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SOME
ILLNESSES
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RHESUS
INCOMPATIBILITY : |
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If
the mother has a negative Rh blood and if the father has a positive
one there is a risk of incompatibility between the foetus and the
mother. Indeed in most cases the father gives a positive rhesus to the
baby, which increases this risk of incompatibility.
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The risk is higher at
the delivery : blood cells from the positive baby might go through the
placenta into the mother blood. The mother's body will try to destroy
these cells by forming antibodies to Rh+.
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For the first pregnancy
there is generally no problem. However the incompatibility is likely
to happen at the second pregnancy if the baby is Rh+. (Note : abortion
and miscarriages are considered as pregnancy, so if you have aborted
or miscarried tell it to the doctor). |
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The solutions consist
in giving an injection of anti-rhesus globulin to the mother when Rh+
blood cells from the baby are found into Rh- mother.(French term :
une injection de gammaglobulines). In extreme cases the
doctor may decide to change the whole baby' s blood (French term :
exsanguino-transfusion). However
it is very rare
to do it because of the preventive cure of anti-rhesus globulin
injection treatment. |
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TOXOPLASMOSIS
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How to avoid catching
toxoplasmosis : |
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don't eat raw
or bloody meat, but well done one.
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avoid cats
because the parasite is carried by cat faeces.
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for the same reason, garden with gloves. |
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wash properly
vegetables and fruits before eating them. |
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DOWN'
S SYNDROME OR MONGOLISM : |
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During the visit of the 4th month you will have a discussion with the
gynaecologist about the risks of having an abnormal baby and about the
tests
to do to know it. This difficult subject had already been brought up
at the 1st scan prescription. Indeed for the measure of the
nape of the baby.
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Mongolism
is the result of a chromosomal abnormality : the foetus has an extra
chromosome. The cause of this abnormality is unknown. Doctors just
know that the risk is emphasized by the age of the mother, and by the
heredity factor.
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Analyses
are not compulsory : the doctor will explain mongolism to the parents,
and ask them if they agree to make the tests. The result comes around
3 or 4 weeks after, which is very long when you are waiting for the
final answer |
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Moreover,
through the discussion with the gynaecologist, you will understand how
much it is difficult to know if the baby you are waiting for is
abnormal. Therefore if you are absolutely against abortion, even for
medical reasons, don't ask for the test. |
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There
are two major tests which are done in France, even if the 1st
scan has revealed a normal size of the nape. However none of them can
be done without your authorisation. It is a blood test for : |
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searching the presence of the hormone
responsible for mongolism (it is called HT21 analysis),
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searching the alpha fetoprotein responsible for brain development
abnormality or for the spina-bifida.
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In
case the risk of having a Down's syndrome baby is suspected either by
the 1st scan or by blood tests, an amniocentesis will be
prescribed to confirm the blood result.
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PRE
- ECLAMPTIC TOXEMIA.: |
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