What should be checked in the pre-pregnancy physical examination?

A pre-pregnancy physical examination refers to a physical examination before preparing to have a child. Doing a physical examination before pregnancy is responsible for the baby, and the examination items include body weight, blood pressure, liver and kidney function, blood sugar and blood lipids. Generally speaking, liver disease or heart disease in the body can easily cause some congenital genetic diseases in the baby.

What does a pre-pregnancy check-up check?

Pre-pregnancy physical examination is the basis for avoiding birth defects, eliminating genetic diseases, ensuring normal pregnancy and giving birth to a healthy baby. The pre-pregnancy check-up generally includes examinations of both husband and wife. Pregnancy check-ups are usually done 3-6 months before pregnancy.

The main contents of the examination for women include:

1. General physical examination.

2. Laboratory tests including liver function, kidney function, blood sugar, blood lipids, thyroid function, blood type, 5 items of hepatitis B virus, special laboratory tests including AIDS antibody, Treponema pallidum antibody, rubella virus antibody, toxoplasma antibody, cytomegalovirus antibody, etc.

3. Routine gynecological examination and ultrasound examination.

4. If there is a family hereditary disease, a chromosome test is required.

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1. Contents of women's pre-pregnancy examination

(1) General examination: such as height, weight, blood pressure, heart rate measurement, thyroid palpation, heart and lung auscultation, liver and spleen palpation, limb spine examination, internal medicine, surgery, orthopedic examination, ear, nose, throat, oral, and ophthalmology examination.

(2) Laboratory tests: liver function (alanine aminotransferase), five serological tests for hepatitis B, renal function (creatinine), blood lipids, blood glucose, routine blood tests (hemoglobin, red blood cells, white blood cells and classification, platelets), thyroid function test (thyroid-stimulating hormone), blood type (including ABO and RH blood types), four eugenics tests (rubella virus IgG antibody test, toxoplasma gondii IgM and IgG antibody test, cytomegalovirus IgM and IgG antibody test, herpes simplex virus), G-6PD (glucose-6-phosphate dehydrogenase), thalassemia screening, syphilis spirochete screening, HIV antibody, sex hormone level test, and urine sediment analysis.

(3) Electrocardiographic and imaging examinations: electrocardiogram, high-frequency breast color Doppler ultrasound, and B-ultrasound (liver, gallbladder, spleen, pancreas, kidneys, bladder, and uterine appendages).

(4) Gynecological examination: routine gynecological examination, routine leucorrhea examination + gonococcal examination + BV (bacterial vaginosis), cervical fluid-based cells, Chlamydia trachomatis, and Mycoplasma.

(5) Special examinations: Chromosomes (if necessary, follow the doctor's advice). People with diabetes, hypertension, and obesity should also undergo relevant special tests to ensure that the mother and fetus can smoothly go through the entire pregnancy and delivery period. .

2. Contents of male pre-pregnancy examination

(1) General examination: such as height, weight, blood pressure; internal medicine, surgery, otolaryngology, dentistry, and ophthalmology.

(2) Laboratory tests: liver function (alanine aminotransferase), five serological tests for hepatitis B, renal function (creatinine), blood lipids, blood glucose, routine blood tests (hemoglobin, red blood cells, white blood cells and classification, platelets), blood type (including ABO and RH blood types), four eugenics tests (rubella virus IgG antibody test, toxoplasma IgM and IgG antibody test, cytomegalovirus IgM and IgG antibody test, herpes simplex virus), G-6PD, thalassemia screening, syphilis spirochete screening, HIV antibody, sex hormone level, urine sediment analysis, semen routine test, sperm morphology analysis.

(3) Electrocardiographic and imaging examinations: electrocardiogram, B-ultrasound (liver, gallbladder, spleen, pancreas, kidneys, bladder, and prostate).

(4) Special examination: chromosome (if necessary, follow the doctor's advice).

(5) If you feel that there may be a problem with testicular development, you must first ask your parents whether you had mumps as a child, whether you have had undescended testicles, testicular trauma and surgery, testicular pain and swelling, hydrocele, oblique hernia, urethral pus, etc. Provide this information to your doctor and consult carefully.

3. Precautions for pre-pregnancy check-up

(1) Do not drink alcohol the day before the physical examination. Limit the intake of high-fat and high-protein foods, and avoid using preparations and particles that may affect liver and kidney function.

(2) Eat a light diet 3 to 5 days before the examination. It is best not to eat bloody foods such as pig liver and pig blood. And you should completely fast after 12 o'clock at night the day before the examination.

(3) You need to fast when having blood drawn and liver and gallbladder ultrasound examinations. When doing B-ultrasound of the bladder, prostate, uterus, and appendages, avoid urinating. If you cannot urinate, drink water until your bladder is full.

(4) During X-ray examination, it is recommended that you wear cotton underwear and avoid clothes or bras with metal buttons. Please remove necklaces, cell phones, pens, keys and other metal objects. Pregnant women or women who may be pregnant should inform the health checkup service personnel first and be cautious when undergoing X-ray examinations.