In general, this question can be answered with one phrase – if you become pregnant you should contact a gynecologist. Despite the fact that it is quite obvious, some of the women after the news of their pregnancy falls into an exciting state and some, at first glance, the obvious things are simply forgotten. I will try to bring some clarity to this question.
How do you find out about your pregnancy?
If you have a regular menstrual cycle, then if you have at least a few days of delay, you need to do a test that you can buy at any pharmacy. The test is done in the morning from the first portion of urine (in the early stages, a test done during the day and in the evening may be unreliable, since the liquid drunk during the day dilutes the urine). Even if the second strip is barely visible, the test is positive, in the future this strip will become brighter.
Another more reliable option donate blood to hcg – already from the first day of the delay, this analysis will be able to accurately indicate the presence of pregnancy (there are nuances, but not so often).
If you have an irregular menstrual cycle, prone to delays – the exact time when it is impossible to specify a pregnancy test, but you can focus on the following points:
- If you had unprotected sexual intercourse – the test can be done in 20-25 days
- If you have unusual sensations in your body, your chest swelled and became painful (not as usual before menstruation), nausea and dizziness appeared, your appetite changed and in general you felt strange and unusual
- If the monthly does not occur longer than ever
Important! You must make a pregnancy test if your periods have passed somehow strange – that is, they were poorer than usual and did not last long or started earlier than usual. This is due to the fact that, despite the occurrence of pregnancy, menstruation (albeit scanty) can pass.
The test is positive – what question should be solved further?
As soon as you know that the pregnancy has taken place, you need to consult a gynecologist and do the first ultrasound. The first question that is solved during any pregnancy – where is the fertilized egg?
A fetal egg can be in the uterus – this is a normal uterine pregnancy and a fertilized egg can be outside the uterus – most often in the tube – this is an ectopic pregnancy. The diagnosis of ectopic pregnancy is very dangerous – read more in the relevant topic.
Most often, the fertilized egg can be seen after 10-14 days of delayed menstruation, but sometimes the fertilized egg is not visible even longer. As a rule, this happens during an irregular menstrual cycle or if ovulation occurs late.
After establishing the fact of uterine pregnancy, you begin to be observed by a doctor. During pregnancy, you will take different tests and studies. In addition to general tests, during pregnancy you will pass 2 tests to identify fetal malformations. The first test is performed at 10-12 weeks of pregnancy – it includes an ultrasound and a blood test for certain proteins. The second test, also consists of ultrasound and blood tests for proteins and is performed from 16 to 18 weeks of pregnancy.
Between 20-23 weeks – you will have the most detailed ultrasound, in which the doctor will be able to assess the fetus in detail and eliminate most of the violations. The following ultrasound is performed between 32-34 – in this study, the state of the fetus is being ascertained, how it develops, the placenta is evaluated.
If your pregnancy is proceeding normally – in fact, for the whole of her period, you will pass several times the tests, and you will do an ultrasound several times.
These are only tests …
During pregnancy, there are many changes in the body that can have individual characteristics. It is very important to calmly relate to the results of analyzes and research. Some changes can be passing and disappear on their own after a while.
Important! If you have any changes in the tests during pregnancy, or if there are abnormalities on the ultrasound scan, don’t worry. Just retake tests in another laboratory and go through an ultrasound with another specialist (it is better to get to the leading well-known doctors). You should always get a second opinion and one more test result.
Confusion with the timing of pregnancy
Quite often, a woman has a question – why they give me just such a period of pregnancy, especially often it occurs after an ultrasound.
So, there is a so-called obstetric gestational age and true. Obstetric gestational age is considered to be from the first day of the last menstruation, and according to this calculation, the pregnancy lasts 280 days or 40 weeks. A fetus can have its own plan of intrauterine life and therefore the duration of pregnancy can vary from 37 to 42 weeks. This is influenced by many factors.
