Analize in primul trimestru de sarcina (sau la luarea in evidenta)
-hemoleucograma ;
-grupa sanguina si Rh ;
-glicemia ;
-examen sumar de urina (albumina,glucoza,corpi cetonici,sediment urinar) ;
-RBW (VDRL , THPA) ;
-test HIV ;
-examen bacteriologic secretie vaginala ;
-examen colpocitologic Babes-Papanicolau ;
-examen ecografic pelvin .
Analize/investigatii RECOMANDATE in trimestrul I de sarcina (sau la luarea in evidenta):
-control stomatologic ;
-teste : Chlamydia,Citomegalovirus , Listeria , Mycoplasma , Ureaplasma , Rubeola ;
-serologie hepatita :Ag HBS , Ag HVC ;
-hiperglicemie provocata (HGP).
TRATAMENTE / MANEVRE PROFILACTICE in trimestrul I :
PROFILAXIE : malformatii congenitale de tub neural (spina bifida,anencefalie,alte defecte de tub neural,etc.) ;
Indicatii:se recomanda preconceptual (inainte cu o luna ) si la femeile gravide in primele 14 saptamani de amenoree .
Administrare: acid folic , 1-2 cp.(5mg)/zi + vit.E .
In anemia megaloblastica prin deficit de acid folic (multipare , sarcini multiple cu interval intergenezic scurt , sarcini gemelare , infectii urinare repetate cu Esch.Colli , alimentatie carentiala , status socioeconomic precar ) : se recomanda acid folic pe toata perioada sarcinii .
Johannesburg
South Africa