{"id":14287,"date":"2023-06-28T13:50:46","date_gmt":"2023-06-28T11:50:46","guid":{"rendered":"https:\/\/apolinar.eu\/chci-preventivni-vysetreni-pred-otehotnenim\/"},"modified":"2025-08-31T23:56:17","modified_gmt":"2025-08-31T21:56:17","slug":"chci-preventivni-vysetreni-pred-otehotnenim","status":"publish","type":"page","link":"https:\/\/apolinar.eu\/en\/chci-preventivni-vysetreni-pred-otehotnenim\/","title":{"rendered":"I would like a preconception check-up"},"content":{"rendered":"        <section\r\n            class=\"pdt-80 pdb-40 \"\r\n        >\r\n        <div class=\"wrapper2\">\r\n                            <div class=\"text_block observe anim_drop1 anim_delay\">\r\n                    <h2 class=\"title_h2 \">Complications During Pregnancy and Childbirth<\/h2>                                                                                            <h3 class=\"title_h3 color2\">\r\n                                Prekoncep\u010dn\u00ed ambulance                            <\/h3>\r\n                                                                <div class=\"page_content reset_margins\">\r\n                        <p><p>Alongside our Clinic for Women with Recurrent Pregnancy Loss (preconception), we also monitor women after complicated pregnancies (such as HELLP syndrome, TMA, early preeclampsia before 32+0 weeks, early FGR before 32+0 weeks, FM, PAS) at our clinic.<\/p>\n<p>If you are interested in guidance on planning another pregnancy after previous complications during pregnancy and childbirth, and need preventive examinations and advice from our specialists, please visit our specialized consultation clinic.<\/p>\n<\/p>\r\n                    <\/div>\r\n                                            <a href=\"https:\/\/apolinar.eu\/wp-content\/uploads\/2023\/07\/230601_GPK_prekonc_ambulance_A5_1-1.pdf\"\r\n                           title=\"Find Out More\"\r\n                                                      class=\"btn_basic\">\r\n                            Find Out More                        <\/a>\r\n                                    <\/div>\r\n                    <\/div>\r\n    <\/section>\r\n\n\n        <section\r\n            class=\"pdt-20 pdb-80 \"\r\n        >\r\n        <div class=\"wrapper2\">\r\n                            <div class=\"text_block observe anim_drop1 anim_delay\">\r\n                    <h2 class=\"title_h2 \">Recurrent Pregnancy Loss<\/h2>                                            <div class=\"tags responsive\">\r\n                            <div class=\"inner justify-center-mdm\">\r\n                                                                                                            <a href=\"mailto:tehotenska.ambulance@vfn.cz\"\r\n                                           title=\"tehotenska.ambulance@vfn.cz\"\r\n                                           >\r\n                                            tehotenska.ambulance@vfn.cz                                        <\/a>\r\n                                                                                                <\/div>\r\n                        <\/div>\r\n                                                                                            <h3 class=\"title_h3 color2\">\r\n                                Preconception Clinic                            <\/h3>\r\n                                                                <div class=\"page_content reset_margins\">\r\n                        <p><p>Currently, our preconception clinic offers care to women with a history of severe recurrent pregnancy loss, preterm birth before 34 weeks, and stillbirth. In cases of miscarriage (spontaneous or missed), we focus on women with a history of three or more first-trimester losses (before 12+ weeks) or two or more losses, with at least one in the second trimester (after 12+ weeks).<\/p>\n<p>These women are offered immunological testing, which may or may not reveal a predisposition that significantly increases the likelihood of recurring pregnancy complications. Women who have experienced only two first-trimester miscarriages are not offered care (including immunological testing) at the preconception clinic, and we kindly ask that they do not contact us for this purpose. Care in these cases can be managed by a general gynecologist, who may recommend excluding congenital uterine abnormalities (hysteroscopy\/laparoscopy) and thyroid function testing. However, if the treating gynecologist does not offer these, women can contact our clinic with a positive pregnancy test at [tehotenska.ambulance@vfn.cz](mailto:tehotenska.ambulance@vfn.cz)\u2014preferably on Tuesdays and Thursdays\u2014and we will advise on pregnancy support with the medications indicated below. Planning delivery at our maternity hospital is required.<\/p>\n<p>For women with the severe complications described above, after completing testing, we will discuss the next steps. Even if immunological test results are negative, the minimum standard of care for subsequent pregnancies includes low-molecular-weight heparin and progesterone.