Robyns Nest
endorses good prenatal care. In the United States, good prenatal care
involves routine testing. The following tests are performed in the physicians
office or outpatient setting:
Pregnancy Test: A urine or blood pregnancy test is performed
Blood Pressure and Urine Testing: Blood pressure is taken each time
you go to the Obsterician or Midwife. High blood pressure could indicate signs
of pre-clampsia or general nervousness and must be monitored. Urine tests are
done each visit as well. Urine testing could reveal signs of infection, high
blood sugar or pre-clampsia.
Blood Tests: Blood tests are performed on the first obstetrical
appointment to determine iron count, immunization to rubella (german measles),
HIV or AIDS antibodies, and Rh factor. Most woman are Rh+, however, some may be
Rh-, which may require a special diet.
The following tests are performed, with your permission, and are
considered special testing:
Maternal Serum Alpha-Fetoprotein Screening Test (MSAFP):
This is a simple blood test that identifies pregnancies at higher-than-average
risk of certain serious birth defects, such as Spina Bifida and Down
Syndrome. It is important for pregnant women to understand that it
is a screening test and, in most cases, an abnormal test result does
not indicate a problem with the baby. This test is often done between
weeks 14 and 22 of gestation.
The purpose is to measure the amount of alpha-fetoprotein (AFP),
a substance produced by the liver of the fetus, in a mother's blood
stream, providing valuable information about a developing fetus. This
test cannot diagnose a birth defect - it can only indicate an increased
risk. An abnormal test result simply means more testing is needed.
Amniocentesis: This test is usually performed at 16 or 17
weeks gestation. It tests for Down Syndrome and other genetic defects.
Using a local anesthesia and ultrasound, a needle is inserted into
the abdominal wall to take a sample of amniotic fluid. The fluid is
tested. There are some risks to having this test done. Discuss the
risks and the medical necessity of amniocentesis with your doctor.
CVS: Chorionic Villus Sampling (CVS) is an alternative to
Amniocentesis. This test can be done as early as 6 weeks. It tests
for Down Syndrome and other chromosome abnormalities. A needle is
inserted vaginally to collect a sample of chorionic villi and is guided
by means of ultrasound.
Ultrasound Scan: This is a non-invasive test that is relatively
safe during pregnancy. The ultrasound is a high frequency sound wave.
The sound bounces off the organs and in this case, the baby, to produce
a picture on a monitor or screen. The doctors use this tool to check
all the babys organs, limbs and the sex of the baby.
Glucose Testing: Sometime around the 5th month, the doctors
office will schedule a glucose tolerance test. You will be asked to
drink a soda like drink and wait a period of time before blood is
drawn. This test is to detect gestational diabetes. Some woman experience
gestational diabetes (high blood sugar during pregnancy) and require
a special diet to control it where others may require insulin. This
type of diabetes usually disappears shortly after birth. Should glucose
testing result in a high glucose count, your doctor may schedule a
6 hour glucose tolerance test in an outpatient setting. See Diabetes
in Pregnancy