Patient's question:
What do each of the prenatal examination items mean, and are they normal?Blood test: RT + coagulation phase. Among them, PT (DFbg) 5.05 is high. Reference value: 2-4 g/L.
Urine test: RT.
Urine analysis report
Glucose --- Bilirubin ---- Ketones --- Specific gravity >= 1.030
Occult blood ---- pH 6.5 Protein --- Urobilinogen +-- 3.3 umol/L Nitrite --- Leukocytes 3+ 500 cells/μL
Doctor's answer:
Pre-natal Examination Items and Instructions Dear Future Mothers:Congratulations on your upcoming motherhood! To ensure the best possible health and safety for you and your baby, we will selectively arrange relevant examinations at different stages of your pregnancy based on your results. Subsequently, we will determine the necessary examinations for your husband and your follow-up tests. Below are the purposes and prices of various examinations for your reference.
Female Examination Items and Significance
| Item | Price (CNY) | Purpose and Significance | Selection |
|------|-------------|--------------------------|----------|
| Regular Check-up (per visit) | 16 | Assess the basic health status of the pregnant woman and preliminary fetal growth, including fetal heartbeat. | |
| BCA (Blood Cell Analysis) | 36 | Determine anemia through hemoglobin concentration, mean corpuscular volume, and hemoglobin content. Screen for hereditary Mediterranean anemia. White blood cell and platelet counts assess infection and coagulation function. | |
| STD+BV | 40 | Identify infections of various vaginal infections. Timely treatment can prevent miscarriage and premature birth. | |
| Iodine Urine Test | 50 | Assess iodine deficiency, which may hinder fetal intellectual development. | |
| Urinalysis | 34.5 | Preliminarily rule out nephritis and urinary tract infections through urine specific gravity, protein, occult blood, and white blood cells. Urine protein has a significant impact on the mother and fetus. | |
| Immune Routine | 161.5 | Assess for infections such as hepatitis B, C, syphilis, and HIV, which can be transmitted to the fetus and have severe effects on the mother and fetus. | |
| B19-IgM | 85 | Identify parvovirus B19 infection, which can cause miscarriage and fetal malformations. Suitable for early pregnancy testing. | |
| Fetal Teratogen Screening (6 tests) | 283.5 | Assess for toxoplasmosis, rubella, and cytomegalovirus infections, which can lead to miscarriage and fetal malformations. Suitable for early pregnancy testing. | |
| Blood Type | 79 | Determine blood type and analyze the risk of ABO incompatibility between mother and fetus to prevent early detection. | |
| Anti-A, Anti-B Antibodies | 80.5 | Assess antibody titers and predict severe neonatal hemolysis due to ABO incompatibility for early prevention. | |
| Radioimmunoassay (3 tests) | 100 | Also known as "Down Syndrome Screening," it predicts common chromosomal diseases (trisomy 21, trisomy 18) and neural tube defects through maternal blood. Suitable for 15-26 weeks of pregnancy. Pregnancy age, maternal age, and weight must be confirmed during the test. | |
| G-6-PD Determination | 50 | G-6-PD deficiency can cause neonatal hemolysis, guiding early prevention and avoiding certain medications. | |
| Liver and Kidney Biochemistry (including initial glucose screening) | 113 | Assess liver function, kidney function, initial glucose screening, lipid levels, and more. Suitable for 24-28 weeks of pregnancy. | |
| HSV II-DNA | 120 | Identify whether the reproductive tract is infected with HSV type 2, which can be transmitted to the fetus during vaginal delivery. Recommend testing in the late stages of pregnancy if necessary. | |
| Glucose Tolerance Test (OGTT) | 30.6 | If the initial glucose screening result is ≥7.8 mmol/L, this test is required to confirm gestational diabetes. Gestational diabetes can cause various maternal-fetal complications and requires monitoring throughout the pregnancy. (Fasting blood draw) | |
| Color Doppler Ultrasound (Regular Check-up) | 180 | Assess fetal morphology, development, amniotic fluid volume, placenta, umbilical cord condition, and umbilical blood flow ratio. Requires periodic follow-up. | |
| Mediterranean Anemia Gene Test | 430 | Determine the presence of hereditary Mediterranean anemia. Recommend testing if necessary. | |
| Amniocentesis | 516 | Assess fetal chromosomes, intrauterine infections, and fetal thalassemia genes. An invasive test; recommend testing if necessary. (Fee refers to the surgical procedure) | |
| Umbilical Cord Blood Puncture | 616 | NT (Ultrasound) | 180 | 11-13+6 weeks of pregnancy; ultrasound to measure the thickness of the fetal nuchal translucency as a screening for congenital chromosomal abnormalities. |
| Obstetric Ultrasound | 180 | Assess fetal morphology, growth, placenta, amniotic fluid, and umbilical cord conditions. | |
| Liver and Bile Biochemistry | 78 | Assess for cholestasis syndrome. (Fasting blood draw) | |
| 3D Ultrasound | 317.5 | Higher resolution than color Doppler ultrasound, providing a more detailed understanding of fetal morphology. Recommend testing if necessary. | |
| ECG | 34.5 | Assess the heart condition of the pregnant woman. | |
| HBV-DNA | 120 | Assess the replication status and transmissibility of the hepatitis B virus. Recommend testing if necessary. | |
| HBV Serology (5 tests) | 95 | Assess the replication status and transmissibility of the hepatitis B virus. Recommend testing if necessary. | |
| Electronic Fetal Heart Rate Monitoring (NST) | 58 | Monitor fetal distress in the late stages of pregnancy. |
Male Examination Items and Significance
| Item | Price (CNY) | Purpose and Significance | Selection |
|------|-------------|--------------------------|----------|
| BCA (Blood Cell Analysis) | 36 | If the pregnant woman is suspected of having Mediterranean anemia, the husband should be tested. | |
| Blood Type | 79 | If the pregnant woman is type O or Rh(-), the husband should be tested to rule out ABO incompatibility. | |
| G-6-PD Determination | 50 | Assess for G-6-PD deficiency, which can be inherited by the fetus. | |
| Mediterranean Anemia Gene Test | 430 | If both partners are suspected of having Mediterranean anemia, this test is required to confirm the diagnosis and provide genetic counseling on inheritance. | |
| HBsAg | 23 | If the pregnant woman is positive, recommend testing. | |
| Syphilis Serology | 23 | If the pregnant woman is positive, recommend testing. | |
| HIV Test | 120 | If the pregnant woman is positive, recommend testing. |