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PREGNANCY MONITORING
Prenatal care packages
For optimal follow-up of pregnancy, Nadezhda Hospital for Women’s Health offers a package service called “Antenatal Care”, which includes examinations and tests to ensure adequate care for pregnant women.
About the pregnancy monitoring
What does "pregnancy monitoring" meanPregnancy monitoring includes a variety of examinations and tests, chosen by type and timing so that they can give the physicians an accurate idea of whether everything with you and the baby (or babies) is developing normally. Antenatal consultation, foetal morphology, foetal echocardiography, comprehensive screenings, invasive and non-invasive prenatal diagnostic testing, intrauterine surgery, and therapy are all part of the high-quality health care you can count on here during the 9 months of eager expectation of your child.
At Nadezhda Hospital, we have state-of-the-art equipment and professionals of highest repute, whom you can trust through all stages of pregnancy, irrespective of the challenges it may bring. A package service named “Antenatal care” is offered for the purpose of optimal monitoring of pregnancy at Nadezhda Hospital for Women’s Health, which includes examinations and tests to ensure adequate care for the pregnant woman. With proper pregnancy monitoring and timely measures taken, many complications may be prevented. and a normal and uneventful delivery can be ensured, as well as reducing the risk to the health of the baby and the mother after delivery.
We recommend first antenatal care consultation from the 12-th gestational week weeks of your pregnancy. You can make an appointment at the Reception at Nadezhda Hospital or by calling the hospital’s call center at: 02 441 79 70 or 0882 193 970.
New Antenatal care packages at Nadezhda, valid from 01.01.2023
For optimal pregnancy monitoring, Nadezhda Hospital for Women’s Health offers a package service called “Antenatal Consultation”, which includes examinations and tests to ensure adequate care for pregnant women. The packages are covered by the patients. Their cost is calculated on the basis of individual prices of services, as a package discount is made on the total cost.
Our specialists have selected the most important medical services and investigations during pregnancy to ensure this, brought together in two packages that we offer:
Total cost of the package: BGN 810.00
Part one: up to the 24-th gestational week.
Determination of blood group and Rh factor with confirmation – once;
CBC testing (10 indicators) – twice;
Urine sediment test – twice;
Syphilis – once;
HIV combi (Ag+Ab) – once;
Hepatitis B (HBsAg) – once;
Hepatitis C (Anti-HCV) – once;
Glucose test – once;
Microbiological test of vaginal discharge – once;
Pap smear test – once;
Primary gynecological examination + ultrasound – once;
Ultrasound test – once;
Follow-up;
Echo mammography – once;
Blood collection for laboratory tests – twice.
At the time of pregnancy registration, the following shall be paid in advance: BGN 360.00
Part two: After the 24-th gestational week
CBC testing (10 indicators) – twice;
Urine sediment test – four times;
Syphilis – once;
Glucose test – once;
Microbiological test of vaginal discharge – once;
Ultrasound test – four times;
Secondary gynecological examination – twice;
Total protein test – once;
Albumin test – once;
Pre-natal non-stress test (NST) – five times;
Blood collection for laboratory tests – three times.
The price does not go up in the case of twin pregnancy!
At the 24-th week of pregnancy, the remaining balance is paid in the amount of: BGN 450.00
Total cost of the package: BGN 1,120.00
Part one: up to the 24-th gestational week.
Determination of blood group and Rh factor with confirmation – one-time;
CBC test (10 indicators) – twice;
Urine sediment test – twice;
Syphilis – once;
HIV combi (Ag+Ab) – once;
Hepatitis B (HBsAg) – once;
Hepatitis C (Anti-HCV) – once;
Cytomegalovirus (CMV IgG and CMV IgM) – once;
Toxoplasmosis (IgG and IgM) – once;
Rubella (IgG) – once;
TSH – once;
Glucose test – once;
ASAT – once;
ALAT – once;
Creatinine – once;
Microbiological test of vaginal discharge – once;
Pap smear test – one time;
Mycoplasma/ureaplasma/ chlamydia – once;
Sterile urine test – once;
Primary gynecological examination + ultrasound – once;
Ultrasound test – once;
Secondary examination with ultrasound – once;
Follow-up – once;
Echo mammography – once;
Urea – once;
Blood collection for laboratory tests – twice.
