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Prenatal check-up

Prenatal checkups are essential; comprehensive examinations ensure the health of both mother and baby.

Pregnancy is far from a simple matter. During the ten months of pregnancy, expectant mothers are constantly thinking about their unborn child, making necessary adjustments to their diet, lifestyle, other aspects, and undergoing regular prenatal checkups. This is especially true for first-time mothers, who may find prenatal checkups unfamiliar and wonder: " Why are prenatal checkups important? From how many of pregnancy do I need to have a checkup? How often do I need one? Which doctors would you recommend? And how much does it cost …?" Expectant mothers don't need to worry too much. Hong Kong public hospitals that provide prenatal checkup services, as well as private hospitals and clinics offering similar services. While these private clinics are generally more expensive than public hospitals, they offer greater convenience and a wider range of services. Medical in Hong Kong provides prenatal check-ups and delivery services, including both vaginal and esarean sections, all handled by obstetricians and gynecologists. Our clinic has two highly qualified and experienced obstetricians and gynecologists, giving expectant mothers ample confidence in their prenatal care. For more information on our services, including prenatal check-up pricing, please contact us.

Prenatal checkups are mandatory

Why are prenatal checkups so important? , it to identify any health issues in the pregnant woman and fetus as early as possible. If any problems arise, they can be addressed promptly, and preventative measures can be taken to ensure the health of both mother and baby , allowing the baby to grow healthily in the future. So, at what stage of the 10-month pregnancy should these checkups be performed? The following are recommended guidelines from your prenatal care doctor for your reference:

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Weeks 6 to 8 of pregnancy: This is the first prenatal checkup, during which some basic examinations will be conducted, such as measuring the pregnant woman's height and weight, measuring blood pressure, drawing blood, and performing urine tests. In addition, the doctor will also perform an ultrasound examination to check the gestational age of the fetus and the heartbeat, and calculate the due date.

Around 20 weeks of pregnancy: The fetus's body structure will be examined, including the limbs, bones, intracranial structures, eyes, spine, lungs, etc., to gain a comprehensive understanding of the fetus's overall structure.

The longer the pregnancy, the more frequent the prenatal checkups become. For example, after 28 weeks of pregnancy, a prenatal checkup should be done every two weeks, and after 36 weeks, a checkup should be done weekly until the baby is born. Our prenatal care services can make the most suitable arrangements for those in need. We follow up on the woman's condition from pregnancy to delivery and postpartum to ensure the health of both mother and baby.

Detailed Explanation of Prenatal Checkup

The above outlines the schedule for prenatal checkups and mentions the specific tests required at different stages; these are recommended . The following content will provide a detailed introduction to the main items of prenatal checkups:

 Genetic testing

This prenatal test involves genetic testing of the fetus using a non-invasive prenatal testing method called NIPT (non-invasive prenatal testing for fetal chromosomes). It analyzes the fetal DNA from the pregnant woman's blood sample to look for chromosomal abnormalities that could potentially affect the fetus's health. This test may detect some abnormal genetic conditions, such as Down syndrome or Edwards syndrome. Parents can be prepared if these conditions are indeed present.

 Glucose Test

Gestational diabetes is diabetes that develops during pregnancy. Therefore, pregnant women will undergo a gestational diabetes test, which involves drinking a sugary drink, during this prenatal examination to check their blood sugar levelsreduce the impact on the pregnant woman and the fetus.

 Screening for Group B Streptococcus

This prenatal checkup is to prevent infection of the baby. Screening is between 35 and 37 weeks of pregnancy, involving taking vaginal and rectal samples to test for Group B Streptococcus.

Blood Test

In terms of prenatal checkups, pregnant women must undergo routine blood tests. Doctors can learn about the pregnant woman's health status from the test results. The tests include rubella antibody, hepatitis B antigen, blood type, HIV antibody, and syphilis test.

