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- Πληροφόρηση. Λήψη έντυπου ενημερωτικού υλικού.
- Αναγνώριση γυναικών που χρήζουν ιδιαίτερης φροντίδας.
- Ομάδα αίματος & Resus.
- Έλεγχος για αναιμία, HPV, HIV, ερυθρά, σύφιλη, τοξοπλάσμωση, κυτταρομεγαλοϊό (CMV).
- Ηλεκτροφόρηση αιμοσφαιρίνης και έμμεση Coombs.
- Έλεγχος για ασυμπτωματική βακτηριουρία.
- Test Παπανικολάου (αν δεν έχει γίνει τους τελευταίους 12 μήνες ή αν υπάρχει σοβαρή κλινική ένδειξη).
- Ηλεκτροκαρδιογράφημα.
- Προγραμματισμός για υπερηχογράφημα (α΄ τριμήνου ή A-TEST) ανάλογα με την ηλικία κύησης.
- Δείκτης σωματικής μάζας (ΒΜΙ: Βάρος σώματος Kgr/ύψος m2).
- ΑΠ, έλεγχος για πιρωτεϊνουρία.
16η εβδομάδα
- Έλεγχος αποτελεσμάτων 12ης εβδομάδας.
- Διερεύνηση αναιμίας και έναρξη χορήγησης σιδήρου αν Hb<11 g/dL.
- Μέτρηση Αρτηριακής Πίεσης, Μέτρηση σωματικού βάρους.
- Έλεγχος για πρωτεϊνουρία.
18 – 20η εβδομάδα
- Προγραμματισμός για υπερηχογράφημα β΄ επιπέδου.
- Μέτρηση Αρτηριακής Πίεσης, Μέτρηση σωματικού βάρους.
- Έλεγχος για πρωτεϊνουρία.
- Έλεγχος για αναιμία, HBV, σύφιλη, τοξοπλάσμωση (αν IgM αρνητικά στην πρώτη εξέταση), Κυτταρομεγαλοϊό (αν IgM και IgG αρνητικά στην πρώτη επίσκεψη).
- Προγραμματισμός για δοκιμασία δυσανεξίας στη γλυκόζη (καμπύλη σακχάρου) στην 24η + 28η εβδομάδα.
24η εβδομάδα
- Μέτρηση Αρτηριακής Πίεσης, Μέτρηση σωματικού βάρους.
- Έλεγχος για πρωτεϊνουρία.
28η εβδομάδα
- Μέτρηση Αρτηριακής Πίεσης, Μέτρηση σωματικού βάρους.
- Έλεγχος για αναιμία, αντισώματα κατά RBC, έλεγχος για πρωτεϊνουρία, εξέταση ουρικού οξέος και δεικτών ηπατικής λειτουργίας.
- Έναρξη χορήγησης σιδήρου αν Hb<10,5 gr/dl
- Χορήγηση anti-D αν Resus αρνητικό (α’δόση 300μg)
32η εβδομάδα
- Μέτρηση Αρτηριακής Πίεσης, Μέτρηση σωματικού βάρους.
- Έλεγχος για πρωτεϊνουρία.
- Μέτρηση ύψους Πυθμένα Μήτρας (SFH).
- Έλεγχος αποτελεσμάτων 28ης εβδομάδας.
- Έλεγχος για αναιμία, HBV, σύφιλη, τοξοπλάσμωση (αν IgM αρνητικά στην πρώτη εξέταση), Κυτταρομεγαλοϊό (αν IgM και IgG αρνητικά στην πρώτη επίσκεψη).
34η εβδομάδα
- Επανάληψη έμμεση Coombs σε Resus θετικές εγκύους για την ανίχνευση ευαισθητοποίησης από άλλα αντιγόνα.
- Χορήγηση anti-D αν Resus αρνητική (β΄ δόση: 300mg).
- Μέτρηση Αρτηριακής Πίεσης, Μέτρηση Ύψους Πυθμένα Μήτρας, Μέτρηση σωματικού βάρους.
- Έλεγχος για πρωτεϊνουρία.
- Προγραμματισμός υπερηχογραφήματος γ΄ τριμήνου (έλεγχος αμνιακού υγρού / εκτίμηση εμβρυικού βάρους / έλεγχος χαμηλής πρόσφυσης πλακούντα στις περιπτώσεις που κάτι τέτοιο έχει διαγνωστεί στο υπερηχογράφημα β΄ επιπέδου).
36η εβδομάδα
- Μέτρηση Αρτηριακής Πίεσης, Μέτρηση Ύψους Πυθμένα Μήτρας, Μέτρηση σωματικού βάρους.
- Έλεγχος για πρωτεϊνουρία.
- Έλεγχος προβολής εμβρύου & αν είναι ισχιακό ενημέρωση της εγκύου για την πιθανότητα καισαρικής τομής.
38η εβδομάδα
- Μέτρηση Αρτηριακής Πίεσης, Μέτρηση Ύψους Πυθμένα Μήτρας, Μέτρηση σωματικού βάρους.
- Έλεγχος για πρωτεϊνουρία.
40η εβδομάδα
- Μέτρηση Αρτηριακής Πίεσης, Μέτρηση Ύψους Πυθμένα Μήτρας, Μέτρηση σωματικού βάρους.
- Έλεγχος για πρωτεϊνουρία.
41η εβδομάδα
- Πρόσφορα διάτασης μεμβρανών (sweep).
- Συζήτηση για πρόκληση τοκετού.
- Μέτρηση Αρτηριακής Πίεσης, Μέτρηση Ύψους Πυθμένα Μήτρας, Μέτρηση σωματικού βάρους.
- Έλεγχος για πρωτεϊνουρία.
- Υπερηχογράφημα για έλεγχο αμνιακού υγρού / εκτίμηση εμβρυακού βάρους.
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