Prenatal check-up items and costs

Pre-pregnancy check-up refers to a physical examination at the hospital before a couple prepares for pregnancy to ensure that they will give birth to a healthy baby and achieve good birth and upbringing. A pre-pregnancy check-up is different from a physical examination, as it mainly examines the urinary system and genetic factors. It is a basic guarantee for the lifelong health of the child for the couple to do relevant pre-pregnancy physical examinations together. A healthy baby must first be the crystallization of the fusion of healthy sperm and egg, so the man also needs to be examined. The best time for a pre-pregnancy check-up is 3 to 6 months into your pregnancy.

When it comes to pre-pregnancy physical examinations, many people do not pay enough attention to it. In fact, pre-pregnancy physical examination is a very important examination for couples who are preparing for pregnancy and it is very necessary. Generally speaking, if neither party has obvious symptoms, some basic examinations can be done, such as a B-ultrasound to check the condition of the uterus and adnexa. Men can have a routine semen test to see if the semen is up to standard. The four eugenics tests are also indispensable. If either party has a disease, they must seek treatment in time and consider pregnancy after treatment. Do not get pregnant under the influence of disease.

So, what items need to be checked in the pre-pregnancy physical examination?

New item of pre-pregnancy physical examination: urinary system examination

By conducting routine physical examination of secretions, it can be checked whether there are gynecological infections such as Trichomonas and fungi in the female vaginal environment.

The occurrence of this inflammation is not conducive to the normal growth and development of the fetus, and may lead to intrauterine infection, premature birth, or even miscarriage. If you have a reproductive tract infection, it is best to wait until you are completely cured before getting pregnant. If you have not had a cervical cytology test recently, you will also need to do a cervical TCT and HPV test.

New item 2 of pre-pregnancy physical examination: Five eugenics tests

The English abbreviation TORCH mainly checks for Toxoplasma gondii, rubella virus, rubella virus, herpes simplex virus infection, and other pathogens. Among them, rubella, cytomegalovirus and toxoplasma gondii are three pathogens that are very harmful to the fetus and can easily cause miscarriage and fetal malformations. It is recommended that sisters who are planning to have a baby undergo this test.

New item 3 of pre-pregnancy physical examination: liver function test

If the pregnant mother is in the active stage of hepatitis and has severe liver function abnormalities, she needs to be treated before planning pregnancy.

New item 4 of pre-pregnancy physical examination: urine test

By examining the urine (urine color, pH acidity, protein, cells, proportion, tubular shape, urine sugar determination), we can check whether the kidney function is good. Due to pregnancy, kidney function may have a critical role that cannot be ignored.

New item 5 of pre-pregnancy physical examination: oral health care

Oral care before pregnancy mainly depends on whether the woman preparing for pregnancy suffers from major dental diseases and whether her front teeth are healthy.

Oral care is actually very important. If you have toothache during pregnancy, you can only relieve it through medication, but some medications may affect the normal growth and development of the fetus, so everyone should do the corresponding oral care in time and early.

New item 6 of pre-pregnancy physical examination: gynecological endocrine examination

Mainly to check whether the ovaries are normal. There are many kinds of diseases caused by gynecological endocrine imbalance, which are mainly reflected in various menstrual disorders, abnormal sexual development, ovarian failure, infertility and other related aspects.

New item 7 of pre-pregnancy physical examination: blood routine test

Check hemoglobin concentration, white blood cell count, platelets, etc. to eliminate blood problems, iron deficiency anemia, and infection, and conduct thalassemia screening if necessary.

New item 8 of pre-pregnancy physical examination: thyroid hormone test

Hypothyroidism is one of the key factors that harm the fetal IQ.

The first 12 weeks of pregnancy are the first period of rapid puberty of the fetus's head, but at this time the fetus's own thyroid hormone has not been produced, and the thyroid hormone needed for the baby's development is completely dependent on the pregnant mother.

Another abnormality is the positive type of thyroid polyposis autoantibodies (TPOAb), which greatly increases the incidence of miscarriage and premature birth in pregnant women.

New item 9 of pre-pregnancy physical examination: blood type test

Includes Rh blood type and ABO blood type assessment to prevent hemolytic disease in the fetus. Neonatal hemolytic disease can cause anemia, hepatomegaly, jaundice and many other uncomfortable symptoms in babies. In addition, it will affect the growth of children. If the hemolytic disease is severe, it will pose a threat to the baby's life.

Pregnant mothers with O-type blood and couples with a history of miscarriage of unknown cause are advised not to skip this test!

New item 10 of pre-pregnancy physical examination: chromosome examination

Check whether there are any genetic diseases, whether there are any abnormalities in the sex chromosomes, etc. Men or women with a family history of genetic diseases and women with a history of habitual miscarriage need to be checked three months before pregnancy.

How much does a pre-pregnancy check-up cost?

When doing a prenatal check-up, you need to understand its cost. This is actually related to the items examined. Generally, the examination fee of Grade A hospitals in big cities is 300-1500. If there are no special circumstances, one examination will usually cost around 500. Of course, you should also consult the local hospital for specific circumstances.

Since prenatal check-ups are divided into different cycles, the types of examination items are different, and therefore the relative costs are also different. Generally, if you do a routine blood test, urine test, etc., the cost is only a dozen yuan, but if you do some screening, disease testing and other more inconvenient projects, the price will be higher.

What should you pay attention to during pre-pregnancy check-up?

1. On the day of the inspection, you should wear clothes that are convenient for the inspection. A skirt of appropriate length is the best choice.

2. The testing time should avoid the menstrual period, and the testing should be done between the end of the menstrual period and before ovulation.

3. It is not necessary to have sex the night before a routine gynecological examination, because male semen and spermicide on condoms may appear in the test sample the next day, affecting the doctor's judgment.

4. You should take a shower the night before the test. You should not wash the inside of the vagina within 24 hours before the test, as this will wash away abnormal secretions and some potential tumor cells that can be detected through biopsy, affecting the doctor's correct diagnosis.

5. Do not use any vaginal medications the night before the test. Any medications for treating vaginal infections or lubricants will affect the test samples, cover up abnormal cells, and affect the test results. The secretion sample should be re-examined immediately after being collected by the gynecologist without delay.