Screening for Fragile X Syndrome

Fragile X syndrome is a genetic intellectual development disorder that can cause developmental delays in infants. This prenatal test aims to identify carriers of the premutation. If a woman discovers she is a carrier after becoming pregnant, amniocentesis will be performed to check if the fetus carries the Fragile X syndrome gene.

 Structural ultrasound examination

This prenatal examination can detect structural abnormalities in the fetus, including the head (e.g., hydrocephalus, whether the skull development is normal), spine (e.g., spina bifida, whether a vertebra is missing), lungs (e.g., tumors), and limbs (e.g., whether the limbs are complete and correctly positioned). The location of the placenta will also be checked to assess the likelihood of placenta previa.

Urine test

This basic prenatal test involves examining the pregnant woman's urine for sugar and protein. This can help detect early signs of health problems during pregnancy, such as diabetes or preeclampsia. If the urine contains protein and the woman has high blood pressure, it indicates that she is highly likely to have preeclampsia and requires further investigation.

differences in each pregnant woman's physical condition and genetic, some pregnant women may require prenatal check-ups to ensure the health of both mother and baby. The price of prenatal check-ups varies depending on the specific items required. While some pregnant women who have never undergone prenatal check-ups can still deliver smoothly and have healthy babies, not having prenatal check-ups carries certain risks. Therefore, one should not only consider the price of prenatal check-ups but also prioritize the health of the pregnant woman and fetus, as well as the recommendations of the prenatal doctor. Our prenatal check-up services at Hong Kong S Medical include: non-invasive Down syndrome screening, structural ultrasound, and preeclampsia screening, etc., at reasonable prices, to provide a detailed of the pregnant woman's health and ensure the health of both mother and baby during delivery.

Prenatal Checkups – Frequently Asked Questions

1. What are the recommended prenatal checkups your clinic offered?

Our services include basic prenatal checkups, non-invasive prenatal testing (NIPT) for Down syndrome, preeclampsia screening, and delivery arrangements (our doctors can handle both vaginal and esarean deliverie). We can also arrange nutritional counseling for pregnant women before and after pregnancy . Please contact us for details regarding our various tests.

2. What is the process for prenatal checkups? How much do they cost?

The details of prenatal checkups vary depending on the stage of pregnancy. During the first prenatal checkup, the doctor will perform a series of basic examinations, including measuring the pregnant woman's height and weight, taking her blood pressure, drawing blood, and conducting urine tests. These basic prenatal checks are mainly used to assess the health of both the pregnant woman and the fetus. During this process, the doctor or nurse will also ask the pregnant woman in detail about her physical condition, past delivery records, and family medical history. When the pregnant woman is 6 to 8 weeks pregnant, the doctor will perform routine examinations to check the fetal heartbeat and determine the due date. If the pregnant woman is still very early in the pregnancy, a transvaginal ultrasound scan may be used instead of an abdominal scan, and the doctor will also conduct a health assessment of the pregnant woman. Each prenatal checkup includes basic examinations to check the baby's head diameter, head circumference, abdominal circumference, thigh bone length, and head-to-rump length. The size of the pregnant woman's uterus will also be checked, and the fetal heartbeat will be detected. Thus providing information about the health of both the pregnant woman and the fetus. During prenatal checkups between 36 and 40 weeks of pregnancy, doctors will examine the fetal position and pelvis size to assess whether the mother is suitable for vaginal delivery. The procedures for each stage of prenatal checkups differ slightly, so the prices will also vary. Once a pregnant woman receives a recommendation from her doctor, she should inquire about the details and prices of each checkup.

3. So, are the details of your prenatal checkup services arranged in accordance with those mentioned above?

Yes. Regarding our prenatal checkup schedule, when a pregnant woman is 6 to 8 weeks pregnant, our doctors will first conduct an early pregnancy assessmenthen she is 10 to 12 weeks pregnant, we will provide her with Down syndrome screening, non-invasive prenatal testing, and preeclampsia screeninghen she is 18 to 20 weeks pregnant, we will schedule her to undergo a structural scan she is 28 to 30 weeks pregnant, we will schedule a 3D or 4D scan. All prenatal checkups are safe and reliable in terms of technology and equipment used, so pregnant women can rest assured to undergo the examinations.

