Tag: pregnancy test

Illustration of a pregnant woman being examined by a an obstetrician to raise awareness on preeclampsia, emphasising prenatal care and maternal health.

Pre Eclampsia Awareness

Written by London Pregnancy Clinic on 31. May 2024. Posted in Blog, Obstetrics, Prenatal Care, Women's health. No Comments on Pre Eclampsia Awareness

Pre-Eclampsia Awareness Month

What is Pre-Eclampsia and innovations in the field?

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What is Pre-eclampsia

It is a condition characterised by persistent high blood pressure that arises during pregnancy or shortly after childbirth. It typically develops after the 20th week of pregnancy or within six weeks postpartum. This disorder can have significant implications for both the mother and the baby, making early detection and careful management crucial.

Statitstics

Hypertensive disorders of pregnancy (HDPs) affect 5-10% of all pregnancies worldwide, including conditions like pre-eclampsia, eclampsia, HELLP syndrome (haemolysis, elevated liver enzymes, low platelets), and gestational hypertension. These disorders are a leading cause of maternal and infant mortality globally. Annually, pre-eclampsia results in approximately 76,000 maternal deaths and 500,000 infant deaths worldwide.

The United States ranks 47th in the world for maternal mortality, with a rising rate unlike other industrialised nations. HDPs, including pre-eclampsia, are significant contributors to maternal and infant illness and death in the US. Black women face a disproportionately higher risk, experiencing severe maternal morbidity events at a rate 2.1 times greater than white women. Despite these grave statistics, about 60% of maternal deaths due to pre-eclampsia are preventable with proper medical care and timely intervention.

Symptoms

Recognising the symptoms of pre-eclampsia early can significantly improve outcomes. Common symptoms include:

Severe headaches
Swelling in the hands and face
Visual disturbances
Nausea and vomiting
Stomach or abdominal pain
Sudden weight gain
Shortness of breath

If you experience any of these symptoms, it is crucial to seek medical attention immediately. Pre-eclampsia can escalate quickly, and early intervention is vital for the health of both the mother and the baby.

Pre-eclampsia Management

This conition requires careful management to ensure a healthy pregnancy outcome. The condition can develop from 20 weeks of pregnancy up to six weeks after childbirth. High blood pressure is typically controlled with antihypertensive medications. Additionally, maintaining a healthy lifestyle can help reduce the risk of developing pre-eclampsia. This includes:

Regular prenatal check-ups
Monitoring blood pressure regularly
Eating a balanced diet rich in fruits, vegetables, and whole grains
Engaging in regular physical activity
Avoiding smoking and limiting alcohol consumption

Implementing easy-to-understand educational tools for patients about pre-eclampsia signs and symptoms is crucial. Screening for risk factors, considering aspirin use during the first trimester, and early hypertension control can also help decrease rates of pre-eclampsia. Hospitals should standardise care guidelines for managing hypertensive disorders of pregnancy to decrease maternal illness and death. Supporting perinatal quality collaboratives can help hospitals reduce early delivery and severe pregnancy complications.

It is essential to consult with a healthcare professional before making any lifestyle changes or starting new medications.

Raising Pre-eclampsia Awareness

The LPC is joining the efforts to raise awareness about pre-eclampsia and support ongoing research to improve outcomes for mothers and babies worldwide. May is National Pre-Eclampsia Awareness Month, and we partner with the Pre-Eclampsia Foundation to ensure every mother knows the signs and symptoms of pre-eclampsia. Share the message and join the campaign to make a difference.

If you need more information about pre-eclampsia, please visit the Pre-Eclampsia Foundation. Together, we can help prevent pre-eclampsia and ensure better health for future generations.

Pre-eclampsia Tests During Pregnancy

During pregnancy, your healthcare provider checks your blood pressure at each prenatal visit. This is essential to ensure it remains within a safe range. They also test your urine for protein, which indicates kidney health. If protein is found, you might need to collect urine over 24 hours to measure protein levels accurately.

Blood Pressure Monitoring

Your healthcare provider measures your blood pressure at every prenatal appointment. This should be done after you’ve been sitting comfortably for a few minutes. The cuff is placed on your upper bare arm at heart level. High blood pressure is traditionally defined as 140/90 or greater, measured on two separate occasions six hours apart. Severe high blood pressure (160/110 or greater) needs immediate treatment.

