As you journey toward motherhood, we are here to support your health and the development of your baby. Week by week, we will monitor growth and perform necessary screenings based on the following schedule:
Weeks 10 to 20
- Prenatal panel, including CBC, urinalysis, blood type, RPR, thyroid screening, HIV, Gonorrhea, Hepatitis B, and Chlamydia
- Amniocentesis, if applicable
- Cell free DNA
- Early NT (nuchal translucency) screening
- Maternal serum alpha-fetoprotein, MSAFP
- Chorionic Villus Sampling, or CVS
- Carrier screening for Tay-Sachs, Cystic Fibrosis, Fragile X, SMA, and sickle cell
- Applicable optional screenings
Weeks 18 to 24
Ultrasound screening is performed during this time. The high frequency sound waves allow us to assess the baby's growth and development. If a medical need exists, additional ultrasounds will be performed. Only medically relevant ultrasounds are covered by insurance.
The d-Tap vaccine protects against tetanus, diphtheria, and pertussis. The small dosage of weakened virus stimulates an immune response in the body that minimizes the risk of contracting any of these conditions.
Second-trimester immunization is recommended by the American Academy of Pediatrics, the American College of Obstetrics and Gynecology, and the Advisory Committee on Immunization Practices. The vaccine may also be given during the third trimester, or soon after delivery. Vaccination during pregnancy also protects the newborn until routine vaccines are given at 2 months of age.
Weeks 24 to 28
One-hour Glucose Testing
This mandatory test screens for gestational diabetes, which occurs in 12 percent of pregnancies in our country. While fasting, you will consume a 10 oz. sugar beverage provided by your physician's staff. After an hour, you will have blood drawn to determine how your body handles what is called a "glucose load." We typically have results within 48 hours of this test. If lab work shows an abnormality in glucose management, we will schedule additional testing. Gestational diabetes can present complications to the pregnancy and the fetus. Early detection facilitates proper management.
Weeks 28 to 30
Rh Immunoglobin Injection
Intramuscular Rh injection will be given at this time if you are Rh negative. This is necessary because the baby's red blood cells can be damaged if the mother develops antibodies against them. The risk of antibody stimulation can be prevented with routine Rhogam injections given during the third trimester. Injections may also be given in instances of bleeding or miscarriage.
Weeks 36 and 37
Group B Strep Vaginal Culture
Approximately 20% of women test positive for Group B Strep bacteria. Because bacteria are typically present in the vagina or rectum, or both, there is a risk of transmission to the baby during delivery. A very small percentage of babies who are exposed to this bacterium are infected, and most who are born to carrier mothers do not develop problems. Due to the potential for life threatening health problems, screening is necessary. If you test positive, antibiotics will be administered during your labor and delivery.
If you have questions regarding your pregnancy or screening process, contact our office at 855-346-8610.