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30岁高龄产妇需要做什么产前检查？产检需要注意什么？

发布日期：2020-07-23 10:40:25编辑：璇子

怀孕期间产检是属于非常正常的情况，但是不同的年龄段的女性怀孕产检的项目也是属于不一样的，那么，我们一起来看看，30岁高龄产妇需要做什么产前检查？

30岁高龄产妇需要做什么产前检查？

30岁的孕妇还不属于高龄产妇，因此，30岁的产妇做的产检并没有一些特殊的检查的。
产检项目一：详细询问病史
1、内容包括年龄、胎产次、职业、月经史，了解初潮年龄及月经周期，若为经产妇，应了解以往分娩情况，有无难产史、死胎死产史，分娩方式，末次分娩或流产日期，新生儿情况，既往史有无高血压、心脏病等
2、本次妊娠过程，出现早孕反应的时间、程度，有无发热、病毒感染和其他不适，用药情况等；
3、丈夫健康情况，双方家族史中需要注意有无出生缺陷和遗传病，对于相关的疾病需要进行记录。
产检项目二：推算预产期
这个则就是需要根据末次月经第一日算起，来推算出女性的预产期的。也可以根据早孕反应出现的时间，胎动开始时间，宫底高度等进行判定，必要时需要行超声核对孕周。
产检项目三：全身检查
1、身高和体重/体重指数（BMI），身材矮小的孕妇骨盆狭窄的机会增加，而BMI值与妊娠预后有相关性，BMI指数高者孕期需要警惕妊娠期高血压糖尿病等并发症发生。
2、血压测量了解患者基础血压情况对于评估和判断妊娠期循环系统的耐受性具有重要的意义
3、口腔检查目前的研究表明牙周炎与感染性早产有密切的相关性，因此孕期牙齿的保健非常重要
4、心肺的听诊了解心脏有无杂音，肺部有无基础病变
5、下肢有无水肿正常孕妇往往会有膝部以下的水肿而且休息后消退，如不消失而且伴有体重增加过多，则需要警惕妊娠期高血压疾病的发生。
产检项目四：产科检查
1、测量宫高与腹围，宫底超过正常孕周的范围时，需要考虑是否为双胎妊娠，巨大儿以及羊水过多，尤其是胎儿畸形引起的羊水量的异常增多。腹部过小则需要注意是否存在胎儿宫内发育受限，胎儿畸形等。
2、胎心音听诊胎心音往往在胎儿的背侧听诊比较清楚，当子宫壁较敏感，或者肥胖等其他原已导致的胎位评估困难者有一定的帮助。
3、阴道及宫颈检查 阴道检查往往在早孕期6～8周期间进行，需要注意无孕前检查的孕妇需要进行常规的宫颈细胞学检查以除外宫颈病变，如果发现有宫颈细胞学的异常需要酌情行阴道镜检查。
产检项目五：辅助检查及其临床意义
1、血常规 一般在早孕期和晚孕期30周进行血常规的检查。
2、尿常规 孕期尿常规与非孕期一致
3、肝肾功能检查 妊娠期肝肾负担加重，需要了解早孕期肝肾功能状态
4、梅毒血清学检查 患梅毒后妊娠的孕妇需要在孕期进行检查，如早期妊娠感染梅毒需要根据情况给予治疗，减少梅毒病原体对于胎儿的损害。
5、乙型肝炎表面抗原 乙肝孕妇可以通过母胎传播而导致新生儿乙肝病毒感染
6、ABO及Rh血型 主要与判断和预防母儿血型不合有关，中国人Rh阴性血较为罕见，3～4‰。
7、HIV筛查 在早孕期进行筛查
8、妊娠期糖尿病筛查 根据卫生部妊娠期糖尿病行业标准的要求在妊娠24～28周应进行75g糖耐量试验
9、孕妇血清学筛查 在各省市卫生局获资质认证的医院根据各医院不同的条件进行各种相关的血清学筛查试验。
10、超声检查 是妊娠期中最为重要的检查项目，在妊娠7～8周时超声检查有助于判断是否为宫内妊娠，如果此阶段并未出现阴道流血、腹痛等异常情况
11、电子胎心监护 妊娠34～36周开始，应每周进行1次电子胎心监护。
12、心电图检查 首次产检和妊娠32～34周时，分别做1次心电图。

产检需要注意什么？

女性产检也是会有一定的注意事项的
注意事项一：如果说女性是第一次进行产检，那么，则是建议需要选择一家自己信赖的医院进行产检的。
注意事项二：产检前孕妇要先了解一下男女双方家族里所有人员健康状况，让老公陪着一起去也有必要，辅助孕妇回答医生的问询
注意事项三：第一次体检的时间也是有一定的讲究的，首次产检时间是怀孕12周。
注意事项四：有的产检项目需要空腹，应提前向医生了解清楚下次产检需要做哪些项目，以便我们提早做准备。
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