Your doctor will probably choose to perform several standard tests during your
pregnancy. Every woman's pregnancy is unique, but there are a group of
fairly standard tests that you will probably receive.
Complete Blood Count, or CBC
You will receive a blood test that will tell your doctor if you are anemic or if
you have a low platelet count. Your hemoglobin and hematocrit levels will
tell your OB/GYN if you are anemic. If your blood count is low and you are
anemic, you will be treated most commonly with iron to raise it prior to
delivery. If your platelet count is low, your ability to clot is
diminished. Since a woman can lose up to half a liter of blood during
delivery, a lack of blood clotting can result in death.
Early in your
pregnancy you will receive a blood test to determine your blood type - if you
need a blood transfusion at any time, there will be no question as to what your
blood type is. You will receive an antibody screen as well, since
antibodies can cause blood diseases in both you and your baby.
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Urine Test
During your pregnancy you will receive several urine tests. Your doctor is
looking for any UTI's (urinary tract infections) as well as an excess of protein
or sugar. If your urine test shows you have a urinary tract infection, you
will be placed on antibiotics.
Testing for Diseases
At the beginning of your pregnancy you will be tested for Syphilis, Hepatitis B,
AIDS, Gonorrhea and Chlamydia. These diseases can be dangerous if not
deadly for both mother and child.
Rh Factor
Your OB/GYN will give you a blood test to determine your Rh type. If you
are exposed to another person's red blood cell markers, your body may develop
antibodies against them. So, if during labor your body is exposed to your
baby's blood (75% of all mothers have evidence of exposure to their baby's blood
after delivery), you may develop antibodies to these red blood cell markers.
Remember, 50% of your baby's genes come from Dad. If you are Rh negative
and Dad is Rh positive, exposure to your baby's blood may result in your
development of antibodies. Your body may send these through the placenta
in future pregnancies to "attack" an Rh positive baby's blood.
If it is determined that you are Rh negative, you will probably be given
RhoGAM at 28 weeks and within 72 hours of your baby's delivery. RhoGAM is
Rh immunoglobulin. It absorbs the positive Rh blood cell markers of your
baby, blocking the formation of mom's Rh antibodies and therefore protecting
your baby.
Rubella Screen
You may be screened for the presence of rubella antibodies. If you have no
antibodies against rubella, you will be immunized for it after your baby is
born. You cannot receive this immunization during pregnancy because it is
a live-borne virus and can be transmitted to your baby. If it is
determined that you have no antibodies for it, you will be advised to stay away
from young children who may have it, as well as anybody who is suffering from
rubella syndrome.
Some women carry a bacterial strain called Group
B Streptococcus. Surprisingly, up to 25% of women carry this
bacterial strain.
GBS causes no harm to Mom, but can cause sepsis in your baby and result in death
- particularly if your baby is premature. Testing is done four weeks prior
to delivery or during any sign of pre-term labor. This is a culture taken
from both the vaginal and rectal areas. If your test is positive, you will
be given intravenous antibiotics during labor to prevent infection in your
newborn.
Gestational Diabetes
You will receive a test for
gestational diabetes around your 24th to 26th week of pregnancy.
Ultrasound
Many OB/GYN's will perform one to two ultrasounds
routinely during prenatal care - although some do not perform them at all.
An early ultrasound will help to determine the accuracy of your due date,
whether you are carrying multiple fetuses, or if anything looks abnormal.
Some doctors will perform a second ultrasound several months into the pregnancy
to rule out any abnormalities that may have occurred during your baby's growth.
This is normally the ultrasound where many excited parents find out the sex of
the baby.