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Pregnancy and Prenatal care Program

During pregnancy, a gynecologist should observe woman, so the baby is born healthy. Our clinic provides all necessary tests related to a woman's prenatal care program.

Prenatal care program includes the following tests:

  1. Ultrasound examinations (at least one ultrasound examination should be done each trimester of one's pregnancy)
  2. Genetic tests
  3. Cardiography
  4. Laboratory investigations (urinalysis, blood analysis and smears)

Prenatal care program - You are at the high-risk group, if you had a problem with a previous pregnancy like:

  1. Miscarriage
  2. Pre-eclampsia and eclampsia
  3. First baby was born with any genetic disease (e.g. Down syndrome)

Prenatal care program - You are at the high-risk group, if you have:

  1. An infection (HIV or Hepatitis C)
  2. Other infections also may cause problems; for example: Cytomegalovirus, Chickenpox, Rubella, Toxoplasmosis and Syphilis

It's recomended to receive a consultation before either planning pregnancy or as soon as you receive result from a pregnancy test.

Cerclage Pessaries

Insertion of a cerclage pessary is a new service offered by the clinic iVF Riga to prevent miscarriage and preterm birth

What is a cerclage pessary?

The problem of miscarriage and threatened preterm birth is one of the most pressing challenges in modern obstetrics. The threat of miscarriage and preterm birth is a very common problem in patients with a complicated gynaecological and obstetric history (miscarriage in the previous pregnancy or infertility) and in patients with a multiple pregnancy. Today, we have some means of prevention at our disposal. One way to prevent miscarriage and preterm birth is to use a cerclage pessary. This is a small silicone medical device that is inserted into the vagina to hold the uterus in a certain position. The cerclage pessary may be inserted in the first or second trimester for patients with cervical shortening, after cervical conization performed before pregnancy and for prevention of cervical insufficiency (a history of pregnancy loss after week 12). Insertion of a cerclage pessary is a non-invasive alternative to the cervical cerclage procedure (a surgical procedure in which sutures are used).

Insertion of a cerclage pessary in the clinic iVF Riga

The clinic iVF Riga offers insertion of a cerclage pessary. To select the size of a cerclage pessary, it is necessary to perform a vaginal ultrasound and estimate the number of foetuses. Insertion of a pessary is an outpatient procedure which does not require anaesthesia or hospitalization.