The best diagnostic tool for early pregnancy is by doing a urine pregnancy test. It is economic and accurate in 99% of the cases. When the test is positive then no need to confirm it by doing a blood test (this is considered unnecessary expense). If the test is negative and we have high suspicion of pregnancy then we can do a blood test.

Antenatal follow up in Al-Hayat Medical Center starts immediately after diagnosis of pregnancy until delivery using internationally accepted standards including :

• One visit every four weeks until 30th week.
• One visit every two weeks from 30th -36th week.
• One visit weekly from 36th – 40th week.

In your first visit an antenatal file will be opened for you where all the information regarding your obstetric, medical, surgical, allergy and social histories are registered. You'll you’re your urine and blood sugar tests done, Your weight and blood pressure taken and your doctor will give you Folic Acid tablets if you didn’t already start it before pregnancy. Finally he'll do an ultrasound to document gestational age, number of fetuses, their location and presence or absence of fetal heart activity.

In addition to the random blood sugar tests done in each antenatal visit; you'll be requested to do a fasting one hour-50 gm glucose tolerance test. The result will be considered normal if it is below 7.2 mmol/L. But if it is more than 11 mmol/L then gestational diabetes is diagnosed. If the result is between 7.2 and 11 mmol/L then the patient will be requested to do a fasting three hours-100 gm glucose tolerance test. In this case, gestational diabetes is diagnosed when two readings or more are abnormal.

In each visit your weight and blood pressure will be registered, your urine, hemoglobin and blood sugar tests will be done and your doctor will do an ultrasound scan for the fetus. He'll also ask you about any associated symptoms and give you the proper treatment.

Using Ultrasound your doctor will measure the thickness of the nuchal fold of the fetus (nuchal translucency) and will search for the presence of nasal bone between 11th and 14th week of pregnancy. The absence of nasal bone and a nuchal translucency of more than 2.5 mm in considered an indication of possible chromosomal abnormality for which the patient will be referred to Feto-Maternal Unit for further investigation. A blood test (triple test) will be done at gestational age 16 weeks to determine fetal risk of having neural tube defects or chromosomal abnormalities.

You'll be put in diabetic diet for two weeks, and then you'll do fasting blood sugar and two hours postprandial blood sugar test. The fasting blood sugar should be less than 5.3 mmol/L and the two hours postprandial test should be less than 6.7 mmol/L. If the readings are higher than this you'll be referred to diabetic doctor to start you in insulin. You should know that the strict control of diabetes is important to take the pregnancy to its happy end.

Yes, CTG is still considered a major component of fetal health monitoring program due to its simplicity and accuracy. Monitoring starts usually at 36 weeks but in cases of intrauterine growth restriction it may start at earlier gestational age.

If you are using contraceptive pills for the first time, then start it on the first day of the cycle. Take it once daily for 21 days continuously. Stop the pills for seven days then start a new box. The period will come during the pill-free period.

Take two tab once daily for few days until no more bleeding.

Take it when you remember (next day morning for example) then continue other pills as usual. Be careful not to repeat the incident frequently.

Take two tab Clomid daily for five days starting on cycle day 3. Take appointment for ultrasound on cycle day 10 for ovulation monitoring.

Yes, especially if you did the monitoring with ultrasound and there was evidence of ovulation. If you did not do the monitoring, we are afraid that the Clomid dose is not enough and we could not increase the dose in the coming cycles.

Usually, we use clomid for a maximum of 6 cycles. If we failed to achieve pregnancy then we start the injections.

No. This service is not available as it requires special laboratory and an operation theater which are available in Qatar only in Hamad Medical Corporation.