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Pregnancy

Antenatal visits

Your first booking - in visit is at 10 to 12 weeks of gestation. The history of your, your partner’s, his family’s and your family’s health record will be discussed in order to identify any inherited conditions or circumstances that may affect your pregnancy. You will be weighed, your weight gain will be checked regularly from now on. Your blood pressure will be measured, a urine sample will be taken, followed by one during every visit until birth and a blood test will be offered.
We offer screening tests at the first and the second trimester, which are corresponding with modern obstetrics.

Appointments will be monthly at first. After 28 weeks our patients are seen every two weeks until the 36th week, then weekly until the delivery.

The first trimester screening includes

Maternal serum free beta hCG and plasma protein PAPP and ultrasound measurement nuchal translucency NT. The window for screening is relativvely narrow 11 to 14 weeks of gestation. Appointments will be monthly at first. After 28 weeks our patients are seen every two weeks until the 36th week, then weekly until the delivery.

We offer the opportunity to receive screening for chromosomal abnormalities including Down syndrome - PRENASCAN. There are certain birth defects that can be tested for prenatally - before a baby is born. The risk of having a baby with a chromosomal abnormality, such as Down syndrome, increases with the mother's age.

Testing of cell-free foetal DNA in maternal blood reliably detects Down syndrome and other chromosomal disorders. PRENASCAN can, in many cases, replace chorionic villi sampling or amniocentesis. PRENASCAN can be used from the 10th week of pregnancy.

Project PRENASCAN has introduced noninvasive prenatal testing of fetal chromosomal disorders into clinical practice. Included are screening for - trisomies of chromosomes No. 21 - Down syndrome, No. 18 - Edwards syndrome and No. 13 - Patau syndrome. Risk of other rare chromosomal disorders including those of the sex chromosome can be assessed as well.

What is Down syndrome?
Down syndrome, also known as trisomy 21, is the most commonly occuring chromosome abnormality. It is caused by having an extra copy of chromosome 21- a total of 3 copies instead of the normal 2.
Down syndrome often results in developmental problems and a higher risk of conditions including heart defect, mental retardation, breathing and hearing problems, and childhood leukemia.

What is trisomy 18?
Trisomy 18, or Edwards syndrome, is the second most common trisomy - a condition in which someone has 3 copies of a certain chromosome. Trisomy 18 causes developmental problems associated with life-threatening complications in a babys first month and years. These may include deformities of the heart, intestines, esophagus, hands and feet, kidney problems, delayed growth and mental retardation.

What is trisomy 13?
Trisomy 13, or Patau syndrome, is another well-know chromosome abnormality. Trisomy 13 is associated with severe mental and physical problems that cause many infants to die during their first days or week of life. Infants with trisomy 13 often have problems including abnormalities of the heart, brain or spinal cord, small or poorly developed eyes, extra fingers and/or toes, deformed mouth and weak muscle tone.

Why is prenatal testing important?
Being tested during pregnancy will allow you to be informed about the health of your baby, even before she is born. The information you receive will be extremely valuable in helping you plan for your baby's birth.

Delivery

In our office we take the time to plan your pregnancy and delivery.
Delivery occurs in Thomayerova nemocnice in Prague 4, Vídeňská 800, municipal hospital. Our department has an excellent relationship with this hospital, working there for more than fourteen years. You will have the opportunity to discuss and select the level of comfort provided during your delivery as well as the choice of delivery and medical support.

Postnatal care

The puerperium is the period of time over which the genital tract returns to normal after childbirth. It is taken as lasting for six weeks.
The normal puerperium is characterised by

  • lactation
  • lochia
  • involution of the uterus and return of the genital tract to normal

Due to its advantages, we strongly support breastfeeding and provide practical guidance through this time.

Postnatal visit

A postnatal visit usually occurs four to five weeks after the delivery. We perform a gynecological examination and discuss modes of contraception.
We support exercises for pelvic floor muscles and provide rehabilitation with a unique apparatus, Myo machine, which is available in our department.

Prenatal Classes

We also provide prenatal classes to help our patients to get through the prenatal care, delivery and postnatal period. When you are having you baby, you want everything just perfect and we are ready to coach and help you in this way.

Office hours

Monday

9:00-14:00 Dr. Cinegrová

15:00 - 17:00

Tuesday 8:30 - 15:00

Wednesday

8:30 - 15:00

Thursday 9:00-13:00 Dr.Zelenková
14:00 LASER
Friday 8:30 - 12:00

Contact

Business & Medical Center Smíchov
Kartouzská 6
150 00 Prague 5

Phone: +420 251 614 686
Fax: +420 257 323 221
E-mail: recepce@pwhc.cz