PREGNANCY GUIDE
WHAT TO EXPECT DURING PRENATAL VISITS
Our Prenatal Process
You and your care provider have a lot to discuss!
- Medical History- including details about your personal and family medical history, your menstrual cycle and past pregnancies, use of medications
- Physical Exam and Lab tests- Pelvic exam, blood type, screen for infections, and check for anemia
- Establish an estimated date of delivery (Due Date) - an ultrasound may be done to measure the size of your baby
- Lifestyle issues- nutrition, exercise, work, use of medications, smoking
- Genetic screening tests- Discuss which testing options, if any, are right for you and your baby
Subsequent visits- often scheduled about every four (4) weeks will probably be shorter than your first visit. Each visit your provider will:
- Check your weight
- Monitor your Blood Pressure
- Listen to the baby’s heartbeat (usually heard with a Doppler between 10-14 weeks)
- Discuss any questions or concerns
You will continue to visit your provider about every 4 weeks. Your Provider will:
- Check your weight and blood pressure
- Measure your belly from the top of your uterus to your pubic bone to track your baby’s growth
- Listen to your baby’s heartbeat
- Talk about your baby’s movement (usually feeling flutters at 20 weeks)
- Talk about any symptoms, concerns, or questions you may be experiencing
- Screening for Gestational Diabetes (24-28wks). This test takes one hour
- Patients with Rh negative blood will have an injection of Rhogam around 28 weeks of pregnancy
During the last month of pregnancy, expect weekly checkups. Your provider will continue to monitor your blood pressure and weight, as well as your baby’s heartbeat and movements.
- At 35-37 weeks your provider will recommend a screening test for Group B Streptococcus (GBS)
- Near the end of pregnancy, your provider may include pelvic exams to check the baby’s position and detect cervical changes
Your Provider will:
- Check your weight and blood pressure
- Check your vagina, cervix, and uterus to make sure you are healing well
- Talk about resuming sexual activity, birth control, breastfeeding, and adjusting to life with your new baby
Post-Partum Care
Postpartum care isn't limited to your physical health; it also includes your mental well-being, such as managing mood swings, irritability, sadness and anxiety.
Please talk to your provider or seek emergency care if:
You experience strong feelings of depression and anger 1-2 months after childbirth
You experience feelings of sadness, doubt, guilt, or helplessness
You are unable to care for yourself or your baby
You have trouble doing tasks at home or on the job
Experience appetite changes
You notice that things that used to bring you pleasure no longer do
Anxiety or panic attacks occur
You feel like harming yourself or your baby
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