8 to 10 Weeks:
Visits will be every 4 weeks from now until 26 weeks.
Congratulations!! You are pregnant. Welcome to your first OB visit. There is a lot to talk about, and we are happy to give you information on some do's and don'ts regarding what to do and what to stay away from, including in your diet. We will also discuss what testing to expect in your first trimester and answer any questions you may have.
You will be given various consents for testing to consider now that you are pregnant. We will obtain a complete history and the provider will do a physical exam. A pap will be done if you haven't had one within the last six to nine months. Standard cultures will be obtained. We will usually draw prenatal lab work at this visit.
There will be a time for discussion, so down questions down to ask your nurse and/or provider.
We will usually discuss the possible late first-trimester screening tests that are available to you. These include Nuchal Translucency (NT) and Non-Invasive Pregnancy Testing (NIPT).
At all of your visits, please be prepared for the following:
You will be asked to leave a urine sample at each visit. Just go ahead into the bathroom after you have signed in and be sure to put your name on the cup. We will be checking your urine for glucose and protein. If you are having any discomfort upon urination, be sure to tell your nurse - we may need to collect a clean catch urine sample.
Your blood pressure and weight will be taken at each visit. The baby's heartbeat can generally be heard after 12 weeks of gestation. This will be checked at each visit, along with measuring your fundal height, or the size of your uterus.
12 to 16 Weeks:
If you desire Genetic Screening - either a Quadruple Screen (QS) or Alpha-fetoprotein (AFP) - it can be performed at 15 to 22 weeks of gestation. If you choose to have the Nuchal Translucency, you will have this done between 11.4 and 13.4 weeks. There is a new test for genetic screening called NIPT; your personal provider will discuss these.
18 to 20 Weeks:
You will be asked to schedule your Level 2 obstetrical ultrasound at about 20 weeks of gestation. You will be given an order for the test, the radiology center location, and their contact information.
**This is the ultrasound visit where you can usually find out the baby's gender.**
26 to 28 Weeks:
Between 26 and 28 weeks, your blood will be drawn for the one-hour glucose tolerance test.
Please make time in your schedule to accommodate for this procedure.
You don't have to be fasting, but try to eat less sweet food (i.e. no sweet cereals, juice, candy, fruit, or soda). If you are RH negative, you will have an antibody screen done and you will require a Rhogam injection at 28 weeks. You will be informed about counting fetal movements, pre-term labor, cord blood collection information and TDAP vaccine information. If you don't already have a Pediatrician, feel free to ask about our Pediatrician list.
35 to 37 Weeks:
Visits may be weekly at this point.
At 35 to 37 weeks, we will obtain a Group Beta Strep culture, which is a vaginal/rectal culture. You will discuss labor instructions and what to do as delivery approaches during these visits.
37 to 40 Weeks:
At 37 to 40 weeks of gestation, you can expect a pelvic exam. This may be done earlier in your pregnancy if needed. Remember to ask any questions you may have, or call our nurse line at703-858-3230. If you have any questions after-hours, call 703-858-3230 and choose option one - the physician on-call will be contacted. If you have a life-threatening emergency, please call 911.