Normal and High Risk Pregnancy

Pregnancy can be one of the most joyful experiences of your life.

We understand that every woman is different and every pregnancy will be too. Whether you are sailing through pregnancy feeling better than ever or you face some challenges during a high risk pregnancy, we provide the care and support you need.

What Can You Expect During Your Visits?

Every woman will be visiting her doctor on a regular basis for prenatal examinations. If you are enjoying a normal pregnancy, you can expect to see your doctor at least a dozen times in the weeks and months leading up to labor and delivery. Visits are scheduled every four weeks during the first and second trimesters, every other week until the 36 week mark, and then on a weekly basis until delivery.

Your visits will include:

Initial Visit (usually between weeks 6 through 10)

  • Visit with Nurse Midwife
  • Discuss medical and genetic history and potential risks
  • Pelvic exam with an initial pap smear to rule out sexually transmitted diseases
  • Blood work to determine blood type, blood count, rubella, titers, hepatitis B, and HIV
  • Possible cystic fibrosis testing
  • Ultrasound to calculate due date, if you are seven to eight weeks into your pregnancy

Second Visit (usually between weeks 12 and 13)

  • Weight, and blood pressure check
  • Check the baby’s heartbeat

Third Visit (16 weeks)

  • Weight and blood pressure check
  • Check the baby’s heartbeat
  • Alpha-fetoprotein test to test for certain genetic conditions

Fourth Visit (21 weeks)

  • Weight, and blood pressure check
  • Check the baby’s heartbeat
  • Fundal height (Measuring from the pubic bone to the top of the uterus. This measurement allows your provider to assess your baby’s growth rate, and position)
  • Discussion of alpha-fetoprotein test results
  • Anatomy Ultrasound with the opportunity to discover the gender of your baby

Fifth Visit (25 to 27 weeks)

  • Weight, and blood pressure check
  • Check the baby’s heartbeat
  • Fundal height
  • Anemia test (tests iron level)
  • Follow-up test for syphilis
  • Gestational diabetes test. This test takes one hour to complete. Fasting is not required, but you should avoid sugary foods.

Sixth Visit (28 to 30 weeks)

  • Weight, and blood pressure check
  • Check the baby’s heartbeat
  • Fundal height

Seventh through Ninth Visits (32 to 34 weeks)

  • Begin bi-weekly visits
  • Weight, and blood pressure check
  • Check the baby’s heartbeat
  • Fundal height

Tenth Visit until Delivery (35 to 40 weeks)

  • Weekly visits begin
  • Weight, and blood pressure check
  • Check the baby’s heartbeat
  • Fundal height
  • Pre-register for delivery and receive registration packet (Registration is located on the second floor of the Women’s Center.)
  • Pelvic exam for Group B Strep (35thor 36th week, Group B Strep can be a serious issue for baby’s exposed at birth. If you test positive, your doctor will treat you with antibiotics during labor)

Every pregnancy is special and requires the appropriate care and attention from an experienced healthcare team. We provide care for women with normal and high risk pregnancies.  If you are pregnant or would like to know more about having the healthiest pregnancy you can, contact us.