When safe to tell pregnant
When to tell people you are pregnant
When to tell people you are pregnant | Pregnancy Birth and Baby beginning of content5-minute read
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For many women, choosing the right time to tell family and friends that they are pregnant is hard. There is no right answer. But there are several things you may wish to think about when making this decision.
Ask yourself the questions below to help work out what’s right for you.
Who should I tell first?
If you have a partner, the decision about who to tell, as well as when and how, is best made with them.
In many ways, it may be harder to tell close family and friends that you are pregnant than people you do not know as well. So, it may be worth planning who you will tell first about your pregnancy and how you will do it.
You may decide you want to tell your family and close friends first. Then they will be available to provide support as early as possible.
How do I tell them?
Close friends and family may prefer to be told personally.
It’s worth remembering that if you announce your pregnancy on social media, you may have little control over who views your announcement and when. These public announcements may draw significant attention, personal stories, and advice, which may or may not be invited and/or wanted.
How do I tell someone who’s infertile or lost a baby?
When you tell people you are pregnant, your friends and family will almost certainly be very happy for you. But some people may not be able to show their happiness for you as enthusiastically as others. Those who have lost a baby, or are having trouble getting pregnant may find the news difficult.
It may help to tell these friends in private and before you tell others, letting them know you realise your news may not be easy for them.
What if I tell people I’m pregnant and then have a miscarriage?
Many women choose to delay announcing a pregnancy at least until the end of the first trimester (12 weeks into their pregnancy). This is usually because of concerns about the risk of miscarriage (pregnancy loss) during this time.
When deciding the right time to tell people you are pregnant, you might want to think about how you would handle a miscarriage were it to happen. Many people would consider a miscarriage so devastating that they would be too distressed to discuss it with others.
On the other hand, by telling people you are pregnant, support may be available in the event of a miscarriage.
When should I tell my employer that I’m pregnant?
Unless your doctor has told you it is unsafe, it is possible to work while you are pregnant.
There is no law saying you need to tell your employer at any specific time that you are pregnant. But both Australian law and your employment contract, agreement or award (if you have one) will include certain rights and responsibilities.
You need to give your employer at least 10 weeks notice if you are planning to take parental leave. You must give them written notice of your leave and return dates. These dates should be confirmed at least 4 weeks before your leave starts.
It’s a good idea to tell your employer you are pregnant before they hear it from somebody else. That’s because there may have to be some changes made to your working arrangements. For example, you may have to avoid certain tasks that are a health and safety risk, depending on what your work involves.
In Australia, you are protected by law against discrimination during pregnancy. That means you cannot be treated unfairly because you are pregnant. This means you can’t be sacked, given fewer hours, or overlooked for a promotion because you are pregnant.
When should I tell my colleagues?
Early in your pregnancy you may experience symptoms such as tiredness or morning sickness. You may also need to take time off for appointments.
This could affect both your personal and working relationships with your co-workers if they don’t know why it’s happening. It’s often a good idea to tell your co-workers you are pregnant once you have told your boss.
A workplace can offer significant personal support during pregnancy. It may be especially valuable should you experience pregnancy complications.
Speak to a maternal child health nurse
Call Pregnancy, Birth and Baby to speak to a maternal child health nurse on 1800 882 436 or video call. Available 7am to midnight (AET), 7 days a week.
Sources:
Raising Children (Pregnancy and work: women's rights and entitlements), Fair Work Ombudsman (Maternity and parental leave), The Royal Women's Hospital (Miscarriage)Learn more here about the development and quality assurance of healthdirect content.
Last reviewed: May 2022
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When Is the Best Time to Announce Pregnancy?
When Is the Best Time to Announce Pregnancy?Medically reviewed by Deborah Weatherspoon, Ph.D., MSN — By Ashley Marcin on December 6, 2018
Announcing your pregnancy
One of the most exciting times in your pregnancy is getting that first positive test. You probably want to tell the whole world you’re expecting. But when is the best time to announce your pregnancy?
Many parents-to-be wait until the end of the first trimester — around week 13 — to tell friends and family about their pregnancy. A number of factors influence why people wait until this time to share the news.
Still, the most important part of your decision should revolve around what makes you the most comfortable. Read on to find out more about what to consider before you decide to announce your pregnancy.
