Laboratory Test During Pregnancy

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Essential Laboratory Test

During Pregnancy

Joan Venida
BSN II-B (Grp 5)
1. Complete Blood Count (CBC) test
This blood test measures the hematocrit and hemoglobin
that could tell a doctor if the pregnant is at risk for
developing anemia and excessive bleeding. On average, a
woman loses about half a liter of blood when she gives
birth.
2. Blood typing and Rh status and antibody screening
The Rh factor in the pregnant blood and her partner's can
tell if her blood is compatible with the child's Rh type.
Simply put, an incompatibility between the mother’s Rh type
and her child's might complicate her subsequent
pregnancies (not the current one). It's also crucial to know
her blood type in case transfusion is required.
3. Syphilis screening
Early detection of syphilis in a pregnant woman's system can
lead to proper intervention. Syphilis can lead to pre-term
labor and could be fatal. It could also affect her baby's
growth and development inside the womb.
4. Hepatitis B screening
Pregnant women with hepatitis B can transfer the disease to
her baby. If she tested positive for hepatitis B, she and the
doctor can discuss how best to deliver her baby to minimize
the risk of the baby getting the disease.
5. Urinalysis
Testing pregnant woman’s urine is crucial to check for
urinary tract infections, renal problems, and high sugar or
protein -- all of which could potentially cause pregnancy
complications, including sepsis and life-threatening blood
infection. High levels of protein in the urine could signal the
risk for preeclampsia. How often she will do this test
depends on her doctor.
6. Pap smear
A pap smear during pregnancy helps detect any cervical cell
anomalies, and is a way to check for sexually-transmitted
diseases such as chlamydia or gonorrhea, which could cause
health problems for the baby if left untreated. It's usually
done during the first trimester and when follow-up is
needed.
7. Ultrasound
Having an ultrasound, whether it’s 2D, 3D or 4D every trimester helps
the doctor to check for the baby's health inside the womb. The first one,
which could be a regular or transvaginal sonogram depending on how far
along the pregnancy, confirms how many babies she is having and her
estimated due date. The second and third one checks for development,
placenta size, and the baby's gender.
8. Glucose Tolerance Test
This test involves drinking oral glucose, after which a blood
test will determine the amount of sugar in the pregnant
blood. Even women who are not a candidate for gestational
diabetes should have this test done, usually between the
24th and 28th weeks of pregnancy.
The doctor can also tell if the pregnant women needs other
tests done. These could include HIV screening and
other genetic screening tests which check for congenital and
chromosomal anomalies (e.g. maternal serum screen or AFP,
amniocentesis, and chorionic villus sampling) which are
done only for high-risk pregnancies and/or highly-suspected
cases. There is also the rubella screen to see if the pregnant
women is protected from getting the disease, which gravely
endangers her unborn baby.

Thank you for listening! 

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