Prenatal Care is performed during all three trimesters of pregnancy. During the first trimester we determine the risks of the baby having Down syndrome (trisomy 21), Edwards syndrome (trisomy 18), Patau syndrome (trisomy13) and other chromosomal abnormalities as well as open neural tube defects. A preeclampsia screening is also obligatory (placental growth factor (PIGF) and uterine artery doppler).
First trimester screening combines results from blood tests ( PAPP-A, free bhCG ) with obstetric scan (nuchal translucency, nasal bone, ductus venosus, Tricupid flow etc).
If necessary, we recommend NIPT ( non invasive prenatal testing) and blood testing during second trimester.
We perform an anatomical scan and transvaginal ultrasound for cervical length on 19th-20th weeks of gestetion, as a predictor of preterm delivery. OGGT (oral glucose tolerant test) is performed on 28th weeks.
We start GBS (group B streptococcus), RDS (respiratory distress syndrome) prophylaxis if signs and symptoms of preterm labor are present.
If necessary Magnesium for neonatal neuroprotection is administered. Biophysical profile is taken on 35th week. NST (non stress test) plus AFI(amniotic fluid index) is performed before labour on weekly basis during the third trimester.