Med-Ona

info@medona.si

+386(0)15680781 (Mon – Fri: 10:00-14:00)

Pregnancy

Pregnancy is a special time in life, full of joy and worry. It is a time when great changes take place in a woman's body. It deserves careful management by a doctor you trust.

Ultrasound examinations (UZ) at different stages of pregnancy

Ultrasound examinations (UZ) in individual stages of pregnancy

Ultrasound examination is a painless and non-invasive diagnostic method. It enables the visualization of different tissues in the body using a special probe and ultrasound waves of different frequencies.

In pregnancy, ultrasound can be used to determine the correct morphological development of the organs, the basic structure of the body and the proper growth of the foetus.

 

EXAMINATIONS:

– early morphology with nuchal translucency

– fetal morphology between the 18th -22nd week of gestation 

– fetal growth control

With a special ultrasound and cardiotocogram in the second half of pregnancy, we can determine the bio-physical profile of the fetus, measure the length of the cervix and the flow in the uterine vessels, or delight you with a 3D/4D visualisation of your unborn baby.

 

Nuchal translucency and double hormone test for pregnant women also on referral from ZZZS.

up to 10 WG

Confirmatory ultrasound

11-14 WG

Nuchal translucency and early fetal morphology

18-22 WG

Fetal morphology and BPP (after 20th WG)

35-37 WG

6 w. after birth

Postpartum examination *

* Postpartum examination is scheduled 6 weeks after delivery.

A general gynaecological examination and an ultrasound of the uterus are carried out, a PAP smear may be taken and a discussion on postnatal contraception and breastfeeding may be held.

up to 10 WG

Confirmatory ultrasound

11-14 WG

Nuchal translucency and early fetal morphology

18-22 WG

Fetal morphology and biophysical profile of the fetus (after 20th WG)

35-37 WG

6 w. after birth

Postpartum examination *

BIOPHYSICAL PROFILE OF THE FETUS

More commonly, the scan is performed in the second half of pregnancy or in the last trimester and is used to assess the well-being of the fetus in the womb. It is performed using ultrasound scan and cardiotocogram (CTG). 

Fetal tone, movement, respiratory movements, placental quality and amniotic fluid volume are assessed, and the fetal heart rate is monitored over time (CTG).

* Poporodni pregled vsebuje: Svetovanje (prehrana, gibanje, prenatalni testi, pregledi v nosečnosti, cepljenje, zdravila, prehranski dodatki)

Prenatal genetic tests

This is a non-invasive prenatal test to detect the most common trisomies in the unborn child from the peripheral blood of the pregnant woman.

The test detects the most common and clinically important chromosomal abnormalities. The test can be performed at any time from the 10th week of pregnancy onwards.

The test is complementary to (complements) the nuchal translucency screening test with a dual hormone test, which is performed between 11-14 weeks of pregnancy.

The NIPT has the advantage of high reliability in detecting the most common trisomies (more than 99%) and non-invasiveness compared to amniocentesis and chorionic villus biopsy. 

NIPT is most commonly performed because of a suspicion of an increased risk of having a child with trisomies, in the presence of an increased risk obtained by nuchal translucency measurement with or without a dual hormone test, or because of chromosomal abnormalities in previous pregnancies.

Increasingly, however, pregnant women who want reliable results, who have difficulty getting pregnant or who have undergone assisted reproductive technology are opting for this test.

We cooperate with several laboratories and offer various tests:

NeoBona basic

Trisomy 21, 18, 13, sex chromosome aneuploidies and gender of the fetus. 

NeoBona GenomeWide

Trisomies 21, 18, 13, sex of the fetus and aneuploidies of sex chromosomes, examination of all autosomal chromosomes (aneuploidies, duplications, deletions greater than or equal to 7Mb)

Panorama is the most reliable way to non-invasively check the child’s genetic status from the mother’s blood sample. It is the only NIPT that differentiates between maternal and fetal extracellular DNA in a maternal blood sample. It uses SNP technology, which is proven to have the highest accuracy and precision.

