How To Take Care Of The Fetus In Infertility

Miscarriage (also called infertility) is a pregnancy difficulty in a couple that both have reduced fertility. The case of inability to reproduce is when a person has certain absolute factors that prevent pregnancy, such as having no uterus, or no ovaries, etc.

Thus, infertile people can still get pregnant, but it must be the impact of the specialization that terminology often uses as fertility assistance.
Determine whether pregnant or not?

After sexual activation or sperm injection as well as transfer of embryos into the uterus, 2 weeks later they measured the amount of HCG beta in the blood.
Especially in in vitro fertilization, after transferring embryos to the uterus, after 14 days, test for HCG beta is a hormone secreted by placenta and put into blood

. If the test is positive (ie there is HCG beta in the blood, then it is called biochemical pregnancy.
Then ultrasound vaginal transducers. If the fetus is found in the womb, it is called a clinical pregnancy Depending on the circumstances, one can measure the HCG beta several times to assess fetal development and adjust the medication appropriately to help the fetus develop well.




What is reduced embryo?
This often happens in in vitro fertilization because to ensure a sure pregnancy, the best 3–4 embryos are usually transferred to the uterus to ensure a sure pregnancy.
If all 3 or 4 pregnancies are well developed, there is a risk of multiple pregnancies. Consequences often lead to fetal and maternal pathologies such as pre-eclampsia, eclampsia or fetal or fetal blood transfusion syndrome, especially in preterm labor, the risk of death and neonatal morbidity are very high.
Thus, the solution of kalicloride is directly injected into the poorest embryos in the uterine embryos and these embryos dissipate themselves without affecting other embryos and retain only one or two of the best embryos.
Ultrasound problem like?

First of all, ultrasound is very necessary in the care of women during pregnancy, especially in the case of infertility. Generally relative order as follows:
In the first quarter (first 3 months): 1 week after menstruation should test urine or blood to determine HCG to determine whether pregnant or not.
After 2 weeks, an ultrasound of the abdominal or vaginal probes will be needed to determine an intrauterine or ectopic pregnancy

If the intrauterine sac is found, it is likely to become pregnant in the uterus.




In the case of in vitro fertilization, people transfer 3 to 4 embryos into the uterus to prevent the development of embryos.
Therefore, ultrasound at this time is required not only to determine the clinical pregnancy but if 3 or 4 fetuses develop, they must abort the pregnancy because if 3 or 4 fetuses develop, it is called multiple pregnancy. prone to preterm birth even if the fetus is too premature.
The weak premature infants are prone to death, so the often injected kalicloride into the embryo so that the embryo dissipates itself and retains only 1 to 2 best embryos.
Weeks 12-13 have a 3-dimensional ultrasound to determine if the fetus is abnormal, especially if the neck thickness is measured. Week 17 or 18 ultrasound to detect diseases or abnormalities of the cardiovascular system.
Pregnant women also have amniocentesis and cell culture to detect chromosomal aberrations. Depending on the severity and type of disability, the decision to keep pregnant or abortion.




The termination of pregnancy (generally referred to as abortion) must be carefully consulted to consider the extent and type of malformations, the possibility of postpartum intervention and the ability to live after birth as well as after intervention in the child.
This consultation is done through a panel of obstetricians, pediatricians, surgical specialists specializing in pediatric surgery, imaging (ultrasound), geneticists and sociologists.
When the fetus is 22 weeks pregnant, women also need a 3-dimensional ultrasound to determine if the fetus is deformed, because at this time the fetus has grown, observing the fetus on the 3-dimensional ultrasound system will detect abnormalities in Fetal morphology is easier and more accurate.
If the fetus has abnormalities, the abortion is also easier and has fewer complications. Last 3 months or 23 weeks - 40 weeks: this time is the fetus is complete and grows fast in the womb. Usually, a 2-dimensional ultrasound is needed to assess the development of an intrauterine pregnancy.
However, a doppler ultrasound (which is part of an ultrasound machine) is used to measure the uterine artery index if it is pathological because the uterine arteries supply blood to the fetus through a placenta to predict the outcome of the pregnancy. intrauterine growth retardation does not.




What tests to detect birth defects?

Middle 3 months (from week 14 to week 15): Triple test should be a test to see if the fetus is at risk of malformations.
If the test shows a high risk, the woman will be counseled about pregnancy that may be deformed, especially Down disease, a chromosomal disorder, the baby is often dead or mentally impaired. wisdom, dullness or deformities or other diseases.
This test also predicts a high risk of Down syndrome as well as the neural tube defects of the fetus with the mother's age..

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