Prenatal care

Pregnancy management

Timely and complete pregnancy management is an opportunity to detect and respond to pathology in a timely manner, to preserve the health of the woman and the baby. That is why we recommend to register before the 12th week, and the optimal period is 7-11 weeks.

Pregnancy management in Lviv at St. Paraskeva Medical Center Is a modern and professional approach, convenient and comfortable for expectant mothers.

Services

Doctors

Management process

In order to be registered, it is necessary to make an appointment with a doctor, which involves the collection of anamnesis, examination and filling out documentation for obtaining an exchange card, etc. During the first visit, a woman should tell as much as possible about previous diseases, pregnancies and other important information that may affect the course of pregnancy.

Visit to obstetrician-gynecologist includes examination of genitals, ultrasound of pelvic organs, breast examination, assessment of pelvic bones, measurement of height, weight and blood pressure, examination of lower extremities for varicose veins and edema.

Based on the information received and the results of the examination, the doctor provides recommendations (on physical activity, nutrition, etc.), informs about the next scheduled visits and necessary examinations. The pregnancy management plan is made individually, depending on the age and health status of the pregnant woman.

Pregnancy management in women with rhesus conflict

Rh-conflict is the incompatibility of the mother's blood and the fetus (the woman's immune system destroys the fetal red blood cells, which can lead to fetal abnormalities or death). If a woman has Rh-and a man has Rh+, then there is a high probability of rhesus conflict. However, its presence does not always pose a threat to the child, because antibodies can be produced in small quantities (during the first pregnancy, it may be absent or poorly expressed).

To avoid negative consequences, the doctor repeatedly refers to the analysis of the presence of antibodies to fetal red blood cells, their number. If necessary, the obstetrician-gynecologist prescribes special therapy (use of anti-D immunoglobulin), etc.

Pregnancy management for cardiovascular diseases

During pregnancy, a woman's body undergoes changes and receives an additional load, in particular on the heart (this applies not only to pregnancy, but also to childbirth and the postpartum period). In the presence of cardiovascular diseases, it is important to monitor a cardiologist, who, if necessary, will prescribe the necessary therapy.

Common pathologies in pregnant women include: arrhythmia, congenital heart disease, coronary heart disease, infectious endocarditis, damage to the heart muscle (cardiomyopathy), rheumatic heart disease.

Features of multiple pregnancy management

Multiple pregnancy is a condition where a woman carries several fetuses (two or more). Such pregnancy requires special monitoring tactics due to the greater load on the woman's body and to avoid complications (for one of the fetuses, premature birth). One of the most important examinations is ultrasound.

Pregnancy management plan for various forms of gestosis

Gestosis is a complication during pregnancy that can be accompanied by excessive nausea, vomiting, edema, high blood pressure, changes in the urine test (the presence of protein, ketone bodies), and the appearance of seizures.

It can be early (at a short stage of pregnancy) and late (after the 20th week of pregnancy).

Risk factors for gestosis: multiple pregnancies, chronic kidney and liver diseases, hypertension, diabetes mellitus, thyroid disorders, obesity, smoking, older age of the pregnant woman.

The main methods of timely detection of the risk and onset of gestosis are:

• collection of anamnesis, the presence of gestosis in previous pregnancies;
• changes in the biochemical parameters of prenatal screening in the first and second trimesters;
• changes in general clinical examinations;
• dynamic observation of the woman, which will help to notice in time the complaints inherent in gestosis (the appearance of edema, increased blood pressure, headache, "flies" in the eyes, nausea, vomiting, cramps).

Important! Every woman should be registered as pregnant (under the supervision of an obstetrician-gynecologist) for timely detection of the risk of gestosis at different stages of pregnancy.