How to detect that conception has occurred?
Typically, a woman discovers that she is pregnant after a missed period. With a regular menstrual cycle, tracking this will not be difficult.
There are two ways to detect pregnancy 7-10 days after intercourse:
- yourself by taking a pregnancy test using morning urine, because it contains the largest amount of the hCG hormone;
- contact a medical facility for a blood test.
It is known that the level of the hormone human chorionic gonadotropin increases much faster in the blood than in the urine. You can track the onset of pregnancy using a blood test much earlier than using a test.
Will the vagina become larger after childbirth?
This question really worries many young women, because in the future they hope to get as much pleasure from intimacy as before. During pregnancy, the walls of the vagina stretch and adapt to the size of the fetus. However, after childbirth the sizes reach their original size. In fact, this organ has muscle memory. In addition, there are special exercises to strengthen internal muscles. There's nothing complicated about it. Just squeeze your pelvis as if you want to hold back the flow of urine. Hold for a few seconds and then release. Repeat 10 times. Do this exercise 4-5 times a day.
What happens in the body in the early stages and what do tests react to?
As you know, fertilization of the egg occurs 3-4 days after sexual intercourse. After a few more days, the first changes in the body become noticeable, because... It is at this time that the process of implantation of a fertilized egg into the endometrium occurs.
7-10 days after fertilization, the body begins to produce human chorionic gonadotropin - the same hCG hormone to which the pregnancy test reacts, showing 2 stripes.
The hCG hormone begins to be actively produced from the first days of pregnancy until the 3rd month, when its amount in the body exceeds the normal level by several thousand times.
If the test is negative, this does not mean that conception has not occurred - the most accurate result, 9-10 days after intercourse, is shown by a blood test for hCG. There can be no error when conducting a clinical analysis.
Why is intimacy accompanied by painful sensations after childbirth?
Think for yourself: not long ago you gave birth to a child, your internal organs participated in a complex process, and your body accomplished a real feat. It takes time for the body to fully recover from pain and stress. That is why, after childbirth, gynecologists recommend a month of sexual rest for women in labor. At this time, problems with the production of lubrication may occur, as hormone levels change dramatically.
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When to go to an antenatal clinic?
If the pregnancy was not planned, you need to contact an antenatal clinic as soon as possible. This will help make sure that the expectant mother’s body is ready for pregnancy, and neither she nor the baby is in danger.
You should definitely consult a doctor if you are pregnant if:
- this is your first pregnancy;
- before this you had a miscarriage, abortion or frozen pregnancy;
- you have had problems conceiving or have health problems.
A timely first visit to the doctor in these situations will help to avoid pathologies and maintain the health of mother and baby.
Will I be able to control my bladder after giving birth?
During pregnancy, as the fetus develops, you will notice more frequent urination. When the due date approaches, there really is a loss of control over the process. But everything will work out as soon as the uterus is freed from the burden, but this takes a little time. If you continue to experience problems, try learning Kegel exercises (as with vaginal contractions).
How is the first examination with a gynecologist?
At the first visit, the gynecologist conducts a standard examination and creates a chart.
The doctor also talks with the pregnant woman, thereby collecting anamnesis: he asks about previous diseases and operations, working conditions, lifestyle, bad habits, etc. The doctor will need information about almost everything that is happening in your life - this will help him decide on a pregnancy management plan and give you the necessary recommendations to follow.
The doctor also measures the height, weight and size of the pregnant woman’s pelvis, takes temperature and blood pressure. An external examination of the pregnant woman and an examination in a gynecological chair are also carried out.
At the end of the appointment, the doctor will write out directions for tests and an ultrasound examination, which will help determine where the fetus has settled.
If this is not your first pregnancy, it is going well and nothing worries you, then you don’t have to rush to contact an antenatal clinic. However, if you are pregnant for the first time or have previously had problems conceiving or bearing a child, if you detect pregnancy, you should immediately contact a gynecologist.