True term Pregnancy is considered to be from the moment of ovulation (the release of the egg). Since normally this happens after 2 weeks from the start of menstruation, it turns out that the true gestational age is 2 weeks less. But we must remember that ovulation may shift in time (occur either earlier or later), and with an irregular cycle, its occurrence may vary greatly.
The gestational period during ultrasound is determined on the basis of the size of individual parts of the body of the fetus. There are several generally accepted tables developed by individual authors, which show the average size of the fetus at different stages of pregnancy and the interval of error given (sometimes this interval can reach 2 weeks). There are differences between these tables, so a program is installed in modern ultrasound machines that calculates the duration of pregnancy, taking average values from different tables.
Remember how you choose clothes in the store – there are sizes that were invented on the basis of average indicators, but it rarely happens that a dress or a blouse of your size fits perfectly on your figure, there will be a discrepancy somewhere. So and the average size of the fetus, and their compliance with pregnancy, may have individual characteristics.
Now let’s look at a specific example: you know the date of conception, and after an ultrasound, you are given a gestation period that does not match your calculations – there are several explanations – you confuse the actual gestation period with obstetric (remember that it is 2 weeks less), you don’t correctly conceived the day of conception (ovulation could occur later or earlier), measurements of the fetus were not very accurately made.
Usually, in order to determine as accurately as possible the gestational age, all methods are used in aggregate and take the average. That is, they calculate the period for the last menstruation, the day of conception and the results of the ultrasound – a certain average is obtained, which most closely matches your gestational age.
To avoid confusion, just always consider your pregnancy from the first day of your last period. All activities during pregnancy are designed for obstetric terms, so it will be easier for you to navigate with the results of both ultrasound and other studies and tests.
In conclusion, some important tips in early pregnancy:
- If you have a delay in menstruation, you must find out the reason for this delay (by making a pregnancy test). If he turns out to be positive in the near future contact a gynecologist. Since there is always a risk of ectopic pregnancy and miscarriage – do not pay attention to the delay of menstruation, or postpone your visit to the gynecologist – it is very dangerous!
- In the first two months of pregnancy should refrain from sexual activity. It is possible to resume sex life after the expiration of this period, if the pregnancy proceeds normally and there are no conditions in which the doctor advises to refrain from sex (the threat of termination of pregnancy, etc.)
- No need to panic if during the menstrual cycle during which you became pregnant, you led a “unrestrained” lifestyle (you used alcohol, took medicines, were ill or had other “excesses”). It is important to discuss all this with the doctor. Only certain types of drugs have a proven negative effect on the fetus, and only certain diseases at the very beginning of pregnancy can unambiguously be a reason for abortion. In the overwhelming majority of cases, all the “excesses” and taken cold medicine and antibiotics have no effect on the fetus and the course of pregnancy. Of course, none of the doctors will be able to confidently answer the question – will this or that medicine be taken or the illness (there are reliable exceptions) affect the further development of the fetus. This question is always solved individually, but we must remember if a woman nevertheless decides to “play it safe” and have an abortion – its consequences can also be unpredictable and there is a possibility that after this the pregnancy may not occur for a long time.
- Scramble and remember your weight – it will help you keep an eye on how you gain weight during pregnancy
- At the beginning of your pregnancy, you may feel sick, sore, dizzy, have chest pains and, in general, you may feel very bad. There is an opinion that there is a psychological component in this. That is, when a woman finds out that she is pregnant, a program of behavior known to her is triggered (any woman knows that during pregnancy there should be nausea, poor health and
Pregnancy is not a disease, and the natural state of a woman is the most beautiful time in her life. Nature has carefully thought through all the processes that occur during pregnancy, and has developed mechanisms to protect against various failures. Very much a woman’s body can compensate for itself.
Of course, there are various deviations during pregnancy that require correction, and sometimes emergency interventions, but in most cases the pregnancy proceeds normally. Situations when it is necessary to consult a doctor:
- Bloody or brownish or brown or slightly reddish vaginal discharge
- Lower abdominal pain
- Back pain, sacrum, coccyx