Confirmation of Pregnancy
Usually around 6 weeks or after the first missed period or first positive home pregnancy test.
An ultrasound is done to confirm the pregnancy.
This is an information gathering visit and takes about an hour!
It includes orientation to the practice, lab work, brief ultrasound and a complete physical exam.
Visits after this will usually be every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, and then every week until delivery depending on your particular history and pregnancy.
Consider a flu shot.
Screening for at risk mothers: First trimester, sequential screen or maternal serum cell-free DNA testing for chromosomal abnormalities such as trisomy 13, 18 and 21 (Down syndrome). Testing may include a Nuchal Translucency screening ultrasound. Additional genetic carrier testing can be done to evaluate for genetic risk for complications such as cystic fibrosis.
MSAFP (maternal serum alpha-feto protein) is a blood test that screens for neural tube defects and placental problems may be recommended even if genetic screening is declined.
For High Risk moms a Quad-screen can be done if first trimester screening is declined.
A review of systems ultrasound is done- your baby is big enough to see the major anatomy!
This is a great time to begin thinking about pregnancy and birthing classes and to pre-register and schedule a tour at the hospital.
Local classes can be found online or by calling 1-877-HealthOne.
Discuss Baby Kick Counts.
The one hour glucose tolerance test is done to screen for gestational diabetes.
A complete blood blood count is also checked to screen for anemia.
If you are RH negative, an antibody screen blood test is also done and you will receive a RHOGAM shot.
Discuss Preterm labor symptoms.
Visits begin every two weeks.
Begin thinking about labor desires, breastfeeding needs, your pediatrician, plans for circumcision and future family plans after delivery.
GBS (Group Beta Strep) is a common vaginal bacteria and a culture is done during this time.
If you are positive you will receive antibiotics during labor.
Weekly visits begin.
Its time to have a baby!
Every pregnancy is different! This is a guide and additional ultrasounds or visits may be recommended.