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Prenatal Checkup

Prenatal Schedule

 

As for prenatal care, because we can check to see if the pregnancy is going well and discover any abnormalities early within the pregnancy, it is a very important check up for the mother and the child.  Patients will be able to visit in intervals on a regular basis, as the following.
Check-ups are by appointment only.

Until the sight of the fetal heart rate in the uterus Once per week

After the fetal heart rate is seen

 

1 time⁄ 2weeks, or
1 time⁄ 1 week
After the 12th week of pregnancy 1⁄ month
After the 24th week of pregnancy 1⁄ 2 weeks

Schedule

Pregnancy
months
Pregnancy
weeks
(aim)
Checkup
interval
Basic Health Exams for pregnant women
(everytime)
Other tests according to the number of weeks
3 months ˜11th week 1 time per week,
or
1 time per 2 weeks
•Weight
•Blood
Pressure
•Urine test
•Transvaginal ultrasound

(8˜11 weeks)
•Early Pregnancy Blood Test

•Cervical Cell

4 months 12th week 1 time per 4 weeks

•Measurement of abdominal circumference and fundal height

•Ultrasonic Doppler method(fetal heart sound)

•Pelvic Examination

•Ultrasound(measurement of fetus)

•Ultrasound(Cervical canal length measurement)

 
5 months 16th week •Rubella antibody
6 months 20th week •Ultrasound(Physician)
7 months 24th week 1 time per 2 weeks  
26th week •Blood test at 26 week(anemia test, HTLV-1 antibody, blood sugar test)

•Chlamydia antigen

8 months 28th week  
30th week

•electrocardiogram

•Ultrasonography(physician)

9 months 32th week

•Fetal placental function test (NST, non-stress test)

34th week

•Fetal placental function test (NST, non-stress test)

妊婦一般健康診査受診票をお持ちの患者様へ

 

About the Cost

Prenatal care is a self-practice, health insurance does not apply. 
However, in the event some symptoms should arise (such as a threatened miscarriage) the charges involved with the treatment and examination will be covered by insurance.

 

Basic Prenatal Examinations

Ultrasound

Until the 11th week 6th day of pregnancy

Urine exam · Weight · Blood Pressure · Ultrasound

Early pregnancy to 11th week 6th day of
Pregnancy= ¥3,500

 

12th week to 35th week 6th day of pregnancy
(Consultation at Oak Clinic Sumiyoshi)

Urine test · Weight · Blood Pressure

Measurement of abdominal circumference and fundal height
Ultrasonic Doppler method(Fetal heart sound) · Pelvic Examination
Ultrasound(fetal measurement)
Ultrasound(cervical canal length measurement)
❈ The ultrasound will be done in the ultrasound room (you may observe patients in attendance) from the 12th week of pregnancy.

12th week to 35th week 6th day of pregnancy= ¥6,500


Schedule

Others, tests corresponding to weeks

  Early pregnancy blood examination From 8th˜ 11th week ¥17,310
•Blood type

The possibility of blood type incompatibility will be examined. If, in the rare event that there is major bleeding during the time of delivery and a blood transfusion becomes necessary, then the exact blood type needs to be known.

•Irregular antibody

It is one kind of blood type.  As for the antibody of this kind, it is the cause of neonatal jaundice and must be in reference in the case the person needs a blood transfusion.

•Hepatitis B antigen (HB)

It is one kind of the Hepatitis B strand antigen Hepatitis virus. If you are positive, then a more detailed inspection will be done.  In addition, in order to not pass it on to the child if positive, an injection of antibodies must be given to the child within 3 days after birth.

•Hepatitis C antibody

It is one kind of hepatitis virus.  If found positive, tests on the liver will be required.

•Rubella antibody

If rubella is contracted by the 16th week of pregnancy, there is a risk of abnormal heart, vision, and hearing of the fetus.  In early pregnancy we will check the antibodies and check for whether or not there is a possibility that you are infected.  If there are no antibodies, then you will be cautioned as to prevent it until the 16th week of pregnancy.  If the antibodies are too high, then further testing is necessary.  Re-infection is a rare case, but because it is a very possible outcome, at our clinic, regardless of previous vaccination history and antibody titer, we are taking measurements of all pregnant women and the two rubella antibody titer in the early and midterm phase.

