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Antenatal checks and tests

All pregnant women are entitled to antenatal care. The service is costless and intended to ensure that you lot receive the best possible intendance and guidance during and after your pregnancy.

You should arrange your first antenatal consultation as before long as possible.

You do not need to see a doctor or midwife to accept your pregnancy confirmed. A habitation examination is every bit reliable equally any test that a md can offer.

Call your doctor'south surgery or midwife to adjust your kickoff pregnancy consultation as soon as possible. You lot should be given an appointment within a week. You can decide whether you wish to accept your checkups and tests performed by a doctor or midwife. Contact your municipal health service for an overview of midwives in your municipality.

Checkup 1: weeks 6-12

Your starting time appointment will cover lifestyle, preparing for pregnancy, labour and birth, breastfeeding and life every bit a parent. The aim of this appointment is to identify your needs and determine what is important to yous.

During your beginning consultation, you volition undergo some routine tests and take some samples taken:

• weight, meridian and torso mass index
• blood pressure level
• haemoglobin percentage
• urine samples

These checks will be performed during each checkup. You will be given a wellness card on which all your results will be recorded. You must have this card with you lot to all your checkups and to the maternity ward.

During your showtime checkup, you will be referred for an ultrasound examination.

All meaning women will also be offered tests for hepatitis B, HIV and syphilis. If you are considered to be at hazard of hepatitis B infection during your pregnancy (e.yard. equally a result of taking drugs using a syringe and needles), it is recommended that you have a number of tests (helsedir.no) (in Norwegain). If the result of whatsoever examination is positive, you will be referred to a specialist for further handling.

In add-on to the routine tests, your dr. or midwife volition talk to y'all near:

• diet, practice, smoking and booze
• Apply of medications
• your state of health and any chronic diseases
• previous pregnancies, births and whatsoever abortions
• common ailments and changes during pregnancy
• antenatal care and motherhood services where yous live
• declaration of paternity if you and the male parent of your child are not married
• mental health
• any violence and corruption

First-time mothers over 25 years of age and women at gamble of developing gestational diabetes will be offered an oral glucose tolerance examination (OGTT) at week 24.

If you are over 38 years of age or your 38th birthday falls before your due date, you will be entitled to extended prenatal diagnostics. Your midwife or GP will explain this to you and refer you for farther assessment if you so wish.

If you have silicone breast implants or have undergone breast reduction, you may also need more support regarding breastfeeding.

Checkup 2: weeks eighteen

During your second consultation, an ultrasound examination will be performed to make up one's mind your due date as accurately as possible. In addition,

• the number of babies will also be adamant
• the location of the placenta in the uterus volition also be determined
• the diameter of your baby's stomach and head will be measured
• y'all can find out the sexual activity of your baby

This examination will normally be carried out at the outpatient clinic where you are due to have your baby. You will therefore be given an date by the clinic.

It is important to be aware that the examination may reveal developmental abnormalities in your baby, although the risk of this is very small. Some abnormalities are tiny and insignificant, while others can be serious. This may nowadays you with some hard choices.

At the aforementioned time, it can be an advantage to exist prepared if your baby volition need handling once information technology has been built-in. Before you lot consent to the examination, information technology can be a skillful idea to consider whether you wish to be told about any developmental abnormalities in your babe.

Routine ultrasound exam of meaning women

All pregnant women in Norway are offered an ultrasound exam around week 18 of their pregnancy.

Analogy: Doug Olson / Mostphotos

Checkup iii: week 24

During your third consultation, the growth of your baby and womb (uterus) will be assessed. This test will exist performed during each consultation from week 24 onwards.

Your baby's heartbeat will also be monitored, and a annotation will exist added to your health card if you lot are able to detect signs of life. You volition also exist told what to look out for and what you should exercise if your infant is not as agile equally it should exist.

• Get help to monitor your baby's movements at kjennliv.no(in Norwegain)

If you lot have a Rhesus negative blood type, you lot will exist offered a blood test to determine your baby's Rhesus blazon. This is done to preclude your baby from developing complications at a later stage.

