I've read too many reports recently, all of which say that I insisted on prenatal examination but gave birth to deformed children. Nevertheless, a prenatal examination is absolutely necessary. Because prenatal examination is prenatal screening, which can screen out most fetal malformations, if prenatal examination is not carried out on time only because of some circumstances, there may be great trouble or failure to know the health status of the fetus in time during delivery, let alone timely intervention.

In addition, prenatal examination and B-ultrasound are not omnipotent. Ultrasonic examination is helpful to understand the health status of the fetus, but it is impossible to know whether the physiological functions of the fetus such as intelligence, vision or hearing are normal.

In a word, it is the scientific means to ensure timely check-up after pregnancy, adjust diet and change living habits according to doctor's advice.

Whether the baby is healthy or not is an important thing in the hearts of treasure mothers. How to rule out whether the fetus is abnormal is also an important examination item in prenatal examination. As an obstetrician, I will explain to you how to judge whether the baby in the belly is healthy or not.

Down's screening, NT and non-invasive DNA examination are prenatal screening methods, which mainly screen aneuploid chromosome abnormalities. The diagnosis depends on amniocentesis, chorionic collection and karyotype analysis of cord blood puncture.

Systematic B-ultrasound can know that the fetus has structural defects, but some small deformities can't be seen by B-ultrasound. Conventional B-ultrasound can know the growth and development of the fetus.

The examination methods to judge whether the baby is hypoxic mainly include fetal heart monitoring, fetal blood vessel Doppler examination and fetal biophysical score.

To sum up, we mainly know whether the fetus is abnormal through the above-mentioned examination in labor, but even if we do a full set of prenatal examination, nearly 5% of the fetus still has birth defects. Good luck with your pregnancy.

During pregnancy, how do you know if your baby is healthy?

This problem should also be a problem that puzzles many mothers, right? Now our living environment and habits are not very good, which leads to many mothers suffering from fetal arrest; Or because the baby is too naughty, the umbilical cord is entangled. In either case, if mothers can know in advance, the chances of the baby's survival are great.

So can mothers confirm their baby's health in some way without going to the hospital?

The answer is yes, that is fetal movement.

Fetal movement represents the overall situation of the baby to a certain extent. Generally speaking, if the fetal movement and frequency are normal, the baby generally grows up healthily; If the fetal movement is abnormal or there is no fetal movement, it means that the baby is in danger in the mother's stomach.

Therefore, it is very important to accurately calculate fetal movement and judge fetal movement.

Many mothers are confused about the start time of fetal movement. Generally speaking, for primiparas, when the baby is about 4 months old, they begin to feel fetal movement one after another. The more accurate time is 18 weeks -20 weeks. With the growth and development of the baby's limbs, you can start to do some big moves to make your mother feel good. Of course, some mothers who are sensitive themselves will feel fetal movement earlier.

In addition, the second-born mother, because of the experience of the first child, will be more keenly aware of fetal movement before it comes, so she will feel fetal movement earlier.

For most babies, fetal movement is actually very regular.

Generally speaking, mother's fetal movements will be more frequent during the relaxation time after meals and before going to bed. The calculation of fetal movement should find three time periods in a day when the baby's fetal movement is more frequent.

The specific calculation method is also very simple. Mothers choose 1 hour in each time period and count the number of fetal movements in this 1 hour. Then add up these three fetal movements and multiply them by 4 to get the number of fetal movements of the baby 12 hours. This number can be used as a benchmark, and compared with the number of fetal movements every day in the future, you can know the baby's health status.

Generally speaking, fetal movement has two dimensions: one is frequency and the other is strength.

Next, Happy Dad will tell you how to analyze fetal movement from these two dimensions.

The first is the number of times.

For babies, the common number of fetal movements is about 30 times. If it is less than 20 times, the baby will have the possibility of umbilical cord around the neck. If it is less than 10 times, it means that the baby may suffocate and needs to see a doctor in time.

The other is strength.

In the case of similar times, the strength of fetal movement can also reflect the baby's health on the one hand. If the baby's fetal movement has been very strong, and suddenly one day the baby's fetal movement becomes very weak, then there is the possibility of intrauterine hypoxia. And if the baby's fetal movement has been relatively small, suddenly one day the fetal movement has increased a lot, or it may be intrauterine asphyxia.

Through the performance of these two dimensions, we can comprehensively judge the baby's situation.

In fact, it is very convenient to judge the baby's health through fetal movement, and mothers can do it at home. However, this is only an auxiliary means. If you are not sure, Happy Dad still suggests that mothers go to the hospital for examination, and it is better for the baby to follow the doctor's advice.