Midterm pregnancy= ¥3,640

Exam fees of early pregnancy are included in the first trimester blood test.


Schedule
•Syphilis(RPR,TPHA)

When it is discovered, in order to prevent congenital syphilis, it must be treated with antibiotics immediately.

•HIV antibody

This is the so-called HIV⁄ AIDS testing.  Requires inspection by a hospital specialist if positive.

•Toxoplasma antibody

A type of infection called, “Toxoplasma” that is contracted mainly from pets.  What is asymptomatic in many cases, if infected in early pregnancy, there is a risk of abnormalities in the fetus.  If positive, further examination and treatment by antibiotics is needed.

•Blood sugar test

By the pregnancy, glucose spun to the fetus, the hormone hPL (human placental lactogen), there is an antagonism from the placenta, and there is a tendency to decrease the glucose tolerance function of the mother’s body (while pregnant, on an empty stomach the blood sugar value is easy to decrease, and after meals it is easy to increase).  There are cases of those who were overweight to begin with, and have a history of type 2 diabetes in the family and after the pregnancy became diabetic.  However, it is also a thing that the diagnostic criteria is a bit rigid for gestational diabetes and there is a reason to get gestational diabetes.

•Anemia test

This is a check to see that there is no anemia and no abnormalities in the number of platelets.  During the pregnancy, in order to supply blood to the fetus, your own blood volume will be at 1.5 times the usual.  Due to the blood being diluted it is likely to have a state of anemia.   If it becomes worse, heart palpitations and shortness of breath will appear, and because the fetus will become anemic too, if you have anemia you may need to take iron orally, or visit the hospital for injections.  Let’s take a diet that is high in iron than usual during the pregnancy.  For those who are not fond of eating like this, we don’t mind if you use a supplement.

❈ The test will be done even at the 26th week of pregnancy.

Schedule

  Cervical Cell Around 8˜11 weeks of pregnancy ¥5,100

It requires careful follow-up if there are any abnormalities.

  Ultrasound(physician) 20th and 30th week of pregnancy ¥2,000

Schedule

  Blood test of the 26th week of pregnancy Around the 26th week of pregnancy ¥8,230
•HTLV-1 Antibody

If this antibody is present, there is a rare possibility in the future of developing a type of leukemia.  Since the infection is spread to the child by breast milk mainly, it is necessary to stop with breast milk and switch to just milk, or freeze the breast milk for later.

•Blood sugar test

2 examinations, one in early pregnancy, and one around 26 weeks.

Explanation is here→

•Anemia test

2 examinations, one in early pregnancy, and one around 26 weeks.

Explanation is here→

Schedule

  Chlamydia antigen Around the 26th week of pregnancy ¥5,910
•Chlamydia

It is a kind of infection.  It is the cause of miscarriage and premature birth, and the cause of neonatal pneumonia and conjunctivitis.  If positive, treatment by antibiotics is necessary.  In some cases, treatment of the husband may be required.

Schedule

  Electrocardiogram Around 30th week of pregnancy ¥1,950

To make sure that there are no arrhythmias that should be cautioned during delivery.

Schedule

  Fetus·Placenta function test (NST, non-stress test) 32nd week of pregnancy and after everytime ¥3,000

It is a test that continuously monitors the heart rate of the fetus, to check if there are any problems.  The fetus has been obtaining that nutrition through the placenta.  If that placenta’s function is decreased, then the livelihood of the fetus does so as well.  To know from the outside the secret events unfolding within the uterus is a very difficult thing to do, but by this test you can see the vitality of the fetus.  Additionally, we’ll check to see there’s not any stomach tension at the same time.  At our clinic, this is done every time.

Schedule

 

To the patients who have a Pregnant Women General Health Check-up Consultation Certificate

As for the Pregnant Woman General Health Check-up Consultation Certificate, that was issued at the same time as the Mother and Child Health Handbook, it may be applied to use at the time of the prenatal care of the week number of interest.  Fill out the necessary information in advance and submit it to the receptionist the day on which it to be used.  Please note that since things such as the number of visit votes changes depending on the city, that you should contact the government office of your residence to find out the specific details.

 

 

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