Fasting is not required for any ultrasound imaging in pregnancy. If you are going for a pelvic/obstetric ultrasound in pregnancy and confused about how to prepare yourself before pregnancy scan then do follow these simple steps:
Fasting is not required for any ultrasound imaging in pregnancy. If you are going for a pelvic/obstetric ultrasound in pregnancy and confused about how to prepare yourself before pregnancy scan then do follow these simple steps:
1) Take an appointment - Fix an appointment in a diagnostic center having the facility of Obstetric ultrasound scan.
2) Clothing - Dress yourself in loose and comfortable outfits so that your body parts which need to be scanned can be easily assessed.
3) Food and medications - You can take your usual food and supplements unless otherwise specified by your healthcare professional. Fasting is not required in obstetrics USG.
4) You need to drink plenty of water to make your bladder full just before the scan begins.
5) Smoking/Tobacco - Avoid smoking or tobacco chewing before the test as nicotine in these substances may case vasoconstriction which may alter the test results.
6) Reports- Carry your relevant medical and lab reports while going for USG scan. These may aid in better evaluation of your condition.
7) Hygiene - Maintain hygiene and do not apply oils or creams over the area which need to be evaluated.
8) Take a company- Get accompanied by a family member or a friend to have emotional and physical support.
How prenatal genetic testing is done?
Prenatal genetic testing is used for screening and diagnosis of various chromosomal abnormalities or genetic disorders in your unborn baby. These tests are not performed routinely in every pregnancy and are optional tests. Prenatal genetic testing is usually indicated in High-risk pregnancy cases.
Given below table summarizes the prenatal genetic testing.
|
Type of test |
Sample used |
Done in |
Purpose |
Risks associated |
|
* Screening test |
|
|
|
|
|
NIPT or NIPS or Cell-free Circulating DNA /cfDNA screening. |
Maternal Blood |
9-10 weeks |
1) Screening for genetically inherited conditions.
2) Screening for Chromosomal abnormality like Down syndrome. |
Usually, no risk |
|
* Diagnostic Test |
Sample used |
Done in |
Purpose |
Risks associated |
|
1) CVS (Chorionic villi sampling)
|
Cells from the Placenta |
10-14 weeks |
Prenatal genetic testing for chromosomal aneuploidies such as Down syndrome (trisomy21), Patau syndrome (trisomy13) or Edward syndrome (Trisomy18). |
*Infections *Miscarriage or pregnancy loss. *Rupture of membranes *Bleeding. |
|
2) Amniocentesis |
Amniotic fluid |
15-20 weeks |
Prenatal genetic testing. |
Same as Chorionic villi sampling (CVS). |
Prenatal genetic tests are costly tests as they require latest cutting-edge technologies and skilled professionals to perform these tests. Cost of prenatal tests generally vary with city and location. Various diagnostic and imaging centers in the same city charges differently according to the quality of machines they provide and the offers currently availing in them. charges also vary with the type of prenatal test.
Ganesh Diagnostic and Imaging center (GDIC) is now offering 50% discount on prenatal genetic screening and diagnostic tests including:
Chromosome Analysis, Chorionic Villus sampling (CVS)
Chromosome Analysis, Amniotic Fluid /Amniocentesis
NIPT: Maternal Blood for Fetal DNA (MBFD)
NIPT: Maternal Blood for Fetal DNA (MBFD) with Microdeletions
NIPT Advanced (4th Generation)
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What is high risk pregnancy?
High risk pregnancy includes the following cases:
1) Anaemia
2) Antepartum haemorrhage
3) Pre-eclampsia
4) Eclampsia
5) Twin pregnancy
6) Oligohydramnios
7) Polyhydramnios
8) Elderly primi >35 years
9) Elderly multiparas
10) Bad obstetric history such as:
* Previous history of (H/o) still birth
* H/o intrauterine death
* H/o multiple C-section
* H/o 3 or more spontaneous or consecutive abortions
* H/o recurrent preterm labour
* H/o massive post-partum haemorrhage
11) Short statured primi of 140 cm or less
12) Threatened abortions
13) H/o genetic or chromosomal abnormalities in previous child
14) Malpresentations such as Transverse lie, breech or face presentation
15) Treatment of infertility
16) ART (Assisted reproductive technology) associated pregnancy
17) Post-dated pregnancy
18) APLA (Anti phospholipid antibody syndrome)
19) Maternal illness such as:
* Cardiovascular disease
* Diabetes Mellitus
* Chronic kidney diseases
* Liver diseases
* Seizure disorder
* Tuberculosis
* HIV-AIDS
* Asthma
* STDs (sexually transmitted disorders)
* Reproductive tract infections
* Respiratory tract infections etc.