Urine Tests

At each prenatal appointment, you provide a urine sample. Healthy kidneys don’t allow significant protein into the urine. If protein is detected, further testing might be required. Your provider might ask you to collect all your urine in a jug for 24 hours to measure protein levels. Alternatively, a “spot check” compares protein to creatinine levels to gauge kidney health.

Blood Tests

These are crucial for diagnosing pre-eclampsia. They include a complete blood count (CBC) with platelet count and assessment of liver enzymes and creatinine levels. These tests provide a baseline for monitoring your health. If you show symptoms of severe pre-eclampsia, your provider will order additional blood tests.

Monitoring Your Baby

Your provider may schedule more frequent ultrasounds or non-stress tests (NST) to monitor your baby’s growth and blood flow through the umbilical cord and placenta. Continuous fetal monitoring might be necessary if symptoms appear rapidly.

Pre-eclampsia Tests Post Partum

Pre-eclampsia can develop up to six weeks postpartum. Symptoms include severe headache, vision changes, and difficulty breathing. It’s crucial to report these symptoms to your provider immediately. Blood pressure checks are recommended three and ten days after delivery to monitor any changes.

After Pregnancy
Post-pregnancy, additional tests might uncover underlying conditions contributing to pre-eclampsia. These include tests for autoimmune conditions, blood clotting disorders, and kidney function. Your healthcare provider will monitor your health and recommend necessary treatments.

Long-Term Care
Women with a history of pre-eclampsia are at higher risk of heart disease, stroke, diabetes, and chronic high blood pressure later in life. Annual monitoring of your weight, blood pressure, blood sugar, and cholesterol is crucial for maintaining long-term health.

Pre-eclampsia testing can seem overwhelming, but understanding these tests helps you stay informed and proactive about your health. Always discuss any concerns with your healthcare provider to ensure you receive the best possible care.

What We Offer for Pre-eclampsia

At LPC, we provide specialised care for pregnancies affected by pre-eclampsia. Our Consultant Obstetrician, Mr Daniel Stott, has extensive experience in managing pre-eclampsia and offers comprehensive post-natal care. He also runs a dedicated pre-eclampsia clinic at University College London Hospitals NHS Foundation Trust. Mr Stott has published extensively on hypertensive pregnancies and is committed to supporting mothers throughout their pregnancy journey.

Learn more about our private obstetric services on our dedicated page. We aim to provide personalised care and address any concerns you may have during or after pregnancy. We also offer private midwifery services to help you deal with pre-eclampsia:

Monitoring: Midwives closely monitor pregnant women and their fetuses for signs of pre-eclampsia during routine antenatal appointments by checking blood pressure and urine samples. Midwives also act on signs of deterioration.
Advising: Midwives advise women and their partners without frightening them, and interpret doctor’s information when necessary.
Other responsibilities: Midwives may arrange a visit to the special care baby unit if appropriate, and provide continuity of midwifery care.

Final Thoughts

Pre-eclampsia is a significant concern in maternal health, but with early detection and proper management, most pregnancies can have positive outcomes. The LPC is dedicated to providing expert care and support for expectant mothers dealing with pre-eclampsia. We encourage you to reach out to us for more information or to schedule a consultation.

If you need more information about pre-eclampsia, please visit the Pre-Eclampsia Foundation. Together, we can help prevent pre-eclampsia and ensure better health for future generations.

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Blood Tests During Pregnancy

Written by London Pregnancy Clinic on 16. April 2024. Posted in Blog, Fertility, Gynaecology, Prenatal Care, Women's health. No Comments on Blood Tests During Pregnancy

Blood Tests During Pregnancy:

Ensuring the Health of You and Your Baby.

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Why Consider Blood Tests During Pregnancy?

Blood tests during pregnancy offer invaluable insights into both maternal and fetal health, enabling better preparedness and care. Here are several compelling reasons to consider these tests:

Monitor Maternal Health: Blood tests, such as the complete blood count (CBC) and liver function tests, assess the mother’s overall health. They check for conditions like anaemia, infections, and gestational diabetes that may require close monitoring or specific treatments.