If a exam shows that the baby of an RhD negative mother is RhD positive, the female parent volition exist offered preventive handling both during her pregnancy and after the nascence. Treatment is administered via a syringe containing specific immunoglobulin against RhD, and is normally given at the hospital at which y'all are due to give birth.

Written consent

You must give your written consent earlier being tested for RhD-typing of your baby because the new method that is used is considered to constitute prenatal diagnostics under the provisions of the Biotechnology Deed (Department 4-3)(in Norwegian).

'Prenatal diagnostics' means the examination of foetal cells, a foetus or a meaning woman with the aim of obtaining information about the genetic characteristics of the foetus or detecting or excluding diseases or developmental abnormalities in the foetus.

Checkups iv and five: weeks 28 and 32

During your quaternary consultation, your haemoglobin percentage will be adamant again.

During this consultation, yous will too be given the chance to arrange a discussion to assist you prepare for the nascence. You will besides be told who to contact in club to sign upwardly for an antenatal course.

You will also be given the opportunity to hash out breastfeeding with a midwife or doctor.

Checkup 6: calendar week 36

Your sixth consultation will be very similar to your previous two consultations, except that the orientation of the babe in your womb will besides be checked. If there is whatever suspicion that the infant may be in the breech position, you will be referred for an ultrasound examination. This volition make up one's mind whether whatsoever farther follow-upwardly is necessary.

Fourth dimension should likewise be set bated to talk about:

• nascency
• maternity leave
• the outset few days and weeks afterwards the birth
• habitation visits by a midwife and public wellness nurse
• follow-up of your baby by the health clinic
• possibility of contraception after childbirth

Checkups 7, 8 and 9: weeks 38, twoscore and 41

The final consultations are very like to the previous ones. Your blood pressure level will exist checked, your weight recorded, a urine sample will exist taken and the heartbeat of your baby will be monitored.

The orientation of the baby in your womb will also be checked.

This is a practiced opportunity to bring up whatsoever issues y'all would like to discuss or notice out more than about. The aim is to ensure that y'all and your partner feel as rubber and secure as possible during this phase.

Overdue checkup

If yous accept not had your baby past week 41, you will exist referred for an overdue checkup at the maternity ward. Responsibility for farther follow-upwards - possible induction of labour - will be transferred to the hospital.

Childbirth

Childbirth typically starts with contractions and consists of 3 stages of labour: the dilation stage, expulsion stage and placental stage. The time it takes to give birth varies from woman to woman.

Analogy: Doug Olson / Mostphotos

Når fostervatnet går

Mistenker du at fostervatnet har begynt å lekke, skal du alltid ta kontakt med fødeavdelinga der du skal føde

Illustration: iStockphoto

Newborn screening in Norway

Newborns are offered screening for 25 rare, congenital disorders for which early handling is vital.

Other samples and tests as necessary

Rubella

If you have not previously had ii doses of the rubella vaccine or take previously been shown to take antibodies, you lot will be offered a blood exam to determine whether you are still protected.

If you lot do not have antibodies in their blood, you lot will exist vaccinated subsequently you have had your baby. The vaccine can exist given at a health center or by a GP.

Hepatitis C

It is recommended that you undergo an test for hepatitis C if information technology is possible you take been exposed to infection.

Toxoplasmosis

Significant women tin can test themselves to run into whether they have antibodies in their claret. This is recommended if you have a cat or if you visited the Mediterranean region immediately before or during your pregnancy.

Chlamydia

Chlamydia is a sexually transmitted infection in the genital organs, which tin occur in the urethra, uterus and fallopian tubes. Chlamydia does not always give rise to symptoms and you should therefore be tested if you are under the age of 25 and/or have had multiple sexual partners.

Herpes

If you experience a canker outbreak around your genitals for the first time during your pregnancy, yous should discuss the matter with your GP or midwife. You will be referred to an obstetrician for farther follow-up.

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Source: https://www.helsenorge.no/en/pregnancy-and-maternity-care-in-norway/antenatal-checks-and-tests/

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