Pregnancy follow-up

If you just found out you are pregnant, congratulations! It is a time of great excitement but also of nervousness and many doubts. At the ERGO Clinic we want to be with you at all times, that is why we present this complete 9-month Birth Plan for you to enjoy your pregnancy with peace of mind.

• Includes obstetric ultrasounds at 7, 15, 18, 23, 23, 27, 30 and 36 weeks of gestation.
• Confirmation of pregnancy hormone in blood prior to the 7 week ultrasound scan
• Possibility to increase the number of consultations in case of urgency or doubt (concrete price on request).
• Discount on the Non Invasive Prenatal Test at 10 weeks of gestation
• Possibility of performing emotional 4D ultrasound scans at a discount compared to the private price.

If you just found out you are pregnant, congratulations! A great stage in your life is beginning, and at Clínica ERGO we want to be by your side. That is why we present you the NATAL 9 months Plan where we will be by your side throughout your pregnancy.

This plan includes:

• Ultrasounds with the obstetrics team at 7, 12, 20, 27, 33 and 37 weeks of gestation.
• Possibility to increase the number of consultations in case of urgency or doubt (concrete price on request).
• Discount on the Non Invasive Prenatal Test at 10 weeks of gestation
• Possibility of performing emotional 4D ultrasound scans at a discount compared to the private price.

Have you just entered the second trimester of pregnancy? Congratulations, you have already overcome a very delicate first stage. From the third month of pregnancy we also have a NATAL plan for you.

This plan includes:

• Ultrasounds with the gynecology team at 16, 24, 28 and 36 weeks of gestation.
• Possibility to increase the number of consultations in case of urgency or doubt (concrete price on request).
• Discount on the Non Invasive Prenatal Test at 10 weeks of gestation
• Possibility of performing emotional 4D ultrasound scans at a discount compared to the private price.

Already in the home stretch? How little you have left! At the ERGO clinic we are with you in these last weeks. The NATAL 3meses plan is specially designed for the control of the last weeks of pregnancy.

Includes:

• Ultrasounds with the gynecology team at 24, 28 and 36 weeks of gestation.
• Possibility to increase the number of consultations in case of urgency or doubt (concrete price on request).
• Possibility of performing emotional 4D ultrasound scans at a discount compared to the private price.

It allows to assess whether anemia is present, and if so, what type, as well as to know if the number and morphology of white blood cells and platelets is normal, in order to rule out infectious, immunological or even hematological processes.

Blood coagulation is a complex process and in order to explore it, a “battery of tests” must be performed to rule out any anomaly in any of the stages of the process. The aim is to find out if there is a coagulation disorder that could cause bleeding at the time of delivery or even during pregnancy.

It is the assessment of the level of glucose (sugar) in the blood. A person can be diabetic without symptoms for years. During pregnancy, the possible onset of diabetes may be enhanced, which usually reverses after pregnancy.

A single test called RPR or VDRL is usually done to rule out the presence of syphilis antibodies. If positive, the result will have to be verified with other tests and if confirmed, the woman should be treated, as the disease can seriously affect the child.

Toxoplasmosis is a parasitic infection that 85% of adults have had most of the time unnoticed. If the disease is first contracted while pregnant, the fetus may be severely affected or a miscarriage may occur. With the tests we will know if she has been infected recently (positive IgM antibodies) and in this case she should be medicated immediately, or if she has had the disease for some time (high IgG antibodies and negative IgM), in which case there is no danger for the fetus because the disease has already passed. In case of doubt, the physician may request other tests: IgA, avidity test, etc. If it turns out that you are not immunized, i.e. you have not passed the disease and therefore have no defenses against it (negative IgG antibodies), the doctor will recommend prophylactic measures to minimize the risk of becoming infected during pregnancy.

Rubella is a viral disease that is generally suffered in childhood and against which most women today have been vaccinated. If acquired during pregnancy (infection by another child, etc.), it can cause serious damage to the fetus. Since the rubella vaccine cannot be administered during pregnancy, women who do not have antibodies to the disease are advised to avoid any risk situation and to be vaccinated after the end of pregnancy.

