Pregnancy management in Kyiv

Carrying a child is a joyful yet responsible period in a woman's life. A healthy pregnancy, successful childbirth, and the well-being of both mother and baby are only possible with qualified medical support throughout this stage.

Pregnancy can be suspected independently based on a number of signs:

• Missed menstruation – after fertilization, the mother’s body increases progesterone production, which blocks menstruation.

• Morning sickness and altered taste preferences – occur around the fifth week of pregnancy under the influence of lactogen hormone.

• Breast enlargement – swelling of the mammary glands, increase in size, nipple tenderness.

• Frequent urination due to the effect of progesterone, which relaxes the bladder sphincter.

• Emotional changes – the result of hormonal shifts.

These symptoms do not necessarily confirm pregnancy, so it is advisable to purchase a pregnancy test for clarification. A definitive answer can only be provided by a gynecologist after diagnostic evaluation.

Pregnancy diagnostics include:

• Ultrasound, which allows the physician to detect the gestational sac.

• Blood test for hCG – human chorionic gonadotropin, which indicates pregnancy.

After confirming the pregnancy, the woman registers for medical monitoring and examinations with an obstetrician-gynecologist. Even though childbirth is still far off, registration should not be delayed — it is recommended to register between 5 and 10 weeks of gestation.

During pregnancy, the baby’s body begins to form, so it’s essential to ensure the mother's body is ready to support this process. Upon registration, the gynecologist conducts an examination, colposcopy, determines the gestational age, and orders tests and consultations with narrow specialists: endocrinologist, cardiologist, ophthalmologist, ENT, etc.

The condition of the pregnant woman, and in later stages — of the fetus, is monitored during regular visits to the gynecologist. Standard pregnancy examination includes:

• measurement of blood pressure, pulse (rate and rhythm), and body temperature;

• general urine analysis;

• rapid test for protein presence;

• examination of the lower extremities (from 25–26 weeks of pregnancy);

• auscultation of the fetal heartbeat (from 25–26 weeks of pregnancy).

To monitor pregnancy, a comprehensive set of lab tests is performed: complete blood count, urine test, biochemical blood analysis, blood group and Rh factor, hemostasis system testing, blood tests for infections, PCR, double (PRISCA I) and triple (PRISCA II) tests for fetal genetic abnormalities, flora smears, cytology, etc.

During each visit, the patient is provided with detailed information about the test results.

First Trimester

First Visit
Usually at 7–8 weeks

• Completion of medical documentation: pregnancy questionnaire and informed consent; medical history collection; assessment of indications for medical-genetic counseling referral.

• Standard pregnancy examination* + palpation of the thyroid gland, lymph nodes, and mammary glands + heart and lung auscultation + determination of height, body weight, and BMI + gynecological examination (speculum and bimanual) + ultrasound + lab tests.

Second Visit
No later than 2 weeks after the 1st visit

• Standard pregnancy examination*

• Laboratory tests

• Ultrasound screening for fetal developmental anomalies

Second Trimester

Third Visit
19–21 weeks

• Standard pregnancy examination*

• Laboratory tests

Fourth Visit
25–26 weeks

• Standard pregnancy examination*

• Laboratory tests (including glucose tolerance test)

• Administration of anti-Rh immunoglobulin (if needed)

Third Trimester

Fifth Visit
30 weeks

• Standard pregnancy examination*

• Laboratory tests

• Preparation for childbirth

Sixth Visit
34–35 weeks

• Standard pregnancy examination*

• Laboratory tests

• Ultrasound screening

• It is also recommended to choose a maternity hospital and clarify emergency contact options

Seventh Visit
38 weeks

• Standard pregnancy examination*

• Laboratory tests

• Instructions in case of labor onset or rupture of amniotic fluid

Eighth Visit
40 weeks

• Standard pregnancy examination*

• Laboratory tests

• Consultation on possible steps in case of post-term pregnancy

Ninth Visit
41 weeks

• Standard pregnancy examination* + lab tests + consultation on further pregnancy management (labor induction or “expectant” management, discussion of pros and cons of each option)

When registering for pregnancy care at Oxford Medical:

• Your personal gynecologist is always available to answer any questions. An online consultation with a gynecologist can be the best option when a physical exam or test isn’t necessary.

• You receive all required medical documentation: outpatient card, maternity card, certificates, and discharge summaries.

• Lab tests and analyses are done right at the clinic — there’s no need to travel elsewhere.

• Visits and all procedures are conducted in comfortable conditions, so you don’t need to worry about the gynecological exams or tests.

• For more details about the cost of pregnancy care with a maternity card in our gynecology department, contact our support operators.

The cost depends on the gestational week at which the woman registers, as well as the number of consultations and tests.

During the initial consultation, the gynecologist will help determine which program is optimal for you. Book your appointment at a time that works best for you.