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About the examinations of the antenatal care

The first pregnancy check

If possible, it is recommended to have the first pregnancy check performed by the 12th week of pregnancy. This examination is the basis for admission to antenatal care and is the primary time for determining the expected delivery date, including confirmation of intrauterine pregnancy by bimanual examination, vaginal ultrasound, possibly laboratory pregnancy test, colposcopy (if a smear test is due), breast examination, weight and height measurement, and counseling.

Full blood count (hemoglobin, hematocrit, erythrocyte indices, white blood cell count, platelet count), renal function (Se creatinine, urea, eGFR), liver function (GOT, GPT, Se bilirubin), blood sugar, thyroid hormone function (TSH), blood typing and red blood cell antibody screening, Treponema pallidum screening (TPHA+RPR), HbsAg screening, complete urine and sediment (protein, leukocytes, glucose, acetone, UBG, sediment).

Resting ECG

The resting ECG does not require any preparation. During the examination, the patient lies in a supine position and electrodes are placed on the torso and limbs. The test provides a picture of the electrical activity accompanying the heartbeat and its changes. The ECG curve is displayed on a monitor, which is also printed out as curves drawn on a paper strip. You cannot move or speak during the test and must remain still throughout.

Consultation by a medical doctor

The examination can be performed once the laboratory tests and ECG are completed.

General internal organ assessment: family and individual medical history, predisposing and risk factors, and possible complaints. General physical examination, including assessment of the condition of the major organ systems (skin, mucous membranes, lymph nodes, respiratory system, cardiovascular system, abdominal organs, musculoskeletal system, and nervous system), blood pressure, BMI measurement, lifestyle advice. A detailed evaluation of the previously performed resting ECG is given.

2 obstetric checks during each trimester

During the examinations, body weight, pulse, and blood pressure are measured, the position of the fetus, fetal movement, fetal heart function, uterine fundus, uterine contractions are determined, and, if necessary, vaginal exploration, a vaginal examination, a cervix score, if needed, the week of pregnancy is determined, and a urine test strip (protein, glucose-acetone, leukocytes) is examined, if necessary. Checking fetal heart from week 28, teaching pregnant woman how to count fetal movement from week 34. Counseling, discussion of complaints, treatment, if necessary, giving appointment for the next checkup.

1st trimester genetic ultrasound examination elements
  • fetal development rate and dimensions (CRL, BPD, FL*)
  • thickness of the nuchal translucency (NT)
  • nasal bone detection
  • ductus venosus flow measurement
  • examination of limbs
  • examination of body contours
  • early echocardiogram

*CRL: crown-rump length, the distance between the fetal head and the apex of the buttocks; BPD: biparietal diameter, the distance between the two parietal bones = the transverse diameter of the skull; FL: femur length

Combined test (free beta-HCG, PAPP-A)

The combined test is used for biochemical screening of fetal abnormalities and to assess fetal risk, which can more accurately determine the likelihood of certain fetal abnormalities, including trisomy 21, Down’s disease (85-90%), Edwards disease (trisomy 18) and Patau’s syndrome (trisomy 13).

2nd trimester genetic ultrasound examination elements
  • fetal developmental rate and dimensions (BPD, HC, AC, FL**)
  • bone structure, limbs
  • central nervous system (open spine)
  • face (cleft lip and palate)
  • chest (lungs, heart, esophagus, thymus)
  • abdomen (stomach, intestines, liver, kidneys, bladder)
  • genital organs
  • placenta
  • amniotic fluid

**BPD: biparietal diameter, the distance between the two parietal bones = the transverse diameter of the skull; HC: head circumference; AC: abdominal circumference; FL: femur length

Full blood count (hemoglobin, hematocrit, erythrocyte indices, white blood cell count, platelet count), complete urine (protein, leukocytes, glucose, acetone, UBG, sediment), stress blood glucose test (fasting and 120 minutes after 75 g glucose consumption).

3rd trimester ultrasound examination elements
  • fetal development rate, fetal dimensions (BPD, HC, AC, FL***)
  • bone structure, limbs
  • central nervous system (open spine)
  • face (cleft lip and palate)
  • chest (lungs, heart, esophagus, thymus)
  • abdomen (stomach, intestines, liver, kidneys, bladder)
  • genital organs
  • placenta
  • amniotic fluid
  • location of fetus in uterus

***BPD: biparietal diameter, the distance between the two parietal bones = the transverse diameter of the skull; HC: head circumference; AC: abdominal circumference; FL: femur length

Full blood count (hemoglobin, hematocrit, erythrocyte indices, white blood cell count, platelet count), renal function (creatinine, urea, eGFR), liver function (GOT, GPT, Se bilirubin), coagulation parameters (INR and fibrinogen), complete urine and sediment (protein, leukocytes, glucose, acetone, UBG, sediment), blood type and antibody screening, vaginal secretion culture (group B Streptococcus screening).

Price of the Pregnancy Care Packages

In the case of twin pregnancy, we provide an individual quote.

The 2nd and 3rd trimesters can be purchased separately. If you would like an individual offer, please contact us:

Payment by instalments is also possible. For more information on this, please contact us at varandosgondozas@medicover.hu.

Price list of pregnancy care-related examinations

Examination by a Consultant Obstetrician (antenatal care with 2D ultrasound)28,000 HUF
1st trimester genetic ultrasound*30,000 HUF
1st trimester genetic ultrasound + combined test41,900 HUF**
2nd trimester genetic ultrasound*30,000 HUF
3rd trimester ultrasound*30,000 HUF
Cardiotocography (CTG)12,500 HUF
Doppler ultrasound25,000 HUF
1st trimester laboratory test basic package27,500 HUF
1st trimester laboratory test premium package46,000 HUF
2nd trimester laboratory test basic package9,000 HUF
2nd trimester laboratory test premium package12,000 HUF
3rd trimester laboratory test basic package22,000 HUF
3rd trimester laboratory test premium package23,500 HUF
NIPT tests (Harmony)168,000 HUF
TORCH panel35,000 HUF
Resting ECG6,000 HUF
Examination by a medical doctor27,000 HUF
Consultation by a dietician11,000 HUF
Diabetology specialty examination – first visit35,000 HUF
Endocrinological examination27,000 HUF
Dental checkup10,000 HUF
Consultation with a neonatologist35,000 HUF
Consultation with a midwife16,000 HUF
Consultation with a neonatal nurse16,000 HUF
Placental growth factor (PLGF) laboratory test12,000 HUF
Additional specialist, diagnostic and laboratory testsRead more

*Duration and price doubled in case of twin pregnancy.
**Discounted package price.

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