The risk of miscarriage
The first trimester is a tremendous time of development and change for you and your little one. With all that change comes some risk that the pregnancy might not carry to term.
Between 10 and 25 percent of known pregnancies end in miscarriage, and roughly 80 percent of these miscarriages occur in the first trimester.
Most miscarriages are caused by factors beyond a mother’s control. About half are caused by chromosomal abnormalities. This means that the baby doesn’t develop properly.
Other causes of first trimester miscarriage include:
- illness in mother
- luteal phase defect (problem with a woman’s monthly cycle)
- hormone imbalances
- adhesions (scar-like tissue) in uterus
Age is another factor that affects miscarriage. Here is the miscarriage risk by age:
- Women ages 35 and under: 15 percent
- Women ages 35 to 45: 20 to 35 percent
- Women ages 45 and older: 50 percent
If a developing baby lives to 7 weeks with a heartbeat, the risk of miscarriage drops to 10 percent. In those beginning weeks when the risk is highest, you may not even know you’re pregnant unless you’ve taken an early test. After week 12, the risk of miscarriage falls to 5 percent for the rest of the pregnancy.
Given these statistics, it’s understandable that many parents wait until the risk of miscarriage drops before they announce. Most women don’t want to have to tell people the sad news of a miscarriage shortly after announcing their pregnancy.
The first prenatal visit
Another reason couples wait until the end of the first trimester to share has to do with prenatal checkups. Your first appointment may be around week 8 of pregnancy, or even later.
During the first visit, your provider will run tests to confirm your pregnancy, estimate your due date, screen for infections, and determine the general health of you and your baby.
For some couples, hearing that heartbeat for the first time or having an ultrasound to date the pregnancy is reassuring before announcing it to everyone.
Recurrent pregnancy loss
If you’ve experienced a previous loss, your risk of having another miscarriage may be slightly higher, depending on your health history.
This news can be disheartening, especially in the case of recurrent pregnancy loss (RPL). Your doctor will likely examine you, order blood tests, and do some other testing to determine the cause of your losses.
The good news is that with the right treatment, your chances of carrying a baby to term may increase. But you might feel more comfortable waiting until after this treatment to announce your pregnancy to everyone.
The pros of waiting to announce your pregnancy
If you’ve had difficulty conceiving, had a previous pregnancy loss, or had a stillbirth, you may want to wait even longer than 12 weeks to share news of your pregnancy. It’s also fine to share later than the traditional first trimester cutoff. It’s entirely up to you and what you feel is best.
Though loss in the second and third trimesters is rare, couples may feel sensitive or worried that something will happen.
In these cases, you may choose to share news about the following instead:
- having an ultrasound that shows the baby is healthy
- finding out the sex of the baby
- reaching the halfway mark of pregnancy (week 20)
- reaching a personal milestone (e.g., when you start showing)
Sometimes letting a close friend or family member know can be helpful, especially if you’re feeling anxious.
If you’re still not comfortable sharing the news, your doctor may be able to refer you to a therapist or support group where you can express your feelings in a safe space.
Another option is to search online for forums with women who have gone through similar situations. Examples of online support groups include:
- Pregnancy After Loss Support
- Subsequent Pregnancy After Loss Support
Pros of Waiting
- The risk of miscarriage usually decreases after the first trimester.
- You might feel more comfortable after you’ve had an ultrasound, heard your baby’s heartbeat, or reached a pregnancy milestone.
- There’s anonymity for you and your partner.
The cons of waiting to share the news
If you’d rather have a support network in place regardless of your pregnancy outcome, feel free to share the news right away.
The first trimester may be tough for some women because of fatigue, nausea, vomiting, and other unpleasant symptoms. Letting a few key people know may help ease the burden. And if you do end up miscarrying, you might not want to have to go through it alone.
You may also want to tell your employer about your pregnancy right away if your job requires you to do physical labor that might be dangerous. These hazards might include:
- bending repeatedly at your waist (more than 20 times per day)
- standing for long periods of time
- lifting heavy things, like boxes, more than once every five minutes
- being exposed to chemicals
Your job may require these tasks. The data isn’t concrete on whether or not these activities directly lead to miscarriage, but it’s still worth considering in the overall picture. Speak with your doctor about the recommendations for lifting during pregnancy for more specifics.