– Basic: trisomy 21, 13, 18, triploidy, genetic sex of the child

– Plus: trisomy 21, 13, 18, triploidy, genetic sex of the child, sex chromosome trisomies, monosomy X, microdeletion 22q11.2 (DiGeorge syndrome)

The test is suitable for singleton and twin pregnancies.

Adventia is a unique carrier test that detects mutations in 229 different genes. These include the two with the highest co-occurrence (possibility of developing a genetic defect).

It works with advanced technology that allows for extremely high accuracy of the test itself.

BASIC

Autosomal aneuploidies

  • Down syndrome (Trisomy 21)
  • Edwards syndrome (Trisomy 18)
  • Patau syndrome (Trisomy 13)
Fetal gender
 
STANDARD
 
Autosomal aneuploidies                                                            
  • Down syndrome (Trisomy 21)
  • Edwards syndrome (Trisomy 18)
  • Patau syndrome (Trisomy 13)
 
Sex Chromosomes aneuploidies
  • Turner syndrome (Monosomy X)
  • XXX syndrome (Trisomy X)
  • Klinefelter syndrome (XXY)
  • Jacobs syndrome (XYY)
  • XXYY syndrome
Fetal gender
 
EXPANDED
 
Autosomal aneuploidies
  • Down syndrome (Trisomy 21)
  • Edwards syndrome (Trisomy 18)
  • Patau syndrome (Trisomy 13)
 
Sex chromosome aneuploidies
  • Turner syndrome (Monosomy X)
  • XXX syndrome (Trisomy X)
  • Klinefelter syndrome (XXY)
  • Jacobs syndrome (XYY)
  • XXYY syndrome
 
Microdeletions
  • DiGeorge syndrome (22q11.2)
  • 1p36 deletion syndrome
  • Smith-Magenis syndrome (17p11.2)
  • Wolf-Hirschhorn syndrome (4p16.3)
Fetal sex

Aneuploidies

  • Down syndrome (Trisomy 21)
  • Edwards syndrome (Trisomy 18)
  • Patau syndrome (Trisomy 13)

 

Aneuploidies of sex chromosomes

  • Turner syndrome (Monosomy X)
  • XXX syndrome (Trisomy X)
  • Klinefelter syndrome (XXY)
  • Jacobs syndrome (XYY)
  • XXYY syndrome

 

Mikrodeletions

  • DiGeorge syndrome (22q11.2)
  • 1p36 deletion syndrome
  • Smith-Magenis syndrome (17p11.2)
  • Wolf-Hirschhorn syndrome (4p16.3)

Fetal sex

Monogenic diseases

– 101* monogenic diseases in biological parents.

*The carrier test result for SMA is linked to one parent, while the result for the other 100 autosomal recessive and X-linked monogenic diseases is linked to the fetus.

Postpartum period

The first postnatal check-up takes place 6 weeks after the birth.

A gynecological examination and an ultrasound of the uterus are planned. A PAP smear can also be taken. We discuss breastfeeding and the desire for protection/contraception. We check for problems with bowel movements and healing of the wounds (scars).

As mental health is very important in the postnatal period and women are more sensitive to hormonal changes, it is also good to talk about the feelings that accompany motherhood.

In Slovenia, postnatal care for women is very well organised, as each woman who gives birth receives several visits from a maternity nurse who can resolve many dilemmas.

If you experience:

  • Heavy bleeding in the first week after childbirth (bleeding that intensifies),
  • Pain, inability to pass water or stool (typical enlarged uterus up to the umbilicus),
  • Unpleasant smell of urine, fever.
  • Painful swelling of breasts with redness and fever (mastitis),
  • Persistent sadness or numbness that persists from birth onwards and does not improve after 1 week (postnatal depression/increased risk of suicide).

(01) 568 07 81

Counseling telephone

Telephone consultation is also possible,

by prior arrangement.

The telephone consultation lasts up to 15 minutes and costs 30€.