Prenatal Plan of Care

We have an excellent team of obstetric providers and staff who work with you to provide the best care for you and your baby. We offer you a prenatal care team consisting of one physician and one nurse practitioner or physician assistant to see throughout your pregnancy. Many patients have found that building positive relationships with their provider has increased their satisfaction and confidence in their care.

 

12 weeks:
You will see a physician for your pelvic exam. A pap test and testing for gonorrhea and chlamydia may also be completed. (Click here for more information on prenatal testing.) This appointment takes approximately 30 minutes. Your provider will discuss the results with you at your next visit. Typically, you will receive a phone call about any results you receive during your pregnancy when further follow-up is needed. At every appointment from this point forward, your baby’s heartbeat, a stomach measurement, weight and blood pressure will be checked.
 

16 weeks:
After seeing your provider, you will be asked to stop at the lab on your way out to give a urine sample and have some blood drawn. Several different tests will be run from the blood draw. Two of the tests, AFP genetic testing and Cystic Fibrosis Carrier testing, are optional. Our staff will ask you prior to going to the lab if you will want these tests done as well. You will also be given a slip to schedule an ultrasound to be done at 20 weeks to check your baby’s growth and development.
 

20 weeks:
Your baby’s heartbeat, a stomach measurement, weight and blood pressure will be checked, and the 16-week lab work and ultrasound results will be
reviewed with you.
 

24 weeks:
Your baby’s heartbeat, a stomach measurement, weight and blood pressure will be checked. If you haven't already, this is a great time to sign up for Perinatal and Family Education Classes and to start preparing for childbirth.
 

28 weeks:
At this appointment, lab work will be done to check you for diabetes. When you are first taken to your exam room, you will be asked to drink a “50 gram glucose load.” This is similar to a very sweet lemon-lime soda. The time will be noted, and the lab will need to draw your blood exactly 1 hour after you drink this. You do not need to fast for this test. You should not eat or drink while the test is in progress. Prior to that, eat as you normally would and stay well hydrated, but avoid eating or drinking too many sweets, as the test could come back falsely elevated. The blood sample will also show if you need more iron in your diet. If your blood type (which will be determined with the 16-week lab work) has a negative Rh factor, you will need to return to the OB department after the lab draw to get an injection called Rhogam. At this appointment, you will also be given a birth plan to take home and review as well as additional educational materials.
 

32 weeks:
Your baby’s heartbeat, a stomach measurement, weight and blood pressure will be checked. Your provider will review your 28-week lab results and your birth plan. If you are not current with your T-dap vaccination, your provider will recommend you receive it at this visit.
 

34 weeks:
Your baby’s heartbeat, a stomach measurement, weight and blood pressure will be checked.
 

36 weeks:
Your baby’s heartbeat, a stomach measurement, weight and blood pressure will be checked. In addition, a culture will be done to check for a bacteria called
Group B Strep. Now is a great time to bring in any paperwork your employer may require for your maternity leave.
 

37, 38 and 39 weeks:
Your baby’s heartbeat, a stomach measurement, weight and blood pressure will be checked. A cervix check may be done based on your condition.
 

40 weeks:
Your baby’s heartbeat, a stomach measurement, weight and blood pressure and your cervix will be checked. Plans will be discussed for moving toward delivery.
 

 
 
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