Prenatal Care Chart
Prenatal care is one of the single most important things you can do for yourself and your developing baby. And the earlier the better--HAP guidelines recommend that women who become pregnant should begin prenatal care during their first trimester (or first 12 weeks) of pregnancy.
The chart below presents the range of the conditions and lifestyle practices your medical practitioners will be monitoring, to ensure the best possible outcome for your growing family. For high-risk pregnancies see the high-risk chart below.
|Asymptomatic bladder infection (urine culture)||First prenatal visit or first trimester|
|Gestational diabetes (Glucose Challenge Test)||Once, during second trimester|
|Hepatitis B virus (skin test)||First prenatal visit; third trimester if indicated|
|HIV (blood test)||First prenatal visit; third trimester if indicated|
|Iron deficiency anemia (blood test)||Once, at first prenatal visit|
|Neural tube defects (MSAFP)||Once, at 16-20 weeks of pregnancy|
|Preeclampsia (blood pressure reading)||First prenatal visit; periodically thereafter|
|Rh incompatibility (D blood typing)||First prenatal visit; unsensitized women repeat during second trimester|
|Syphilis (VDRL, RPR)||First prenatal visit; third trimester and at delivery, if indicated|
|Nutritional health||At least once during pregnancy|
|Multivitamin with folic acid||Women planning/capable of pregnancy|
|Possibility of problem drinking||First prenatal visit; counseling throughout for drinkers|
|Possibility of tobacco use||First prenatal visit; counseling throughout for smokers|
In addition to the tests above, women with high-risk pregnancies or other risk factors may be advised by their doctors to have one or more of the screening tests listed below.
|Down Syndrome [Amniocentesis or chorionic villus sampling (CVS)]||
||Second trimester of pregnancy|
|Genital herpes simplex (physical examination)||History of genital herpes simplex infections||During active labor|
|Gonorrhea, Chlamydia trachomatis (cervical culture)||Women at high risk for sexually transmitted disease, or signs of infection during pelvic exam||As recommended by the physician|