Assess Fetal Health and Development: Genetic screening tests can detect chromosomal conditions such as Down syndrome, Edwards syndrome, and Patau syndrome. These tests, often paired with ultrasounds, help evaluate the risk of certain genetic disorders, guiding further prenatal care. We offer Non-Invasive Prenatal Testing (NIPT) from 10 weeks of pregnancy and can help you choose the right NIPT for you!

Identify Rh Incompatibility: Determining the mother’s blood type and Rh factor is crucial. Rh incompatibility can lead to serious complications, necessitating special treatment to safeguard the baby’s health. At LPC we currently don’t offer Rh factor blood test (at the time of writing April 2024). However, during your NHS antenatal checks you will be able to get it. Read more on Rhesus Disease RhD on the NHS website.

Screening for Infectious Diseases: Screening for infectious diseases like hepatitis B, HIV, and syphilis is critical. Identifying these infections early allows for steps to be taken to prevent transmission to the baby, ensuring a safer delivery.

Provide Baseline Information: The results from initial blood tests create a baseline that helps monitor the pregnancy’s progression. Any significant changes can be quickly identified, allowing for timely interventions.

Overall, considering blood tests during pregnancy is vital for early detection of potential issues. These tests enable timely and effective interventions, ensuring the health and wellbeing of both mother and baby.

Why Consider Blood Tests for Pregnancy Confirmation?

Pregnancy tests, including urine and blood tests, are designed to confirm if you are pregnant. Urine tests are widely used due to their convenience and availability over-the-counter. However, blood tests, particularly the Beta HCG (Human Chorionic Gonadotropin) test, provide more comprehensive insights.

The Beta HCG test detects the hormone produced by the placenta shortly after implantation, appearing in the blood about 11 days post-conception, which is slightly earlier than in urine. It is essential for confirming early pregnancy and is available in two types: the Qualitative HCG Test, which simply indicates pregnancy with a ‘yes’ or ‘no’, and the Quantitative HCG Test, which measures exact HCG levels in the blood for high accuracy.

Unlike urine tests, the Beta HCG test requires a blood sample taken in a healthcare setting and is more sensitive, offering early detection and additional information such as the approximate age of the fetus and potential complications. This makes blood tests a vital tool for early and accurate pregnancy confirmation.

What is the AMH Blood Test?

The AMH blood test measures the levels of AMH in a woman’s blood, a hormone produced by ovarian follicles. It serves as a reliable marker of ovarian reserve, indicating a woman’s potential fertility. This test is instrumental for clinicians and fertility specialists to predict a woman’s response to fertility treatments, like in vitro fertilisation (IVF).

AMH levels provide a reliable measure of a woman’s ovarian reserve, although they do not directly correlate with egg quality. Low AMH levels might suggest a diminished ovarian reserve, posing concerns for natural conception or IVF. Conversely, high AMH levels might indicate conditions like Polycystic Ovary Syndrome (PCOS).

AMH testing is crucial in assisted reproductive technology, aiding in the development of personalised IVF treatment strategies. Women with low AMH may respond less to ovarian stimulation, affecting egg retrieval numbers and IVF success rates. High AMH levels can increase the risk of Ovarian Hyperstimulation Syndrome (OHSS), especially under strong fertility medication effects.

Preparing for Your Blood Test

Our blood tests at London Pregnancy Clinic are perfect for accurately confirming pregnancy, monitoring early viability, and following up post-IVF. We offer convenient same-day appointments that fit your schedule. To ensure accurate results, follow the specific instructions provided by your healthcare professional. These may include:

Fasting Requirements: You might need to avoid all food and drinks, except water, for up to 12 hours before certain tests.
Medication Guidelines: It may be necessary to pause specific medications temporarily. This will prevent any interference with your test results.

Adhering to these guidelines is crucial. Incorrect preparation can affect your results, possibly requiring a repeat of the test. Check-in with your care provider about what you should do! At London Pregnancy Clinic you can call our reception and our team will gladly help with any queries!

Please note, that these tests require a referral from an existing provider. We will send the results to both you and your nominated healthcare provider upon request.

Get to Know Your Phlebotomist

Molly, one of our skilled phlebotomists, ensures that your blood tests are conducted smoothly, providing a comforting presence during the process.

Final Thoughts

The results from these tests provide a snapshot of your health and that of your baby, allowing your healthcare provider to tailor your prenatal care effectively. Remember, it’s crucial to discuss any concerns with your healthcare provider.

