Frequently Asked Questions

What are Pregnancy Problems Caused by the Baby?

Twin or multiple pregnancies

Growth retardation in the fetus

Blood type incompatibility in the baby

More or less water than normal

Malposition in the uterus

Diseases detected in the baby

What is Detailed Ultrasound?

It is very important to have information about every moment, developmental stages and general health status of the baby during pregnancy. For this reason, the development of the expectant mother and the baby is followed in detail during pregnancy. Here, ultrasonography can be shown as one of the miraculous inventions that gives information to the doctor and the expectant mother about every issue about pregnancy from the beginning to the end of pregnancy.

Detailed ultrasound (Level II ultrasound, colored ultrasound) is an examination performed usually between 20th-23rd weeks.

All organs are evaluated in detail and 80-90% of the diseases that can be seen in newborn babies can be diagnosed.

This examination can also be considered as the baby’s check-up in the mother’s womb. The examination takes an average of half an hour. It may take shorter or longer according to the position and mobility of the baby and the mother’s subcutaneous fat tissue.

What Are the Risks Related to Delivery?

Multiple pregnancy situations

Abnormal attachment of the baby’s placenta to the uterus wall

Baby’s placenta coming prior to baby

Risk of excessive bleeding

Risk of removing uterus

What is the Quadruple Screening Test?

The Quadruple Screening Test is one of the tests that baby is screened for Down Syndrome during pregnancy. The success of the quadruple test in detecting Down Syndrome is approximately 75%.

The quadruple test is named like this because it gives results by using four parameters taken from the blood of the pregnant woman.

These are; Alpha-fetoprotein (AFP), Human Chorionic Gonadotropin (HCG), Inhibin A and Estriol!. The quadruple screening test should be performed between the 16th and 20th weeks of pregnancy. Ideally, it is also applied between the 16th or 18th weeks.

Thanks to AFP, the test also measures whether there are any disorders or problems in the brain, spinal cord and other nervous tissues in the central nervous system (nerve pathway) of the fetus or not.

Quadruple Screening Test is applied with the blood sample taken from the mother after ultrasonography. The blood sample is sent to a lab for examination. It may take a few days to get results.

How Should Nutrition and Weight Gain Be During Pregnancy?

For pregnant women, the ideal daily calorie intake is between 2,500-2,700. Eaten foods should contain vitamins, minerals and nutrients.

In addition, protein and calcium intake is also very important. Meat, milk, cereals, fruits and vegetables, which are four basic food groups, should be consumed regularly every day. It is very important to consume chicken, meat and legumes, which are protein sources, during pregnancy.

Foods should certainly be washed thoroughly before consumption. In addition, onu should pay attention not to consume off-season fruits. Another important factor in pregnancy is fluid consumption. Completing the daily amount of fluid in the body is very beneficial for both the baby and the mother. This liquid can be obtained from water, buttermilk, fresh fruit juices and milk.

The initial period of pregnancy, ie the first 3 months, is the period in which pregnant women gain weight the least. The ideal weight to be gained in this process is between 1 and 2.5 kilos. In the continuation of the 3-month period, it is necessary to gain half a kilo every month. However, it should certainly be stated to overweight mothers that she ought to take 250 gr per week.

If you exceed the weight gain recommended by your doctor; the probability of a cesarean delivery can increase between 20% and 30%.

In addition, problems such as complaints of waist and hip pain and increased blood pressure can also occur. All these complaints are the source of a difficult birth. Less weight gain than necessary during pregnancy is an indicator of nutritional deficiency. This situation may cause growth retardation in the baby.

What Are the Current Risks of the Prospective Mother at the Beginning of Pregnancy?

The expectant mother’s;

Being under 18 and over 40

Having a history of recurrent miscarriage

Being underweight or overweight

Having a kinship relationship with his husband

Smoking or alcohol consumption above normal

Having one or more of the diseases related to blood pressure, goiter, heart, diabetes, liver, vascular, epilepsy and thyroid

Having important previous surgeries,

Use of drugs for any reason

are among the existing risks.

What Is Gestational Diabetes? How Is It Treated?

Diabetes occurs in people with a predisposition due to changes in hormones during pregnancy. Diabetes is seen in 6-7% of all pregnancies according to the characteristics of the society. 90% of these are gestational diabetes, which occurs during pregnancy.

The incidence is higher in mothers over 35 years of age, obese, with a history of having large born baby before or diabetes during pregnancy, and those with a family history of diabetes.

Gestational diabetes is detected by glucose tolerance test performed between the 24th and 28th weeks of pregnancy. These tests are done in every pregnancy. Diagnostic test of gestational diabetes, whose scientific name is “Glucose Tolerance Test”, does not harm the mother or the fetus.

Oral glucose tolerance test is done in one stage or two stages. In the single-stage 75 gr. glucose loading test, after 8 hours of hunger, blood values are measured at the 1st and 2nd hour as of consuming sugar

The 50 g sugar test is the test performed without hunger, the blood glucose measurement at the 1st hour and, if it is high, the blood glucose values of 100 g at the 1st, 2nd and 3rd hours. Tests that only examine hunger and satiety sugars are not an alternative to these tests.

Treatment of patients with gestational diabetes is to keep blood sugar regulation at normal levels with diet and exercise. If it is not successful, insulin should be applied in the treatment. Self-monitoring of blood glucose level at home is taught and medical nutrition therapy is explained.

