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OB Guidelines

Please visit our website for Pregnancy & Childbirth educational information:

COURSE OF PRENATAL CARE

You will have approximately 14 doctor visits during your pregnancy. Typically your appointments are

.

every 4 weeks until 30 weeks, every 2 weeks until 36 weeks, then weekly until your delivery

LAB WORK DURING PREGNANCY

INITIAL LABS WILL BE DRAWN AT YOUR NURSE VISIT AND INCLUDE

Complete blood count

Hepatitis B

HIV

RPR (a required test for Syphilis)

Rubella

Urine Analysis

Thyroid and blood sugar levels are optional depending on your physicians

preference

At your initial doctor appointment you will be given written information on cystic fibrosis screening

and a specialized prenatal risk screening (called a first trimester screen) that includes a 1

st

trimester

ultrasound combined with bloodwork. In the 2

nd

trimester there is a screening test for open neural

tube defects (AFP), done via a blood test. These tests are optional.

16-22 weeks

Prenatal Risk Screen (Quad Screen)—Assesses your risk for having a baby born with birth defects and

combines blood values with your medical history to produce the result.

Early diabetes screening—May be done if you have history of gestational diabetes with a previous

pregnancy or other risk factors.

18 – 20 weeks

Ultrasound— A detailed anatomical scan is done at this time. Hopefully you can find out the sex at

this time if you choose and the baby cooperates.

28 weeks

Gestational Diabetes Screen

Rhogam injection if you have an Rh negative blood type

Pre register for the hospital

36 weeks

Group B Strep Culture

Weight Gain

Recommended weight gain is 25 – 30 lbs.

Lifting limit

30 – 40 lbs

OB Guidelines

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