(playful instrumental music) gt;gt;Stella Dantas, MD OBGYN When you’re first pregnant, in the first trimester, we order a bunch of screening labs on every pregnant woman. We need to know what your blood type is, we need to see what your starting blood count is, we do a urinalysis to make sure you don’t have a infection.
In your urine that we don’t know about. We also do a whole bunch of testing on infectious diseases that can affect the pregnancy, so HIV test, a test for syphilis, a test for hepatitis, and we do a gonorrhea and chlamydia screen as well. We’ll also want to know what your blood type is. If you’re RH positive or negative.
gt;gt;Shauna Hicks, MD OBGYN Most women are RH positive, some women are RH negative. If you’re RH negative, it can pose problems for the next baby, if the baby that you’re carrying right now is RH positive. gt;gt;Stella Dantas, MD OBGYN We’ll need to give you an injection of something that will help prevent problems in future pregnancies. gt;gt;Shauna Hicks, MD OBGYN So if you’re RH negative,.
You get an injection around 28 to 30 weeks of pregnancy, and again after the baby’s born, if the baby does turn out to be RH positive, because we don’t really have a way to test the baby for RH factor when he or she is inside. And then we test your baby each pregnancy to see if you need it again after delivery.
gt;gt;Stella Dantas, MD OBGYN If you have other medical issues, there are sometimes additional tests that we will order. So you just need to talk to your provider to find out what tests are appropriate for you.
Second Trimester Blood Tests Kaiser Permanente
(bright music) (baby laughing) gt;gt;Rachel Walker, MD OBGYN: Genetic testing is offered to all pregnant women. The choice to get genetic testing is often a very personal choice. gt;gt;Fonda Mitchell, MD OBGYN: Not all genetic abnormalities are able to be detected but we’re able to detect the most common ones. gt;gt;Kathy Wood, MD OBGYN: There are some genetic illnesses that do run in.
Certain populations so speaking to your about your risk for genetic illnesses is a good idea. gt;gt;Fonda Mitchell, MD OBGYN: The reality is what would you do with the information that you obtained? gt;gt;Leslie, 30 Weeks Pregnant: We did do genetic testing just because of my age not that it would have changed the pregnancy for us but we wanted to be prepared. gt;gt;Fonda Mitchell, MD OBGYN: For a lot of women it’s about knowing.
If they would intervene in this pregnancy it’s key that we have this information as early as possible. This is information gathering so that you know how to best support a baby that may have special needs at the time of delivery, that’s important as well too. gt;gt;Shauna Hicks, MD OBGYN: You might decide that it would be helpful for you to join support groups or to do some more reading,.
And get prepared for any issues that you might have with a baby with a genetic defect. gt;gt;Fonda Mitchell, MD OBGYN: But if you would not intervene in this pregnancy any and all testing is optional. gt;gt;Angela Chiodo, CNM Certified NurseMidwife: If you’re interested in genetic screening, you should definitely talk to your practitioner and hear more about the details of those tests. (high pitched pulse).