Preconception check generally includes which tests

Patient's question:

I would like to ask which tests are included in pre-pregnancy check-ups.

Doctor's answer:

Hello: The items for pre-pregnancy health checks are similar to our general health checks, and the number of items can vary.
Below is an explanation of a few important items:
Complete Blood Count (CBC)
This test can determine the level of hemoglobin and identify anemia, allowing for early treatment. It also provides the platelet count.
Platelets are related to blood clotting, and childbirth involves some bleeding. Therefore, individuals with platelet issues should be treated before becoming pregnant.
This test can also measure the size of red blood cells (MCV). The Han Chinese population has a high prevalence of thalassemia carriers. Thalassemia carriers have smaller red blood cells, with an MCV below 80. This condition is an inherited genetic disease, and only children whose parents are both carriers will be affected.
Therefore, if the expectant mother has an MCV below 80, the expectant father must also have a blood test. If both have an MCV below 80, further tests such as blood electrophoresis and DNA analysis may be required. If only one has an MCV below 80, there is no need for concern.
This is a genetic disease that can be diagnosed prenatally, so the number of newborns with thalassemia has significantly decreased in recent years. Thus, the Complete Blood Count (CBC) can be considered a cost-effective test with very important results.

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