Antenatal / Prenatal Care Schedule 
At Every Visit: ...
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Description

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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