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Prenatal care

What is prenatal care?

Prenatal care is the care of a woman’s health, which must be taken at the time of pregnancy. Take care for yourself and for your baby through:

  • Early prenatal care.If you know that you are pregnant or think you may be pregnant, call your doctor to schedule an appointment.
  • Periodic prenatal care. Your doctor will compile a schedule for the pregnancy examinations. They are all important do not miss even one.
  • Follow the instructions on your doctor. 

How often do you need to visit your doctor during pregnancy?

Your doctor will make a schedule for all the appointments, which you should do at the time of pregnancy. Most experts recommend that you visit your doctor:

  • once a month – between 4 and 28 gestational weeks;
  • twice a month – between 28 and 36 gestational weeks;
  • every week – after 36 weeks of gestation and until the birth.

If you are over 35 years old or your pregnancy is with high risk, you will most likely be visiting more often your doctor.

What happens during prenatal visits?

At the time of your first visit to the doctor, you can expect your doctor to:

  • an examination of your medical history, including pre-existing illnesses, surgeries or previous pregnancies;
  • inquire about the health history of your family;
  • perform a complete physical examination, including a cytosmear
  • appoint a blood and urine test
  • check your blood pressure, height and weight;
  • calculate the date of the due date;
  • Answer your questions.

Even at the first meeting, get used to asking questions and discussing everything related to your pregnancy.

The next prenatal visits will probably be more frequent. Your doctor will check your health and monitor whether the baby is developing according to expectations. Most prenatal visits will include:

  • blood pressure control
  • weight measurement and weight gain;
  • measuring the belly diameter in order to check the baby growth (after it starts to be visible);
  • checking baby heart rate

During the pregnancy, you will also be able to conduct some examinations. Some tests are offered for all women, such as blood type – to be tested for anemia, blood type, HIV and other factors. Other tests may be offered depending on your background, personal or family history, ethnicity, or the results from the other tests.

  • Screening during the first trimester- performed between 11-14 gestational weeks and includes a specific profile and an ultrasound review, including a special review. The whole test detects certain substances in the mother’s blood, while the ultrasound detects the thickness of the neck and back of the fetus, in order of early detection of Down syndrome.
  • Chorionic villus sampling: its performed between 10-13 weeks of gestation with the help of a thin needle, which separates the cells from the placenta for analysis. This test can detect various chromosome anomalies.
  • Amniocentesis – performed between 14-20 gestational weeks. The technician uses a thin needle, with which amniotic fluid is used for laboratory analysis. This test can detect defects such as spina bifida, cystic fibrosis or Down’s syndrome.
  • Biophysical profile – the test is performed during the third trimester, in order to verify the overall condition of the fetus. It includes: examination, ultrasound and non-stress test: breathing, movements, muscle tone, contiguous rhythm and the amount of amniotic fluid.
  • Glucose levels test – 26-28 gestational weeks. It helps to assess the risk of developing gestational diabetes.Based on the results of this test, the doctor may prescribe a glucose-tolerant test.
  • Glucose-tolerant test – after 26-28 gestational weeks, is used for registration of gestational diabetes. The specialist prescribes a diet for a few days, forbids the consumption of food for 14 hours before the test, only the intake of water is allowed. During the test, he takes the glucose-containing liquid, he takes it for a test every hour until the third, so that the treatment of the glucose can take place.
  • Non-stress test – after 28 gestational weeks. It helps to protect the fetus, as it is necessary to provide a sufficient amount of oxygen for the fetus.With the help of a leather belt, located around the mother’s belly, the baby’s heart rate is determined in accordance with the movements of baby.
  • Beta streptococcus test: after 36-37 gestational weeks. With a cotton swab, the material is taken from the vagina and pect for microbiological examination.

Prices

Each case is individual and needs different diagnosis and treatment. Here you can see a breakdown of all prices that interest you.

1.Women’s consultation30 BGN
2.Ultrasound examination of pregnant women up to 12 g.w.60 BGN
3.Ultrasound examination of pregnant women after 12 g.w.80 BGN
4.Doppler100 BGN
5.4D ultrasound – Ultrasound screening for fetal abnormalities, genetic counseling; Doppler examination of fetal / placental blood flow90 BGN
6.Tones recording30 BGN
7.Early BPS35 BGN
8.Late BPS50 BGN