Investigation

Subject: Midwifery I (Theory)

Overview

During the prenatal appointment, a new investigation is conducted. an investigation using methods such as blood, stool, urine, and ultrasonography. During a prenatal exam, you are asked to urinate for protein and sugar testing. Serious urine testing is done on pregnant women to determine the level of protein and sugar in the urine and to treat the condition to prevent the condition. Complete blood count, blood ABO (grouping) and Rh typing, Hepatitis B surface antigen, VDRL of both husband and wife, and fasting and postprandial blood sugar levels are among the blood tests performed during a prenatal checkup or examination. In order to diagnose a condition and start the proper treatment, ultrasonography is used.

Urine, stool

During a prenatal exam, you are asked to urinate for protein and sugar testing.

Purposes:

  • Serious pregnant woman should determine the amount of protein and sugar in the urine and treat the condition to prevent the condition.
  • To establish the kind of treatment required.
  • Stool is prepared for routine examination.

Blood test

Various blood tests are performed during an antenatal checkup or examination, including the following:

  • Complete blood count (hemoglobin, hematocrit)
  • Blood ABO (grouping) and Rh typing
  • VDRL of both husband and wife
  • Hepatitis B surface antigen (HbsAg) and HIV
  • Fasting and postprandial blood sugar

Ultrasonography

In order to start the right kind of therapy, it is utilized to diagnose.

In the first trimester: at 16- 18 weeks to obtain the information about:

  • Number, size, and location of the gestational sac.
  • Presence or absence of fetal cardiac and body movement.
  • Presence or absence of uterine abnormality.
  • Pregnancy dating
  • Fetal viability
  • Number, position, gestational age, growth pattern and abnormality.
  • Amniotic fluid volume.
  • Placental location and maturity.
  • Uterine fibroid and other abnormalities.
  • IUGR with an abdominal circumference, head circumference, and amniotic fluid volume.

Reference

Memorize. 12.2. 2012. http://memorize.com/antenatal-examination/drlmorice

PatientInfo. 01 December 2015. http://patient.info/doctor/antenatal-examinations

Scribd. https://www.scribd.com/doc/43985359/Antenatal-Assessment

Sweet, B.r., 1989, maye’s midwifery, A textbook for midwives; 11th edition, Bailliere Tindall, London, Philadelphia

Tuitui R. 2002, A textbook of Midwifery A (Antenatal), 3rd edition, Vidyarthi Pustak Bhandari (Publisher and Distributor), Bhotahity, Kathmandu

 
Things to remember
  • A different investigation is done in the antenatal visit. An investigation like Urine, stool test, Blood test, and Ultrasonography.
  • Urine for protein and sugar tests during an antenatal examination.
  • To find out the level of protein and sugar in the urine and treat the condition in order to prevent the condition serious pregnant woman urine test is done.
  • During an antenatal examination or checkup different blood examination is done they are: complete blood count, Blood ABO (grouping) and Rh typing, Hepatitis B surface antigen, VDRL of both husband and wife and fasting and postprandial blood sugar.
  • Ultrasonography is used to diagnosis so that appropriate therapy can be instituted.
Questions and Answers

Investigation

Urine, stool:

  • During a prenatal examination, urine samples are tested for protein and sugar.
    • To determine the amount of protein and sugar in the urine and to treat the problem to avoid a dangerous pregnancy condition.
    • To establish the kind of treatment required.
    • Stool is prepared for routine examination.

Blood test:

  • During antenatal examination or checkup different blood examination is done they are:
    • Complete blood count (hemoglobin, hematocrit)
    • Blood ABO (grouping) and Rh typing
    • VDRL of both husband and wife
    • Hepatitis B surface antigen (HbsAg) and HIV
    • Fasting and post prandial blood sugar

Ultrasonography:

  • In order to start the right kind of therapy, it is utilized to diagnose.
  • At 16–18 weeks into the first trimester, to learn more about:
    • Gestational sac dimensions and placement.
    • Movement and heartbeat of the fetus, or lack thereof.
    • Uterine abnormality's existence or absence.
    • Dating while pregnant
    • Pregnancy viability
    • Number, position, gestational age, mode of growth, and abnormalities.
    • Volume of amniotic fluid.
    • Position and maturity of the placenta.
    • Uterine fibroid as well as other anomalies.
    • IUGR with an amniotic fluid volume, head circumference, and abdominal circumference.

© 2021 Saralmind. All Rights Reserved.