Your

health.

Your pregnancy

A personalised accompaniment to suit your requirements
We offer you pregnancy care and monitoring with our gynaecologists.

Care from our gynaecologists:

This generally includes 6 consultations per pregnancy, during which the well-being of the foetus and the mother will be evaluated. We will also look at the risk of infection, the risk of gestational diabetes, and RhD-related anaemia, amongst other aspects.

1st trimester prenatal screening

The 1st trimester prenatal screening forms part of the trisomy screening (13, 18, 21) and may be carried out between the 11th week + 0 days and 13th week + 6 days. It is important to remember that anomalies are relatively rare. Only one pregnancy in 500 is affected by trisomy 21 for example.

This screening looks at the combined risk factors stemming from the patient’s age, the nuchal translucency of the baby and the blood rate of two hormones in samples taken from the mother: HCG and PAPP-A. Ultrasounds are used to study a variety of organs such as the head, the limbs, the abdomen, the kidneys, the heart and detect any eventual morphological anomalies which may or may not be linked to chromosomic abnormalities (holoprosencephaly, cardiac defects, gastroschisis).

If the serum markers show abnormal values, this may be correlated to an increased risk of trisomy. If the risk calculated is low, the origin of this variation may be found elsewhere.

An ultrasound at this point also makes it possible to identify chorionicity (identical or non-identical twins.

2nd trimester prenatal screening

The 2nd trimester prenatal screening is carried out between 14 and 21 weeks, and allows for the detection of neural tube defects (Spina Bifida, exencephaly) based on an Alpha-fetoprotein (AFP) blood test.

If the 1st trimester prenatal screening has not yet been carried out, it can be made up for at this point with a screening for trisomy 21 based on the levels of AFP, oestriol or beta-HCG in the mother’s blood sample.

2nd trimester morphology ultrasound

This ultrasound is ideally completed between the 21st and 24th weeks of pregnancy. During this exam each organ is studied in detail and its growth monitored. The plancenta and umbilical cord are also studied. This scan allows for the detection of morphological abnormalities (cleft lip, cardiac defects, etc.). The apparatus used in our unit for carrying out medically requested 3D and 4D ultrasounds, this enables to refine the diagnosing. If conditions allow, a short time during the consultation may be dedicated to carrying out an optional 3D ultrasound, during which you will have the pleasure to see your baby move, smile or suck its thumb.

Glucose tolerance test

It is to be noted that pregnancy related diabetes may arise in a non-diabetic patient. This is why an oral glucose tolerance test is arranged between the 24th and 28th weeks of pregnancy. During this test, we will measure the blood sugar levels before, one hour after and two hours after the oral administration of 75g of glucose. The majority of the time, this type of diabetes can be resolved with a specific diet, although sometimes a transitional period of insulin therapy may be necessary. This form of diabetes very often disappears after pregnancy.

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