At the time of pregnancy registration, the following shall be paid in advance BGN 620.00
Part two: After the 24-th gestational week
CBC test (10 indicators) – three times;
Urine sediment test – six times;
Syphilis – once;
Glucose test – once;
ASAT – twice;
ALAT – twice;
Creatinine – twice;
Glycated hemoglobin – once;
Total protein – twice;
Albumin – twice;
Urea – twice;
Uric acid – twice;
Vitamin B12 – once;
Vitamin D – once;
Iron – once;
IBC – once;
Microbiological test of vaginal discharge – twice;
Secondary gynecological examination – three times;
Ultrasound test – four times;
Pre-natal non-stress test (NST) – six times;
Glucose test: 0 min, 60 min, 120 min. – one time
Blood collection for laboratory tests – four times.
The price does not go up in the case of twin pregnancy!
At the 24-th week of pregnancy, the remaining balance is paid in the amount of:
BGN 500.00
Why examinations and pregnancy monitoring tests are important
Your journey to life’s most joyous event begins. The fetus grows and develops, and the mother’s organism changes under the influence of the ongoing processes, gradually preparing for the trials of the greatest miracle – childbirth.
EXAMINATIONS
The first visit to your gynecologist marks the beginning of a process that will continue until the time of birth. The gynecologist gets to know you and your medical history, your physical condition and possible risks of pregnancy.
Examination with a modern ultrasound machine gives an accurate picture of the condition of the fetus. It is carried out repeatedly to monitor how your baby is developing. In order to ensure the highest quality of the examination, we have chosen to work only with ultrasound devices of the American company General Electric, which is a leader in diagnostic imaging.
During the follow-up visit, your doctor will discuss with you on the results of the tests or other consultations.
TESTS
- Microbiological examination of vaginal fluid
Microbiological tests are carried out in our laboratory, which is of the third level of competence. Pregnancy is a period when a woman’s immune system is weakened, and this makes her more vulnerable to infections. The test aims at early detection and prevention of infections of the female genital organs, because this also prevents infections in the newborn after birth. We protect both the mother and her baby.
- Pap smear test
This test provides information about the condition and possible risks on the cervical side. Our doctors, including a national consultant in female genital pathology, assess for abnormalities that could create difficulties in childbirth.
- Virological tests
Viruses are the silent invaders that can also take advantage of the drop in maternal immunity. Often, they remain unnoticed, without causing symptoms in the pregnant woman, while they can cause serious damage to the fetus. Our virology laboratory team, headed by a professor of virology, using high-tech equipment and state-of-the-art methods of genetic analysis, determines whether or not viruses are present, whether they are active and whether there is a risk to the fetus.
- Determination of blood group and Rh factor with confirmation
Determining the blood group and the type of Rh factor of the mother are of key importance in the course of childbirth and the health of the fetus. This applies particularly to the Rh factor – the presence of a negative Rh factor in the mother can endanger the fetus, if this is not known to doctors. If it is known in advance that there is Rh incompatibility between a mother and baby, doctors can take adequate measures and prevent hemolytic disease in the newborn. What is more, they can also take steps to protect the patient’s subsequent children.
The test is done with an official confirmation from the National Blood Center, the document is provided to the patient, and can then serve the patient in all subsequent medical procedures.
- Clinical laboratory tests
Bodily fluids, such as blood, urine and others, contain substances that medical science has learned to use for millennia as a way to assess the functioning of our bodies. Their measurement is aimed at giving information about the general condition of the patient, whether there is serious anemia, how the internal organs function in conditions of pregnancy.
All tests are performed on robotic automated analyzers, which allow speed in production and accuracy of results.