4. What are potential pregnancy complications? Can they be prevented if prenatal checkups are performed beforehand?

First, let's explain what pregnancy complications are. In general, pregnancy complications refer to various health problems that women may experience during pregnancy, which can potentially affect the health of both the pregnant woman and her fetus. The most common pregnancy complications include gestational hypertension, diabetes, and common infections. If these conditions are severe and not treated promptly, they can lead to premature birth or miscarriage. Gestational diabetes is one of the most common pregnancy complications and is considered a long-term chronic condition. If a pregnant woman has this condition, she may need medication. Weight gain and hormonal changes are major contributing factors. Department of Health data also indicates that pregnant women with a family history of diabetes, those over 35 years of age, those who are obese, those with a history of gestational diabetes, and those who have given birth to infants weighing 4 kg or more are considered high-risk groups for gestational diabetes. If these conditions are not properly treated, it can affect the health of both the pregnant woman and her fetus, potentially leading to problems such as high blood pressure or premature birth. Therefore, prenatal checkups are essential for both the pregnant woman and her fetus. Early detection and treatment of any problems can ensure the health of both mother and child.

5. What serious problems can gestational diabetes, as mentioned above, lead to, thus necessitating prenatal checkups?

Unmanaged gestational diabetes can lead to numerous pregnancy complications. It can result in an overweight or underweight fetus, increasing the risk of Caesarean section and postpartum hemorrhage, and in severe cases, stillbirth. It also increases the risk of preeclampsia or gestational hypertension. Preeclampsia, also known as pregnancy-induced toxaemia, is an uncommon condition, but its consequences are quite serious. The risk of developing preeclampsia is significantly increased if the pregnant woman has a history of diabetes, lupus, or hypertension. The following conditions may also lead to preeclampsia and necessitate prenatal checkups:

  1. Having preeclampsia during a previous pregnancy.

  2. Having close relatives witha history of pregnancy-induced toxaemia.

  3. Being advanced maternal age (i.e. over 35 years old)

  4. Being obese.

  5. Having long interval between pregnancy of over ten years

  6. Having twins or multiple pregnancy

  7. Having a severe headache.

If a pregnant woman experiences any of the above symptoms or risk factors, she should seek medical attention as soon as possible for a thorough examination and treatment. The consequences of preeclampsia can be very serious, such as causing convulsions, liver, kidney, or lung failure, and coagulation problems, threatening the health and even the life of the pregnant woman and her fetus. Therefore, prenatal checkups are crucial for the safety of both the mother and fetus, and are recommended by the obstetrician.

6. Are the doctors at your clinic recommended for prenatal checkups ?

Yes. Both doctors at our clinic are highly qualified and experienced in obstetrics, giving pregnant women ample confidence in prenatal care. Dr. Lui Man Wa, Ellen holds an accredited certificate in Reproductive Medicine from the Royal College of Obstetricians and Gynaecologists (RCOG). She is both a Fellow of the Hong Kong Academy of Medicine (Obstetrics and Gynaecology) and a Fellow of the Royal College of Obstetricians and Gynaecologists (FRCOG). While Dr. Mok Yin Kwan, Sophia holds an accredited certificate in Maternal-Fetal Medicine from the RCOG. She is also both a fellow of the Royal College of Obstetricians and Gynaecologists (FRCOG) and a Fellow of the Hong Kong Academy of Medicine (Obstetrics and Gynaecology). Both doctors provide appropriate care for pregnant women in prenatal checkups and treatments, making them highly recommended for prenatal care.