<\/p>\n<\/p>\r\n                    <\/div>\r\n                                            <a href=\"https:\/\/apolinar.eu\/en\/porodnice\/snaha-o-tehotenstvi\/opakovane-jsem-potratila\/\"\r\n                           title=\"Find Out More\"\r\n                                                      class=\"btn_basic\">\r\n                            Find Out More                        <\/a>\r\n                                    <\/div>\r\n                    <\/div>\r\n    <\/section>\r\n\n\n    <!-- ACCORD -->\r\n    <section\r\n            class=\" pdb-80 \"\r\n        >\r\n        <div class=\"wrapper2 anim_delay anim_drop1 observe\">\r\n                                                    <div class=\"accord mgt-30\">\r\n                                            <!-- ITEM -->\r\n                        <div class=\"item_accord item\">\r\n                            <a href=\"#\" role=\"button\" class=\"item_accord_head head\">\r\n                                <h3 class=\"item_accord_title\">Principles of Diagnosis and Treatment<\/h3>\r\n                                <div class=\"item_accord_arrow\">\r\n                                    <svg class=\"sicofill\">\r\n                                        <use href=\"https:\/\/apolinar.eu\/wp-content\/themes\/apolinar\/assets\/layout\/icons.svg#s_ar2_d\"\/>\r\n                                    <\/svg>\r\n                                <\/div>\r\n                            <\/a>\r\n                            <div class=\"expand\">\r\n                                <div class=\"item_accord_inner page_content reset_margins\">\r\n                                                                                                                                                        <p>Among the most significant causes of severe pregnancy complications and pregnancy \u201closses\u201d is improper communication between the mother\u2019s immune system and the fetus. At our clinic, you will first undergo an examination, and if we rule out other causes of pregnancy complications\u2014such as systemic diseases or abnormal uterine anatomy (congenital anomalies, fibroids, etc.)\u2014we will offer immunological testing. Immunology can reveal various disorders which, in the vast majority of cases, do not threaten your life but can have a major impact on the success and course of the pregnancy.<\/p>\n<p>If the immunological test results are unfavorable, we will propose a set of measures that significantly improve the chances of a successful pregnancy. One of these is an immunomodulatory approach, where the woman self-administers low-molecular-weight heparin (subcutaneous injections) and progesterone (vaginal tablets) daily from early pregnancy.<\/p>\n<p>If the situation is more complex and the immunological findings are abnormal, the patient will be referred for consultation with a reproductive immunologist. In addition to the standard measures, the specialist may recommend further highly effective immunomodulatory treatments, such as intramuscular or intravenous immunoglobulin therapy.<\/p>\n                                                                    <\/div>\r\n                            <\/div>\r\n                        <\/div>\r\n                                    <\/div>\r\n                    <\/div>\r\n    <\/section>\r\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-14287","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>I would like a preconception check-up - Porodnice U Apolin\u00e1\u0159e<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/apolinar.eu\/en\/chci-preventivni-vysetreni-pred-otehotnenim\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"I would like a preconception check-up - Porodnice U Apolin\u00e1\u0159e\" \/>\n<meta property=\"og:url\" content=\"https:\/\/apolinar.eu\/en\/chci-preventivni-vysetreni-pred-otehotnenim\/\" \/>\n<meta property=\"og:site_name\" content=\"Porodnice U Apolin\u00e1\u0159e\" \/>\n<meta property=\"article:modified_time\" content=\"2025-08-31T21:56:17+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/apolinar.eu\/en\/chci-preventivni-vysetreni-pred-otehotnenim\/\",\"url\":\"https:\/\/apolinar.eu\/en\/chci-preventivni-vysetreni-pred-otehotnenim\/\",\"name\":\"I would like a preconception check-up - Porodnice U Apolin\u00e1\u0159e\",\"isPartOf\":{\"@id\":\"https:\/\/apolinar.eu\/en\/#website\"},\"datePublished\":\"2023-06-28T11:50:46+00:00\",\"dateModified\":\"2025-08-31T21:56:17+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/apolinar.eu\/en\/chci-preventivni-vysetreni-pred-otehotnenim\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/apolinar.eu\/en\/chci-preventivni-vysetreni-pred-otehotnenim\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/apolinar.eu\/en\/chci-preventivni-vysetreni-pred-otehotnenim\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Dom\u016f\",\"item\":\"https:\/\/apolinar.eu\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"I would like a preconception check-up\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/apolinar.eu\/en\/#website\",\"url\":\"https:\/\/apolinar.eu\/en\/\",\"name\":\"Porodnice U Apolin\u00e1\u0159e\",\"description\":\"Klinika gynekologie, porodnictv\u00ed a neonatologie 1. 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