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 ---
Ketone bodies ---
Specific gravity >= 1.030
Occult blood ---
pH 6.5
Protein ---
Urobilinogen + -- 3.3 umol/L
Nitrite ---
White blood cells 3+ 500 cells/μL
Doctor's answer:
Pre-natal Examination Item Description To all future mothers: Congratulations on your impending motherhood! To ensure the best possible health and safety for you and your baby, targeted examinations will be selected for you at different stages of pregnancy, and further tests for your husband and follow-up tests for you will be determined based on your examination results. Below is the purpose and price of various examinations for your reference.Examination Items and Significance for the Female Partner
| Item | Price (Yuan) | Purpose and Significance | Selection |
|------|--------------|--------------------------|-----------|
| Regular prenatal check-up (per visit) | 16 | To understand the basic health status of the pregnant woman and the growth of the fetus, and to conduct a preliminary assessment of the fetal heartbeat. |
| BCA (Blood Cell Analysis) | 36 | To determine if anemia exists by measuring hemoglobin concentration, mean corpuscular volume, and hemoglobin content. Screening for hereditary Mediterranean anemia. White blood cell and platelet count to assess infection and coagulation function. |
| STD+BV | 40 | To identify infections of various vaginal infections. Timely treatment can prevent miscarriage and premature birth. |
| Urine Iodine Test | 50 | To determine if there is iodine deficiency, as iodine deficiency may hinder fetal intellectual development. |
| Urinalysis | 34.5 | To preliminarily rule out nephritis and assess urinary tract infections through urine specific gravity, protein, occult blood, and white blood cells. Urine protein has a more severe impact on the mother and fetus. |
| Immunology Routine | 161.5 | To determine if infections such as hepatitis B, hepatitis C, syphilis, and HIV exist, as these can be transmitted to the fetus and have a serious impact on the mother and fetus. |
| B19-IgM | 85 | To identify parvovirus infection, which can lead to miscarriage and fetal malformations. Suitable for early pregnancy testing. |
| Fetal Teratogen Screening (6 tests) | 283.5 | To determine if infections with toxoplasmosis, rubella, or cytomegalovirus exist, which can cause miscarriage and fetal malformations. Suitable for early pregnancy testing. |
| Blood Type | 79 | To determine blood type and analyze the risk of incompatibility between maternal and fetal blood types to prevent it early. |
| Anti-A and Anti-B Antibodies | 80.5 | To understand antibody titers and predict severe neonatal hemolysis due to ABO blood type incompatibility, allowing for early prevention. |
| Radioimmunoassay (3 tests) | 100 | Also known as "Down Syndrome Screening," it predicts the risk of common chromosomal diseases in the fetus (trisomy 21, trisomy 18 syndrome) and neural tube defects through maternal blood. Suitable for testing between weeks 15-26 of pregnancy. The gestational age, maternal age, and weight should be determined during the test. |
| G-6-PD Test | 50 | G-6-PD deficiency can cause neonatal hemolysis, guiding early prevention and avoiding exposure to certain medications. |
| Liver and Kidney Biochemistry (including initial glucose screening) | 113 | To assess liver function, kidney function, initial glucose screening, lipid levels, and other tests. Suitable for testing between weeks 24-28 of pregnancy. |
| HSV II-DNA | 120 | To determine if the reproductive tract is infected with type II herpes virus, which can be transmitted to the fetus during vaginal delivery. Suggested for testing in the late stages of pregnancy if needed. |
| 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 lead to various maternal-fetal complications and requires monitoring throughout the pregnancy. (Blood draw required in a fasting state) |
| Color Doppler Ultrasound for Prenatal Check-up | 180 | To assess fetal morphology, development, amniotic fluid volume, placenta, umbilical cord condition, and umbilical blood flow ratio. Regular follow-up is required. |
| Mediterranean Anemia Gene Test | 430 | To determine if hereditary Mediterranean anemia exists. Additional testing is recommended if needed. |
| Amniocentesis | 516 | To assess fetal chromosomes, intrauterine infections, and fetal anemia genes. An invasive procedure, additional testing is recommended if needed. (Fee refers to surgical cost) |
| Umbilical Cord Blood Puncture | 616 | NT (Ultrasound) | 180 | To measure the thickness of the fetal nuchal translucency in the ultrasound at weeks 11-13+6, serving as a screening for congenital chromosomal abnormalities in the fetus. |
| Obstetric Ultrasound | 180 | To assess fetal morphology, growth and development, placenta, amniotic fluid, and umbilical cord conditions. |
| Liver and Bile Biochemistry | 78 | To determine if liver jaundice syndrome exists. (Blood draw required in a fasting state) |
| 3D Ultrasound | 317.5 | Higher resolution than color Doppler ultrasound, providing a more detailed understanding of fetal morphology. Additional testing is recommended if needed. |
| ECG | 34.5 | To assess the heart condition of the pregnant woman. |
| HBV-DNA | 120 | To determine the replication status of the hepatitis B virus in the body and its transmissibility. Additional testing is recommended if needed. |
| Hepatitis B Surface Antigen | 95 | To determine the replication status of the hepatitis B virus in the body and its transmissibility. Additional testing is recommended if needed. |
| Electronic Fetal Heart Rate Monitoring (NST) | 58 | To monitor fetal distress in the late stages of pregnancy.
Examination Items and Significance for the Male Partner
| Item | Price (Yuan) | Purpose and Significance | Selection |
|------|--------------|--------------------------|-----------|
| BCA (Blood Cell Analysis) | 36 | To be tested if the female partner is suspected of having Mediterranean anemia. |
| Blood Type | 79 | To be tested if the female partner has blood type O or RH(-) to rule out incompatibility between maternal and fetal blood types. |
| G-6-PD Test | 50 | To determine if G-6-PD deficiency exists, which can be inherited by the fetus. |
| Mediterranean Anemia Gene Test | 430 | To be tested if both partners are suspected of having Mediterranean anemia to confirm the condition and provide genetic counseling on inheritance. |
| Hepatitis B Surface Antigen | 23 | To be tested if the female partner is positive. |
| Syphilis Serology | 23 | To be tested if the female partner is positive. |
| HIV Test | 120 | To be tested if the female partner is positive. |