Prenatal tests

At your GP’s/midwife’s surgery:

• compulsory consultation with a specialist in obstetrics and gynaecology
• Ultrasound scan (to confirm the foetal heartbeat)
• gynaecological examination using a speculum and manual examination (the doctor uses their hand)
• breast examination
• provision of information on the option of undergoing tests for genetically determined defects – PAPPA test according to FMF
• Cytological test
• vaginal flora test – biocenosis
• pregnancy risk assessment

In the laboratory:

• complete blood count
• general urine analysis
• blood group and Rh factor determination
• fasting blood glucose level
• infectious disease tests – toxoplasmosis (anti-Toxoplasma gondii IgG, IgM antibodies), rubella, cytomegalovirus
• HBsAg, HBV, HCV and HIV, HCV antibodies
• syphilis screening test

If indicated – additionally:

• coagulation parameters (APTT, fibrinogen, INR)
• thyroid hormones (TSH, FSH, FT4, FT3, anti-TPO, anti-TPG)

Dentist:

• an examination to assess oral health, identify preventive and therapeutic needs, and, where necessary, draw up a treatment plan

At the GP’s/midwife’s surgery:

• gynaecological examination using a speculum and manual examination (the doctor uses their hand)
• prenatal blood test in accordance with FMF standards (PAPP-A and HCG proteins)*
• genetic ultrasound scan (initial assessment of the foetus’s structure and growth, estimation of the risk of birth defects (including Down’s syndrome), assessment of nuchal translucency)
• cervical smear test, if not previously performed
• pregnancy risk assessment
• assessment of the risk and severity of depressive symptoms

*If the results of the prenatal tests indicate a need, a genetic consultation is recommended.

Once 10 weeks of pregnancy have been completed, it is possible to undergo the NIFTIFY test. This is a non-invasive prenatal genetic test, which requires only a blood sample from the pregnant woman. The test analyses the baby’s DNA circulating in the mother’s blood. It enables the detection not only of the most common genetic abnormalities (e.g. Down’s syndrome), but also of all numerical abnormalities across all 23 pairs of chromosomes, including the sex chromosomes.

At the laboratory:

• peripheral blood count
• general urine analysis

Dentist:

• oral health check-up

At the GP’s/midwife’s surgery:

• gynaecological examination using a speculum and manual examination (the doctor uses their hands)
• vaginal swab test – vaginal flora
• cytology test, if not previously carried out
• pregnancy risk assessment

At the laboratory:

• complete blood count
• general urine analysis

At the GP’s/midwife’s surgery:

• gynaecological examination using a speculum and manual examination (the doctor uses their hand)
• prenatal ultrasound scan (assessment of the foetus’s structure and growth, estimation of the risk of birth defects (including Down’s syndrome), assessment of blood flow in the placenta)
• assessment of foetal heart function (and, if indicated, foetal echocardiography)
• cervical smear test, if not previously performed
• pregnancy risk assessment
• commencement of antenatal education – antenatal classes, selection of a primary care midwife

In the laboratory:

• general urine analysis
• blood glucose test following administration of 75g of glucose (24–28 weeks); three glucose readings: fasting, and 1 and 2 hours after glucose administration
• anti-RH antibodies in RH(-) women
• Test for toxoplasmosis – in women with a negative result in the first trimester, and for CMV (cytomegalovirus)

Dentist:

• check-up on oral health

At the GP’s/midwife’s surgery:

• gynaecological examination using a speculum and bimanual examination (the doctor uses their hands)
• ultrasound scan
• assessment of the foetal heart rate
• cervical smear test, if not previously carried out
• pregnancy risk assessment

In the laboratory:

• complete blood count
• general urine analysis
• immunological antibodies
• if indicated – administration of anti-D globulin (28–30 weeks)

At your GP’s/midwife’s surgery:

• compulsory consultation with a specialist in obstetrics and gynaecology
• antenatal examination
• gynaecological examination using a speculum and manual examination (the doctor uses their hand)
• assessment of pelvic dimensions
• vaginal swab test
• swab samples taken from the vaginal vestibule and perianal area (to test for B-haemolysing streptococci)
• Doppler ultrasound – assessment of blood flow in the uterus and placenta
• assessment of foetal heart function
• assessment of foetal activity
• examination of the mammary glands
• cytological test, if not previously performed
• assessment of pregnancy-related risks
• assessment of the risk and severity of depressive symptoms

In the laboratory:

• complete blood count
• general urine analysis
• HBs antigen
• HIV test
• where indicated: VDRL, HCV

Dentist:

• oral health check-up

At your GP’s/midwife’s surgery:

• antenatal examination
• gynaecological examination using a speculum and bimanual examination (the doctor uses their hands)
• assessment of the foetal heart rate
• assessment of foetal movements
• ultrasound scan (one-off)
• CTG scan – once a week, provided the ultrasound is normal and the patient can feel the foetus moving
• pregnancy risk assessment