I am Dr. Zeng of the Guangzhou Le Qisheng - Immune Reproduction Liu Xiangyuan Fetal Protection Team. Many couples who are trying to get pregnant will have doubts when they do the examination, why should pregnancy check immune function? Here's a look at the importance of checking immune function in pregnancy.
Guangzhou Reproductive Hospital
Why should I check my immune function when I am pregnant?
Immune tests in the early stages of pregnancy are done to find out whether the pregnant mother has any immune diseases, because immune diseases are easy to cause multiple embryos to stop developing and spontaneous abortion.
If you have a previous history of adverse pregnancies, such as spontaneous abortion, multiple biochemical pregnancies, residual miscarriages, stillbirths, etc., you should do a comprehensive autoimmune antibody test before pregnancy.
For example, antiphospholipid antibodies, anti-endometrial antibodies, anti-sperm antibodies, anti-ovarian antibodies and other antibodies are positive. If the results are abnormal, treatment is needed as early as possible to improve the success rate of pregnancy.
How to check the immune system status?
Immune system conditions can be helped by doing immunoglobulin-related tests to help determine the condition. In addition, routine blood testing is also beneficial to help determine the status of the immune system, because white blood cells, neutrophils, and lymphocytes in the human body are all important cells for the human body to resist the invasion of foreign pathogens.
If the count of these cells is reduced in the blood routine, the risk of infection in the body will increase. If the amount of immunoglobulin in the blood is abnormal, it generally also indicates that the body's immune function is abnormal, such as immunodeficiency or excessive immune hyperactivity, there will be abnormal immunoglobulins.
In addition, there are some rheumatic immune system diseases, which are caused by abnormal conditions of autoantibodies and autoimmunity, and can be screened for autoantibodies to determine whether there is excessive hyperactivity of the autoimmune system.
What tests should be done in the early stages of pregnancy?
1. Blood test hCG and progesterone are drawn to confirm pregnancy;
2, B ultrasound examination is the most common, but also the most indispensable item, through B ultrasound can confirm whether it is intrauterine pregnancy, to understand the development of embryos;
3. Measure blood pressure and record the basic value of blood pressure in the first trimester;
4. Gynecological examination and routine blood tests to exclude abnormalities in the genital tract and systemic diseases;
5. Thyroid function examination, because the incidence of thyroid disease in women is now higher, hypothyroidism in pregnancy is more common, if there is an abnormality, it should be controlled by drugs as early as possible, otherwise abnormal thyroid function may lead to miscarriage;
6. If no test has been done before pregnancy, the first trimester can also do virus-related tests, such as TORCH, including Toxoplasma gondii, giant cells, herpes simplex virus and other tests.
Summary: After finding pregnancy, couples should go to the hospital in time for examination. If there is a previous history of adverse pregnancy, a full set of immune tests should be done before pregnancy to see if there are any immune factors affecting pregnancy.