If there is any abnormality in any test, your doctor will conduct further tests or examinations to assess whether treatment needs to be administered.
- Echo mammography
This study is a GIFT from us, included in the package. Women’s breasts are given an important role – to provide sustenance for future life. Echo mammography – ultrasound examination of the breasts, which is harmless to the fetus, aims to assess their condition and readiness for the lactation period.
EXAMINATIONS
As you can see, you will be visiting your gynecologist more during this period – we have provided a total of 6 examinations in the package for this. This is the case because the burden of pregnancy will become more and more noticeable to your body over time. The specialist physician will monitor you to make sure that the changes do not endanger yours and your child’s health.
Ultrasound Doppler examination of the blood vessels is important to assess the conditions the fetus grows and develops in.
During this period you will have the opportunity to ask more questions, get advice, and prepare for giving birth.
TESTS
- Microbiological examination of vaginal fluid
The test aims at early detection and prevention of infections of the female genital organs, because this also prevents infections in the newborn after birth. We continue to protect both the mother and her baby.
- Virological test
Viruses are the silent invaders that can also take advantage immune drop in maternal immunity. Our virology professor and his team will run the syphilis test once more time on the eve of delivery, in order to make sure there really is no carriage of the virus in any form – active or inactive.
- Clinical laboratory tests
The measurement of certain main indicators in blood and urine is aimed at giving information about the change in the general condition of the patient, whether there is serious anemia, how the internal organs function in the conditions of progressing pregnancy. Your body has the task of taking care of not only its own needs, but also those of the baby. For example, the kidneys work to cleanse both the mother and the baby’s organism. That is why tracking their function is of the highest priority.
All tests are performed on robotic automated analyzers, which allow speed in production and accuracy of results.
If there is an abnormality in any factor, your doctor will conduct further tests or examinations, until he or she determines whether there is indeed an abnormality, in order to administer the appropriate treatment.
- Pre-natal non-stress test (NST)
Without a doubt, the most exciting moment for you will be when you can hear the living proof of a miracle that’s growing in your womb. “NST” (non-stress test) refers to the examination of children’s heart tones – in other words, the beating of the baby’s heart. Thanks to modern technology, you will be able to hear it while the device also examines the condition of the uterus. As a result, you and your gynecologist will have a record that reflects the baby’s heartbeat and uterine activity.
EXAMINATIONS
The first visit to your gynecologist marks the beginning of a process that will continue until the time of birth. The gynecologist gets to know you and your medical history, your physical condition, and possible risks of pregnancy.
Examination with a modern ultrasound machine gives an accurate picture of the condition of the fetus. It is carried out repeatedly to monitor the development of your baby. In order to ensure the highest quality of the examination, we have chosen to work only with ultrasound devices of the American company General Electric, which is a leader in diagnostic imaging.
During the follow-up visit, your doctor will discuss with you on the results of the tests or other consultations.
TESTS
- Microbiological examination of vaginal fluid
Microbiological tests are carried out in our laboratory, which is of the third level of competence. Pregnancy is a period when a woman’s immune system is weakened, and this makes her more vulnerable to infections. The tests aim at early detection and prevention of infections, because this also prevents infections in the newborn after birth. We protect both the mother and her baby.
- Pap smear test
This test provides information about the condition and possible risks on the cervical side. Our doctors, including a national consultant in female genital pathology, assess for abnormalities that could create difficulties in childbirth.
- Virological test
Viruses are the silent invaders that can also take advantage immune drop in maternal immunity. Often, they remain unnoticed, without causing symptoms in the pregnant woman, while they can cause serious damage to the fetus. Our virology laboratory team, headed by a professor of virology, using high-tech equipment and state-of-the-art methods of genetic analysis, determines whether or not viruses are present, whether they are active and whether there is a risk to the fetus.
