All women are screened for trisomy 21 since 1997 , but the terms are changing now. Serum markers HT21 , 15 and 18 sought between SA , located in a group of women at risk calculated , more or less , for trisomy 21. Risk group gives a quantitative estimate , never a certainty: a risk of 1/250 is taken as the threshold risk that warrants further investigation by amniocentesis (reimbursed by health insurance). An ultrasound may also suffices , regardless serum markers for this offer amniocentesis.
In addition , all women 38 years and this is systematically offer amniocentesis (paid) because of the high statistical risk from age. Amniocentesis can know the fetal karyotype (chromosomes) so the anomalies of trisomy 21 (or other chromosomal abnormalities).
Currently , often associated serum markers and sonographic findings as nuchal translucency measured. This decreases the inaccuracy without giving certainty , so we multiply the amniocentesis. The High Authority of Health responded with recommendations to change the detection of trisomy 21.
Other screenings are recommended , but not required , that of HIV (AIDS) , hepatitis C , anemia.
At the end of the pregnancy , you can perform a vaginal swab to check the absence of bacteria (GBS) can cause an infection maternofetal childbirth.
What are the three ultrasounds during pregnancy? At least three ultrasounds during pregnancy are available , 12 SA , 22 SA 32 SA. Highly recommended , they allow us to date the pregnancy and ensure proper development of anatomical and physiological (or) fetus. In the hospital or at home , they should be performed by professionals fetal ultrasound , that is to say sonographers graduates , not just radiologists.
How are the sessions of preparation for childbirth? Eight sessions of childbirth preparation are fully supported by Social Security. The conventional preparation favors explanations and breathing exercises and relapses. Some hospitals also offer preparation courses in a pool or relaxation therapy sessions or haptonomy. In general , the dad can attend at least one course.
What is the medical postaccouchement called "postpartum"?
etween six and eight weeks after birth , the young mother sees her doctor for a clinical examination after birth. This visit aims to control the evolution of natural bleeding , to check that the uterus is involuted: that is to say , it has resumed its normal size before pregnancy. This practice breast and gynecological examination (possibly smear) and discusses breastfeeding if needed. This event allows you to prescribe contraception especially postaccouchement if it has not been done to motherhood.
Finally , the practitioner tests prescribed perineum and perineal rehabilitation sessions. Even if the perineum seems tonic , it is always better to this therapy. But you do not make the eight weeks before (the perineum has not recovered from childbirth) and be careful not to make the rehabilitation of the front abdominal perineum (risk of prolapse).
