once your pregnancy is confirmed, Your doctor will do a blood test for you, medically called the serological examination. In this case, blood is removed from the arm via a cannula.
The Maternity Guidelines provide for six tests, which are therefore also paid by health insurances. You can also have additional additional examinations that may be useful for you. If necessary, you will have to cover the costs for these additional examinations yourself if you instruct your doctor (IGel services).
For example, a test for toxoplasmosis (parasites that can be transmitted via cat droppings or the consumption of raw meat and other foods) does not belong to the health insurance paid studies.
Although the additional examinations may be useful and advisable, you may have to pay the costs yourself if you hire your doctor (IGel services).
Below we have compiled the list of health insurance paid studies and tell you what they are for.
Blood group / Rhesus factor
Here your blood type (A, B, AB or 0) and the Rhesus factor (a protein that sits on the surface of the red blood cells (Rh positive) or not (Rh negative)) are detected, The reason: Until a few decades ago, some children died shortly after birth for unexplained reasons. In 1940, an Austrian doctor discovered the cause: a rhesus intolerance between mother and child. This can happen when a Rh negative woman has a child from a Rh positive man. The child may also have Rh-positive blood that can come into direct contact with maternal blood at the time of delivery. A simple anti-D serum injection (28-30 weeks gestation) prevents the mother's blood from producing antibodies that could endanger the next child.
Antibody Screening Test
The purpose of this test is to investigate whether maternal blood antibodies have been previously produced against blood group antigens that could harm the unborn baby. Desirable is a negative result (ie no antibodies). Rh-negative mothers then receive the aforementioned anti-D serum (also: anti-D prophylaxis). This test is repeated between the 24th and 27th week of pregnancy.
Rubella-HAH test
Since a rubella infection in pregnancy can have serious consequences for the child (eg.Cardiac defects, blindness or deafness, mental defects), it is important to have adequate protection against rubella infection. If you have been vaccinated twice against rubella and this is also documented in the vaccination certificate, a test for rubella antibodies is not required. If this evidence is not available, the so-called rubella antibody titer is determined by a blood test. If the titer is 1: 32 or higher, there is sufficient immune protection and reinfection can not occur.
LSR = Lues Seek Reaction
This test is for the exclusion of the notifiable, but now very rare sexually transmitted disease Syphillis. For data protection reasons, only the implementation is confirmed in the passport, but the result is not entered. The doctor will treat you if you have a positive result. Because: A non-treated lues can lead to serious illnesses of the baby.
HBs antigen
The maternal blood for the infectious hepatitis B virus (hepatitis B) is examined at the latest in the 36th week of pregnancy. Since therapy is not possible, the baby of an affected mother is vaccinated immediately after delivery to avoid neonatal infection.
HI virus
All pregnant women are also offered an HIV test. The HI virus causes the immunodeficiency syndrome AIDS. The virus can be transmitted to the child at birth from the mother, but this can be prevented by appropriate protective measures. The test will only be performed with the consent of the pregnant woman after a consultation. In the passport of mothers the execution of the consultation is noted, not however, whether the test was carried out or how the result turned out. The cost of this test also takes over the health insurance.