Cons of Waiting
- The first trimester might be difficult without support.
- You might be exposed to workplace hazards if you don’t tell your employer.
- Friends and family might find out from other sources instead of you telling them directly.
Announcing to different groups
It might make sense to announce your pregnancy to different groups at different times. You may want to first tell a few close family members and then some friends before you announce it publicly on social media or tell your co-workers.
Family
Consider telling only your family to start. Your pregnancy will be major news for your parents, especially if this is their first grandchild. You might want to think of a creative way to tell your mother, father, and siblings so you can be there to witness their reaction firsthand.
If you choose to announce to just your family early on in your pregnancy, you’ll have plenty of people to celebrate with, but you won’t have to explain things over and over again if something does go wrong.
Friends
You’ll most likely want to tell your closest friends first. Then, whenever you feel more comfortable, you can broaden the group, or make an official announcement on social media. But be aware that the news might slip out of even the most well-meaning friend or relative.
Social networking is probably the easiest way to get the news out to friends and family who live far away. Posting a picture online of your ultrasound can get the news out in an instant.
Employer
You will have to tell your employer sooner or later, especially if you’re going to be taking parental leave or time off work. As mentioned above, it’s a good idea to tell your workplace right away if your job involves physical labor that might be dangerous.
Once your employer knows of your pregnancy, you’re protected against discrimination under the Pregnancy Discrimination Act of 1978. Your employer is required to provide you with reasonable accommodation if you’re unable to perform your work activities safely while pregnant.
If your job doesn’t involve physical labor, you can wait until you’re comfortable letting them know. Just make sure you give your employer a reasonable amount of time to prepare for your time away.
You will most likely want to tell your direct manager first so you two can plan together how to tell others you work with. It’s completely fine to ask your manager to keep this information confidential until you’re ready to tell others.
If you don’t want to inform your immediate superior right away, feel free to meet with your company’s human resources department to discuss your options. Be prepared to discuss their concerns about how your pregnancy will affect your job.
Being professional and prepared will help reassure your workplace of your commitment to making this a smooth transition.
What should you do?
In the end, the choice over when to share your pregnancy is entirely up to you. You can tell friends and family right away, or wait until you know more about the health of you and your baby.
To help make your decision, you may want to ask yourself these questions:
- Do I have a high-risk pregnancy or other factors that increase my miscarriage risk?
- Will telling everyone make me feel more comfortable, or less comfortable?
- Do I have certain work or lifestyle factors that make telling sooner important?
- Do I want a large network of support if something happens?
The takeaway
The beginning of pregnancy can be both exciting and frightening. Try to relax and enjoy the journey.
A lot of women choose to announce their pregnancy at the end of the first trimester because the risk of miscarriage is greatly reduced and their pregnancy “bump” may no longer be easy to hide. Of course, announcing at the 12-week mark isn’t required and the choice is entirely up to you.
Whether or not you tell the whole world right away, make sure to tell your doctor if you’re pregnant or trying to get pregnant. Schedule a prenatal appointment, take your vitamins, and keep up with good eating and exercise habits.
Try to take care of yourself and your baby-to-be. No matter when you share the news, it’ll surely be reason to celebrate.
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Last medically reviewed on December 6, 2018
- Parenthood
- Pregnancy
- 1st Trimester
How we reviewed this article:
Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.
- Mayo Clinic Staff. (2013). Miscarriage.
mayoclinic.org/diseases-conditions/pregnancy-loss-miscarriage/symptoms-causes/syc-20354298 - Miscarriage. (2015).
americanpregnancy.org/pregnancy-complications/miscarriage/ - Miscarriage. (2017).
marchofdimes.org/complications/miscarriage.aspx - Reproductive health and the workplace. (2015).
cdc.gov/niosh/topics/repro/physicaldemands.html - Second trimester pregnancy loss. (2007).
aafp.org/afp/2007/1101/p1341.html - Your first prenatal visit. (2015).
americanpregnancy.org/planning/first-prenatal-visit/
Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.
