The Prenatal Care is the monitoring of the normal development of pregnancy implementing systematized strategies for early detection of complications and timely treatment of them.
Routine Prenatal Care in a non-high-risk pregnancy should include at least 5 prenatal visits.
At the first prenatal visit, a complete medical history must be obtained, as well as a relevant physical examination. Gestational age and the probable date of delivery should be established.
Basic prenatal care studies (which may vary depending on the case) include:
- Ultrasound of the first trimester
- Complete blood count
- Blood Type (Group & Rh)
- Coagulation times
- VDRL, HIV (screening or screening studies for syphilis or AIDS)
- Papanicolaou updated
- Cervical cultures
For patients with risk factors for congenital malformations, the prenatal battery is complemented with:
- US with nuchal translucency – 11-13SDG
- Serum markers: PAPP-A (in the first trimester)
- Quadruple screen: PAPP-A + bHCG, E2, AFP, Inhibin (2nd trimester)
- PAPP-A = Plasma Protein Associated with Pregnancy
- bHCG = Chorionic Gonadotropin Human beta fraction
- E2 = Estrogen
- AFP = Alpha-FetoProtein
The combination of these studies offers a detection rate of around 90%. The final diagnosis will have to be corroborated with other methods (chorionic villus biopsy, aminocentesis, cordocentesis, karyotype, etc.).
If the patient has a pre-pregnancy illness, the corresponding studies will be done in addition to the basic prenatal battery. It should also include a greater number of queries more frequently depending on the complexity of the case.
The following tentatively scheduled prenatal visits would be at:
In our Prenatal Care Department, we carry out a meticulous monitoring of the pregnancy from the first weeks until the moment of the birth of delivery or cesarean section. Request an appointment with our specialists.