Barcelona Pregnancy Care can be done at the Dra. Gómez Roig Institute.
We know that pregnancy is a vital moment that requires good accompaniment and follow-up.
During the gestation we have to take care of the health of the mother and also of her baby that is already on the way.
We have a great responsibility because we are dealing with two people who need attention at the same time.
In this post about Obstetrics We are going to explain what the pregnancy controls are, as well as how we do it in our obstetrics and gynecology center in Barcelona.
Visits and controls
Visits and pregnancy control in Barcelona are protocolized according to the Pregnancy Monitoring Protocol in Catalonia. Prepared by the Department of Health of the Generalitat, a document in which Dr. Gómez Roig has also participated.
The follow-up includes a first visit, followed by successive visits as periodic controls until the birth of the baby.
Pregnancy Monitoring at the Dra. Gómez Roig Institute
First pregnancy visit
In first pregnancy visit the following practices are recommended:
- Take a good medical history.
- General and obstetric physical examination appropriate to the weeks of pregnancy.
- The first protocolized ultrasound of the first trimester is performed between 11 and 13 weeks of gestation.
- Laboratory tests indicated according to gestational age.
- It is important to classify the pregnancy according to the risk group to which it belongs: normal pregnancy, low risk, medium risk, high risk or very high risk.
- In the first pregnancy control visits in Barcelona, the woman will be given the book or pregnancy card, which will be completed at each new visit, being a personal summary of the medical history. This booklet is important, because the woman can have all the relevant data in case she needs to be attended urgently or outside her usual area of pregnancy control.
- Time must be dedicated to informing about how pregnancy control will be carried out in Barcelona, as well as giving health education standards according to each stage of pregnancy. The midwives of the Dra. Gómez Roig Institute dedicate the necessary time to inform and also resolve any doubts that may arise. A corporate email facilitates consultations.
successive visits
Subsequent visits are those that are made after the second visit. In them you must:
- Update the medical history, as well as the risk factors that may appear. The pregnancy risk classification should be updated at each successive visit.
- General and obstetric physical examination corresponding to the weeks of pregnancy.
- The second protocolized ultrasound is performed at 19-22 weeks of gestation, and the third obstetric ultrasound at 34-36 weeks. During the visits at the Dra. Gómez Roig Institute, ultrasound scans are also done during medical visits so that the parents can see the baby. But they are programmed in a protocolized manner with specialists in prenatal diagnosis and obstetric ultrasound the three regulated and protocolized ultrasounds of pregnancy: first, second and third trimester ultrasounds.
- Laboratory tests indicated according to the weeks of pregnancy.
- The blood test They study: complete blood count to rule out anemia, blood group, serology to find out if they have passed or have any infections. Tests to rule out the presence of gestational diabetes, and also coagulation tests before delivery. In the first trimester, prenatal diagnostic analyzes are also performed.
- Urine analysis in the second trimester of pregnancy.
- Vagino-rectal culture to rule out the presence of Streptococcus B Agalactiae in the third trimester.
- Information on the evolution and control of pregnancy in Barcelona is updated. He works on birth plan and also health advice during pregnancy, childbirth and the puerperium.
Classification of pregnancy according to risk factors
La classification of pregnancy according to risk factors It is a requirement in pregnancy control in Barcelona and the rest of the towns. Carrying out this classification allows us to know the types of controls that we must carry out and also what health resources we are going to need.
There is a published list of risk factors in the Pregnancy Monitoring Protocol of the Department of Health of the Generalitat, and based on this, pregnancies are classified as:
- normal pregnancy
- Low risk pregnancy
- medium risk
- High risk
- very high risk
The successive visits, as well as the necessary laboratory tests and ultrasound scans, are adapted to the existence and type of some risk factor.
normal pregnancy
It is considered a normal pregnancy one that does not present any risk factor based on the clinical history and history of the woman.
El Normal pregnancy control in Barcelona It is carried out according to the recommendations of the Pregnancy Monitoring Protocol explained in the previous section on the first visit and subsequent visit.
On gestational control A complete medical history is taken, weight is checked, and blood pressure is also checked. Laboratory tests established according to the weeks of pregnancy are requested. In addition, the three Doppler and High Resolution Ultrasounds Pregnancy protocols in the first, second, and third trimester. At the end of the pregnancy, fetal well-being controls are carried out, before the moment of delivery.
Low risk pregnancy
El low risk pregnancy It is considered when there is some physical characteristic, history or pathology that, without safely causing any disease in the current pregnancy, does make it necessary to add some specific type of pregnancy control in Barcelona at our Institute.
The factors that make up the low risk group are:
- Pelvic abnormalities: to consider further at the time of delivery.
- Low height: size less than 145 cm.
- Inadequate Body Mass Index - BMI is calculated according to the formula:
Weight in kg / (height in m)2. A body mass index (BMI) at the beginning of pregnancy less than 18,5 is associated with malnutrition. Malnutrition can be associated with less growth of the baby inside the uterus. A BMI greater than 29 is associated with an increased risk of arterial hypertension, a newborn weighing more than 4 kg, and metabolic disorders in the baby.