If you have been diagnosed as high-risk pregnancy then you have to take extra precaution and care during pregnancy for a successful delivery without complications. However, your obstetrician may order some additional tests for monitoring your pregnancy and to make proper management plan according to your condition.
Ganesh Diagnostic and Imaging center (GDIC) is now offering 50% discount on various screening and diagnostic tests in pregnancy including:
BOH (Bad Obstetric History) Advanced Panel
Anti-Phospholipid Syndrome Panel
Chlamydia Trachomatis and Neisseria
Chlamydia Trachomatis Neisseria Gonorrhoea PCR Panel Qualitative
HPV (Human Papilloma Virus) Detection and Genotyping Qualitative PCR
Rubella (German measles) Antibodies Panel IgG & IgM
Gram Stain for Bacterial Vaginosis Vaginal Swab
Toxoplasma Antibodies Panel IgG & IgM
Herpes Simplex Virus (HSV) 1 Antibodies Panel IgG & IgM, Serum
Herpes Simplex Virus (HSV) 2 Antibodies Panel IgG & IgM Serum
Torch IgG and IgM Evaluation Panel
Rapid Plasma Reagin (RPR) VDRL Titer
Phosphatidylserine Antibodies Panel, IgG, and IgM
Chromotouch Chromosome SNP Microarray Optima, Products of Conception
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Molar pregnancy ultrasound?
Molar pregnancy or hydatidiform mole is an abnormal condition of placenta that is characterized by abnormal trophoblastic proliferation, partial degenerative or proliferative changes in chorionic villi and stromal oedema.
Given below table summarizes molar pregnancy.
|
Characteristics |
Partial molar pregnancy |
Complete molar pregnancy |
|
Karyotype |
69 XXY or 69 XYY |
46 XX or 46 XY |
|
hCG levels |
Less than 1 lakh mIU/ml |
More than 1 lakh mIU/ml |
|
Fetal parts |
present |
absent |
|
Trophoblastic proliferation |
Localised, mild-moderate |
Usually marked |
|
Chorionic villous oedema |
Focal |
Generalised |
|
Risk of subsequent Gestational trophoblastic neoplasia (GTN) |
Less usually 1-5% |
High usually 15-20% |
|
Size of uterus |
Small for date |
Large for date |
|
P57KIP2 immunostaining |
positive |
negative |
|
Chromosome derived from |
Both maternal and paternal |
Paternal origin only |
|
Pathogenesis |
Single ovum fertilized by two sperms |
Empty ovum fertilised by one or two sperms |
|
Theca lutein cysts in ovary |
Rare |
Found in 25-30% cases |
|
Risk factors |
1) Previous h/o molar pregnancy
2) Blood group- AB
3) Maternal age- <18 years or >35 years
4)Vitamin A deficiency. |
same |
|
Symptoms/signs |
1) Severe nausea and vomiting. 2) Lower abdominal pain. 3) Bleeding from vagina. 4) Discharge of grape like clusters from vagina. 5) Features of hyperthyroidism etc. |
Same |
|
Diagnosis |
a) Serum beta hCG test. b) Ultrasound- demonstrates snowstorm appearance.
c) Histopathological examination of conception product.
|
Same. |
Early diagnosis of molar pregnancy or hydatidiform mole is essential for early intervention and management.
Ganesh Diagnostic and Imaging center is now considered one of the most popular and affordable Diagnostic centers in Delhi. We provide high standard quality services to our patients. Genuine reporting and Patient satisfaction are our top priority. We offer seamless integration between diagnosis and treatment planning.
Ganesh Diagnostic and Imaging center (GDIC) is now offering 50% discount on various tests used for the diagnosis of Molar pregnancy.
Charges of various types of tests used for the diagnosis and management of Molar pregnancy or hydatidiform mole in Ganesh Diagnostic and Imaging center (GDIC) Delhi are as following:
HCG Beta Total Quantitative Maternal
Beta - Human Chorionic Gonadotropin (HCG) Fluid
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