Our selection of blood tests is available exclusively to patients holding a referral from their healthcare provider, ensuring you receive the highest standard of care. We send samples to a partnered laboratory for precise analysis. If you need a referral or interpretation of blood test results, our friendly reception team is ready to help you book an appointment with the appropriate consultant. Please remember, if you’re coming for a pregnancy scan, our sonographer cannot refer you for a blood test. Referrals for blood tests are only possible through an appointment with our Consultant Obstetricians or Gynaecologists. At the LPC, we’re here to support you from the very first step.

Want to book a blood test with us? Visit our Blood Tests page or give us a call! If you already had your pregnancy confirmed, we recommend booking an early pregnancy scan to check for the baby’s development.

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A modern, minimalist illustration depicting a hand holding a positive pregnancy test, surrounded by abstract shapes and elements in light orange and baby pink, symbolising joy and new beginnings.

Understanding Pregnancy Tests

Written by London Pregnancy Clinic on 7. April 2024. Posted in Blog, early pregnancy scan, Fertility, Obstetrics, Prenatal Care, Ultrasound, Women's health. No Comments on Understanding Pregnancy Tests

Understanding Pregnancy Tests:

Your First Step Towards Motherhood and beyond.

In This Article:

Introduction
How does it work?
When to take it
Types of pregnancy tests
Signs of Pregnancy
Start of pregnancy
Early ultrasound
Conclusion

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How does a Pregnancy Test Work?

Pregnancy tests search for hCG in your urine, which your body starts producing shortly after a fertilised egg attaches to your uterus. This hormone’s levels double every two to three days in early pregnancy, making urine and blood tests highly effective ways to confirm pregnancy. While home tests offer privacy and quick results, blood tests at your doctor’s office can confirm pregnancy earlier and more accurately.

Over-the-counter (OTC) tests detect the HCG hormone in urine, with various methods depending on the chosen kit. You might dip a stick into collected urine, use an eyedropper for transferring urine to a container, or place the stick directly in your urine stream mid-flow.

Home pregnancy tests boast a near-99% accuracy rate when used as directed by the Office on Women’s Health. These tests offer privacy, simplicity, and quick results, usually within minutes. Results could appear as a color change, a line, a symbol (like a plus or minus), or explicitly as “pregnant” or “not pregnant.” A negative outcome might not be definitive, especially if instructions weren’t followed, the test was taken too soon, or certain medications interfered. Consult a pharmacist about potential medication effects on test results.

If symptoms persist or your period doesn’t commence, try another test in a week. Seek GP advice for continuous negative results without menstruation. Some pharmacies and GPs provide tests, sometimes free or for a nominal fee, ensuring even quicker answers. Remember, if going to your GP, bring a urine sample in a clean container. Results can take days, though some tests are instant.

Wondering when to take a pregnancy test?

Some highly sensitive tests can detect pregnancy before your period is due. Yet, waiting until the first day of a missed period boosts accuracy. For the clearest result, test a week after missing your period.

Tests measure HCG, a hormone present only during pregnancy. This hormone appears after a fertilized egg attaches to the uterus, a process known as implantation, occurring about 10 days post-conception. HCG traces can appear 6 days post-implantation, but levels usually need 7–10 days to become detectable. If your cycles are irregular, testing 21 days after unprotected intercourse is wise. Testing too early may yield inaccurate results.

Types of Pregnancy Tests

Opt for Home Pregnancy Tests: Seeking a convenient option? Home pregnancy tests offer privacy. Conduct these tests as soon as you miss your period. They promise up to 99% accuracy when used as directed.

Consider Blood Tests: Need an early confirmation? Blood tests, performed in healthcare settings, can provide it. Although less commonly used, they’re highly accurate for early detection. At London Pregnancy Clinic we can perform these tests and one of our phlebotomists will assist you.

Signs you may be pregnant

Spotting early pregnancy signs is crucial. If you notice any unusual changes, consider a pregnancy test. Here’s a restructured and concise guide to understanding these signs.

Missed Period: A hallmark sign, missing your period suggests it’s time for a test. While a standard cycle lasts about 28 days, they can range from 24–38 days. If over a month has passed without your period, testing is wise. However, stress, medication, and changes in birth control can also affect your cycle. Early pregnancy might show light spotting as the egg implants, which differs from a regular period. Consult a doctor for any bleeding with a positive test.

