Control examinations during pregnancy
Control is important, please do it all! Thus, your child's developmental stages and your physical changes can be monitored in the best way. If a possible risk is detected, it can be intervened immediately.
If you feel unwell or just in doubt, consult your doctor or midwife without hesitation between precautionary dates.
In addition: Except for ultrasound examinations, all precautionary examinations can be performed by the midwife.
Legal rights
You have the legal right to have precautionary examinations, whose expenses are covered by statutory and private health insurances. If you work, your employer has to give you permission to go to your doctor or midwife - of course, not to be deducted from your salary.
Health services called IGe are covered by legal insurances only in the presence of a dangerous situation.
What is examined?
At each examination, weight is detected, blood pressure is measured and urine is checked. Occasionally, blood is drawn for analysis.
The condition of the uterus is also examined and the position of the child and heart sounds are checked. All results and, if necessary, treatments are recorded in the maternity certificate.
During pregnancy, three ultrasound examinations are usually performed. You can use IGe services at your request or in case of a special risk situation. Prenatal diagnosis (prenatal) prudently investigates the developmental disorders of the unborn child.
Ultrasound
Here, the heart that starts beating fast isn't just your child's. Especially the first ultrasound examination is a very exciting event for you and your partner. You can see your child - how his heart beats, how he moves his arms and legs, and maybe how he put his thumb in his mouth.
Experience the joy of at least three ultrasound examinations during pregnancy:
9.-12. HH: Pregnancy is confirmed and examined to see if there is a possibility of multiple pregnancies. In addition, the child's size, heartbeat and timed development are checked.
19.-22. HH: The size and growth of the child is examined and possible organ malformations or developmental disorders are ruled out. Other examinations: Child's movements and cardiac function, amniotic fluid amount and placenta position (= ethene)
29.-32. HH: The child's developmental status and position in the uterus and the position of the placenta are re-checked. Does the child show strong signs of life? If this is not the case, it should be investigated whether there is a possibility that it is fed enough.
Also: In an ultrasound examination, sound waves are measured from the body tissue. There is therefore no measurement method involving radiation, which is completely harmless for the mother and the child.
Individual health care (IGeL)
You may benefit from individual health services at your request or at a specific risk. To this end, a written agreement must be concluded between the doctor and the patient, including the patient's consent for the examination and the expected cost + doctor's fee.
Expenses are only covered by statutory insurers when an abnormal diagnosis is obtained from a procedural precautionary examination or in case of a special hazard.
Inspections covering IGe services - eg. prenatal diagnosis (see below), toxoplasmosis screening, sugar loading test (to rule out a diabetes) or additional ultrasound tests.
Prenatal diagnosis
Prenatal diagnosis is not covered by normal precautionary examinations. With this detailed diagnosis, chromosome aberrations, hereditary diseases and malformations of the child are detected.
Examinations carried out in this respect, e.g. nuchal translucency measurement, first trimester screening, triple screening test and invasive examinations (chorionic villus biopsy and amniotic fluid examination = amniocentesis).
In any case, invasive examinations can only be carried out with the written consent of the pregnant woman.
Maternity wallet
At the first examination, a pregnancy certificate is issued with the determination of pregnancy. All the results of various examinations of the mother and child are recorded in the maternity certificate. Therefore, the maternity card is an important source of information for doctors, midwives and, if necessary, other health personnel.
So keep your maternity wallet with you as much as possible and keep it good for your next pregnancy.
The following inspection results are recorded:
Blood group mismatch and rubella examinations (P. 2)
Examination for infections (p. 3)
Past pregnancies (p. 4)
General history of disease and determination of birth date (p. 5)
Pregnancy and giving information to the pregnant woman (p. 6)
Pregnancy course table (pp. 7 - 8)
Characteristics of risk catalogs and cardiotocography findings (p. 9)
Ultrasound examinations (P. 10-12 and P. 14)
Growth curves of fetal growth (P. 13)
Final examination (P. 15 -16)
Summary of all inspection dates
After the first examination, monthly examinations are carried out every 14 days starting from the 36th week of pregnancy. If your birth date is delayed, see your doctor or midwife every two days.
05 - 08 HH: 1st check-up (maternity card is given)
09. - 12. HH: 2nd control examination (1st ultrasound)
12. - 14. HH: First scan (may be a chorionic villus biopsy)
13. - 16. HH: 3rd inspection examination
15. - 20. HH: Amniotic fluid examination (Amniocentesis) may be
16. - 18. HH: Can be a triple screening test
17. - 20. HH: 4th inspection examination
19. - 22. HH: 2nd ultrasound ("Large Ultrasound" possible)
21. - 24. HH: 5th control examination
24. - 28. HH: Sugar loading test can be
25. - 28. HH: 6th inspection examination
29. - 32. HH: 7th control examination (3rd ultrasound)
33. - 36. HH: 8th inspection examination
34. HH end: maternity leave starts this weekend
36. - 38. HH: 9th control examination (Control examination: every 2 weeks)
38. - 40. HH: 10th inspection examination
40. SSW date of birth
41. From HH: Examination every two days
HH = Pregnancy Week
40AXX
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