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Enjoying Your Pregnancy Guide to Understanding - Brigham and ...

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<strong>Your</strong> Prenatal <strong>Guide</strong> 7<br />

• GENETIC AND FAMILY HISTORY •<br />

There are certain family medical conditions that are important <strong>to</strong> the health of your baby. The following<br />

questionnaire will help us determine if you are a c<strong>and</strong>idate for special genetic counseling or testing.<br />

You should make note of any questions that you answer “yes,” <strong>and</strong> discuss these with us at your earliest<br />

appointment. Check the appropriate answer.<br />

1. Will you be 35 or older by the due date? Yes ____ No ____<br />

2. Have you, the baby’s father or anyone in either of your families had:<br />

a. Down syndrome Yes ____ No ____<br />

b. Spina Bifida or Myelomenigocoele (open spine)? Yes ____ No ____<br />

c. Hemophilia? Yes ____ No ____<br />

d. Muscular Dystrophy? Yes ____ No ____<br />

e. Mental Retardation? Yes ____ No ____<br />

f. Sickle Cell Disease? Yes ____ No ____<br />

g. Tay-Sachs Disease? Yes ____ No ____<br />

3. Have you or the baby’s father had a child born with a condition not listed in question two or that was stillborn?<br />

Yes______ No______<br />

4. Do you, the baby’s father or a close relative in either family have any inherited genetic or chromosomal<br />

disorder not listed? Yes______ No ____<br />

5. Are you, the baby’s father or a close relative:<br />

a. Of Jewish ancestry or a descendant from Eastern<br />

European people?<br />

Yes______ No______<br />

b. Of Mediterranean ancestry? Yes______ No______<br />

c. Of Thalassemia ancestry? Yes______ No______<br />

6. Have you or a previous spouse of the baby’s father had<br />

three or more miscarriages?<br />

Yes______ No______<br />

Thank you for taking the time <strong>to</strong> complete this very important questionnaire. Remember <strong>to</strong> discuss with us<br />

any item that is answered “yes.”<br />

KEEPING TRACK OF YOUR BABY’S HEALTH<br />

Throughout your entire pregnancy, both the health of you <strong>and</strong> your baby are our concern. Thanks <strong>to</strong> recent<br />

breakthroughs in medical technology, we have new <strong>and</strong> innovative <strong>to</strong>ols <strong>to</strong> carefully moni<strong>to</strong>r your health <strong>and</strong> progress.<br />

Today, many fetal problems can be detected <strong>and</strong> treated while the baby is still in the womb. So, expectant mothers with<br />

complicating fac<strong>to</strong>rs like advanced age can rest easier knowing that these <strong>to</strong>ols are available. Listed below are the most<br />

common fetal testing or evaluating techniques.<br />

ULTRASOUND<br />

Ultrasound can be used <strong>to</strong> detect a problem or moni<strong>to</strong>r a condition in the fetus in<br />

the mother’s uterus. During the first few months of pregnancy, this test can tell us<br />

if the baby is developing properly. Should abnormal vaginal bleeding occur, it<br />

might help us learn why. An ultrasound in early pregnancy can verify your due<br />

date <strong>and</strong> determine whether or not you are carrying multiple babies.<br />

Unlike x-rays, ultrasound uses sound waves <strong>to</strong> produce a video “picture” of the<br />

fetus moving inside your uterus. This picture is generated from an instrument<br />

that is placed either on your abdomen or in your vagina. You, <strong>to</strong>o, can actually see the baby<br />

on a special screen while we’re performing the test. If you are six or more months pregnant <strong>and</strong>

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