Current Version
Dec 6, 2018
Written By
Ashley Marcin
Edited By
Nizam Khan (TechSpace)
Medically Reviewed By
Deborah Weatherspoon, Ph. D., MSN
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Medically reviewed by Deborah Weatherspoon, Ph.D., MSN — By Ashley Marcin on December 6, 2018
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How to tell about your pregnancy at work
Elena Timofeeva
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When and how to tell an employee about pregnancy at work - in order to work safely before the decree and just as safely return after it.
Work, maternity leave, dismissal
What exactly is the problem?
Pregnancy is not a disease, and yet talking about it at work is far from a pleasant experience for many.
Why is that? Possible reasons:
- feeling of guilt - if the employee got a job relatively recently, and informally promised at the interview that she was not going to have children in the near future;
- hyper-responsibility to the manager and colleagues - if the employee successfully coped with a large amount of complex work and it will be objectively difficult to find a replacement;
- discrimination that women face even in international companies with a developed corporate culture - when you realize that after the announcement of pregnancy, you can no longer count on promotion, salary or participation in interesting, ambitious projects;
- problems with colleagues who (reasonably) think that an additional burden will fall on them - at least until the pregnant employee leaves on maternity leave, because there are visits to the antenatal clinic, tests and toxicosis ahead;
fear of dissatisfaction with the leader - if it is intolerable.
By law, a woman is not required to report her pregnancy: the Labor Code does not establish any terms or wording. But I still have to say - in order to complete the documents on time, maintain normal working relations with the manager, colleagues and subordinates.
Wait until the end of the first trimester
There is simply no perfect moment to report pregnancy at work. But it will be more convenient and reasonable to wait until 12 weeks of pregnancy are left behind, because:
- the risk of miscarriage is still high in the first trimester;
- your usual, unchanging professional behavior during this period will convince even doubting colleagues and managers that you do not need "special" treatment, are able to work effectively and can still be relied on.
In most cases, it is simply not necessary to report earlier than this deadline. In the next five or six months, the manager will have enough time to find a replacement.
But there are nuances.
- If you are worried about severe morning sickness, pregnancy is difficult and you need to see a doctor more often than usual, it is better to tell your manager about your situation early: this way you can agree on a more flexible schedule and other special conditions that pregnant employees are entitled to by law .
- If the job involves risks to the health of your baby or future baby (e.g., increased mental or physical stress, standing for a long time, exposure to harmful chemicals), inform your manager about the pregnancy earlier and immediately ask for a formal transfer to another work.
- If pregnancy becomes noticeable before 12 weeks, it is best to tell your manager the news yourself, rather than waiting for rumors to spread.
- If you are afraid that your message will affect the results of the upcoming assessment, salary increase or promotion, wait for the good news to be announced before talking about the pregnancy.
- If you are worried that someone at work will guess ahead of time, and this prevents you from sleeping normally and endangers the health of your child, do not postpone the conversation with your supervisor.
- If your company plans to lay off employees, be sure to inform your manager about your position so that you are not included in the lists (according to the law, a pregnant woman cannot be laid off - except in cases of liquidation of the organization, article 261 of the Labor Code of the Russian Federation).
- If you work in a children's or medical institution where vaccination is mandatory (pregnant women should not be vaccinated), inform the management about the pregnancy at least before the next vaccination.
- Sometimes it makes sense to first confirm your professionalism and dedication to the company - and only then report the pregnancy. For example, it's worth waiting for an important deal to close or a presentation at a shareholder meeting for which you have prepared a lot of great ideas.
- If you work remotely, you may not tell your manager about your situation for quite some time. But try to take into account his interests, because then you have to return to work. If you do not plan to return, the reputation of a responsible employee is also worth a lot.
How to get maternity leave if the company is liquidated?
Tell your supervisor
He has the right to be the first to know (at work)! It is he who will make your maternity leave comfortable, and your absence painless for the work process. If you first tell your colleagues and the boss finds out through third parties, then the situation will be awkward: he will have to ask the question himself.
How to report:
1. Arrange a one-on-one meeting, ask the leader for at least 15 minutes, preferably after lunch (most people are in a good mood at this time). If you work remotely, book a time for a video or audio call. If at work you communicate exclusively in chats, then it is permissible to write a personal message.
2. Say that you have great news and explain that you are expecting a baby. Immediately indicate the expected date of birth. And then give the leader the opportunity to be happy for you and congratulate you.
