Pre-pregnancy examination related consultation Pre-pregnancy examination items: liver, kidney function, routine blood, routine urine, electrocardiogram, routine white belt screening, rubella, toxoplasmosis, cytomegalovirus three, oral examination, gynecological endocrine, blood type and ABO hemolysis titer, chromosome examination, etc. Pre-pregnancy tests include the following: 1. Routine blood tests: Routine blood tests can reveal your hematocrit values, the number of white blood cells, the presence of potential infections, and whether you have anemia. If you suffer from severe anemia, then it is likely that your iron supply will be insufficient during pregnancy, which will affect the development of your fetal baby and is not conducive to postpartum recovery. The platelet count will give you an idea of your blood clotting function and whether you have any blood system or immune system disorders. The volume of red blood cells (MCV) and the fragility test help to detect thalassemia carriers (which is more common in southern China). It also includes the detection of blood type. If the wife is of blood type O (RH negative) and the husband is of blood type A, B or AB (RH positive), there is a possibility of fetal neonatal hemolysis. 2. Routine urine examination: Routine urine examination helps in the early diagnosis of kidney disorders. Pregnancy can increase the burden on the kidneys, and in severe cases, kidney failure may occur and increase the risk of hypertensive disorders, and the condition can worsen as pregnancy continues, causing miscarriage, premature birth, restricted intrauterine development of the fetus, and even necessitating termination of pregnancy. Routine urine tests can also find out if you have urinary tract infections or diabetes and other problems. 3. Gynecological ultrasound examination: Ultrasound examination can help to understand the development of the uterus and ovaries, whether there is fluid and swelling in the fallopian tubes, whether there are uterine malformations, uterine fibroids and adenomyosis, and whether there are swellings in the ovaries. If any of these conditions are present, you may need to have treatment before you can get pregnant. 4.Electrocardiogram and chest x-ray to diagnose diseases of your heart and lungs. 5.Virus and toxoplasmosis screening: Viruses that are toxic to the fetus include rubella virus, cytomegalovirus, coxsackie virus, herpes virus, EBV, and toxoplasmosis (not a virus). This test can be done after consulting your doctor if you have had pets such as dogs and cats in your home or have had contact with animals, have eaten semi-cooked or raw meat, raw fish and raw vegetables in the recent past, have had recent contact with a rubella patient or have had erythema or rash on your skin, or have had a blood transfusion or an organ transplant. These particular pathogens have the potential to cause intrauterine infections in the fetus and are also an important cause of birth defects in newborns. In addition, your doctor will arrange for you to be screened for other bacteria, viruses, etc. (e.g. B19, COX virus, etc.) as needed. If your tests do not reveal rubella antibodies, your doctor will recommend that you receive a rubella vaccination before considering pregnancy. However, it is important to note that you should not get pregnant for three months after the rubella vaccination, and you should remember to use birth control during this time. For Toxoplasma gondii, if the test result is IgM (+), it means that you currently have an infection and you can be treated first and wait until the IgM turns negative and IgG (protective antibodies) appear before getting pregnant. 6.Sexually transmitted diseases testing: including syphilis serological examination and HIV test. 7.Hepatitis B and half test, hepatitis A and C antibody measurement: If you have hepatitis B or hepatitis B antigen carrier, then your baby can be protected by immunoglobulin injection immediately after birth. If the test results show that you are neither a carrier nor have hepatitis B antibodies, it means that you are hepatitis B susceptible, i.e., more susceptible to hepatitis B than others, and it is best to receive the hepatitis B vaccination as a preventive measure before you become pregnant, just to be on the safe side. If your hepatitis B virus DNA (HBV-DNA) value is too high, it means that the hepatitis B virus is replicating in your blood, and the higher the number of virus, the more infectious it is. Anti-viral treatment is needed to lower the value of HBV-DNA and reduce the vertical transmission between parents and fetus baby. 8.Cervical scraping examination: Through routine white belt examination: it can screen for gynecological diseases such as trichomonas, mycobacteria, mycoplasma chlamydia infection and other vaginal inflammation. If problems are found, it is best to treat them thoroughly before getting pregnant to avoid causing risks such as miscarriage and premature birth after pregnancy. In addition, if you are found to have severe inflammation and cancer of the cervix (e.g. cervical intraepithelial neoplasia grade I, II, III) or cervical cancer during the cervical cancer screening test (TCT test), you need to have treatment and consult your doctor for examination before getting pregnant. 9. Chromosome testing: If you have a history of recurrent miscarriages, a history of fetal abnormalities, or if you or your husband have a family history of genetic disorders, your doctor may arrange for you to undergo a chromosome test. Chromosomal testing can predict the risk of having offspring with chromosomal disorders, and detect early genetic disorders and whether I have chromosomal abnormalities that affect fertility and common sex chromosomal abnormalities, so that active and effective interventions can be taken. 10.Sex hormone six test: If you have a history of irregular menstruation, your doctor may arrange for you to have a sex hormone six test, which includes six sex hormones such as follicle stimulating hormone, luteinizing hormone, estrogen and progesterone, prolactin, and androgen. The test results will be used to understand the cause of your irregular periods, infertility or miscarriage and to guide you accordingly. Your thyroid function may also be checked if necessary. Preconception tests for men: Preconception tests are not just for you, your husband should also be tested accordingly for insurance purposes. In addition to some of the above tests, your doctor will also focus on your husband’s semen and reproductive system disorders. The semen test will tell you about sperm vitality, whether there is little sperm or weak sperm, malformation rate, mortality rate, determine whether there is prostatitis, etc., and advise accordingly and decide whether to use assisted reproductive technology. In addition, the doctor will perform the appropriate tests to evaluate your condition according to your couple’s disease status, and may change your current treatment plan to choose the least harmful treatment for your unborn baby, as well as advise you on the conditions under which you are likely to conceive, the effects of pregnancy on the disease, the possible mutual effects of the disease on pregnancy, and the treatment plan during pregnancy.