Expectant mothers usually attend more than 65,438+00 prenatal examinations during pregnancy. Routine examination includes blood pressure, weight, uterine height, abdominal circumference, fetal heart rate, blood routine and urine routine, which is mainly used to judge whether the expectant mother's physical condition is suitable for giving birth to a healthy baby and whether the fetal development meets the requirements. In addition to these routine examinations, different examinations will be set up according to the needs for each prenatal examination.

First birth check-up

Generally, in the first 12 week, the hospital will provide the expectant mother with a health manual for pregnant women once a month. Therefore, the items of this prenatal examination are comprehensive, including ultrasound examination, electrocardiogram, liver and kidney function, fasting blood sugar and so on. All subsequent prenatal examination data will be recorded in this manual.

Second birth check-up

Blood will be drawn to screen for Down's syndrome, and amniocentesis will be done, mainly to check whether there are abnormalities in fetal brain development and chromosomes.

Third birth check-up

Ultrasonic examination will be carried out to mainly observe whether there is any abnormality in the fetal appearance development, including measuring the head circumference, abdominal circumference, thigh bone length and whether there is any congenital abnormality in the spine.

The fourth birth check-up

Gestational diabetes screening will be conducted, which is mainly used to judge whether expectant mothers have gestational diabetes and whether they need to control their daily diet. In severe cases, she even needs drug control to ensure the normal development of the fetus.

The fifth birth check-up

Will draw blood to check whether the expectant mother carries hepatitis B virus. If she carries the virus, she needs to be vaccinated within 24 hours after birth to reduce the chance of infection.

Sixth birth check-up

Will do ultrasound examination, observe the development of the fetus, observe whether the expectant mother has edema, high blood pressure and other phenomena, and prevent the occurrence of premature delivery.

Article 7 Production inspection shall be conducted before production.

Check once a week. Every time a new fetal heart monitoring program is added, an ultrasound examination will be arranged before delivery. Because the due date is coming, the expectant mother may give birth at any time. Doctors must give some advice on prenatal preparation and production according to the development of the fetus, fetal position and the physical condition of the expectant mother, and help the expectant mother adjust her daily diet, routine and activities. , and fully prepare for the final delivery.

Generally, about 10 prenatal examinations are needed throughout pregnancy. Regular check-ups can not only keep abreast of the growth and development of the fetus, but also ensure the health of the fetus and expectant mothers.

Strengthen pregnancy monitoring, deal with possible problems during pregnancy in time, and accumulate pregnancy data through regular series of examinations, such as B-ultrasound, NT examination, four-dimensional color ultrasound and fetal heart monitoring. , so as to ensure the healthy development of the fetus and the health during pregnancy, and better protect the safety of mother and baby. Pay attention to the physical changes during pregnancy, and find abdominal pain, increased secretion, or bleeding as soon as possible.

In addition, early pregnancy reaction is a process. Due to the individual differences of pregnant women, some pregnant mothers will have serious reactions during pregnancy, sometimes slightly. Regular professional examinations are very important.

Expectant mothers need to strengthen monitoring during pregnancy and respond to possible problems in time. Choosing a suitable hospital for filing, making regular prenatal examinations and accumulating pregnancy data through a series of regular examinations are the guarantee for the final safe production of the fetus, thus ensuring the healthy development of the fetus and the health of the pregnant woman herself during pregnancy.

Pay attention to monitoring fetal position

During normal delivery, the baby's head comes out first, so the head position is called normal fetal position, but the baby is not always obedient, and there will be abnormal fetal positions in activities, such as breech position and transverse position, which makes it difficult for the baby to pass through the birth canal smoothly during delivery, thus causing dystocia. Therefore, it is very important to monitor fetal position during pregnancy.

The fixed time of fetal position varies from person to person. Most primiparas can be fixed after 30-32 weeks of pregnancy, and will not change after 36 weeks of pregnancy. However, if the fetus is too small, or the mother, or for other reasons, the fetal position changes a lot after 32 weeks of pregnancy and even before labor.

Pay attention to monitoring fetal movement

Fetal movement is a very simple and intuitive means to judge the baby's health, so expectant mothers should learn to judge the baby's health according to fetal movement.

How much fetal movement is normal? The baby has been counting the fetal movements. If there is a pause in the middle, the interval is more than 2~3 minutes, which is another fetal movement. Under normal circumstances, the average apparent fetal movement of 1 hour is not less than 3~5 times, and some times of 12 hours are as high as 100 times, and some times are only 30~40 times. As long as the fetal movement is regular, rhythmic and has little change, it means that the baby is normal. When expectant mothers find that fetal movement is less than 20 times in 12 hours, or less than 3 times per hour, it means that the baby is hypoxic and the baby may be seriously threatened.