3. Specify when you are ready to share the news with colleagues, subordinates. If the manager does not mind, you can postpone the message to a convenient time for you.
4. Try to immediately let the manager know that you are constructive. Let us know how you feel and anything that will affect your work schedule. Share your plans for when you will approximately go on maternity leave and when you want to return from parental leave. Specify which projects you will have time to complete, which ones you will not. Express your willingness to help find a replacement for you.
If you are not ready to discuss the details of going on maternity leave, everything is in order. We can say that we have not thought about it yet. But name the date when you will tell the manager all the information he needs.
Sample text for pregnancy message :
“I am glad to inform you that I am pregnant. I found out about this recently and I want to share the news so that we have enough time to plan my maternity leave in x months. I know we have an *initiative/goal/project* on the horizon and will definitely keep working on it. In the near future I will begin to draw up regulations for the employee who will come to replace me. Naturally, I am ready to help him adapt and immerse himself in the tasks. I plan to return to work in *a period of time*.”
If a manager says something strange, thoughtless, tactless, just answer: “Well, this is really a big change, but I'm very glad!” This is a great and gentle way to push him to the idea that the appearance of a new life is good news. In addition, hearing such a response, the boss will remember the conventions and socially acceptable reaction to your news.
Share with colleagues
Of course, you don't need to organize a special meeting, but a weekly meeting in which your entire department participates is the right context for the announcement. Better if you do the talking, but make it clear that the leader is in the know.
Be brief: it is enough to state the fact, the expected date of birth of the child and the estimated date for the start of maternity leave. You can end with any appropriate joke - or just smile and say that you are ready to accept congratulations.
If there are no planning meetings in your company, be guided by accepted communication standards. You can announce by letter and put in a copy of the necessary employees. You can report in the general chat. You can tell each colleague personally - but try to do it within one day.
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Announce to subordinates
Again, don't gather people just to announce pregnancy. Briefly and to the point, announce the news at a general planning meeting. As for each specific subordinate, changes in his functions or duties, report individually.
Women leaders achieve high positions thanks to great diligence and passion for work. Try to prevent a situation in which you go to the hospital right from your desk, and your subordinates will be forced to redistribute tasks on the go, change the time of meetings and negotiations.
General rules
- Don't apologize! Present the news as positive, changes in life and career as joyful, and the whole situation as your personal choice that does not need explanations and justifications.
- Know your rights and don't give in if you are forced into voluntary care for any reason. The rights of pregnant women are regulated by the Labor Code: read in advance Chapter 41 “Peculiarities of regulating the labor of women, persons with family responsibilities”.
- Immediately and without embarrassment, ask for special working conditions if you need them for health reasons.
- You can't control the prejudices of others, so try not to waste your energy worrying about who will think what. But still...
- . ..be professional and don't share too much personal information about your pregnancy.
- If you suspect your manager is negative, first speak to an HR person and ask them to join the meeting when you break the news.
- If you don't plan to return to work after your maternity leave ends, act and act like you're definitely going back until you're 100% sure you're leaving for good.
Illustrator: Katerina Morozova
This is a wonderful time - pregnancy!
We asked Nina Alekseevna Abdullaeva, an obstetrician-gynecologist with vast experience, to tell us what is useful for each of us to know about the management of such important 9 months in a woman’s life. She has helped to bring the joy of motherhood closer to many of our patients and has an excellent command of the tactics of managing even the most difficult pregnancy.
Pregnancy planning
Let's talk about the most important step in the life of every person - planning a pregnancy.
For some, pregnancy turns out to be an unexpected joy, while someone goes to it a long and difficult path.
Today, most couples planning a pregnancy turn to doctors in advance for advice on how to avoid problems during pregnancy, how to create conditions for a healthy baby to be born.
Information about pre-pregnancy screening is now widely available and diverse. However, if you focus on everything that is advised on the Internet, then if you are carried away by examinations, you can only come to pregnancy at the age of 50. So, I think we need to put everything on the shelves.
What prevents pregnancy in the first place?
It's no secret that until a couple finds each other forever, people can have an intermediate relationship. Every relationship is an exchange of microflora inherent in each individual person. This flora is not always safe, and the body can cope with it.
