How to intervene and handle early high-risk pregnancy – VnExpress

Using drugs to prevent pre-eclampsia, testing sugar levels… to help women have a safe and healthy pregnancy.

Specialist Doctor II Nguyen Ba My Nhi – Director of the Center for Obstetrics and Gynecology of Tam Anh General Hospital in Ho Chi Minh City, said – according to the recommendations of doctors, women should check their general health before becoming pregnant. including obstetrics and gynecology.

General health examination for women to predict the risk of pregnancy. For example, high blood pressure or diabetes-related diseases, acquired immune diseases such as cardiomyopathy. Having cardiomyopathy during pregnancy increases the risk of sudden maternal death. Therefore, when this condition is known, the doctor will have to correct the woman before she becomes pregnant. Even the risk of sudden death in pregnancy should be made known to the woman.

When that risk is adjusted, pregnancy will be fairly safe and stable. However, there are many women who do not know this information before, until they are pregnant, they will seek medical attention. During the first prenatal visit, the obstetrician-gynecologist will ask very carefully about the woman’s pre-existing medical history. These histories suggest that the woman has had multiple miscarriages or a previous pregnancy with certain high-risk conditions, such as pre-eclampsia.

Thus, doctors will have an overview and make a plan for pregnant women in 9 months and 10 days. For example, in the first 3 months, if a pregnant woman has a history of preeclampsia, some current medical recommendations are to give medication to prevent preeclampsia. If this person’s family has high risk factors or suggests people who are obese, have diabetes, etc., a blood sugar screening test can be done in the first 3 months.

In each trimester, there are a number of tests and screenings to indicate possible risks, planned for each time. Doctors need to consider before becoming pregnant, a woman with any risk factors that need to be corrected or after pregnancy that has not been adjusted, will be adjusted as soon as possible.

Thu Ky


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