Once a woman is pregnant or suspects she is pregnant, she should immediately visit a gynecologist. The doctor will help determine the approximate gestational age and also answer all the pregnant women’s concerns. The main thing is not to worry and prepare for the first visit of a specialist.
The optimal time to visit the doctor
So, the test showed a positive result. What's next? Now you need to decide on the timing of your visit to the gynecologist. It's better not to delay this. In addition, getting to the clinic at your place of residence is not always easy and does not happen right away. The optimal time for a visit is at 4-6 weeks, but no later than 12 weeks. You shouldn’t believe those who say that you can register almost in the middle of pregnancy. It is better to go to the doctor immediately after receiving a positive result.
Such early treatment is necessary to ensure full monitoring of the progress of pregnancy. The doctor will also prescribe a series of tests and examinations to find out what diseases the mother has. Using an ultrasound, it will be possible to determine the location of the fetus. The study will show where the embryo has implanted - inside or outside the uterus.
Also, early contact is necessary for the gynecologist to register the woman for pregnancy. This will help protect the future baby. For example, all people are required to undergo fluorography. However, X-ray irradiation is very harmful to the baby and a pregnant woman should absolutely not undergo it. Timely registration will allow you to avoid going through this procedure, which is dangerous for the nascent life.
Visiting a gynecologist to establish pregnancy: what you need to remember
A woman should visit a gynecologist for the first time before 12 weeks.
Most often this happens at 6-7 weeks, when menstruation is delayed. The first visit to the gynecologist during pregnancy is exciting for a woman, and she may forget about everything she wanted to ask. It is worth thinking through the questions in advance and, preferably, writing them down.
Among the main issues, experts note:
- taking folic acid;
- balanced nutrition and weight gain;
- manifestation of toxicosis;
- workload;
- intimate life;
- physical activity;
- signs of miscarriage.
Questions in combination play an important role during pregnancy. Folic acid is a necessary element in the life of every woman, and even more so in her position. When planning pregnancy, it should be taken in advance - six months before conception.
In terms of nutrition, you should also stick to the golden mean. If a pregnant woman gains excess weight, it will be difficult for her to walk, and the baby will be born too big. The other side of this coin is malnutrition. This is what girls who are afraid of gaining excess weight do. Such behavior can provoke underdevelopment of various organs and systems of the baby.
By the first visit to the doctor, toxicosis makes itself felt, so you should ask how to alleviate its manifestations. The issue of maintaining an intimate life should be discussed with your doctor. There are indications that may affect termination of pregnancy.
Before performing an examination, the doctor will definitely have a conversation with the patient. At the first visit to the doctor, an exchange card is created. During the entire period of pregnancy, it should be with the woman. The patient will have to fill out a questionnaire containing information about herself, chronic, gynecological and genetic diseases. They also ask about the health status of the child's father.
- when did you start having sex?
- what kind of pregnancy/child is it?
- whether there were abortions or miscarriages;
- first day of last menstruation.
Some of the most important questions are those with which you can find out the prerequisites for the development of gestational diabetes and preeclampsia in a baby.
The working conditions of a pregnant woman are also of interest to the doctor. Today, in addition to working with toxic substances, the professions of a business woman, salesperson, telephone and computer operator are considered dangerous. The problem lies in the constant sitting position, being on your feet and radiation from technology.
Pregnancy screening begins with establishing the height and weight of the pregnant woman. At the first visit, examination in a chair is mandatory, no matter how women avoid it. The doctor must determine whether the uterus is hypertonic.
You will also need to undergo a medical examination by other specialists:
- otorhinolaryngologist;
- therapist;
- neurologist;
- ophthalmologist
You should not neglect such seemingly formalities. Such examinations are carried out at the beginning, middle and end of pregnancy.
To establish the expected date of birth, mainly two options are used, and for both you need to know the first day of the last menstrual period (LDMP).
- Add 280 days or 40 weeks to the PDPS.
- Subtract three months from the PDPS and add a week.