This fact necessitates a preventive examination. To do this, women need to see an obstetrician-gynecologist, and men - to a urologist.
The simplest analysis is a smear on the flora, it shows the presence of inflammatory changes, additional flora, sexually transmitted infections are necessarily excluded: chlamydia, genital mycoplasmas, gonorrhea, trichomoniasis. To date, there is no consensus on the diagnosis and treatment of ureaplasma, therefore this analysis is carried out individually according to indications.
In addition, it is necessary to exclude cervical pathology in women with a smear for oncocytology, take a PCR DNA test for HPV (human papillomavirus), since changes in the cervix during pregnancy can actively progress and lead to very serious problems.
In men, the same pathogenic flora is excluded, but HPV in men is very difficult to determine, so this issue is decided by a urologist-andrologist. Conducting a spermogram will remove doubts about the possibility of an early pregnancy.
Both partners must donate blood for syphilis, hepatitis, HIV.
Women before a planned pregnancy should have a blood test for rubella antibodies (this viral infection is extremely dangerous for pregnant women and can lead to serious fetal malformations, and you can protect yourself from it by getting vaccinated). Most of us were vaccinated as children, but there are exceptions. If there are no antibodies in the analysis or they are very low, then you need to consult an infectious disease specialist and get vaccinated, and in a month you can think about planning a pregnancy.
The vaccine is relevant specifically for a woman, as she bears a child and can pass her antibodies to the unborn baby to protect her when he is born.
If you are a health-conscious person, you always have a chest x-ray (FLG) once a year to rule out lung problems, visit a dentist, and your teeth are healthy. If you have not done this before, then before pregnancy is the time to undergo these examinations.
Unfortunately, not all of us are healthy, we often know about it, and, of course, it is worth discussing with your doctor whether the existing problems on the part of the gastrointestinal tract, musculoskeletal system or other organs of your future pregnancy, and how often you will meet with your doctor about this during the most important nine months.
Of course, pregnancy is also planned by people who do not like to go to the doctor. This is a case when you should overcome your fears, unwillingness, laziness and be sure to visit a gynecologist.
In this case, the obstetrician-gynecologist will prescribe general clinical tests that characterize your health in general - a complete blood count, biochemical studies, blood glucose, thyroid hormones, prolactin.
During the examination, it is possible that conditions will be identified that require in-depth analysis and expansion of the range of studies.
It is obligatory to conduct an ultrasound of the pelvic organs, according to indications - ultrasound of the abdominal organs, mammary glands, thyroid gland, ultrasound of the veins of the lower extremities.
ECG and ultrasound of the heart possible if indicated.
You can confirm the onset of pregnancy with an appropriate test, but there is a more reliable way - a blood test for hCG. This indicator is evaluated in dynamics, with an interval of several days: in the presence of pregnancy, the value of the indicator increases. With the results of the analysis, it is necessary to contact an obstetrician-gynecologist, who will give a referral for an ultrasound scan.
Observation during pregnancy
Observation of pregnancy is the next important stage, it is especially exciting if this is the first time, when there is so much unclear and incomprehensible. At this moment, it is important to communicate with the doctor in confidence, his experience and an individual approach to you. The doctor will always listen and explain what scares, confuses, worries you. Your emotional state determines how your family's life will go during your pregnancy.
A very difficult group of obstetrician-gynecologist patients (and, unfortunately, it is quite large) are women with a sad experience during previous pregnancies. More often, these are non-developing or missed pregnancies, or complications during childbirth associated with bleeding, high blood pressure, fetal hypoxia.
All these cases must be reported to the obstetrician-gynecologist, since their analysis and finding out the cause of development will help to avoid a repetition of the situation.
Your doctor may recommend getting a genetics consultation, blood tests for hemostasis mutations, antiphospholipid syndrome, additional hormonal studies.
Very often the question arises about the blood type and Rh factor. This study is necessary during pregnancy, as the difference in Rh factor plays a huge role. If the expectant mother has a Rh-negative blood type, and the father of the unborn child is Rh-positive, then this does not prevent the onset of pregnancy. However, during pregnancy, it is necessary to check whether the mother has a reaction to the baby's blood cells.
Now there are studies on the mother's blood from 10 weeks of pregnancy, allowing you to clarify the Rh-belonging of the baby's blood, and this can be done at your request.
