Overview of Follow up in Pregnancy

At first visit

As soon as you have missed your period, consult your doctor.

• Confirmation of pregnancy by urine pregnancy test. It can be done at home.
• Your doctor calculates your expected date of delivery and period of gestations in weeks.
• Blood pressure ,weight & height
• Ultrasonography should be done at or around 6-7 weeks for confirmation of location , duration & cardiac activity in your baby.
• Blood test- Blood group with Rh typing, CBC , HIV, HBsAg, VDRL, Anti HCV, Rubella IgG & IgM,, S.TSH for thyroid, GCT if you have any history of diabetes , urine routine microscopy.
• Start folic acid tablet if you have not started  till now.
• If you have nausea or vomiting, medication for these problem also be added.
• Thyroid test is very important and our target is maintain serum TSH below 2.5mIU/l.
• Dietary advised also be given by your doctor.
• Next visit will be every 4 weeks till 28 weeks.

Next visit at3rd month of pregnancy(b/w 11-13 weeks):

• NTNB scan for is performed to evaluate the risk of Down syndrome.
• Double marker – it is a blood test to determine any chromosomal malformation in the foetus.
• Continue folic acid till first 3 month of pregnancy after that your doctor will start iron & calcium tablet if you don’t have any nausea or vomiting.
• Weight & blood pressure monitoring at every visit.

At 15-16 weeks of pregnancy-

• Blood pressure & weight monitoring.
• Baby growth can be monitored by abdominal palpation.
• Quadruple test- if your double marker test is missed then you have to do  quadruple test. It can be done b/w 15-20 weeks of pregnancy.
• Continue iron & calcium tablet.
• Immunization with injection tetnustoxoid ,repeat second dose after 4- 6 weeks.

 

 

At 5th month of pregnancy(b/w 18-20 weeks):

• Level II scan( anomaly scan) should be done to rule out any malformation in your baby.
• Continue iron & calcium tablet.
• You feel your baby kick first time at this gestational week.
• Baby growth can be monitored by abdominal palpation.
• Next visit after 4 weeks.

 

At 22-24 weeks of pregnancy-

• Blood pressure & weight monitoring.
• Continue iron & calcium tablet.
• If your baby have been found any cardiac anomaly in anomaly scan, fetal echo should be done at this gestation.

At 26-28 weeks of gestation-

• Blood pressure & weight monitoring.
• Per abdominal examination and your baby heart beats.
• Blood glucose challenge test (GCT) for diabetes, hemoglobin estimation for detection of anemia.
• Your doctor will ask about fetal movement counts.
• Continue iron & calcium tablet.
• After 28 weeks you should consult your doctor at every 15 days up to 36 weeks.
• If your blood group is Rh negative, ICT (indirect coombs test) should be done at 28 weeks  and injection Anti-D immunoglobin accordingly.

 

At 30& 32 weeks of pregnancy-

• Blood pressure & weight monitoring.
• Per abdominal examination to see baby growth and check your baby heart beats.
• Urine test if you have any symptoms of urinary infection or high blood pressure.
• Ultrasound for fetal growth monitoring.
• Continue iron & calcium tablet.
• Discuss any health problems if you have.

At 34& 36 weeks of pregnancy :

• Blood pressure & weight monitoring.
• Per abdominal examination for baby growth monitoring and check your baby heart beats.
• Continue iron & calcium tablet.
• Ultrasound for fetal growth monitoring if not done previously or found any growth abnormality in last scan
• You should take rest in left lateral position and watch for fetal movement count strictly.
• Next visit after 1 week.

At 37-38 weeks of pregnancy-

• Blood pressure & weight monitoring.
• Per abdominal examination for baby growth & baby heart beats and for position of your baby.
• Per vaginal examination if need.
• Decide mode of delivery.

Visit Jaipur Doorbeen Hospital and meet Dr. Sushila Saini for health pregnancy

Call us at 950 986 8888 or visit No. 78, 8, Devi Nagar Mod, Metro Pilar, 79, New Sanganer Rd, Jaipur, Rajasthan 302019