Antenatal / Prenatal Care Schedule
At Every Visit: Weight, Blood pressure, Psychosocial screening, Counseling re. Indications to go to hospital
First Trimester (0-12 weeks):
• Detailed history and physical exam
• Estimated date of delivery
• Dating ultrasound
• Prenatal labs (CBC, ABO/Rh type & screen, Antibody screen, HBsAg, Syphilis serology, Rubella IgG, Varicella, HIV)
• Chlamydia/Gonorrhea screen
• Urine culture & sensitivity
Second Trimester (12-28 weeks):
• Fetal heart rate tones (starting at 12 weeks)
• Prenatal genetic screening
- First trimester screen (nuchal translucency, ß-hCG , PAPP-A; 11-14 weeks)
- Maternal serum screen (AFP, uE3, ß-hCG; 15-22 weeks)
• ± Prenatal diagnosis
- Chorionic villus sampling (11-13 weeks)
- Amniocentesis (15-17 weeks)
• Detailed 18-20 week Ultrasound (dating, number of fetuses, placental location, anatomic survey)
• Gestational diabetic screen (50g oral glucose challenge; 24-28 weeks)
• Rh antibody screen and Rh
Third Trimester (28-40 weeks):
• Fetal surveillance
- Fetal movement counts (>6 movements in 2 hours)
- Symphysis fundal height
- Leopold maneuvers
• Group B Streptococcus screen (35-37 weeks)
• ± Ultrasound for growth, presentation, biophysical profile
• ± Non-stress test
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