If antibodies to the Rh factor are not detected, then at 28-30 weeks and after childbirth, a prophylactic anti-Rhesus vaccine is administered. This method of prevention for several years has made it possible to nullify the problem of Rh-conflict in patients who used vaccination.
If the Rh factor of the child is not known, then according to the current standards, at least once a month, a mother’s blood is tested for the presence of antibodies to the Rh factor. If vaccination is carried out, these antibodies appear in the norm, which is confirmed by the analysis, repeated studies are not carried out. The standards for examination and management of pregnant women are regulated by the Ministry of Health and are the same for municipal medical institutions and for private clinics.
During pregnancy, the obstetrician-gynecologist monitors your condition, including laboratory parameters. At the appointment, the doctor always measures weight and blood pressure, evaluates the results of the tests. First of all, these are general clinical studies - a urine test is given before each visit to the doctor, a general blood test - at least 5 times during pregnancy (taking into account individual characteristics), blood tests for TORCH infections (herpes, rubella, cytomegalovirus, toxoplasmosis) in 12 and 30 weeks, blood tests for STIs three times - up to 12 weeks, at 30 weeks and 36-37 weeks.
Biochemical blood tests are given, on average, 2-3 times during pregnancy, a study of the blood coagulation system (hemostasis) is performed at least three times, and if indicated, control may be more frequent. Screening study for congenital pathology of the fetus, including ultrasound with measurements of the main anatomical parameters of the child in combination with biochemical screening (blood test for PAPP) is carried out for a period of 11 weeks 5 days to 13 weeks 4 days. In addition, if indicated, a blood test for alpha-fetoprotein (AFP) and ultrasound of the fetus can be performed at 16–17 weeks. The next obligatory ultrasound scans are performed at 18-20 weeks and at 32-33 weeks to assess the condition of the fetus, placenta, with the control of the cervix; Ultrasound of the fetal heart - according to indications - for a period of 22–26 weeks.
Cardiotocography (CTG) is carried out from 33–34 weeks, monitoring of the fetal heartbeat, dopplerometry - from 22 weeks before delivery according to indications, mandatory at 26–28 weeks and after 32 weeks.
In the first trimester, an examination by specialists is mandatory: an ophthalmologist, an otorhinolaryngologist, a therapist, a dentist, an ECG, an ultrasound of the heart of a pregnant woman according to indications.
This whole set of observations is necessary in order to exclude unforeseen conditions in a pregnant woman and her unborn child, because our assessment of our own health is not always adequate to reality, especially since during pregnancy there are many changes that are not felt in the early stages, and when they give know about yourself, then, often, these are quite serious deviations.
The diagnoses that a pregnant woman is given are necessary for the doctor of the maternity hospital to be able to assess the possible risks, and the patient herself is provided with information on how to behave in the presence of those health features that were detected during pregnancy; when to worry and see a doctor, what to do in certain situations.
Expectant mothers must be aware that if it is necessary to use any medicines, you first need to consult with your obstetrician-gynecologist, and when contacting other specialists, always report your charming situation. The fact is that only a limited range of medicines is allowed for use during pregnancy by a future mother. The longer the gestation period, the wider the list of these drugs. After 12 weeks of pregnancy, the placenta is formed, which has the ability to retain most drugs so that they do not get to the baby. This is due to the possibility of using antibiotics and low molecular weight heparins (if indicated). The basic rule of drug therapy during pregnancy is only if the benefits outweigh the risks!
Observation of pregnancy includes the execution of certain documentation, the right to do so is granted by a license obtained by a medical organization subject to a large number of conditions. Our clinic has a license for the management of pregnant women, the examination of temporary disability, which is necessary for issuing a certificate of incapacity for work (“sick leave”).
Maternity leave is issued at 30 weeks of pregnancy. At the same time, a certificate is issued for issuing a birth certificate that has not lost its relevance. This certificate is needed for hospitalization in a municipal maternity hospital, it is issued by a women's consultation, where you need to apply with documents: an exchange card, a passport, a compulsory medical insurance policy, SNILS, a certificate from the clinic on observation.
In our clinic, it is possible to carry out infusion therapy for pregnant women, install a pessary in case of cervical incompetence.