- Determination of blood group and Rh factor with confirmation
Determining the blood group and the type of Rh factor of the mother are of key importance in the course of childbirth and the health of the fetus. This applies particularly to the Rh factor – the presence of a negative Rh factor in the mother can endanger the fetus, if this is not known to doctors. If it is known in advance that there is Rh incompatibility between a mother and baby, doctors can take adequate measures and prevent hemolytic disease in the newborn. What is more, they can also take steps to protect the patient’s subsequent children.
The test is done with an official confirmation from the National Blood Center, the document is provided to the patient, and can then serve the patient in all subsequent medical procedures.
- Clinical laboratory tests
Bodily fluids, such as blood, urine and others, contain substances that medical science has learned to use for millennia as a way to assess the functioning of our bodies. Their measurement is aimed at giving information about the general condition of the patient, whether there is serious anemia, how the internal organs function in conditions of pregnancy – kidneys, liver, etc. Among the endocrine glands, the most important during pregnancy, as well as for its successful course to term, is the thyroid gland. Its function is studied by measuring thyrotropic hormone – TSH.
All tests are performed on robotic automated analyzers, which allow speed in production and accuracy of results.
If there is an abnormality in any examination, your doctor will conduct further tests or examinations until he or she determines whether there is indeed an abnormality in order to administer the appropriate treatment.
- Echo mammography
This study is a GIFT from us, included in the package. Women’s breasts are given an important role – to provide sustenance for future life. Echo mammography – ultrasound examination of the breasts, which is harmless to the fetus, aims to assess their condition and readiness for the lactation period.
EXAMINATIONS
As you can see, you will be visiting your gynecologist more during this period – we have provided a total of 7 examinations in the package for this.
This is the case because the burden of pregnancy will become more and more noticeable to your body over time.
The specialist physician will monitor you to make sure that the changes do not endanger yours and your child’s health.
Ultrasound Doppler examination of the blood vessels is important to assess in what conditions the fetus grows and develops.
During this period you will have the opportunity to ask more questions, get advice, and prepare for giving birth.
TESTS
- Microbiological examination of vaginal fluid
The test aims at early detection and prevention of infections of the female genital organs, because this also prevents infections in the newborn after birth. We continue to protect both the mother and her baby.
- Virological test
Viruses are the silent invaders that can also take advantage immune drop in maternal immunity. Our virology professor and his team will run the syphilis test once more time on the eve of delivery, in order to make sure there really is no carriage of the virus in any form – active or inactive.
- Clinical laboratory tests
The measurement of certain main indicators in blood and urine is aimed at giving information about the change in the general condition of the patient, whether there is serious anemia, how the internal organs function in the conditions of progressing pregnancy. Your body has the task of taking care of not only its own needs, but also those of the baby. For example, the kidneys and work to cleanse the body of both mother and baby. That is why tracking their function is of the highest priority.
Examination of vitamins, iron levels and TIBC will show whether the pregnant woman is eating a complete diet, so that she can provide the fetus with everything it needs to develop.
All tests are performed on robotic automated analyzers, which allow speed in production and accuracy of results.
If there is an abnormality in any factor, your doctor will conduct further tests or examinations until he or she determines whether there is indeed an abnormality, in order to administer the appropriate treatment.
One of the possible and uncommon complications of pregnancy is the development of gestational diabetes – a disorder in carbohydrate metabolism caused by pregnancy.
By testing glycated hemoglobin and performing a glucose tolerance test (testing glucose levels at 0, 60 and 120 minutes after oral glucose intake), we aim to detect the onset of this complication as early as possible in order to apply timely treatment and thus prevent permanent damage to the body.
- Pre-natal non-stress test (NST)
Without a doubt the most exciting moment for you will be when you can hear the living proof of a miracle that’s growing in your womb. “NST” (non-stress test) refers to the examination of the baby’s heart tones – in other words the beating of the baby’s heart. Thanks to modern technology, you will be able to hear it while the device also examines the condition of the uterus. As a result and your gynecologist will have a record that reflects the baby’s heartbeat and uterine activity.
See also
Maternity Department
Prenatal diagnosis and fetal therapy
Neonatology
Pediatrician
