What Are the Best Tips for Checking Qualifications?

A pre-pregnancy check refers to a couple going to the hospital for a physical check-up before preparing to conceive to ensure that a healthy baby is born, thereby achieving a good birth. Pre-pregnancy examinations are different from routine physical examinations, and are mainly tests for reproductive systems and genetic factors. Pre-pregnancy check of related items by both spouses is a basic guarantee for the child's life health. Healthy babies must first be the combination of healthy sperm and eggs, so men must also be checked. The best time to check before pregnancy is 3 to 6 months before pregnancy.

Basic Information

Visiting department

Obstetrics and Gynecology

Common causes

Reproductive system and genetic factors

Common symptoms

Needs healthy sperm and eggs

Contagious

no

The importance of pre-pregnancy check

1. Avoid birth defects

The birth defect rate of newborns in China and the rate of congenital disability during the age of 0 to 14 years are 4% to 6%. This means that 800,000 to 1.2 million children with congenital disabilities are added to our country every year.

Among the population in China, 30 million people have congenital mental retardation, and it is increasing by 2% every year. On average, one congenital child is born every 20 minutes in China and a neural tube malformation child is born every 6 minutes. The direct economic loss caused by neural tube malformations alone exceeds 200 million yuan each year.

2. Eliminate genetic disease passage

If there are people with obvious genetic diseases in the family, people will pay attention to this examination when giving birth, and consciously consult a doctor. However, some parents, like normal people, are carriers of a genetic disease. Although they do not have the disease, they are likely to pass the genetic disease to the next generation. For example, in children with albinism, his parents behave the same as ordinary people, but their children have fair skin and pale yellow hair.

At present, there are thousands of genetic diseases, and most of them have no cure. Once a child with a genetic disease is born, it can cause trouble and heavy burden on the child, family, and society because of inability to cure. Therefore, prevention of genetic diseases is important, and various inspection methods must be adopted to prevent the birth of children with genetic diseases.

Pre-pregnancy check

1. Contents of female pre-pregnancy check

(1) General examination: such as height, weight, blood pressure, heart rate measurement, thyroid palpation, cardiopulmonary auscultation, liver and spleen palpation, limb and spine examinations, internal, surgical, orthopedic examinations, ENT, oral, and ophthalmological examinations.

(2) Laboratory tests: five tests of liver function (glutamyl aminotransferase), hepatitis B serology, renal function (creatinine), blood lipids, blood glucose, blood routine (hemoglobin, red blood cells, white blood cells and classification, platelets), thyroid function Testing (thyroid stimulating hormone), blood type (including ABO and RH blood types), eugenics (Rubella virus IgG antibody test, Toxoplasma IgM and IgG antibody test, cytomegalovirus IgM antibody and IgG antibody test, herpes simplex virus), G -6PD (glucose 6-phosphate dehydrogenase), thalassaemia screening, Treponema pallidum screening, AIDS antibody, sex hormone level determination, urine sediment analysis.

(3) ECG and imaging examination: ECG, high-frequency breast color Doppler ultrasound, B-ultrasound (liver, gall, spleen, pancreas, kidney, bladder, uterine accessories).

(4) Gynecological examination: routine gynecological examination, leucorrhea routine + gonococcus + BV (bacterial vaginosis), cervical fluid-based cells, chlamydia trachomatis, mycoplasma

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

2. Male pre-pregnancy inspection content

(1) General inspection: such as height, weight, blood pressure; internal, surgical, ENT, oral, ophthalmology.

(2) Laboratory tests: liver function (glutamin transaminase), five tests of hepatitis B serology, renal function (creatinine), blood lipid, blood glucose, blood routine (hemoglobin, red blood cells, white blood cells and classification, platelets), blood type ( Includes ABO and RH blood types), Eugenics 4 (Rubella virus IgG antibody assay, Toxoplasma IgM and IgG antibody assay, Cytomegalovirus IgM antibody and IgG antibody assay, Herpes simplex virus), G-6PD, Thalassemia screening, Syphilis Borrelia screening, HIV antibodies, sex hormone levels, urine sediment analysis, routine semen analysis, and sperm morphology analysis.

(3) ECG and imaging examination: ECG, B ultrasound (liver, gall, spleen, pancreas, kidney, bladder, prostate).

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

(5) When you are aware that there may be problems with testicular development, you must first ask your parents if they had mumps in childhood, whether they had cryptorchidism, testicular trauma and surgery, testicular pain and swelling, hydrocele, oblique hernia, For urethral discharge, provide this information to your doctor and consult carefully.

3. Precautions for pregnancy check

(1) Do not drink alcohol the day before the physical examination, but also limit the intake of high-fat, high-protein, and prevent the use of preparation particles that affect liver and kidney function.

(2) 3 to 5 days before the test, the diet should be light, it is best not to eat bloody foods such as pig liver and pig blood. And after 12 pm the day before the inspection, you should fast completely.

(3) Fasting is required for blood draws and liver and bile ultrasound examinations. Do bladder, prostate, uterus, and accessory B overtime. Do not urinate. If there is no urine, drink water until the bladder is full.

(4) It is recommended to wear cotton underwear during X-ray inspection. Do not wear clothes with metal buttons and bras. Please remove metal items such as necklaces, mobile phones, pens, and keys. Pregnant women and pregnant women who may be pregnant should first inform the health check service staff to perform X-ray examination with caution.

(5) Women must avoid menstrual periods when conducting pre-pregnancy examinations.