|
Prenatal Care
Early prenatal care can help keep you and your baby healthy. Your first
prenatal checkup will usually be after you have missed your second period (12
to 13 weeks' pregnant). |
Visits are scheduled as follows:
-
Every four weeks
until 28 weeks
Every two weeks
from 28 to 36 weeks
Every week after
36 weeks
Each
visit:
-
Confirm your due
date. Report vaginal discharge or leaking of fluid.
-
Your blood pressure
should be checked along with the baby's heart tones.
-
Your fundal height
will measured and a urine dipstick to exam for preeclampsia and infection
will be performed.
-
The physician will
attempt to document the type of cesarean section scar where appropriate.
-
Report decreased
fetal movement. Ask about fetal movement Check for PIH symptoms
-
Report headaches,
blurred vision, rapid weight gain, and stomach pain.
You may expect
a cervical check (vaginal examination) if you are being seen for
preterm labor, cerclage, or complaints of uterine contractions.
Visit |
Screen (s) |
First visit |
- PAP smear, complete
blood count (CBC),type and screen (T&S), urine analysis , rubella status,
VDRL, HIV, Hepatitis B status, tuberculosis test (PPD), cervical cultures
for gonorrhea and chlamydia.
- In additon
- If you are at risk a
for diabteesa a fasting plasma glucose (FPG), A1C, or random plasma glucose.
.
- Hemoglobin
electrophoresis if you are African American or Southeast Asian.
|
10 weeks to 14 weeks
|
|
16-20 weeks |
-
Expanded
AFP test.
- Genetic counseling and
possible
amniocentesis if you will be older than 34 at the time of delivery, or at at
increased risk for carrying a genetic disorder (for example, cystic fibrosis,
sickle cell anemia, thalassemia)
- Ultrasound as indicated.
|
20-24 weeks |
- Fetal echocardiogram
as indicated
|
24-28
weeks |
|
28-32 weeks |
- CBC
- Repeat VDRL, HIV, and
cervical cultures if you have risk factors.
|
32-36 weeks |
- Fetal kick count and
assessment for fetal presentation
|
35 to 37
weeks |
|
36-40 weeks |
- Repeat T&S if you are
Rh negative and you were not given RhoGAM
- Fetal kick count and
assessment for fetal presentation
|
*As
indicated. Routine U/S is not otherwise indicated Ref BMJ 307:13-17, 1993
You Might Also Me nterested in how early do signs
Created: 12/18/2002
Updated 10/2/12 |
|