7. Regarding prenatal checkup costs, can insurance be claimed ?

Regarding claims for prenatal checkup costs, it depends on the coverage of your purchased insurance policy. You should consult the relevant insurance company beforehand to understand if they offer relevant coverage plans and whether all expenses from prenatal checkups to delivery are covered. There is a type of insurance called pregnancy insurance (also known as maternity insurance), which covers medical expenses related to childbirth, as well as prenatal checkups and postpartum care. However, this type of pregnancy insurance is generally not available as a standalone purchase but is an add-on. Policyholders may also need to purchase hospitalization medical insurance at the same time, which provides additional coverage for surgery, hospitalization, and other medical expenses, saving a certain amount of money, including prenatal costs.

It's important to note that most basic medical insurance policies may not cover pregnancy or related complications, and certainly won't cover pregnancy and childbirth-related expenses, including prenatal checkup costs. Therefore, it's crucial to understand the policy's coverage before purchasing insurance to potentially save on expenses such as prenatal checkup costs.

 

8. What are the prenatal checkup T21 checking? Is it expensive?

T21 prenatal testing is a general term for "non-invasive prenatal chromosomal testing," a non-invasive prenatal test specifically designed to detect the most common chromosomal disorders in fetuses. It is specifically designed for trisomy 21, as known as  Down’s syndrome, and is primarily offered by three companies in Hong Kong. Down’s syndrome is a genetic disorder caused by an extra chromosome 21, leading to intellectual disability and physical abnormalities in the fetus. Therefore, this prenatal test needs to be performed at an appropriate time. The process involves drawing a blood sample from the pregnant woman and analyzing the fetal DNA to check for chromosomal abnormalities. This prenatal test is not complex and has a high accuracy rate of up to 99%, helping expectant parents understand the fetus's health status early and make adequate preparations.

T21 prenatal checkups generally ranges from HKD 3,000 to HKD 8,000 - 9,000, depending on the different stages of T21 prenatal checkups and the different services offered by each hospital and clinic. Pregnant women can contact the relevant hospitals and clinics to inquire about the prices of T21 prenatal checkups in order to make a budget.

 

9. I've heard that there's a prenatal checkup test called the "sugar test." What exactly is it?

Pregnant women typically undergo an oral glucose tolerance test (OGTT) between 24 and 28 weeks of pregnancy to screen for gestational diabetes. According to international standards, a pregnant woman is diagnosed with gestational diabetes if her fasting blood glucose level is ≥ 5.1 mmol/L, her 1- hour blood glucose level is ≥ 10 mmol/L, or her 2- hour blood glucose level is ≥ 8.5 mmol/L. If a pregnant woman is diagnosed with gestational diabetes after this test, she must strictly control her diet according to her doctor's instructions, such as avoiding sugary foods and eating smaller, more frequent meals. In severe cases of gestational diabetes, insulin injections may be necessary. Therefore, prenatal checkups are absolutely essential and should not be neglected.

10. What are some things to be aware of when preparing for prenatal checkups?

Prenatal checkups usually involve blood and urine tests, but pregnant women generally do not need to fast for these tests. However, if an oral glucose tolerance test is scheduled, the pregnant woman should not eat or drink anything beforehand. Since many pregnant women experience loss of appetite in early pregnancy, it's best to bring some food and water to eat after the test to avoid hypoglycemia. Additionally, because blood and urine tests are required, pregnant women should wear loose-fitting, easy-to-change clothing on the day of their prenatal checkup.

Contact Us

HKSB (Sheung Wan) Clinic

Whatsapp:+852 5926 9612

Address:   Suite 1203, Cosco Tower, 183 Queen's Road Central,

                    Sheung Wan (Exit E2)

Telephone:+852 2545 3333

Fax:            +852 2545 8885

Email:         hksbmedical@gmail.com

HKSB (Causeway Bay) Clinic

Whatsapp:+852 9497 3279

Address :      Suite 2507, Hang Lung Centre,

                     2-20 Paterson Street, Causeway Bay (Exit E)

Telephone:+852 2895 3221

Fax:           +852 2881 6836

Email:        hksbcwb@gmail.com

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