Have you taken a pregnancy test and is it positive? Here's what you need to know and do, according to the gynecologist.
Pregnancy, for some of us, is the planned desire for a lifetime. For others, the arrival of pregnancy is unexpected, unexpected, not being part of their life plans at all. In any case, since the pregnancy test reveals our new status, everything changes and life turns us around like a sock. In the wonder of a birth, as in the bags under the eyes!
We do not reveal an arcane if we say that the Italian situation, in terms of pregnancies and births, is not very happy. According to Istat, in 2019, there were almost 20,000 fewer births than the previous year, the average number of children per woman continues to drop (we are at 1.27) and the average age reaches about 32 years. . In the Center-North, where more births are registered, both due to the greater presence of foreigners and the more prosperous economic situation, one in four women born in 1978 is childless.
The age of women (and men) who want to become parents is very affected by the economic situation, not to mention the working age of the woman who, having become a mother, finds herself living in a tangle between activities at home (recently, a research was made on the hours that men and women spend with housework), maternal and professional ones. The world of work, already not very generous with women, even more with mothers, becomes a chimera or a place to escape from, due to frequent mobbing.
All this to say that it can happen to have our pregnancy test in your hands not exactly at an early age and this can be scary, missing that pinch of lightness and unscrupulousness typical of youth.
- What to do when we are looking for a pregnancy
- When to take a pregnancy test
- When to book your first gynecological visit
- How many and which visits to do, during the nine months of gestation
- Prenatal Diagnosis: which one to choose
What to do when we are looking for a pregnancy
When we are looking for a pregnancy, when it is a program in our life, "It would be advisable to make a gynecological examination, where it will be evaluated if there are possible health problems in women, which could interfere with pregnancy (cysts, fibroids, diabetes, hypertension or other). There, pre-conceptual blood tests will be prescribed to evaluate the state of health, and to understand which infectious diseases have already been done.
In addition, it will be recommended to introduce folic acid, the intake of which will be continued even during pregnancy. Finally, the importance of leading a healthy lifestyle will be explained to women: not smoking, being of normal weight and exercising ". Speaking is Dr. Raffaella Daguati, a specialist in gynecology and obstetrics.
When to take a pregnancy test
Any listening mom could testify to how memorable those minutes of waiting are, before the test gives us feedback. We mothers, despite the perfect diopters, at the time of the test, we checked and double-checked it, until its natural expiration. Too important is the answer that that little tool is able to offer us, and you are never sufficiently sure that you have seen well. It's not true?
"The pregnancy tests sold in pharmacies today are very sensitive, and many are able to report pregnancy even a few days before the expected menstrual cycle. That said, I recommend waiting two to three days late before taking the test to avoid false negatives. If the test is negative, but the cycle does not arrive, it is good to repeat it after 7 days ".
When to book your first gynecological visit
Whether you have already taken the test or have a menstrual delay, it is important for us women to have a discussion with a professional. A gynecologist or gynecologist to visit us and possibly explain what to expect. Who is already a mother knows, the professional on duty, who is in front of a future mother will be bombarded with questions, from the most legitimate to the most naive ones, because, when we get to him, it is the moment in which the first anxieties. Nothing compared to what we will have as mothers, but enough to make any gynecologist escape!
Doctor Daguati reminds us that “a first gynecological visit can also be booked immediately after knowing that you are pregnant. But, to see the embryo on ultrasound, you have to wait for the sixth week of pregnancy, then two weeks after the positive test.
The visit made before the sixth week will therefore serve to prescribe the first tests and folic acid (if not yet started) and to explain the path to the patient, to answer the doubts and questions that women have at the beginning of pregnancy ".
How many and which visits to do, during the nine months of gestation
Among the first questions that mothers ask, to their gynecologist or their gynecologist, there are precisely those concerning the path to follow from there on. The exams to do, the necessary ultrasound scans, the eating style to keep. Obviously, more or less the same rules apply to all, net of specificities linked to particularly delicate pregnancies or mother's health problems. Finally, even the age of the same may require, for some professionals, more attention, through more frequent monitoring of pregnancy.
According to Dr. Daguati, “in a physiological pregnancy, visits are monthly as well as blood tests. In addition to the monthly visits and examinations, the following ultrasound scans are provided: first trimester ultrasound, which is used to date the pregnancy and to understand if the pregnancy is single or twin; morphological ultrasound, is done between the 19th and 21st week, and is used to evaluate both the growth of the embryo and to exclude ultrasound visible malformations; ultrasound of the third trimester, done at about 30 weeks, and serves to confirm that the growth of the embryo is proceeding according to expectations ".
And what about the lifestyle and food to be kept during the nine months of gestation?
"If the test is positive, women should obviously stop smoking and, usually, this is better done even earlier, as the use of alcohol should be eliminated. If pregnant women do not have antibodies to toxoplasmosis, they should also not eat raw or undercooked meat, and it will be necessary to wash raw fruits and vegetables well with amuchin or baking soda. Finally, if you have cats at home, you should not personally take care of cleaning the litter box and, in case of gardening, always use gloves.
Prenatal Diagnosis: which one to choose
To exclude any chromosomal anomalies, today, several tools are available. In some cases free, in others even very expensive. It is not necessary to do them, in some cases, of course, they may be highly recommended. They are instrumental in anticipating sensitive information, with varying degrees of certainty depending on the exam chosen, on the state of the future child. The tools are there, but you don't have to use them. The choice is up to the couple who will take it in their privacy.
Daguati confirms this, “during the first visits to patients, counseling on prenatal diagnosis is done. There are tests that women can choose whether to do or not, and which provide information on the risk of possible chromosomal abnormalities of the embryo. These tests can be invasive (amniocentesis or CVS) or non-invasive (bi test and fetal DNA).
Every pregnancy has a risk of possible chromosomal abnormalities and the more the years pass for women, the more the risk increases. Once informed, the women will decide whether to take these tests and which ones to do. The NHS grants amniocentesis or CVS after the age of 35, but this does not mean that it must be done after the age of 35 and it must not be done before, it is a personal choice. The important thing is to be informed correctly ".