Antenatal Visits - Testing and Schedule
At Every Visit:	
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Description

Antenatal Visits - Testing and Schedule

At Every Visit:	

 • Gestational Age	

 • BP

 • Maternal Weight		

 • Urine Protein

Blood Work 1:

 • CBC

 • Blood type and Rh 

 • Rubella  

 • Chlamydia and Gonorrhea  

 • VDRL 

 • HepB 

 • HIV 

 • +/- TSH, Ferritin, Parvovirus 

GDM Risks: Macrosomia, Hypoglycemia, Jaundice, Preeclampsia, Stillbirth   

GDM Management: diabetic diet, exercise, +/- insulin, Sugar checks QID, Early Induction

Glucose  Tolerance Testing 

 • Glucose Challenge Test (GCT) 

     - Non-fasted.  Ingest 50g Glucose  

     - BW 1 hr later 

     - Fail if > 7.8 mmolL

 • Glucose Tolerance Test (GTT) 

     - Fasted.  

     - BW before starting  

     - Ingest 75 g Glucose 

     - BW 1 hour after  

     - BW 2 hour after 

     - GDM if ≥1 value is abnormal  

     - Fasting ≥5.3 mmol/L, 1 hour ≥10.6 mmol/L, 2 hours ≥9.0 mmol/L

Additional U/S If there are concerns for 

 • Growth 

 • Diabetes  

 • Placenta (30 weeks) 

 • Position (34 – 36  weeks)  • Anatomy  

 • Fetal Well-being

GBS Testing - Vaginal and Rectal Swab 

GBS+ -> 5 million units of PenG 4 hrs before birth (Clinda if allergic) 



- Amy Chung, MD, MSc @AmyChung



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Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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