In the following table, you will see a concise calendar of the most important pregnancy follow- up apointments alongside the purpose of each visit. This calendar is about a singleton, normally continuing pregnancy that will lead to a normal, vaginal delivery. Elective (scheduled) cesareans are performed at 39 weeks of pregnancy.
It goes without saying that this schedule will be adjusted and individualised to each woman and pregnancy needs.
WEEK
APPOINTMENT
PURPOSE
4-5
Pregnancy test positive
Scheduling, medical history taking
5-7
Early pregnancy scan
Confirm fetal viability, exclusion of ectopic pregnancy
Booking tests
Full blood count, BUN, Creatinine, Electrolytes, Liver and thyroid function tests, Urine test, ABO Blood Group type, Rhesus Blood Group type, Circulating Antibodies, Test for thalassemia and sickle cell anemia trait, HIV, Hep Β and C test, Syphilis test, Toxoplasmosis and Cytomegalovirus antibodies, Smear test (if not done recently), Blood pressure, Body weight
11-14
1st trimester scan
Nuchal translucency, Probability of chromosomal abnormalities calculation, Fetal anatomy check, Estimated due date calculation, gender prediction (if possible), Preeclampsia and preterm delivery calculation
20-22
Anomaly scan
Detailed assesment of the fetal anatomy, fetal heart anatomy assessment, gender determination, placenta site assessment, Uterine arteries Dopplers studies to predict preeclampsia, cervical length measurement to predict preterm birth
Pregnancy check
Weight, Blood pressure, Fetal movements, Blood and urine tests
28
Growth scan
Assessment of fetal growth centiles, Amniotic fluid volume, Fetal anatomy
Glucose tolerance test
Gestational diabetes check
32
3rd trimester scan
Assessment of fetal growth centiles, Amniotic fluid volume, Fetal anatomy, Fetal Dopplers studies
Pregnancy check
Weight, Blood pressure, Fetal movements, Blood and urine tests
38
Pregnancy check
NST, Weight, Blood pressure, Fetal movements, Blood and urine tests
40
Growth scan
Assessment of fetal growth centiles, Amniotic fluid volume, Fetal anatomy
Pregnancy check
NST, Weight, Blood pressure, Fetal movements, Blood and urine tests
Discussion about induction of labour
41
Pregnancy check
NST, Weight, Blood pressure, Fetal movements, Blood and urine tests
Discussion about induction of labour
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