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Reduce the physiologically and psychological discomfort during pregnancy. 

1. Estimate the fetal growth.
2. Early detect of the high risk pregnancy and fetal anomaly.
3. Screen pregnancy complications
4. Promote a physically and mentally healthy pregnancy.

Prenatal exams

Prenatal exam items

• Note 1: bold type and underline items are explained below.
• Note 2: routine exam: weight, blood pressure, urine sugar, urine protein, edema, fetal heart beat, fetal presentation, amniotic fluid, and fetal growth.

1. Spinal muscular atrophy (SMA )gene screen：SMA is a recessive hereditary disease, 1 in 25~30 normal people is a carrier. If both husband and wife are carriers, fetus will have 1 in 4 chance of becoming an SMA patient. Only 2-3cc. of blood is needed for the examination, and National Health Insurance does not cover the cost, NT$ 2200.
2. Fetal nuchal translucence screen：using high resolution ultrasound at 11-14 weeks of pregnancy to measure and evaluate the posterior region of fetal neck to screen out fetal chromosome anomaly (Down syndrome) and congenital fetal heart disease. Again National Health Insurance does not cover the cost NT$1000.
3. Down syndrome screen：for under age 34 non-advanced maternal age pregnancy,  screened by blood test, if the result of the probability is greater than 1/270, amniocentesis is further recommended. National Health Insurance does not cover the cost, NT$1050.
4. Gestational diabetes mellitus (GDM) screen：for early detection and treatment of GDM, it is to prevent pregnancy complications. First, Glucose loading test, pregnant woman ingest 50g of glucose sugar, followed by blood glucose test one hour later, if blood glucose is higher than 140mg/dl，there is a possibility of GDM, a second test  (oral glucose tolerance test, OGTT) is necessary for confirmation. Fasting for 8 hours,  sample a blood for a glucose baseline, then drink 100g of glucose water followed by blood glucose measurement at 1, 2, 3 hours, if 2 out of 4 are abnormal, then a definite GDM diagnosis is confirmed. Treatment would be required.
5. Streptococcus B screen：Group B streptococcus is a common female genitourinary bacteria, 1/4 of the pregnant women have vaginal streptococcus B colonization; mostly asymptomatic, but one half of the newborns can be infected during vaginal delivery. Only 1-2% will have clinical signs. Prevention is to screen for GBS during 35-37 weeks of pregnancy. If infection were detected, it can be treated before delivery by antibiotic therapy.

Seek for medical assistance immediately if any of the following conditions occurs: 

1. vaginal bleeding
2. rupture of membranes
3. persistent, sudden headache, nausea, vomiting, and backache
4. fuzzy eyesight
5. severe edema of face, hands, and legs
6. decreased urine amount
7. decreased fetal movement
8. sudden chillness or heat sensation
9. regular abdominal pain