Obstetrics >> Pregnancy: What to Expect

What to Expect

Prenatal visits are scheduled every four weeks in the first and second trimester. From 28 weeks on it is every other week; and from 35 weeks on it is once a week. At each visit, maternal health is evaluated including nutritional status, weight gain, and risks of urinary tract infection, diabetes, and hypertension. Fetal growth and well-being is also followed and prenatal testing and ultrasound are performed as indicated. Typical events to expect during a normal pregnancy course here at Cassie Health Center for Women include:

First Visit
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Complete history and evaluation of medical, genetic, and perinatal risks.
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Complete physical exam including Pap and GC/CHL cultures.
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Schedule for ultrasound for accurate dating of pregnancy.
 
Second Visit
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Prenatal labs including Blood Type and RH, Antibody Screen, Complete Blood Count, H.I.V., Hepatitis B, Hepatitis C, RPR, and Rubella.
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Screening for genetic conditions such as sickle cell and cystic fibrosis will also be drawn, if indicated and desired.
 
12 Weeks to Term
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Fetal heart tones are detected at each visit.
 
16-19 Weeks
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Triscreen for Down Syndrome, Trisomy 13, Trisomy 18, Neurotube Defects, and Abdominal Wall Defects, if desired.
 
18 Weeks
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Amniocentesis, if indicated and desired.
 
20 Weeks
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Ultrasound for fetal anatomy. Fetal gender can be determined at this time.
 
20 Weeks to Delivery
Abdominal exams are performed for fetal growth and presentation.
 
28 Weeks
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Blood Test for Diabetes and Anemia.
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Rhogam injection, if indicated.
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Follow-up ultrasound for fetal growth and amniotic fluid volume, if indicated.
 
28 Weeks to Delivery
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Non-Stress Test or Biophysical Profile is performed, if indicated, to evaluate fetal well-being.
 
36 Weeks
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Group B strep culture.
 
37 Weeks to Delivery
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Cervical exam, as indicated.
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Membrane Stripping can also be performed to facilitate onset of labor.
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Ultrasound is repeated if fetal growth restriction or excessive weight gain is suspected.

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