Perinatology is a branch of science that specializes in the necessary diagnosis and treatment approaches in problematic pregnancies with problems with the expectant mother and her future baby. After completing their specialization in Gynecology and Obstetrics, perinatology specialists receive 3 years of training in perinatal medicine and become entitled to expertise in this field. In addition, a certain training and experience requirement for the implementation of special procedures is an important feature of this field.
What is perinatology?
Perinatology is a field that deals with the health of the mother and the baby in the womb, disciplines and offers treatment for expectant mothers who have risk factors and who make pregnancy planning, during pregnancy and the period that we call the perinatal period, including the prenatal and first four weeks after birth, and the approach to be made to patients at risk.
In some cases, the pregnancy of the expectant mother can affect the current health problem and change the course of the disease, and sometimes the health problem can affect the condition of the pregnancy and the baby in the womb. It is of great importance that all these situations are predicted, presented and prevented and treated before any problems occur. Apart from this, if the development course and health status are affected by external factors that may occur during the development of the fetus, ie the baby in the womb, the correct management of the diagnosis and treatment process is very important.
If in doubt, consult a perinatologist.
In case of an expected or unexpected problem; The most critical stage is to make a detailed diagnosis and to eliminate the problem with medication or surgery or surgery in the womb, if necessary, to prevent the loss of the unborn baby due to the problem in question, to prevent and control the disease. In this case, it may be beneficial to consult a doctor with the necessary information to solve the suspected or detected problem.
Perinatal Diagnosis and Treatment Center
With its expert staff and modern technological equipment, it successfully applies the most up-to-date diagnosis and treatment approaches in cases such as complications that occur during pregnancy, the presence of chronic diseases in the expectant mother, growth retardation and various anomalies in the baby, preterm birth risk, multiple pregnancy, and recurrent pregnancy losses. With personalized treatments, it is aimed to protect the health of the mother and the baby to be born in good health.
In case of a problem concerning the development of the baby or the health of the mother during pregnancy; A detailed diagnosis is made with special examinations, medication or an operation or procedure to be performed in the mother’s womb, the problem is solved, and the baby in the womb is restored to health.
Significant developments have been experienced in the diagnosis and treatment of perinatal diseases in recent years, advanced genetic examinations and screening tests are applied. Down Syndrome-Trisomy 21, Edward Syndrome-Trisomy 18, Patau Syndrome-Trisomy 13, sex chromosome-X / Y disorders, triploidy, fetal or placental free DNA measurements detected in the mother’s blood for the lost twin and screening tests are performed. Although these screening tests are not diagnostic,
they have a sensitivity of 99%. Three or four-dimensional ultrasound imaging is also used for diagnosis in risky pregnancies. In recent years, the necessity of CVS or amniocentesis, which are thought to be necessary for definitive diagnosis, has decreased with these applications. In this way, the risk of normal pregnancies resulting in miscarriage is significantly reduced. The risk for deletion syndromes, which include chromosome problems and do not show any symptoms during pregnancy with ultrasound, can now be calculated with fetal DNA testing. The most common of these syndromes are DiGeorge, 1p36, Angelman, Prader Willi, Cri du Chat. In this case, special diagnosis and treatment approaches are applied.
The most common problems in expectant mothers before pregnancy
- Heart disease, high blood pressure
- Diabetes (Diabetes)
- Thyroid diseases
- Liver or kidney disease
- Infectious diseases
- Collagen tissue diseases (such as lupus, sjogren’s disease)
- Chromosome or gene disorders
- Blood incompatibility status
- History of medication use in the mother (epilepsy, psychiatric illness, etc.)
- Smoking or alcohol use
- The expectant mother is younger than 18 and older than 35
- The mother-to-be is too weak or too fat
- Problems observed with pregnancy
- Gestational diabetes (Gestational diabetes)
- High blood pressure during pregnancy, preeclampsia, eclampsia (pregnancy toxicosis)
- Early pregnancy bleeding
- Multiple pregnancies
- Premature birth history
- Abnormal screening test result (double test, triple test, quad test, etc.)
- Early arrival of the water that should come at birth (Premature rupture of membranes)
- Recurrent pregnancy losses
- Growth retardation in the baby
- Baby’s spouse’s placement disorders
- Heart, lung, face, brain, kidney or facial anomalies detected in the fetus
- The fluid environment in which the baby lives in the womb, that is, more or less amniotic fluid.
- Mother-to-baby infections
- Big baby
- Cysts and tumors seen in the unborn baby
- Fetal bone development anomalies
- Multiple pregnancies, problems specific to twin pregnancies