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Ove possibile si effettua un controllo preconcezionale della coppia, cioe' prima dell'inizio della gravidanza, per valutare lo stato di salute generale, la presenza di rischio di malattie genetiche. A gravidanza iniziata si suggerisce un primo colloquio appena possibile, per programmare i controlli di base, che consistono soprattutto in una valutazione del benessere generale, del peso, della pressione arteriosa e delle analisi di laboratorio. Si discute con la coppia delle possibilità di diagnosi prenatale delle anomalie congenite e degli screening, con particolare riguardo alla Sindrome di Down. Si parla di igiene della gravidanza, intendendo con questo i comportamenti più appropriati, specie per l'alimentazione. Si programmano poi i controlli successivi che comprenderanno anche le ecografie. L'ecografia trova ampio utilizzo presso lo studio del Dott. Annona, con l'uso di moderna apparecchiatura anche tridimensionale, in particolare un ecografo Philips HD11. Un paptest viene sempre consigliato se non effettuato entro l'anno precedente. Si dà ampio ascolto alla gravida, cercando di ridimensionare ansia e paura, tanto grandi in quanto condizionate spesso da informazioni errate o da forte emotività.

Queste le possibilità offerte:

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  • Tampone vaginale
  • Paptest
  • Ecografia ostetrica standard bidimensionale
  • Ecografia tridimensionale 3D e 4D
  • EcocolorDoppler
  • Screening ecografico delle cromosomopatie (Translucenza nucale, valutazione ossa nasali, flussimetria del dotto venoso, rigurgito della tricuspide)
  • Prelievo per duotest (free-betaHCG e PAPP-A)
  • Utilizzo del software della Fetal Foundation di Londra per la valutazione del rischio di cromosomopatia.
  • Screening della preeclampsia
  • Diagnosi prenatale invasiva (amniocentesi, con possibilità di effettuare anche indagini con la nuova tecnica CGH Array)
  • Ecografia strutturale di base
  • Ecografia strutturale di II livello nelle gravidanze a rischio o nei sospetti di malformazioni fetali
  • Ecocardiografia fetale
  • Flussimetria delle arterie uterine per valutare il rischio di difetto di accrescimento del feto e di preeclampsia.
  • Valutazione del benessere e dell'accrescimento fetale nel III trimestre, con flussimetria
  • Cardiotocografia
  • Monitoraggio della gravidanza protratta.
  • Monitoraggio della gravidanza a rischio fino alla necessità del ricovero.

Non sono elencate le ecografie cosiddette genetica, prestrutturale e premorfologica,in quanto trattasi di neologismi impropri e  anche "bruttini" per indicare quanto già ampiamente effettuato nei suddetti esami.

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