About the examinations of the antenatal care
The first pregnancy check - confirmation of pregnancy
If possible, it is recommended to schedule an appointment between the 7th and 11th week of pregnancy. This is when it is decided whether the expectant mother can be accepted for our antenatal care and the primary determination of the expected date of delivery is made, which includes confirmation of intrauterine pregnancy by bimanual examination, vaginal ultrasound examination, possibly a laboratory pregnancy test, as well as colposcopy, if necessary, cytological sampling, breast examination, weight, height measurement, and counseling. The condition for acceptance is that an obstetrician-gynecologist has confirmed a live intrauterine pregnancy – i.e. one showing a heartbeat –, performed a risk classification, and issued a certificate to this effect. Pregnancy confirmation is not part of the pregnancy care package; in the absence of a fetal heartbeat during early pregnancy, the examination may need to be repeated.
Full blood count (hemoglobin, hematocrit, erythrocyte indices, white blood cell count, platelet count), renal function (Se creatinine, urea, eGFR), liver function (GOT, GPT, Se bilirubin), blood sugar, thyroid hormone function (TSH), blood typing and red blood cell antibody screening, Treponema pallidum screening (TPHA+RPR), HbsAg screening, complete urine and sediment (protein, leukocytes, glucose, acetone, UBG, sediment).
Resting ECG
The resting ECG does not require any preparation. During the examination, the patient lies in a supine position and electrodes are placed on the torso and limbs. The test provides a picture of the electrical activity accompanying the heartbeat and its changes. The ECG curve is displayed on a monitor, which is also printed out as curves drawn on a paper strip. You cannot move or speak during the test and must remain still throughout.
Consultation by a medical doctor
The examination can be performed once the laboratory tests and ECG are completed.
General internal organ assessment: family and individual medical history, predisposing and risk factors, and possible complaints. General physical examination, including assessment of the condition of the major organ systems (skin, mucous membranes, lymph nodes, respiratory system, cardiovascular system, abdominal organs, musculoskeletal system, and nervous system), blood pressure, BMI measurement, lifestyle advice. A detailed evaluation of the previously performed resting ECG is given.
2 obstetric checks during each trimester
During the examinations, body weight, pulse, and blood pressure are measured, the position of the fetus, fetal movement, fetal heart function, uterine fundus, uterine contractions are determined, and, if necessary, vaginal exploration, a vaginal examination, a cervix score, if needed, the week of pregnancy is determined, and a urine test strip (protein, glucose-acetone, leukocytes) is examined, if necessary. Checking fetal heart from week 28, teaching pregnant woman how to count fetal movement from week 34. Counseling, discussion of complaints, treatment, if necessary, giving appointment for the next checkup.
1st trimester genetic ultrasound examination elements
- fetal development rate and dimensions (CRL, BPD, FL*)
- thickness of the nuchal translucency (NT)
- nasal bone detection
- ductus venosus flow measurement
- examination of limbs
- examination of body contours
- early echocardiogram
*CRL: crown-rump length, the distance between the fetal head and the apex of the buttocks; BPD: biparietal diameter, the distance between the two parietal bones = the transverse diameter of the skull; FL: femur length
Combined test (free beta-HCG, PAPP-A)
The combined test is used for biochemical screening of fetal abnormalities and to assess fetal risk, which can more accurately determine the likelihood of certain fetal abnormalities, including trisomy 21, Down’s disease (85-90%), Edwards disease (trisomy 18) and Patau’s syndrome (trisomy 13).
2nd trimester genetic ultrasound examination elements
- fetal developmental rate and dimensions (BPD, HC, AC, FL**)
- bone structure, limbs
- central nervous system (open spine)
- face (cleft lip and palate)
- chest (lungs, heart, esophagus, thymus)
- abdomen (stomach, intestines, liver, kidneys, bladder)
- genital organs
- placenta
- amniotic fluid
**BPD: biparietal diameter, the distance between the two parietal bones = the transverse diameter of the skull; HC: head circumference; AC: abdominal circumference; FL: femur length
Full blood count (hemoglobin, hematocrit, erythrocyte indices, white blood cell count, platelet count), complete urine (protein, leukocytes, glucose, acetone, UBG, sediment), stress blood glucose test (fasting and 120 minutes after 75 g glucose consumption).
