In-office laboratory testing

Laboratory tests are an important part of your pregnancy care. We offer routine, screening and diagnostic tests to assure you and your baby are healthy from start to finish. Prenatal lab tests assure you and baby are healthy from start to finish and are performed virtually all moms-to-be.

Early in your pregnancy, we’ll test your blood and urine to make sure there are no untreated conditions that might pose a risk to you and your baby. Abnormal results may require special treatment or management during pregnancy.

Complete blood count (CBC)
Blood type
Urinalysis (and culture if necessary)
Glucose tolerance test
Hepatitis B and Hepatitis C
Sexually transmitted diseases (STDs)
Human immunodeficiency virus (HIV testing, with permission)
Tuberculosis (TB)

Gynecologic Ultrasonography
Gynecologic ultrasonography or Gyn sonography refers to the application of medical ultrasonography to the female pelvic organs, specifically the uterus, the ovaries, the Fallopian tubes, as well as the bladder, the Pouch of Douglas, and any findings in the pelvis of relevance outside of pregnancy. 

The examination can be performed transabdominally, usually with a full bladder to achieve better visualization, or transvaginally with a special vaginal transducer. Dr. Daum offers both transabdominal and transvaginal gyn ultrasound at both offices. Generally transvaginal imaging gives better resolution of the ovaries and fallopian tubes, whereas lesions reaching into the abdomen are better seen transabdominally. 

The procedure is painless, noninvasive, and safe. Sonohysterography is a specialized procedure by which fluid, usually sterile saline, is installed into the uterine cavity, and gyn sonography performed at the same time. The procedure delineates intrauterine pathology such as polyps, Asherman's syndrome, or submucous leiomyoma.

OB Quad Screen
The Quad screen is a test of the mothers blood for hormones that come from the baby. The level of four different hormones are determined, and then calculations are made for your baby's risk of certain birth defects. The problems directly tested for are Down syndrome, spina bifida, and Trisomy 18. Trisomy 18 is a lethal chromosomal defect where there is an extra copy of chromosome 18 in the baby. Testing is offered between 15 and 20 weeks gestation. Results are usually available within 3 to 4 days.

The quad screen is a screening test which is offered to all pregnant women. It is the most commonly used and most universally available test for screening your baby for common birth defects. Not all women will be interested in testing. The quad screen is not a diagnostic test. (such as amniocentesis,chorionic villus sampling, or cordocentesis) The quad screen uses the levels of four fetal hormones in the mother's blood to calculate new and specific risks for your baby. 

Commonly quoted risks for birth defects are usually based only on the age of the mother at delivery. The newly determined risk will either be lower than normal, normal, or elevated. Most elevated risk results will result in the birth of a normal baby, but about 90% of Down syndrome babies, 90% of spina bifida babies, and most Trisomy 18 babies will be within the group with abnormal results.

Further testing will be offered, including referral for level II sonograms, genetic counseling, and if necessary, materna iT21 blook testing or Amniocentesis. Other fetal problems may result in an abnormal quad screen. Such pregnancies are considered high risk and are closely watched for growth and fetal well being.  Quad screen testing is optional and may not be for you. As a routine part of your prenatal care,we will discuss whether or not you desire testing.

Obstetrical Ultrasound
Sonograms are an important part of caring for you and your baby. Sonograms are performed both at the Mansfield office. Dr. Daum performs the sonograms himself, and offers recordings of the sonograms in DVD. Dr. Daum has a sonography tech who performs sonography on Tuesdays. Vicki is capable and experienced and makes the experience a fun one.

A sonogram is routinely performed at the first office visit. This sonogram will confirm your due date, make sure you don't have a tubal pregnancy, and help to evaluate your risk of miscarriage. A second sonogram is offered to determine the sex of your baby. A third sonogram is usually performed about 26 weeks.

This sonogram is performed to evaluate the baby's growth and check your baby's anatomy. Not all birth defects can be detected, but it is fun and reassuring to see that your baby appears to be healthy and growing well. If a problem is suspected, you will be referred to a high risk pregnancy specialist for more detailed evaluation. Pictures and a DVD of the baby are given with each sonogram, and if desired can be posted on our web site for family and friends to see.

More frequent sonograms are sometimes necessary to follow high risk pregnancies such as twins or pregnancies complicated by maternal health problems. Having a sonogram is fun, and the family is invited to watch.

If you need In-office laboratory testing contact Mansfield Miracles, Paul Daum, MD today at (817) 477-0200

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