Assoc. Prof. Feyza Bayram

High blood pressure that occurs in the second half of pregnancy is defined as preeclampsia when accompanied by protein output in the urine or findings affecting organ functions. It is closely monitored because it concerns the health of the mother and baby.

Headache, blurred vision, pain in the upper abdomen, sudden swelling and decrease in the amount of urine are symptoms that should be taken into consideration. If you have these symptoms, you should apply without delay.

Blood pressure measurement, urine and blood tests, and ultrasound examinations that evaluate the baby's development and blood flow are used in the follow-up. The time and type of birth are determined according to the week of pregnancy and the severity of the symptoms.

Each ultrasound examination performed during pregnancy has a different purpose. In the first examination, the location, viability and week of pregnancy are determined. The presence of multiple pregnancy is detected in this period.

In the evaluation performed between weeks eleven and fourteen, nuchal translucency is measured and screening is performed for some risks. Detailed examination is usually performed between eighteen and twenty-two weeks. The baby's organs are evaluated sequentially.

In the following weeks, development follow-up, amount of fluid and posture of the baby are examined. When necessary, vascular blood flow is measured. Ultrasound does not show every problem. Therefore, the results are interpreted together with examination findings and laboratory tests.

In couples who have difficulty conceiving, the evaluation includes both parties. Ovulation pattern in women, the condition of the uterus and tubes. In men, sperm examination is the first step.

As a result of the evaluation, while treatment and vaccination that regulate ovulation are sufficient for some couples, in vitro fertilization method comes to the fore in others. The choice is made according to the source of the problem, the woman's age and the duration.

The process consists of ovarian stimulation, egg collection, fertilization and embryo transfer. At every stage, monitoring is continued with ultrasound and hormone measurements. Expectation management is part of the process. Results vary from person to person and treatment may require multiple attempts.