Professional Documents
Culture Documents
Dr Ilinca Gussi
How does a pregnancy occur?
CLINICA: APLICATIONS :
- contraception
- assisted reproductions
- diagnosis tests
How to diagnose a pregnancy
CLINICAL APLICATION :
- contraception
Pregnancy tests- hormone assay:
- Assisted reproduction
- betaHCG urinary
- betaHCG serum (in IU) - Diagnostic test
Early pregnancy dgn
Early ultrasound (trans-vaginal):
Trim I- up to 14 SA
Term from 37 + 0 up to 42 + 0
Antenatal Care
Spitalul Clinic Dr I Cantacuzino- 2018
Dr Ilinca Gussi
What is to be done?
FOLLOW UP
Dr Ilinca Gussi
What to LOOK FOR ?
FOLLOW UP
Dr Ilinca Gussi
Follow up for RISKS
Dr Ilinca Gussi
Pyramid of care
Turning the pyramid of care (K. Nicolaides, FMF)
Current progress
First prenatal visit
Look for How to look for PLAN/ advice
Pregnancy confirmation betaHCG + eco - plan visits
- mandatory: 10, 12, 22,
32, early term, 40/41
Is it an ectopic? Eco or - instruct on alarming
repeated betaHCG symptoms
Dr Ilinca Gussi
What are we looking for?
Dr Ilinca Gussi
What are we looking for?
Dr Ilinca Gussi
Genetic testing- possibilities
CVS- chorionic villus sampling at 11-14 wks
Dr Ilinca Gussi
Follow up- what next ?
Be systematic ! Check-list manifesto
Dr Ilinca Gussi
Follow up- to delivery
Be systematic ! Check-list manifesto
Dr Ilinca Gussi
Fetal medicine
- how the fetus became a patient-
Maternitatea Cantacuzino- 2018
Dr Ilinca Gussi
Diagnosing the fetus
Genetic conditions
Dr Ilinca Gussi
Treating the fetus