The physician may request the pregnant woman’s permission to test her for HIV (AIDS) even if she does not have any risk factors. This greatly facilitates the epidemiological control of the disease, and early diagnosis can drastically reduce the risk of maternal-fetal transmission of the disease by administering appropriate treatments around the probable date of delivery.

It is the analysis of a urine sample. It serves to rule out any possible urinary tract infection, a frequent problem that is accentuated in pregnancy.

It is the determination of the Down syndrome risk index, through the combination of:

• A high-resolution transvaginal ultrasound
• A biochemical study in maternal blood (alpha-fetoprotein and beta-hCG).

It should be taken into account that the result of this test does not allow establishing a diagnosis, but only provides a risk index of chromosomopathy valid only for that particular pregnancy, according to which the convenience or not of performing another test with diagnostic value will be assessed, which in general will be an amniocentesis or a chorion biopsy to obtain the fetal karyotype.

It is therefore only indicated in pregnant women who do not belong to a high-risk group for chromosomopathy, in which case an invasive technique for obtaining the fetal karyotype would be recommended.

It consists of the administration of a 50 g glucose solution and the determination of blood glucose levels after 60 minutes. It is not necessary to be fasting. This test is performed to rule out the possibility of gestational diabetes. If the result exceeds 140 mg/dl, the physician will request a blood glucose curve.

At ERGO we can also perform the long glucose overload test. Test performed (at least) between 24 and 28 weeks of pregnancy to identify the risk of gestational diabetes.

Also called “the sugar test”, it consists of ingesting a high concentration of sugar and performing analytical determinations after 1, 2 and 3 hours. If the values are altered, there are risks for the mother and the fetus, so it is important to perform it.

At ERGO we can do this, and we even have the possibility of using a room in thecenter with a television to spend the time between extractions.

If the first trimester analysis showed the absence of antibodies against this disease, the determination is repeated to rule out the possibility of having contracted the disease during pregnancy.

This test is requested to all women of any blood group and Rh factor in order to detect the presence of anti-D and non-A non-B and non-anti-D group antibodies (ABO). If they are detected, their investigation and control should be continued.

In some cases, urine sediment will also be repeated to rule out any urinary tract infection.

is systematically performed on all pregnant women between 20-22 weeks of gestation and its main objective is to identify ultrasonographically detectable fetal malformations. It is performed at these weeks of gestation because the fetus is already large enough to be able to see its organs and because, in the case of a diagnosis of a very serious malformation, the pregnant woman can opt for a legal termination of pregnancy, which is possible before 22 weeks.

This ultrasound allows us to control:

• Measurement of fetal structures (fetal biometry).
• Malformations (practically 70% of those diagnosable by ultrasound).
• Fetal sex.
• Placental localization.
• Assessment of amniotic fluid volume.
• Fetal movements.
• Uterine artery Doppler (increased risk for gestational hypertensive disease and intrauterine growth restriction).
• Assessment of cervical length (increased risk for preterm delivery).

In this exploration, a thorough study of the external and internal fetal anatomy is made, and it is recommended that it be performed by specialists dedicated exclusively to prenatal ultrasound diagnosis, with ultrasound equipment equipped with the latest technical advances and in a prenatal diagnostic center with the possibility of practicing invasive fetal techniques.

If altered, they may make it impossible to apply regional anesthesia techniques (epidural) and increase the risk of hemorrhage at the time of delivery.

To rule out any urinary tract infection.

• The baby’s general health is assessed
• Fetal growth is controlled
• The amount of amniotic fluid is checked.
• The position of the fetus is determined
• The placenta is evaluated

It allows the evaluation of the blood flow that takes place in a given vessel, by means of pulsed Doppler. Usually by this procedure it is possible to be 2-3 weeks ahead of the danger signs provided by other scans. This examination is absolutely painless and harmless, since it is performed by means of a variant of the ultrasound technique.

At the end of pregnancy it is important to confirm that the maternal bone belt, through which the fetus has to advance during delivery (pelvis) is of adequate dimensions, especially if it is a woman giving birth for the first time.

If the scan is performed very early (4-5 weeks) it is possible that the embryo cannot yet be seen because it is not yet detectable ultrasonographically, but it is possible to see the gestational sac and observe whether it is normal. It will be necessary to repeat the examination a few days later to confirm the presence of the embryo and cardiac activity.