Pregnancy calendar

Pregnancy calendar

9 months step by step

I´m healthy and I do not expect complicated process during my pregnancy.

9th Week Investigations are made to exclude serious diseases of pregnant women. A thorough medical examination and an ECG are helpful for example in case of sudden complications during childbirth as important information for the anesthesiologist, for example before an acute caesarean section, operational removal of the placenta, etc.

10th Week Entrance examinations for pregnant women: -

blood pressure, pulse, body weight, chemical analysis of urine

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blood analysis: blood group, sedimentation rate + Rh factor (Rh negat. examination of antibodies) HBsAg (hepatitis B), HIV, BWR, TPHA / VDRL (syphilis), rubella if compulsory vaccination is not proven, toxoplasmosis in high risk groups (working with animals), thyroid (TSH, FT4, anti-TPO, anti-Tg)

11th Week

Recommended tests: In 11th - 13th week we are providing combined screening to assess the risk of genetic birth defects: -

ultrasound examination, including nuchal translucency

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blood: β-hCG, PAPP-A

12th Week

Basic regular examinations:

During each visit to a doctor we are checking: blood pressure, pulse, body weight change, chemical analysis of urine

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vaginal examination

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pap test

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colposcopy of the neck of the womb

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vaginal swab - gonorrhea among risk groups

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breast examination

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measurement of pelvic dimensions13th Week

Screening for diabetes in pregnancy for women who have at least two risk factors:

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age over 25 years, obesity, diabetes in their personal or family history, obstetric complications during previous pregnancies. For all other women glucose tolerance test is provided only between 24th - 28th week

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examination of teeth

14th Week

The basic routine examinations, starting to monitor regularly:

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fetal heart action

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distance between the upper edge of the uterus from pubic bone pins, the measurement

is technically called gravidometry 16th Week

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basic periodic examinations

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if genetic screening is not done in the first trimester, blood sampling is taken for triple test (monitoring of hormones and proteins produced by the placenta: hCG, AFP, E3)

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cervical smear, used to look for inflammation of the cervix, which may compromise pregnancy or cause premature birth

20th Week

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basic periodic examinations, we are beginning to monitor fetal movements

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blood: in Rh-negative women antibody testing

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blood analysis

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ultrasound examination (I.ultrasound screening of the fetus) shows the organs of fetus and helps avoid serious birth defects of child

Recommended tests:

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measure the length of the neck of the uterus by ultrasound, it is used to determine the risk of premature birth

22nd Week

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medical examination by a physician, including ECG

24th Week

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vaginal examination to check closure of the neck of the uterus, used to assess the risk of premature birth in high risk groups of women

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smear of vagina and cervix of the uterus and microbiological urine culture. If it

proves the presence of dangerous bacteria, begin with early treatment Between 24th – 28th Week

Oral glucose tolerance test - oGTT (screening for diabetes) has to be applied to all women, including women with the above risk, even though GTT was normal in the first trimester. 28th Week

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blood: women with Rh-negative antibody testing

30th Week

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ultrasound is done between 30th - 32nd week of pregnancy (II.ultrasound screening of the fetus) shows the growth rate of the fetus, also the location of placenta and amount of amniotic fluid

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examination of teeth

32nd Week

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repetition of oGTT in women with increased risk of diabetes, even though oGTT was normal in the first and second trimester

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blood: blood analysis and coagulation parameters, women with negative Rh and blood group O we undertake antibody testing, furthermore

BWR, TPHA / VDRL (syphilis) and a sample of HBsAg (hepatitis B) and HIV 34th week 36th Week

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cervical smear: tests for the diagnosis of streptococcus infection of type B

Recommended tests:

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cardiotocographic examination (baby heart rate)

37th Week

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internal pelvic examination

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special examination (internal, eye, neurological, orthopedic, etc.)

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for at risk groups we recommend cardiotocographic examination

38th Week

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cardiotocographic examination

39th Week

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40th Week

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cardiotocographic examination up to about 2-3 days before birth

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vaginal examination: monitoring the contractions and opening of the neck of the uterus

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examination of the quality of amniotic fluid, if technical conditions (neck of the womb opened)

41st Week

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examination of amniotic fluid, if neck of the womb opened

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ultrasound examination, specifying the size and location of the fetus

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the 10th day after the date of birth we are providing oxytocin stress test

42nd Week

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examination of the amniotic fluid, if neck of the womb opened

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according to vaginal examination and cardiotocography we choose the method of induction of labour