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Pregnancy Checkup and test Guide
When to know that you are pregnant your routine changes into a new routine, for example, your body will change, your mood and daily prenatal visits are added to your routine. There’s an air of excitement about these visits. You will discover your approximate due date of delivery and hear your baby’s heartbeat for the first time. Your doctor will also track your health and the health of your baby and provide nutrition through your parental care. They help to detect any conditions that could affect them, such as pregnancy complications or genetic disorders. And also will help you make the right decisions about health care before and after your child is born.
Prenatal appointment schedule
Your doctor would probably want to see you on the following prescribed prenatal appointment schedule for a safe pregnancy:
Weeks 4 to 28: 1 prenatal visit per month.
Weeks 28 to 36: 1 prenatal visit every two weeks.
Weeks 36 to 40: 1 weekly prenatal visit until the due date
Always try to be stick to your scheduled appointments so that if there is an issue with you or your baby Your doctor will detect it early and then the doctor will treat it on time and make sure that you have the healthiest pregnancy process.
Routine Prenatal test
The doctor suggests some prenatal testing for all pregnant women. There are various pregnancy tests that you can perform in the first, second, and third trimesters of pregnancy. Some tests are used to check your fitness, and others get details about your unborn baby.
We will discuss what are the important test that is needed in each pregnancy
First Prenatal test
- Confirmation of becoming pregnant
- Calculate how many weeks you are pregnant and what your due date is going to be. When the date is not clear, you will be given an ultrasound scan.
- Check your Blood pressure, sugar level, and weight
- A complete blood test to check your blood type and to check for anemia, immunity to rubella, hepatitis B, hepatitis C, syphilis, chlamydia, and HIV.
- Urine examination, to see if you have an infection of the bladder or urinary tract,
- Down syndrome test
- Cervical screening for human papillomavirus (HPV)
- A test to check either there is vitamin D deficiency or not.
Prenatal test during week 4 to 28:
- Doctor check your blood pressure
- Measuring the tummy (abdominal palpation) to test the development of the baby
- Checking how you and your baby’s healthy
- Verifying the pulse and movements of your baby
- Talking about your birth plan
- Also, do the Blood glucose test for diabetes
- A blood test to check for anemia and platelet levels in your blood. Your healthcare provider will also search for syphilis, hepatitis B, hepatitis C, and HIV again.
Prenatal test during Weeks 28 to 36
- Check blood pressure for maintenance
- Measuring the tummy (abdominal palpation) to test the development of the baby
- Verifying the pulse and movements of your baby
- Urine testing if you have signs of an infection of the urinary tract or increased blood pressure
- To check Group B streptococcus (GBS) did a vaginal swab
- A second anti-D immunoglobulin injection may be given if your blood type is Rh-negative.
- Presentation evaluation (which way up your baby is) and station evaluation (how far down the head of the baby has moved into your pelvis)
Prenatal test during Weeks 36 to 40
- Check the condition of your baby
- Blood pressure checkup
- Blood glucose test
- Ultrasound to check baby’s movement and position
- Verifying heartbeat of the baby
- Urine test
- Weight checkup
The test required to check the condition of delivery is late
If your pregnancy is late and your condition is critical your doctor will ask for some further test to determine the condition
Fetal Monitoring Your doctor may want to monitor the fetal heart rate and other functions during late pregnancy and delivery. A way of checking the rate and rhythm of the fetal heartbeat is fetal heart rate monitoring. The fetal heart rate is between 120 and 160 beats per minute, on average. As the fetus responds to conditions in the uterus, this rate may change. An irregular fetal heart rate or pattern can mean that not enough oxygen is obtained by the fetus that may indicate other problems. An irregular pattern can also mean that the delivery of an emergency cesarean is required.
Chorionic villus of Sampling (CVS), CVS is a pregnancy procedure where a small volume of the placenta of the child is obtained for checking the chromosome issues such as Down syndrome or other anomalies. This tissue includes the same genetic material as the embryo, and chromosomal anomalies and any other genetic problems can be screened for. Depending on family history and the availability of lab testing at the time of the treatment, testing is possible for other genetic abnormalities and disorders. CVS does not have information on open neural tube defects, unlike amniocentesis. This is normally performed between 10 and 11 weeks of pregnancy, or if an issue is suspected, at another time.
Non-invasive prenatal testing (NIPT) to identify Down syndrome and any other abnormalities this test is very effective. It is carried out between the 11 weeks of pregnancy and the 13 weeks and 6 days of pregnancy.
Nuchal translucency scan looks at the back of the neck of your baby to determine the possibility of getting Down syndrome in your baby. This procedure is administered over 11 weeks, 13 weeks, and 6 days, and can be performed at the same time as the ultrasound date.
Amniocentesis where a small amount of amniotic fluid is obtained to test if the baby has a chromosome defect or other abnormality (fluid around the baby). This is normally done for 15-18 weeks, or if a problem is found at another time.
Screening for AFP Often called maternal serum AFP, during pregnancy, this blood test analyses the amount of AFP in your blood. AFP is a protein that is found in the fluid surrounding the fetus (amniotic fluid) that is naturally formed by the fetal liver. It crosses and joins the blood through the placenta.
Estriol This is a hormone that the placenta produces. Founded in maternal blood and used for assessing fetal health.