This is only preliminary data, and the expected date of birth may vary between 10-14 days.
Will I gain a lot during pregnancy?
The issue of weight should not be taboo at an appointment with a gynecologist. Let's tell you a secret: doctors don't like it when a pregnant woman gains too much weight over a certain period of time. Excessive gain has a negative impact on both the fetus and the health of the woman herself. In addition, the child will not take more nutrients than he can take. Willy-nilly, you will have to control yourself.
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What week is the best time to go?
Most doctors recommend registering in the first trimester of pregnancy, before the 12th week.
During this period, the first ultrasound is performed, which can explain the whole picture of the condition of the baby and child. It is in the mother’s interests to register as early as possible in order to know about possible pathologies and try to eliminate them.
Having learned about her pregnancy, a woman must understand that she is responsible not only for her life, but also for the life of her unborn child. Regularly visiting a doctor and following his instructions is the main rule for those who want to give birth to a healthy baby.
List of questions for the doctor
Below we provide a useful and detailed list of questions that will help you choose the right doctor for EP:
- What to do if childbirth does not occur on the scheduled day? Until what period (41-42 weeks) is stimulation and assistance in this matter needed? And then what stimulation methods are used if the period is significantly exceeded, but there are no contractions? How safe are they?
- What to do and what to do if the water breaks before the contractions start? How long should I wait from now on? Is active or passive wait-and-see tactics needed here? Why her?
- At what stage of labor and birth should I come to the maternity ward?
- Can I wear my comfortable clothes during labor? Are procedures such as shaving and enemas obligatory for a woman?
- Are there any time limits for childbirth? And what should I do (is this normal) if my case differs from the classic one and exceeds/does not reach 1-1.5 centimeters of opening per hour and 2 hours for all attempts?
- Will an amniotomy be performed and how should I approach it? How safe is this procedure? Is it necessary at some stage? Why can a doctor do it? Is it possible to somehow do without it?
- How to treat pain relief during childbirth? Is there a threat to the child? Are there any natural ways to relieve pain?
- Is it possible to move, be on a fitball, in the bathroom or in the pool during contractions?
- How often do you plan to listen to your heartbeat?
- Is it possible to connect me to CHT and monitor the baby's heartbeat so that I can move freely?
- Is there an option to avoid an episiotomy (surgical cutting of the perineum) in order to better access the baby's head? Is it safe? What could be the consequences?
- How is it possible to behave freely during labor, including childbirth on a chair, in a bathtub or swimming pool, or in other comfortable positions?
- How long can I wait before cutting the umbilical cord? Will it be possible to wait until the pulsation ends and the placenta is born (do you practice lotus birth)?
- Will it be possible to place the baby on my stomach and attach it to my breast immediately after the birth?
- If there are no signs of bleeding, how long can you wait for the placenta to be delivered?
- Can a neonatologist examine the baby directly on the mother's stomach or an hour later if the doctor confirms that the newborn is doing well and there are no dangers?
- What is the initial treatment of a baby after birth? Is it necessary, what procedures are included there? Do they put drops in their eyes and wipe them off with vernix lubrication? Is it possible to refuse the procedure partially or completely?
- Will the baby be with the mother for the first couple of hours immediately after birth? And then, in the postpartum ward?
- If a caesarean section (CS) is necessary for medical reasons, can the baby's father be in the operating room?
- What options are there for a gentle caesarean section? Is it realistic to push through the incision, and after the operation immediately place the child on the chest in the operating room?
- If a caesarean section cannot be avoided, is it possible to ensure that the child is with the father, including tactile contact, in the first hours of the child’s life?
- If a CS was performed, can we expect that the baby will be regularly brought to the mother for feeding?
- How does the maternity hospital generally treat breastfeeding, what is the procedure in the department? Does the maternity hospital insist on supplementary feeding?
- How long can it take to be discharged from the maternity hospital if everything is fine with the baby and mother?
- How many women in your care give birth without pain relief? What are the general birth statistics?
