1- Cardiotocography ( CTG ) :-
one of the most important services provided by Dr. Wael Al-Banna clinics is cardiotocography (CTG), which we routinely perform for pregnant women beginning in the last three months of pregnancy.
Normally, the heartbeat of the fetus is between 110 to 160 beats per minute, and the number of strokes increases when the fetus moves.
So, the reassurance that a fetus accelerates his heartbeat with movement is an important and indirect effect of reassuring the oxygenation of the fetus, as this test also shows and strongly influences uterine contractions on the heartbeat of the fetus, which gives important indications before allowing the woman to enter into a normal delivery as well as This test measures the strength of the uterine contractions and makes them specific if the true contraction or a false contraction.
Who are the women who essentially must do this test?
1- Any pregnant woman does not feel the movement of the fetus inside her or decreased her sense of the movement of the fetus at any time.
2- Pregnant women who have placental diseases during pregnancy (placenta previa – low placenta – calcified placenta).
3- Women with decrease amniotic fluid index around the fetus.
4- Pregnant in twin .
5- Women who suffer from hypertension and diabetes with pregnancy.
How is this test done?
Two probes are placed around the mother’s abdomen.
Probe to measure the fetal heartbeat
Probe to measure uterine contractions
And the woman sits for 20 to 60 minutes, where Dr. Wael or the assistants decide.
The result of this test :
If the result is not reassuring, Dr. Wael may want the pregnant woman to give a set of sugars and to have her test in a different position, such as sleeping on the left side, or using vocal stimulation or vibration for the fetus to make sure he does not sleep. If the result remains uneasy, Dr. Wael By performing a detailed sonar and doppler on the blood vessels of the fetus and assessing the entire fetal movement and breathing movements, this test is essential in Dr. Wael’s clinics for all pregnant women to check on the health of the fetus during pregnancy and intervene as soon as possible to save the fetus from the occurrence of sudden death of the fetus Inside the womb of the mother.
Dr. Wael uses CTG in all natural deliveries and refuses that any woman perform a natural birth to use this device that monitors the fetus’s health throughout the birth period and if the fetus appears affected at any moment we will Caesarean section immediately.
Preparing for a Pap smear:
There are some instructions that a woman must do before performing a Pap smear so as not to affect the outcome:
Not to do vaginal washes or vaginal showers for 48 hours before performing the swab.
Refrain from marital relationship 48 hours before the smear.
Do not use any vaginal topical medications, or any other topical contraceptive 48 hours before the swab.
And the Pap smear is performed on any day between the tenth day and the twentieth day from the beginning of the menstrual cycle until we move away from the days of menstrual bleeding.
And it does not take time to do a Pap smear. During vaginal examination of the pelvic area, the smear is taken quite easily within a few minutes.
Pap smear in details:-
During a Pap smear, the lady sleeps on her back with the knees bent and the Speculum is inserted into the vagina, which is a small metal machine inserted into the vagina so the vaginal wall and cervix can be seen clearly.
Then, a sample of the cervical cells is taken by means of a wooden curettage, by which the cells are scraped from the cervix, then fixed on a glass slide and sent to the laboratory for examination under the microscope.
And the Pap smear is not completely painful for the lady, so she may not feel anything, or she feels with a slight pressure, she should be calm completely and take her breath slowly and completely relax the abdominal area and legs. And there are no complications from them.
After examining the sample under the microscope, the result of a Pap smear test will appear.
Negative or normal test: means that the cervical cells are normal in size and shape.
A positive or abnormal test means that the cervical cells are abnormal in shape and size. And that does not necessarily mean the presence of a cancerous tumor. In some cases, the result appears positive, but not because of cervical cancer. Therefore, you should continue to find out the true cause.
The presence of infection in the cervix can cause a positive result, such as in cases of fungal infections, chlamydia, trichomonas, or gonorrhea where the cervical cells are inflamed and after treatment and re-smear the cervix appear normal cells again.