|
Week
|
Scheduled Care |
|
6-8
&
Initial Visit
|
Initial prenatal visit usually with a nurse practitioner. Prenatal record including history and physical exam with pelvic exam and pap smear if indicated. Information regarding prenatal classes, prenatal testing and screening, diet, nutrition, vitamins and activity will be discussed as well as hospital choice. Blood tests may include blood type, RH factor, rubella titer, serology, antibody titer, hepatitis screen, CBC, HIV and urine culture.
|
|
10-12
|
Maternal assessment of weight,
blood pressure, blood and urine status will be done at each
visit. Fetal heart tones by doptone. |
|
16-18
|
Maternal assessment as above, fetal
size and growth. Ultrasound appointment scheduled for next visit.
Maternal serum screening for neural tube defects (MSAFP) or chromosome abnormalities drawn if desired. |
|
20
|
Maternal and fetal assessment. Level One ultrasound screening scheduled by physician done in our office by Ultrasound technician (optional). Needs to be scheduled as a separate appointment. Discuss Prenatal classes.
|
|
26 - 28
|
Routine assessment scheduled with
nurse practitioner.
Routine maternal and fetal evaluation. Discuss choice of breast or bottle feeding, also choice of Pediatrician. Discuss fetal movement counts, preterm labor symptoms. One hour Glucose testing and CBC. Rhogam if you are RH negative. |
|
30 - 36
|
Visits every 2 weeks. Routine maternal
and fetal evaluation. Discuss labor and delivery procedures. |
|
35 - 37
|
Vaginal and/or rectal cultures
for Group B Streptococcus. Routine assessment with nurse practitioner. Begin weekly Vaginal exams. |
|
36 - 40
|
Weekly routine visits including maternal and fetal evaluation, assess fetal position and cervical checks for dilatation and effacement. Review signs and symptoms of labor. Instruction to call office number day or night if labor symptoms or rupture of membranes or painful regular contractions.
|
|
40+
|
Maternal and fetal testing including nonstress testing and discussion of I induction of labor. |
* Additional visits
may be necessary depending on your individual situation.