Cramping: Similar to menstrual cramps, early pregnancy might bring discomfort. If your period doesn’t follow, testing is advisable.

Breast Changes: Pregnancy increases estrogen and progesterone levels, leading to tender, fuller breasts and darker veins. These symptoms can also precede a period, so they’re not definitive of pregnancy.

Feeling Different: Early signs include nausea, food aversions, fatigue, and frequent urination. Pay attention to your body; any distinct changes might indicate it’s time for a test.

Failed Birth Control: No method is 100% foolproof. Pills might fail, especially if not used perfectly, and condoms can break. Despite the effectiveness of long-term options like IUDs, pregnancy is still possible. If experiencing other pregnancy signs, take a test, regardless of your birth control use.

Remember, understanding your body’s signals is key. If you’re encountering any of these symptoms, a pregnancy test can provide early insight, allowing for prompt healthcare consultation. At London Pregnancy Clinic, we’re here to support you with tailored advice and comprehensive care for your pregnancy journey.

Embarking on Your Journey

A positive test marks the start of a remarkable journey. Your next move? Book an appointment with your healthcare provider. This crucial visit can verify your pregnancy with additional tests. It also kick-starts vital prenatal care, safeguarding your well-being and your baby’s health. Embrace this journey, prioritising health and care from the outset. Your provider will guide you through each step, ensuring you and your baby thrive.

At the LPC, we understand the emotional and physical significance of this phase in your life. Recognising the unique needs and concerns of expectant mothers, LPC offers the opportunity to book your first appointment directly with a midwife. This personal touch ensures that you receive tailored advice and support right from the outset.

Furthermore, LPC introduces an option that diverges from the standard NHS protocol. Recognising the desire for early reassurance, we offer a viability scan as early as 6-9 weeks into the pregnancy. This service caters to those eager for an earlier confirmation of their pregnancy’s progression, rather than waiting until the NHS’s 12-week scan. The decision to opt for this early scan underscores the importance of peace of mind and the value of early connection with the developing life within.

The viability scan presents a window into the womb, offering expectant parents their first glimpse of their unborn child and the heartbeat that symbolises life. This experience often strengthens the bond between parent and child, grounding the reality of the pregnancy and fostering an early emotional connection.

Ultrasound Screening Vital for Early Detection

Ultrasound screenings are not just routine checks; they’re crucial for early prenatal care. These scans help identify potential structural anomalies in the baby’s development, which are pivotal for addressing congenital anomalies. At London Pregnancy Clinic, we specialise in providing comprehensive ultrasound screenings, tailored to each stage of pregnancy, ensuring early detection and peace of mind from 10 weeks onward.

Many inquire about the possibility of conducting a scan at 4 weeks. However, at such an early stage, the ultrasound reveals limited details, often not enough to confirm a pregnancy. By 5 weeks, while we may observe the gestational and yolk sacs, these findings alone do not confirm pregnancy viability. It’s this understanding that shapes our recommendation for the optimal timing of your first scan to be held off until week 6/7.

Our 10 Week Scan stands out, offering a unique glimpse into the womb to detect 10 critical fetal anomalies. This pioneering scan, exclusive to our clinic, aligns perfectly with Non-Invasive Prenatal Testing (NIPT), elevating the standard of prenatal care available to you.

The cornerstone of our scanning services, the Early Fetal Scan, provides an in-depth examination aimed at identifying over 100 serious anomalies well before the standard NHS 19-20 week scan. This early insight grants expectant parents the reassurance and crucial information needed during these formative weeks.

Our approach to prenatal screenings is revolutionary, offering early answers and invaluable peace of mind. Through our advanced screening capabilities, we illuminate potential concerns, facilitating timely interventions. These scans are more than mere procedures; they are essential milestones providing reassurance that your baby’s development is on course, empowering you to manage your pregnancy with informed confidence and proactive care.

Final Thoughts

At the London Pregnancy Clinic, we’re here to support you from the very first step. If you’ve taken a pregnancy test and are ready for the next stage, or if you have questions about pregnancy tests, our team is here to assist you. You can use our EDD calculator to figure out when your baby might arrive.