Purpose in medical nutrition therapy; is to regulate the carbohydrate, protein and fat balance in the diet of the pregnant woman. It is aimed to keep hunger blood glucose below 95 mg / dl and to keep the 1 hour satiety level below 145 and 2 hour satiety sugar below 125.

If the targeted blood glucose levels are not reached with medical nutrition therapy and exercise, insulin therapy is recommended for the pregnant woman. After starting insulin, the pregnant woman should continue to diet and measure blood glucose level by herself.

What is Oligohydramnios?

Conditions in which amniotic fluid is pathologically less is called “oligohydramnios”. It is the situation where amniotic fluid amount is less than 500 ml or amniotic fluid index measured on ultrasound is less than 5 cm.

Its Reasons:

Premature rupture of membranes, that is, opening of the amniotic fluid sac before birth (25%).

Congenital anomalies:(25-35%) It usually occurs in the second trimester (14-28 weeks). These are renal agenesis (absence of kidney), lower urinary tract obstructions and polycystic kidney disease.

Chronic placental insufficiency: This is the most common cause. It is usually accompanied by growth restriction.

What Are The Risks Stemming From Previous Pregnancy?

Miscarriage and recurrence of the miscarriage

Preterm birth

Birth of very weak or overweight baby

Intoxication during pregnancy

Excessive bleeding during delivery

Having myomectomy operation before

Uterine rupture

Ectopic pregnancy

What is Perinatology?

Perinatology is a branch of science that determines high-risk and problematic pregnancies and deals with the diagnosis and treatment of the diseases of the baby in the womb.

The purpose of perinatology, which diagnoses negative conditions during pregnancy and applies the necessary treatment, is to plan pregnancy follow-up and necessary treatment.

Perinatology works in the areas of;

Improving the health of expectant mothers and their babies,

Early diagnosis of fetal abnormalities,

Screening for chromosomal abnormalities,

Prevention of miscarriages and stillbirths,

Determination and prevention of preterm birth in advance,

Diagnosing problems that may occur in

multiple pregnancies

What are the Specialty Areas Included in Perinatology?

Detailed Fetal Ultrasonography

Fetal Anomalies

Fetal Echocardiography

Fetal Heart Anomalies

Prenatal Diagnosis

Prenatal Diagnostic Procedures

Pregnancy Complications

Four Dimensional Fetal Imaging

Prenatal Diagnosis of Genetic Diseases

Consultancy in Risky Pregnancies

Management Of Multiple Pregnancies

What is Polyhydroamnios?

The situation that the amniotic fluid is more than normal is called “polyhydramnios”. It is the situation where the amount of fluid is more than 2000 ml or the amniotic fluid index measured on ultrasound is over 24 cm. It is observed in 0.4%-3.3% of all pregnancies. It develops in 2.6% due to multiple pregnancies.

Its Reasons:

Diabetes in the mother

Congenital anomalies and genetic syndromes

Idiopathic:No reason can be found in 34% of polyhydramnios.

What Is Triple Screening Test?

The triple test is a screening performed between the 16th and 20th weeks of pregnancy for pregnant women.

Three different hormone measurements are made in the blood sample taken from the expectant mother. This hormone measurement is processed by entering into a special computer program together with variables such as age, weight of the expectant mother, whether she is smoking or not and the week of pregnancy.

It is the screening of anomalies called “neural tube defects” together with chromosomal abnormalities such as Trisomy 21 (Down syndrome) and Trisomy 18 (Edwards Syndrome), which may belong to the baby during pregnancy. Like the double test, the triple test is a screening test that scans the risky group. The success of the triple test in detecting Down syndrome is approximately 70%.

The only advantage of the triple test is that it is cautionary for neural tube defects (incomplete closing of the spine) when AFP is high. However, since neural tube defect is a pathology that can be detected by ultrasound and AFP measurement can be done alone, patients whose double test results are normal do not need a triple test.

What is Cervical Insufficiency?

Cervical insufficiency is the condition where the cervix is not sufficient to allow the continuation of pregnancy.

In such pregnancies, as the pregnancy progresses, the cervix becomes shorter and opens, resulting in premature birth. This situation sometimes results in the fall of a fetus that is too small to live for 16-20 weeks and sometimes a premature birth of a fetus that can survive in intensive care between 24-34 weeks.

In general, although its reason cause cannot be determined, it may stem from the reasons such as cervical insufficiency conization, operations that cause tissue loss in the cervix, abortions usually between 14-16 weeks, congenital uterine abnormalities and normal birth trauma.

If such a pregnancy loss has occurred once, the length of the cervix should be monitored in subsequent pregnancies, and the patient should be evaluated in terms of the necessity of cervical cerclage (narrowing of the cervix by suturing).

In cases where there is opening in the cervix, this procedure can be performed under emergency conditions. However, after the procedure, there is a possibility of premature birth, uterine infection and opening of the amniotic sac (water breaking). Especially the procedures done urgently or procedures performed after the 20th gestational week are more risky.

What is the High-Risk Pregnancy?

Risky pregnancy covers a wide range of patients. Grouping people who are likely to have a risky pregnancy;

Current risks of expectant mothers

Risks from the previous pregnancy period

Risks belonging to fetus and birth