What to check at 36 weeks of pregnancy

During the 36-week pregnancy checkup, the pregnant woman’s blood pressure, pulse rate, blood routine, urine routine and weight should be checked, and her uterine height and abdominal circumference should be measured, the fetal heartbeat should be listened to, fetal heart monitoring should be done and fetal ultrasound should be done, etc. Pregnant women with combined hypertension, thyroid disease and rheumatic immunity-related diseases should also have the corresponding checkup items, such as liver function, thyroid function and rheumatic immunity-related antibodies. Routine blood examination and routine urine examination are needed at 36 weeks of pregnancy to pay attention to whether the pregnant woman has anemia. If the hemoglobin is less than 110g/L and it is microcytic hypochromic anemia, it is recommended that the pregnant woman should take oral iron supplements, and it is also recommended to take vitamin C to promote iron absorption. In addition, a routine urine test should be taken from the middle section of urine and attention should be paid to the presence of urine protein. Fetal heart monitoring needs to be done for 20 minutes, pay attention to the changes of fetal heart, the frequency and intensity of contractions can also be seen on the fetal heart monitoring. If you have not had an ultrasound in late pregnancy, you also need to have a fetal 3D ultrasound at 36 weeks. First, you need to measure the fetal biparietal diameter, femur length, head circumference and chest circumference, predict the fetal weight and clarify the fetal position. In addition, the depth of amniotic fluid and amniotic fluid index will be measured. If the amniotic fluid is too much, it indicates that the pregnant woman may have gestational diabetes, and she needs to monitor her fasting blood sugar and 2-hour postprandial blood sugar. If the amniotic fluid is too small, it is important to pay attention to whether the pregnant woman has pregnancy complications or complications. If the pregnant woman has some special conditions, the scope of the examination needs to be extended. If there is hypertensive disorder in pregnancy, you need to pay attention to the change of blood pressure at 36 weeks, and you need to do a comprehensive laboratory examination, which also includes coagulation function, liver function and kidney function, and pay attention to the increase of transaminases. If a pregnant woman has thyroid-related diseases before or during pregnancy, she needs to have a thyroid function test on an empty stomach at 36 weeks of pregnancy, and if there is any abnormality in thyroid function, she needs to go to the endocrinology department. If the pregnant woman has rheumatologic immunity-related diseases, she also needs to have rheumatologic immunity-related antibodies, and go to the rheumatology department for examination and treatment. If the pregnant woman has diabetes or if the newborn had a group B streptococcal infection at the last birth, a group B streptococcal culture is required.