Visit Schedule and Prenatal Testing

CoupleFirst Visit
Your first visit is one of the most exciting visits. You will meet with a nurse midwife who will most likely perform a physical exam, laboratory evaluation and review your medical and family history, and make recommendations to guide you through your pregnancy. At that time you can also determine if you would like to continue to see a nurse midwife or you can choose to have regular visits with our obstetricians. We will also provide you with a binder to bring with you at each visit to log your activity and any questions you may have.

Standard Laboratory tests include

  • Complete Blood Count to check for anemia
  • Blood Type and RH
  • Rubella Titer
  • Infectious Disease Testing- Hepatitis B, Syphilis, HIV and urine infections. Other tests include Chlamydia, Gonorrhea, Chickenpox and Toxoplasmosis.
  • Optional Tests: Cystic Fibrosis, Thyroid Testing, Tay Sachs, Fragile X, Vitamin D Level, Sickle Prep
  • Pap Smear

Ultrasound
You will have an OB ultrasound at your first visit to help establish a due date and to confirm viability. You will see the baby`s heart beat and get your first baby picture!

Subsequent Visits
You will be seen once per month during your first and second trimester.  At each visit, you will be weighed and have your urine tested. During your second trimester you will also be offered option genetic screening labwork. It is highly recommended that women over the age of 35 participate in the genetic screening tests to assess the health of the fetus. In addition, at approximately 28 weeks you will be screened for gestational diabetes.

When you enter your third trimester you will start to be seen every 2 weeks. You will also begin to finalize your birth plan with either your midwife and/or obstetrician. This includes registering at one of our affiliate hospitals and choosing a pediatrician for your new arrival.

Late in the third trimester, 36 weeks to be exact, you will have weekly visits with your nurse midwife and/or obstetrician. At 36 weeks you will also be screened for Group B strep, a bacteria that in the vagina of about 25% of all healthy adult women. If you do test positive, you will be given an antibiotic during labor to avoid passing the bacteria on to your little bundle of joy. We will also perform a vaginal exam to assess if your baby is “head down”.