Routine Testing Intervals/Schedules
Initial Visit or First trimester visit:
- Prenatal Panel: CBC, GC/Chlamydia, HIV, Rubella, RPR, HBsAg, UA, Urine culture, Blood type, Rh (D), Antibody
- First trimester screening between 10 weeks to 13 6/7 weeks of pregnancy
- Pap smear at 21 y.o and older, if indicated
- First trimester ultrasound
- Assess risk factors and if positive risk factors consider:
- Referral to perinatologist
- Fully integrated prenatal screening, 1hr GCT, PIH panel, TSH, TB testing, Microalbumin urine or 24hr
- Vaccine: Flu in season, IMPRESS need for COVID vaccination as early in pregancy as possible
- Counseling: Diet/Exercise/Meds/Breastfeeding (EVERY VISIT for BF'ing)
14 to 20 weeks:
- 2nd trimester screening and AFP (15 0/7-19 6/7 weeks)
- Sono: 2nd TM US (18-24) for anomalies and growth
- Vaccine: flu in season
20 to 32 weeks:
- Labs: Repeat CBC and RPR for 2nd TM
- Glucose Tolerance Test after 24 weeks
- RhoGam at 28 weeks, after repeat testing for antibodies
- Vaccines: flu in season, Tdap at 27+ weeks
- Counseling: Kick count and PTL precautions at 28 weeks onwards
32 to 36 weeks:
- Vaccines: flu in season, Tdap if not received already
- Labs: Rpt CBC, GC/chlamydia, RPR during third TM
- Sono: if needed for placental location
- Fetal position (vertex or breech)
- Hospital registration at 34+ weeks
- Fill out BTL consent in cases of desired sterilization with c-section. Send a copy to L&D
- Counseling: Epidural/Lactation/Contraceptives
36 to 40 weeks:
- Send GBS
- Start NST monitoring at 40 weeks
- Set proper expectations for induction at 38-39 weeks and consider induction at 40-41 weeks