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The following office visit list is a general guideline for normal pregnancies. Visits will be scheduled at the approximate times listed below, but due to holidays, weekend and other factors, visits may not be exactly on the following time table. We will work to follow this pattern as closely as possible.

Each pregnancy is treated individually, and if necessary, office visits are scheduled accordingly. If at any time, you do not feel well or have problems, please call the office. If necessary, we will schedule an office visit as soon as possible.

In the event of a life-threatening emergency report to your nearest hospital or call 911.

Initial OB Visit

The initial OB visit is usually scheduled at approximately 8 weeks following the last menstrual period. At the initial OB visit several important items will be addressed. A detailed medical and family history will be obtained. Past pregnancies will be reviewed including any complications before, during or after delivery. Your expected due date will be determined which usually involves an ultrasound examination. A complete physical exam and the initial obstetric blood work are performed. Your doctor will also discuss with you additional testing and concerns specific to your pregnancy needs.

Prenatal screening usually includes complete blood count, urinalysis, blood type and Rh, antibody screen, hepatitis B screen, rubella immunity screen, syphilis screen, and the recommended HIV screen. All of these are routine tests for pregnant women.

Subsequent Visits

We will see you every 4 weeks until you are 28 weeks, then every 2 weeks until you are 36 weeks, then weekly until delivery. We generally do not allow the pregnancy to go beyond 42 weeks. At each office visit, we will check your weight, blood pressure, and check your urine for protein and glucose. We will also examine your abdomen to measure the growth of the pregnancy and listen for the fetal heart beat. This can usually be heard by 10-12 weeks. Vaginal exams may be done at 36-40 weeks to evaluate the cervix and fetal position. Try to make a list of questions you may have so we may review them during your visit.

12 Week Visit

At this visit, the doctor will attempt to hear the fetal heart beat through the abdomen with a handheld Doppler device. Blood pressure and urine testing is done. Other specific needs continue to be addressed.

16 Week Visit

The second trimester is underway. At this visit, the fetal heartbeat is checked again as well as blood pressure and urine testing. A special blood test may be done to screen for Down's Syndrome and Neural Tube Defects if desired by the expecting parents. Your doctor will discuss further details of this test with you.

20 Week Visit

An ultrasound to evaluate fetal anatomy is usually performed with this visit. Fetal sex can often be seen during this ultrasound. Blood pressure and urine screening is done as well.

24 Week Visit

At this visit, the doctor usually orders lab work including screening for gestational diabetes and for pregnancy-related anemia. Fetal heartbeat, blood pressure and urine screening, as well as a measurement of uterine growth are done.

28 Week Visit

The third trimester has begun. Routine visits now become every two weeks. Fetal heartbeat, blood pressure and urine screening, and measurement of uterine growth are done. For mothers with RH negative blood types, an injection of Rhogam may be ordered. It is at this visit that you might elect to have a 3D ultrasound (like to other page with this information) performed.

30, 32, 34 Week Visits

At these visits, careful attention is paid to the growth and well-being of the developing baby. Fetal heartbeat, blood pressure and urine testing, measurement of fetal growth and evaluation for symptoms of preterm labor are assessed. If indicated pelvic exams or additional ultrasounds may be performed.

36 Weeks until Delivery Visits

These visits are scheduled weekly. At the 36 week visit, a test for Group B Strep will be performed. Fetal heartbeat, blood pressure and urine screening and measurement of uterine growth are checked. A pelvic exam may be done at these visits. Plans for delivery, including pain management options, are reviewed. Decisions regarding feeding preferences, pediatrician plans and post-partum birth control methods are noted for your labor and delivery plans.

 

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