You are in the week 18-20 of gestation, and it is possible that you already perceive the movements of the fetus inside you. Again the doctor will verify if you have edemas or varicose veins, will weigh you and the tension will take you to see that everything continues inside the normality.
The doctor will analyze with you the results of the previous tests and will communicate to you, if there is a major risk of 1/270 of syndrome of Down, which is convenient that they practise an amniocentesis on you. It is a slightly invasive test with a small abortion risk since it consists of introducing a needle in the bag of amniotic liquid to analyze it. By it it is not recommended in normal pregnancies.
Analysis of urine and blood: Conditions that might be harmful to the health of his baby (for example, hepatitis B, syphilis and other infections of sexual transmission). His doctor will ask him if a VIH test wants to be realized, about the virus that causes the AIDS.
Antibodies that show if it is immune or not to the German measles (German measles) and to the chicken pox, illnesses that can cause birth defects if the mother contracts them for the first time during the pregnancy
Anemia (under inventory of red globules), what might do that she feels particularly tired and, in some cases, to increase his risk of premature childbearing
His blood group, included the factor Rh of his red globules. The women who do not have the factor Rh are named negative Rh and, in general, they need to surrender to a treatment to protect his babies of a potentially dangerous problem in the blood
Bacteria in the urine. Up to 10 per cent of the pregnant women it has bacteria in the urine, which indicates an infection in the urinary tract. The majority does not present symptoms but even an asymptomatic infection can propagate and come to the kidneys, where it can represent a serious risk for the mother and the baby. The infections of the urinary tract talk each other with antibiotics that are sure both for the mother and for the baby
Sugar in the urine. This can be a diabetes sign. It is possible that his doctor asks him that additional tests should be realized if sugar is detected to him in the urine.
Protein in the urine. This can indicate an infection of the urinary tract or, in a later stage of the pregnancy, a condition related to the pregnancy that arterial high pressure includes. It is possible that his doctor asks him that additional tests should be realized if it detects protein in the urine.
Ultrasound scan of 20 weeks: It is in this moment when it has been demonstrated that there can be discovered most of the incompatible fetal anomalies with the life. Before the week 18 the limited size of the fetus prevents a suitable visualization of his organs therefore it is possible that you discover, if this way you wish it, the sex of your baby.
On the other hand, the current legislation allows the voluntary interruption of the pregnancy for malformations of the fetus up to the week 22 of gestation, therefore if some important alteration is detected it is possible to raise the above mentioned interruption inside the period established by the law.
It is probable that the gynecologist speaks to you about the preparation courses to the childbearing. It is a controversial topic. In general it is a very advisable topcoat for childbearings without anesthesia epidural, nevertheless there exist cases in which the stress level increases in the pregnant woman with regard to the moment of the childbearing, which is good neither for the mother nor for the fetus. It is necessary to heft it with the specialist, and to bear in mind the proper personality and the type of wished childbearing.
If everything is normal, he will quote you after another four weeks.
INTRODUCTION 
