Doctors or midwives will note any special findings that they observe during the course of the pregnancy on the sixth page of your maternity record (Mutterpass). They are referred to as special findings. This refers to results from tests or screenings and general findings. They affect your health as well as the fetus's. Detection of a multiple pregnancy would also be documented here. The list of possible special findings includes 26 items. As is the case during your first check-up, your pregnancy will be classified as a high-risk pregnancy if any of the points applies. Ask your doctor or midwife to tell you exactly what the impact of this would be.
Due date
At the check-up, your expected due dateEstimated due date Errechneter Geburtstermin The estimated due date, abbreviated as ED, is the date when a pregnant person is most likely to give birth. The different calculation methods usually use the first day of the last period or the date of conception for the calculation. Around 80 percent of children are born in the ten days before or after the estimated due date. The date can also be recalculated and adjusted during pregnancy. will be entered on the sixth page of your maternity record. The first day of your last menstrual period is defined as the first day of pregnancy. From that point, it takes an average of 266 days until delivery. This method of calculation has become accepted because menstruation is the safest point of reference for many pregnant people. Your doctor or midwife may adjust the date entered within the first twelve weeks of your pregnancy. An ultrasound examination can help determine if the pregnancy is at a different stage than first thought. However, there can be no complete certainty about when the baby will be born. Most children are born within the ten days before or after the calculated due date.
Important technical terms for special findings
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AbususAbuse Abusus Abuse is the medical term for misuse, overindulgence, or dependence. It refers to the abuse of stimulants, medicines and drugs. The maternity record has information about whether a pregnant woman regularly consumes cigarettes, alcohol, other drugs or medication. This information is important because it can have an effect on the pregnancy or the unborn child. Constant consumption of stimulants such as alcohol, drugs or cigarettes
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AnämieAnaemia Anämie Anaemia is the medical term to describe a lack of healthy red blood cells. Anaemia can cause paleness, poor concentration and dizziness in those affected and can make them more susceptible to infection. It is caused by a deficiency of iron, folic acid, vitamin B12 or by internal or external bleeding. Anaemia is treated by administering iron, hormones or blood transfusions. Anemia
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Dauermedikation: Continuous medication: Long-term medication, meaning continuous, regular intake of medication
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EinstellungsanomalieMalpresentation of foetus Einstellungsanomalie A positional anomaly occurs when the foetus is in an unfavorable position in the uterus for childbirth. This means that the baby’s head is not at the bottom of the uterus, facing the spine. Until the 36th week of pregnancy, this is not uncommon, but giving birth when the baby is in an unusual position is associated with risks. Malpresentation of fetus: Unfavourable position of the child in the pelvis
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GestationsdiabetesGestational diabetes Gestationsdiabetes Gestational diabetes is a type of diabetes that only occurs during pregnancy. Diabetes is a metabolic disease in which blood glucose levels are permanently elevated, which can affect organ function. Gestational diabetes, which is found in four out of ten pregnancies, is usually temporary. Gestational diabetes: Diabetes that occurs during pregnancy
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HydramnionPolyhydramnios Hydramnion Polyhydramnios is an amniotic fluid disorder. Polyhydramnios is a rare abnormal condition during pregnancy in which the amount of amniotic fluid in the amniotic sac is increased. This pathological condition can have various causes and lead to complications. Treatment is possible by performing a medical procedure in which some of the amniotic fluid is drained. Polyhydramnios: Too much amniotic fluid
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HypotonieHypotension Hypotonie Hypotension is the medical term for low blood pressure. Low blood pressure can have various causes. Pregnancy, a low-salt diet, not consuming enough fluids, and being underweight can lead to low blood pressure. Low blood pressure is only treated when symptoms are severe and treatment does not pose a danger to those affected. Hypotonia: Low blood pressure
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HypertonieHypertension Hypertonie Hypertension is the medical term for high blood pressure. High blood pressure can have several causes. Being overweight, drinking too much alcohol, consuming too much salt, and not getting enough exercise can all contribute to high blood pressure. If blood pressure is permanently elevated, it can lead to strokes, heart attacks or kidney damage. Hypertension: High blood pressure
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Indirekter Coombstest positivIndirect Coombs test positive Indirekter Coombs-Test positiv The indirect Coombs test or ICT is one of the prenatal screening tests conducted during pregnancy. In this test, the pregnant person’s blood is examined for compatibility with the foetus’s blood type. A positive result means that the pregnant person’s blood type and the blood type of the foetus are not compatible. If this is the case, the pregnant person can receive rhesus factor antibodies as a preventive measure. Positive indirect Coombs test: Incompatibility of maternal and fetal blood types
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Isthmozervikale InsuffizienzCervical insufficiency Isthmozervikale Insuffizienz Cervical insufficiency is the medical term for cervical weakness. Cervical weakness occurs when the cervix shortens prematurely during pregnancy and it opens too early and becomes soft. It can be detected during a prenatal check-up and treated by various measures. Cervical weakness: Weakened or shortened cervix
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ÖdemOedema Ödem Oedema is the medical term for an accumulation of fluid under the skin that causes swelling or a lump. Oedema usually indicates a disease affecting the kidneys, liver or heart, or it is an indication of inflammation, allergies, drug intolerance or low iron in the blood. Oedema is easily treated with medications that stimulate urine production in the kidneys. Oedema: Fluid retention in body tissue
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OligohydramnionOligohydramnios Oligohydramnion Oligohydramnios is the medical term for a lack of amniotic fluid, which can have various causes. During ultrasound scans, an unusually small uterus may indicate a lack of amniotic fluid. In many cases, it can help for the pregnant person to increase the amount they drink. In more severe cases, a solution of sugar and saline is injected into the amniotic sac or delivery is expedited. Too little amniotic fluid
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PlacentaPlacenta Plazenta The placenta is an organ that develops in the uterus during pregnancy. It supplies the foetus with oxygen, nutrients and antibodies through the umbilical cord. The placenta keeps most of the pollutants, viruses and bacteria away from the foetus and contributes to the disposal of waste products. After a baby is born, the placenta and the foetal membranes are also expelled from the body, which is called the afterbirth.: The placenta
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Placenta-InsuffizienzPlacental insufficiency Placentainsuffizienz Placental insufficiency is the medical term for an undersupply of oxygen or nutrients to the foetus via the placenta. The deficient supply can have various causes and can be detected by an ultrasound scan during prenatal check-ups. This undersupply can lead to serious complications such as insufficient growth or even death of the foetus. Since treatment is not always possible, early delivery may be necessary to protect the pregnant person and the pregnancy.: Placental insufficiency A dysfunction of the placenta
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Placenta praeviaPlacenta previa Placenta praevia Placenta praevia is the medical term for a malposition of the placenta. Placenta previa means the placenta is near or above the interior orifice of the cervix, which faces the uterus. It appears with symptoms of vaginal bleeding particularly in the third trimester of pregnancy. Depending on its progression, bed rest or a caesarean section may be necessary.: The placenta blocks the normal birth path
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Risk from serological findings: This may be, for example, the absence of rubella protection or the presence of antibodies detected in blood tests.
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TerminunklarheitUncertain due date Terminunklarheit An uncertain due date means that the week of pregnancy and thus the expected date of delivery cannot be determined with certainty. This may be the case if the mother does not know for sure the time of her last period or if the pregnancy was diagnosed late by a doctor. To determine an approximate date in these cases, foetal height and growth are used. Unclear due date, meaning the estimated date of birth can’t be calculated