Singleton Pregnancies Management

Singleton Pregnancies Management

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, exlusion 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