3rd trimester ultrasound examination elements
- fetal development rate, fetal dimensions (BPD, HC, AC, FL***)
- bone structure, limbs
- central nervous system (open spine)
- face (cleft lip and palate)
- chest (lungs, heart, esophagus, thymus)
- abdomen (stomach, intestines, liver, kidneys, bladder)
- genital organs
- placenta
- amniotic fluid
- location of fetus in uterus
***BPD: biparietal diameter, the distance between the two parietal bones = the transverse diameter of the skull; HC: head circumference; AC: abdominal circumference; FL: femur length
Full blood count (hemoglobin, hematocrit, erythrocyte indices, white blood cell count, platelet count), renal function (creatinine, urea, eGFR), liver function (GOT, GPT, Se bilirubin), coagulation parameters (INR and fibrinogen), complete urine and sediment (protein, leukocytes, glucose, acetone, UBG, sediment), blood type and antibody screening, vaginal secretion culture (group B Streptococcus screening).
In case of maternity care packages, after the 36th week
Cardiotopography (CTG)
The CTG plays a very important role in assessing the condition of the fetus, as it provides valuable data not only on heart function but also on uterine contractions and fetal movements.
In accordance with our institution’s obstetric practice, as part of prenatal care, we recommend that expectant mothers undergo one CTG (cardiotocography) examination per week between the 37th and 40th weeks of pregnancy.
Starting at the 40th week, the test is required daily until the baby is born.
The need for testing at a frequency different from the above—taking into account the health status of the mother and the fetus, as well as any potential risk factors—is determined in each case by the attending obstetrician-gynecologist.
The case manager will assist with scheduling the first appointment and provide information. Subsequent appointments must be coordinated with the midwife during each CTG examination.
Price of the Pregnancy Care Packages
In the case of twin pregnancy, we provide an individual quote.
If your pregnancy is already advanced, you have the option to join Medicare maternity care packages only for the 2nd-3rd trimester, or only for the 3rd trimester. If you would like an individual offer, please contact us:
Payment by instalments is also possible. For more information on this, please contact us at varandosgondozas@medicare-group.hu.
Price list of pregnancy care-related examinations
Obstetrician-gynecologist specialist checkup
1st trimester genetic ultrasound
*In case of twin pregnancy, the duration and the price are doubled.
1st trimester genetic ultrasound + combined test
*We charge a sample handling fee of 3,000 HUF. Discounted package price.
2nd trimester genetic ultrasound
*In case of twin pregnancy, the duration and the price are doubled.
3rd trimester ultrasound
*In case of twin pregnancy, the duration and the price are doubled.
Cardiotopography (CTG)
Doppler ultrasound
1st trimester laboratory test basic package
2nd trimester laboratory test basic package
3rd trimester laboratory test basic package
TORCH plus panel
Resting ECG test
Internal medicine specialty examination
Dietetic consultation
Endocrinological examination
Dental checkup
Price list of pregnancy care-related examinations
| Examination by a Consultant Obstetrician (antenatal care with 2D ultrasound) | 31,900 HUF |
| 1st trimester genetic ultrasound* | 36,900 HUF |
| 1st trimester genetic ultrasound + combined test | 52,900 HUF** |
| 2nd trimester genetic ultrasound* | 36,900 HUF |
| 3rd trimester ultrasound* | 36,900 HUF |
| Cardiotocography (CTG)*** | 12,500 HUF |
| Doppler ultrasound*** | 25,000 HUF |
| 1st trimester laboratory test basic package | 31,600 HUF |
| 1st trimester laboratory test premium package | 52,900 HUF |
| 2nd trimester laboratory test basic package | 10,400 HUF |
| 2nd trimester laboratory test premium package | 13,800 HUF |
| 3rd trimester laboratory test basic package | 25,300 HUF |
| 3rd trimester laboratory test premium package | 27,000 HUF |
| TORCH panel | 40,300 HUF |
| Resting ECG | 8,000 HUF |
| Examination by a medical doctor | 30,900 HUF |
| Consultation by a dietician | 17,990 HUF |
| Diabetology specialty examination – first visit | 39,000 HUF |
| Endocrinological examination | 33,900 HUF |
| Dental checkup | 13,000 HUF |
| Antenatal care from A to Z | 30,000 HUF |
| Additional specialist, diagnostic and laboratory tests | Read more |
*Duration and price doubled in case of twin pregnancy.
**Discounted package price.
***For our Clients with a Maternity Care Package.