General summary

In the maternity guidelines the number and the size of check-ups which are paid by the legal health insurances are fixed.

The first visit at the gynecologist should immediately be carried out after a woman has noticed the pregnancy. The physician lays out the mother passport at the first pregnancy check-up. It is an important document which accompanies the nascent mother by the whole pregnancy and the check-ups.

At present, the 10 -12 check-ups are set in the following distances:
  • until the 24th pregnancy week every 4 weeks
  • as of the 28th pregnancy week every 3 weeks
  • as of the 34th pregnancy week every 2 weeks
  • as of the 41st pregnancy week every 2nd day
  • The stationary photo of the pregnant woman is carried out 10-12 days after the calculated birth appointment.
The physician states, whether the pregnancy is intact and whether the embryo in the womb sits at the first examination. In addition find an extensive interview to pre-illnesses (anamnesis) and blood tests of the pregnant woman. The course of the pregnancy is checked at the following check-ups. A more fine-meshed control is carried out on on-due dates or high-risk pregnancies. Complications shall be recognized and treated at full term.

A glucose Screening is carried out besides the regular examinations between the 24.-28 week. The health insurances partly even take on the costs for it. An admission of the glucose tolerance test to the maternity guidelines is discussed. With women with familial load (diabetes with the parents, brothers and sisters or grandparents) or strong overweight another glucose Screening is set in the 30-32nd week.

Be recommended also a smear on streptococci and with Rh negative Mesdames a second antibody Suchtest in the 27-30th week. Among women with whom an increased risk is being with genetically conditional diseases having a baby different possibilities of the prenatal (prenatal) diagnostics are offered. The Tripel test, the chorionic villus sampling and the amniocentesis (amniocentesis) are part of it. In addition, special ultrasound scans can be carried out. The costs for the prenatal diagnostics aren't taken on by the health insurances at pregnancies going normally.


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