The obstetrician in pregnancy is one of the most fundamental parts for its correct follow-up. Classically it has been called obstetrician obstetrics and gynecology specialist and whose function has been attributed to the control of pregnancy. It monitors and treats health problems that may arise in both the mother and the child.
When a woman finds out that she is pregnant, her pregnancy must be monitored primarily, where the family doctor will be informed and where he will in turn refer The matron. In this way, all the tests and ultrasound will be formalized through the obstetrician.
Differences between an obstetrician and a midwife during pregnancy
The midwife and the obstetrician They are two professionals who govern a follow-up on the health of a pregnant woman. They have to work in a coordinated way to be able to achieve that the pregnancy is solved with total guarantee, identify if there is a risk pregnancy and carry out a small postpartum follow-up in all pregnancies.
The matron
The midwife monitors the pregnancy from the first day it is recorded. It will offer the best guidelines to replace a birth, how breastfeeding should be carried out and the care a newborn baby needs. During pregnancy, he will control the weight of the expectant mother, measure blood pressure and other variables. She will be in charge of request all analytical tests and routine ultrasounds, and if something is not correct, he will refer you to the obstetrician.
the obstetrician
The obstetrician performs the ultrasound controls that are necessary. It makes an assessment of how its evolution is governed and decides if more follow-up is necessary. During these ultrasounds, he will analyze if the baby is growing normally and if the mother does not make up for any setbacks, such as possible anemia or infection.
- Generally, pregnancies develop normally. The obstetrician is who makes that possible assessment of whether more control is needed or more monitoring, since unfortunately there are pregnancies with some type of risk.
- The first visit will be formalized around week 12, where this assessment is made with all its factors.
- The first ultrasound and subsequent ones will be performed, being first the transvaginal. A control is made of the numbers of previous pregnancies and when the date of the last rule is confirmed.
Clinical history and tests
The obstetrician will also create his own clinical history of the pregnant woman. You have to ask a series of questions that have to do with the woman's background. It is important to know if there have been previous abortions, if you have any surgical intervention, any disease, allergies or life habits that must be highlighted.
At each visit, a control of blood pressure, weight and all prenatal controls will be carried out:
- A blood test during the first trimester. The number of red blood cells, white blood cells and platelets will be analyzed. It is essential to know how the blood sugar is, if there is hepatitis B or C, the test for toxoplasmosis, rubella, HIV and the number of antibodies.
- Ultrasound of the first trimester. This ultrasound is done in the pregnancy week 12 and where a record of their measurements is made, to find out if it coincides with the calculations indicated by the time of pregnancy. It will also be observed if there is any type of anomaly and the nuchal fold.
- intravaginal ultrasound it is important to perform it in the first consultation, since it serves to verify that the pregnancy is being formalized within the uterine cavity. It is of vital importance to clarify that there is no ectopic pregnancy or an anembryonic pregnancy.
- The triple screening. In this assessment, a blood test will be done to compare the three substances produced by the placenta and the embryo: free estriol, chorionic gonadotropin and alpha-fetoprotein. This test will detect if there are possible chromosomal abnormalities.
Thanks to gynecologist or obstetrician can be tracked the evolution of the pregnancy. The midwife will also do her own follow-up where she will record all the consultations and tests through the Pregnancy Card. This booklet records practically the entire pregnancy, from the mother's weight to the ultrasound tests.