- Unwanted pregnancy.
- Inadequate vaccination schedule.
- Mild cardiovascular risk.
Medium risk pregnancy
El medium risk pregnancy includes pregnant women who have some physical characteristic, history of previous unfavorable pregnancies, or other conditions that may affect the normal course of the current pregnancy.
El medium risk pregnancy it does not usually require highly specialized resources.
We classify in the pregnancy control in Barcelona to pregnancy in this risk when one or more of the factors cataloged within this group are identified:
- At a very early age: women under 15 years of age.
- Very advanced age: women over 40 years.
- Multiparity: 4 or more previous births.
- Short period between two pregnancies: time not exceeding 12 months from the birth of the last child to the beginning of pregnancy.
- With a history of intrauterine growth retardation and also low birth weight babies.
- History of dystocic deliveries, or more complicated ones, that have required instrumentation or forceps in the birth of a previous child.
- Previous uterine surgery.
- previous caesarean section
- Sterility before pregnancy.
- With a history of placental pathology.
- History of obstetric pathology in previous pregnancies.
- Insufficient or inadequate control during the current pregnancy.
- Unfavorable socioeconomic conditions.
- Personal history of mental pathology.
- Current controlled and stable mental pathology.
- Metrorrhagia or blood loss in the first trimester.
- Gestational diabetes well controlled and corrected by diet and physical activity.
- Risk of infection:
- At risk of sexually transmitted infection.
- Risk of urine infection.
- Also risk of virus infection.
- smoking habit
- Rh D negative group and negative indirect Coombs.
- Cardiovascular risk of WHO category II.
- Family history of hereditary diseases.
High risk pregnancies
They are classified high risk pregnancies those that present any of the risk factors that classify it and that can also increase the appearance of complications during pregnancy, childbirth or postpartum. This risk can also increase perinatal complications.
The objective of this classification is to adapt the control of pregnancy to prevent and also reduce the probability of complications.
El pregnancy control in Barcelona It can be performed at our Institute as it is located within the Corachan Clinic with a highly specialized Neonatal and Adult Unit.
The factors that make up the high-risk group are:
- Morbid obesity: body mass index, BMI, greater than or equal to 40.
- History of two or more previous involuntary abortions.
- With a history of uterine cervical incompetence.
- Previous chromosomal abnormality.
- Previous ectopic pregnancy.
- Gestational trophoblastic disease or previous mole.
- Previous preterm birth.
- Endocrinopathies.
- Cardiovascular risk of WHO category III.
- Arterial hypertension prior to pregnancy.
- Dichorionic twin pregnancy.
- Gestational diabetes.
- Mild preeclampsia.
- Maternal infection diagnosed during pregnancy.
- Rh D isoimmunization and others.
- Serious current mental illness.
- severe anemia.
- Suspected fetal malformation.
Very high risk pregnancies
It defines very high risk pregnancies in the control of pregnancy in Barcelona that in which the presence of some risk factor is identified that significantly increases the probability of complications during pregnancy, childbirth and postpartum and that require care with highly specialized health resources.
Pregnancy control must be carried out in a suitable center for it, as in our case the Dra. Gómez Roig Institute and the Corachan Clinic.
The attitude is always follow-up, accompaniment, and prevention of risk situations that increase the possible complications of the mother or her baby.
The factors that make up this group are:
- Severe associated pathology.
- Previous perinatal death.
- Type 1 or type 2 diabetes mellitus.
- Type 3 and type 4 heart disease.
- Alcohol and/or other drug dependency syndrome.
- Diagnosed uterine malformations.
- Multiple gestation: 3 or more fetuses.
- Intrauterine growth retardation.
- Confirmed fetal malformation.
- Abnormal position of the placenta.
- severe preeclampsia.
- Threat of premature labor.
- Rupture of membranes in preterm labor.
Take your pregnancy with us
If you are looking for a center specialized in pregnancy and childbirth, you can trust the professionals of the Dra. Gómez Roig Institute.
Our TEAM of midwives and obstetricians They will accompany you, inform you, and resolve your doubts at all times.
The good training of specialists ensures humane and professional attention appropriate to the risk of pregnancy according to your needs.
In all cases, the opinion of the woman and her family is respected and listened to in order to offer a respected delivery. For this, our matronal inform and work the birth plan with the woman and her companion in a personalized way.
Following quality care indicators, and the experience of the woman and her family, helps us to improve our care practice.
Attempting natural births, with little instrumentation, and with a low rate of cesarean sections is also our priority.
The ultimate goal of pregnancy control in Barcelona is to offer a positive baby birth experience with a professional accompaniment that allows that in the event of risk situations or complications, these are resolved without incident.
The health of the mother and her baby is the most important thing.
Entries of Interest
- About the Author
- Last tickets
Head of the Obstetrics and Gynecology Service at the Sant Joan de Déu Hospital in Barcelona. Associate Professor of Obstetrics and Gynecology and Coordinator of the Sixth Course of Medicine at the University of Barcelona, UB. Director of the Dra. Gómez Roig Institute and Coordinator of Obstetric and Gynecological Processes at the Corachan Clinic in Barcelona.