Pregnancy Process and Follow-Up After pregnancy is diagnosed, the pregnancy process is followed up with routine checks. After consulting with your gynecologist, you will have detailed information about the pregnancy process and pregnancy follow-up and a plan will be made together with your doctor. Within this plan, your pregnancy period will be carried out in a healthy way.

The follow-up process begins with blood tests in the first weeks of pregnancy and ultrasonic tests as the sac forms. A sac is usually seen on the second examination. First 4 weeks. The first four weeks of pregnancy are not noticed by the pregnant woman. Approximately at the 4th week, with the delay in menstruation, the patient takes the first pregnancy test. Pregnancy is diagnosed in the blood test performed when the Beta HCG hormone begins to be secreted into the blood. 4-5. weeks. 4-5. Pregnancy can be diagnosed with an ultrasonic device made from underneath, at weeks 20. However, around the 5th week, the sac begins to form.

With ultrasound performed from the lower abdomen, the sac is visible and the fetal heartbeat can be heard as of the 6th week. Week 6 and 7. During these weeks, physiological changes occur in the expectant mother as the heartbeat is heard. It is possible to experience nausea, being sensitive to smells, and feeling tired. After routine checks are performed every month, the baby's development is examined in detail with screening tests around the 11th week. Screening Tests During Pregnancy Three screening tests are performed during pregnancy. Double, triple and quadruple screening tests are applied at certain weeks depending on the development of the baby. The double screening test is performed between 11-14 weeks. After ultrasonic examination, double test results are evaluated with a blood test. In the double screening test, BHcG and PAPP A hormones are checked. The triple screening test is performed between 16-18 weeks, depending on the baby's development. After ultrasonic examinations, B-HcG, free estriol and AFP levels are examined with a blood test. The quadruple screening test is performed between the 16th and 20th months by checking inhibin-A in addition to the parameters examined in the blood in the triple screening test. It is done weekly. Between the 20th and 24th weeks, the baby's organs are examined with level 2 detailed ultrasonography; It is detected if there is an anomaly in the baby. Between the 24th and 28th weeks, Oral Glucose Tolerance Test (OGTT) (sugar loading test) is performed. Routine ultrasonic examinations are performed. This examination is like a prenatal evaluation. The doctor decides on the appropriate delivery method for the patient. High-Risk Pregnancy Follow-up: The age of the expectant mother (under 18 or older than 35), chronic and existing diseases before pregnancy, and risks to the baby and/or the expectant mother during pregnancy indicate that the pregnancy is risky and requires intensive follow-up. The gynecologist monitors the pregnancy through tests such as screening tests, ultrasonic examinations, blood tests, and by keeping in constant communication with the patient. Examination intervals are shorter than during normal pregnancy. Ectopic Pregnancy: In an ectopic pregnancy, the pregnancy test is positive. However, vaginal bleeding and abdominal pain may occur. At the same time, the hormone called B-HcG begins to rise irregularly in the blood. It becomes clear whether there is an ectopic pregnancy or not after ultrasonic examination. In order for the fetus to develop, it must be in the uterus (womb) area. The fertilized egg located in the fallopian tubes, at the cervix, cannot develop. Therefore, the pregnancy must be terminated. In some cases, it may cause internal bleeding and constitute an emergency. Problems During Pregnancy Gestational diabetes can be handled in two different ways: existing in the mother before pregnancy (pregestational diabetes mellitus) or occurring for the first time during pregnancy (gestational diabetes mellitus). It can be examined with sugar screening tests such as GCT-OGTT. The pregnancy process is followed with tests such as blood tests, ultrasonic examinations and NST. It is followed up by the doctor as a high-risk pregnancy. Blood pressure is another important risk factor during pregnancy. In a healthy pregnancy, the blood pressure value is expected to be below 140/90.

If it is higher, the presence of high blood pressure is understood. While the expectant mother may have high blood pressure before pregnancy, she may experience high blood pressure for the first time during pregnancy. Different treatment methods are preferred for two different scenarios. A hypertension patient who wants to become pregnant should consult her gynecologist before pregnancy and have the medications she is currently using checked. If this problem is experienced for the first time during pregnancy, the doctor will develop a treatment suitable for the pregnancy process. Preeclampsia is a disease that develops mostly after the 20th week for some pregnant women. It is a very dangerous situation. It is also known as pregnancy poisoning. In this case, the pregnant woman manifests itself with symptoms such as confusion, edema, and high blood pressure. Although symptoms are tried to be kept under control with examinations and medical treatments, the only solution is to end the pregnancy with a healthy birth, usually at the 34-37th week. It is to be terminated during the week. The time of birth is determined according to the condition of the pregnant woman and the baby and the urgency. Urinary tract infections usually occur between 12-24 weeks of pregnancy. It appears in weeks. It refers to an inflammation caused by bacteria in the bladder tract.

Burning while urinating, intermittent urination, fever, chills, etc. There may be symptoms. Intervention is carried out with antibiotic treatment (if necessary) or drug therapy. Abortion (Unintended Pregnancy) Termination of unwanted pregnancy is legally possible up to the 10th week. In cases where the pregnancy exceeds the 10th week, there must be circumstances such as the existence of the pregnancy poses a risk to the mother's life or the baby is not healthy. This procedure, performed by gynecologists, is a simple surgical operation. General anesthesia techniques are applied. It is recommended that the patient remain hungry and thirsty for approximately 5-6 hours. Pregnancy is terminated by vacuum method while the patient is asleep with light anesthesia given to the patient.