As soon as you suspect or know you’re pregnant, it’s time to schedule an appointment with the healthcare provider you will want to care for you and baby during pregnancy and birth, which will typically be either a doctor or certified nurse midwife. Here’s what you can expect during each of the three trimesters of pregnancy, and what you may want to ask along the way.
Green around the gills? Most (80 percent) women feel awful during this trimester. You may be moody and feel absentminded and anxious about getting to week 13, when your risk of miscarriage typically plummets to less than 1 percent.
At your first prenatal visit, your provider will calculate your due date, schedule blood tests, perform a pelvic and breast exam, measure your height and weight, listen to your heart and lungs, and palpate your abdomen for any abnormalities. You will see your provider every 4 weeks if all is well. This is a great time to exchange information and ask questions including:
Enjoy the burst of energy that usually starts around week 14. This is the time to take prenatal classes and get your nursery prepared. You’ll still see your provider monthly, and you may get your first peek at baby via ultrasound in weeks 20-22. This is a good time to ask:
Around week 32, you’ll likely step up to appointments every 2 weeks, and then weekly at weeks 35-36. Fatigue typically returns, so be sure to rest when your body says rest, and try to take good care of yourself. Also ask:
Not including optional genetic or high-risk screening typically conducted in the first and second trimesters, or ultrasound evaluation conducted in all trimesters as needed.
|Every visit||To make sure you’re not developing high blood pressure that could lead to a dangerous condition called preeclampsia|
|Every visit||To check for proteins and sugars in your urine, both of which increase risks in pregnancy|
|First trimester; often first visit||TO check your cervix for changes that could lead to cancer and for sexual infections that could complicate your pregnancy|
|First visit||To check for any breast of nipple abnormalities or concerns|
BLOOD TYPE AND ANTIBODY SCREEN
|First trimester, and as needed||To check type; for anemia, rubella, or chicken pox exposure; Hepatitis B; sexual infections such as syphilis or HIV; and your blood sugar (glucose)|
GROUP B STREPTOCOCCUS (GBS)
|Third trimester, typically around 34 or 35 weeks||If positive for GBS, you’ll get antibiotics during labor/birth to protect baby|
FUNDAL HEIGHT (VIA TAPE MEASURE) AND BABY’S HEARTBEAT (VIA DOPPLER)
|Every visit, typically beginning after the first 8-12 weeks of pregnancy||To track your growing uterus against what’s typical, and to listen for any changes or abnormalities in baby’s heartbeat|
Champions for Change: You’re Invited! Become a champion for change in maternal health--attend the Champion for Change 2018 Summit.
Gain a Breast Pump & Supplies under the ACA Breast pumps are available for many expectant moms under the Affordable Care Act (ACA) through mom's health insurance company. Here's how to ask about what benefits may be available to you.
PregSource Asks Pregnant Moms to Share Pregnancy Experiences PregSource is a "crowd-sourcing" website where pregnant women share their experiences with researchers at the National Institutes of Health (NIH). You're invited to participate!