Dating a Pregnancy: By convention, the estimated date of confinement (due date) is calculated to be 40 weeks from the first day of your last normal menstrual period, unless more exact information can be obtained. Visits are monthly to start until approximately 30 weeks, then become biweekly until 36 weeks. After 36 weeks they are every week or more until delivery.
First Appointment – (6-10 weeks)
A complete health and pregnancy history will be taken, focusing on any pre-existing conditions and past and current medications. It is important to share your complete medical history as well as any family history of genetic disorders, which could affect your pregnancy or the health of your baby. An annual gynecological exam, including a pap smear will be performed. An ultrasound will be ordered if deemed necessary. If not already done, a flu shot is recommended.
12-16 weeks
A Doppler devise will listen to the baby’s heartbeat. You will have lab work drawn for routine prenatal blood testing, which includes blood typing. Genetic testing will also be discussed and offered, including a screening test for cystic fibrosis, neural tube defects (eg spina bifida), and chromosomal abnormalities. An amniocentesis will also be discussed if appropriate.
- Question on cystic fibrosis testing
- Question on routine tests in pregnancy
- Question on Prenatal Genetic screening tests
16-20 weeks
A complete anatomical ultrasound scan will be performed at approximately 18-20 weeks. The anatomy and growth are analyzed. You must have a full bladder.
24-28 weeks
A glucose tolerance test is performed for diabetes. This is a one hour appointment.
35-36 weeks
Group B testing performed
36-40 weeks
Weekly visits measuring growth of the baby and mom’s blood pressure and getting prepared for delivery. Fetal non stress testing maybe needed and performed in the office.
