Gynaecological Examination: This Is Awaiting You

Hello my beloved readership,

gynaecological examinations are becoming regular and more frequent during pregnancy. In detail this is awaiting you. Read about the examinations and what they are for here.

An ultrasound image
© 2019 Fall4Me

INFO: Times Of Doctor’s Appointments

Up to week 13:

In this period the pregnancy is not confirmed and apart from that this is the time that counts most as most of the decisive developments may take place. That is why the examinations take place:

  • every two weeks

From week 13 to week 34:

The basically most carefree time – which does not mean that sorrow would not be there. Yet regularly examinations are still necessary therefore you still have to meet the doctor:

  • every four weeks

From week 34 on:

This is the time when you find yourself in the legal maternity leave. Premature births rather happen to take place now therefore the examinations become more regular again:

  • ever two weeks

After the fixed date:

Children are rarely born on the fixed date. That does not mean however that the fixed dates are basically calculated wrong. Many factors can be the reason why a child is coming later – as well as it can come earlier. But since in this time any minute can be decisive your doctor wants to see you very frequently – more about this in a future article:

  • every two days

Before Meeting The Doctor

I loved the doctor’s appointments at the gynaecologist not only because there have hardly been other people due to the very good organization by the doctor and his assistants but as well because you hardly spend time in the waiting room – we all know this feeling, torturing hours of boredom. Even before it is your turn at the doctor’s you have more than enough to do.

  • Urine sample: An additional check of hormones reserves such as protein besides from the blood taking. I have always started my doctor’s appointment with this.
  • Blood pressure measure: Is interesting in the first place because it can be an sign of contraction. That means the higher your blood pressure the better your contraction.
  • Weight check: You can check your weight at home and report about it at the doctor’s (or write it down on your own in your document) or you can measure your weight at the doctor’s even though your weigh measured is not your clear weight as clothes worn are counted, too.
  • Blood taking: This is going to be done in the very beginning as you report that you found out about your pregnancy (because in your blood the pregnancy hormones can be found) and every two months – I do not know what about you but I hate syringes but I kind of feel like you get used to it with each time it is done. In the frames of this the doctor offers you the so called toxoplasmosis test. Toxoplasma gondii are kind of little parasites that can harm your baby. They get into your body by cat’s mess, earth and as result of that the dirt of fruits and vegetables, therefore it is important to wash vegetables as well as fruits thoroughly before consuming them. This test costs 45,- € and has to be done at least once within your pregnancy in order to complete your document, the recommendation to do this test every two months comes from your doctor but is not a must if there are no signs of necessity. If your living-conditions however let one assume that you might have these parasites (by work in the garden or owning a cat you take care of) your health insurance company pays this test for you.
    Other things that are results of your blood test are the amount of vitamin D, iron, magnesium et cetera.
  • Cardiotocography (short CTG): this examination begins approximately at week 17 when your embryo has become a foetus. From then on this examination is going to accompany you up to the delivery room (more about that later). As the name already says this examination lasting 20 minutes is noting down the contractions (if they are there), the baby’s moves and heart sounds. If you wish for it the sound of the CTG can be turn on so that you can listen to your unborn treasure.
    Hint: Take someone (mother, friend, husband) with you during the CTG because you have to lay down for approximately half an hour and like this it is not going to be boring.
    Attention: You might be asked by the doctor’s assistants about the position of your baby. Either you see it in the ultrasound which was done before in the ideal case or you know it by the moves of your baby in a later term.
  • Sugar test: This test is done around week 25. During pregnancy it is assumed that because of the special eating-behaviors of pregnant women are more likely to suffer from so called pregnancy-diabetes. In order to exclude, heal or prevent this it is necessary to have this result. You get to drink a very sweet tea after that your blood will be taken. It is important to drink the tea quickly as as it is warm. Personally I found it too sweet.

With The Doctor

Your doctor’s appointment at the gynaecologist himself (or herself) begins with a very comfortable dialogue. First of all the doctor reports about the results of your previous examinations and after that gives an interpretation and then he or she will ask about you, what is new, how you feel, what changes have taken place et cetera. After that you are going to take a seat on the infamous gynaecological chair and two kinds of examinations will be done.
Attention: The results of your blood test will take some days. Either your doctor will call if there are negative results of the doctor is going to report about them at your next appointment.

  • Vaginal examination: The doctor is going to grope and check your vaginal secretion.
  • Ultrasound: In the first 13 week the ultrasound is for free because it is necessary. After that the ultrasound costs 45,- € euros but only because the so called “baby television” is more of an amusement especially because you get a photo of your ultrasound. More that is check with this screening is the amniotic fluid, the moves as well as the measures of your baby, the heart sound and the position the baby (which is going to get most interesting by week 34). You can find out of your baby’s gender as well by week 13.

INFO: Prenatal diagnosis, yes or no?

A prenatal diagnosis is further than the regular examinations a more specific and detailed examination you can do in the first trimester. It is a screening that is looking at the baby, the amniotic fluid anything else in your baby bump in order to take a risk assessment. Since this counts as additional service the health insurance company generally does not pay this – you would have to pay for this examination on your own which costs between 100,- € and 250,- € euros. In the frames of the prenatal diagnosis you can find out if your baby has any kind of diseases however you can not prevent them. All you could do is to accept it and try to heal them as the baby is out or you can (and it hurts me to be forced to mention this as completion) abort it. Women older than 35 years get this additional service paid however as a pregnancy after this age is basically counted as risk-pregnancy.

Personally I can pass on my mother’s advice to you: You have to know it and make it up with your conscience – probably this will be the situation when you as couple get absolutely and deeply honest to each other and master one of the biggest obstacles together. If within both of your genealogies there has been no serious disease there is no necessity to do this examination (this goes beyond all rationality and relies and deep trust and belief that everything is going to be fine if it has been so far). However if there is something you should do it.
After we revealed this within a dialogue with my gynaecologist he said as well that you can assume that everything will be fine and that you can go without it. If he would have seen any kind of conspicuousness he would have definitely suggested this additional service, so: decide as couple but as well get your doctor’s advice.

Favorite Place To Be

During the pregnancy I could not wait for my next doctor’s appointment to come. Not only because I was excited to to see my baby in the ultrasound but especially until you feel the moves of your baby on your own you are permanently worried about your baby because every little thing (stress, disputes, overexertion) – at least I did and as I was told this feeling is totally normal if you become a mother for the first time. The gynaecologist could always take my all my sorrow away.

Most heartily thanks, Dr. M.-M.

Love, Johanna

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