All Family Physicians at Westside Medical provide prenatal care until the patient is assigned to an obstetrician (if patient is a high risk or needing cesarean-section) or referred to a Family Physician who offers Low Risk Obstetrics to delivering the baby. Below is a recommended schedule for tests performed during pregnancy. The tests aim to provide basic information while tracking a routine pregnancy. Consult your doctor if you have any questions.
A pregnancy is tracked according to gestational weeks, calculated based on the date of a woman’s last menstruation. If there is a discrepancy between the date of a woman’s last menstruation and the gestational age it will be found during the early (first trimester) ultrasound and an accurate gestational age will be calculated. Around the time of the delayed menstruation, a urine or blood test can be performed to determine pregnancy. Visit every 2-3 weeks until 16 weeks
At 4 weeks ( first visit for pregnancy ):
Detailed maternity file will be open and family –personal history taken.
At 7-8 weeks:
A woman should have an (1)ultrasound to determine the location of the pregnancy sac, size and vitality (heartbeat) of the fetus. Routine Tests: Blood count, ferritin, urinalysis, blood type (and RH antibodies level if negative), rubella antibodies, Syphilis, Hepatitis B and C Some patients need thyroid activity testing.
Early chromosomal genetic diagnostic testing, placental structure (chorionic placenta)
week 12 (10-14):
(2) ultrasound, nuchal translucency or fetal development test and First trimester screening a lab test done 3 days before this ultrasound.
Referral to Maternity clinic – Complete maternity physical exam. Pap smear (screening for cervical cancer cells), Swabs for bacterial vaginosis, chlamydia and gonorrhea.
Weeks 16 – 32:
Monthly visits. Patient transferred to maternity clinic
Triple screen test, feto-protein or amniocentesis and blood count if needed
Fetal Movements, (3) Detailed ultrasound.
Gestational glucose tolerance test, blood count and RH antibody levels for those with negative blood type. A visit to the physician to discuss glucose test results and talk about receiving RH immune globulin vaccine if RH negative. Review of fetal growth.
Begin weekly tracking of fetal growth weight.
Follow-up with doctor, ultrasound, monitoring biophysical profile every 2-4 days.
Referral to the delivery room to perform a stress test or induce labor. Up until week 32, the pregnancy will be tracked once a month, then every 2-3 weeks until week 36, finally every 1-2 weeks until week 40. Beyond this stage the pregnancy will be passed over to another department, which specializes in overdue pregnancies (in certain cases the pregnancy will be passed over to the hospital delivery room).