Corona virus Update

Note - Schedule of visits may be altered to allow additional monitoring & evaluation for conditions such as twins,

diabetes, high blood pressure, short cervix, low fluid volume, decreased fetal movement & bleeding.

Initial Visit Preferred Prior To the 12th Week Gestational Age

  • Discuss diet, smoking, alcohol and medical and obstetric histories
  • Discuss genetic screening. Address nausea and vomiting
  • Ultrasound may require return visit depending on insurance and gestational age

Physical Exam and Complete History Typically 12th Week

  • Physical exam
  • Review of medical, surgical, obstetric and family history
  • Pap smear and STD screen

16 & 18 Weeks Gestational Age

  • Ultrasound for cervical length
  • Influenza vaccine offered, depending on time of year

20 Weeks

  • Ultrasound for cervical length and fetal anatomic survey

24 and 28 Weeks

  • Measure fetal heart rate and fundal height
  • dTap (diphtheria, tetanus and pertussis) vaccine offered after 26 weeks
  • Screen for gestational diabetes at 28 weeks
  • Rhogam given if Rh negative blood type

30 -36 Weeks

  • Measure fundal height and fetal heart beat every 2 weeks
  • Group B strep and STD screen at 34 weeks

37 – 40 Weeks

  • Weekly fetal heart rate and fundal height measurement
  • Cervical exam at 39 weeks & discuss delivery
  • Induction offered at 40 weeks if cervix short, soft & partially dialted
  • If indicated, C-section at 39 – 40 weeks
  • For twins, deliver at 38 weeks

40 – 41 Weeks

  • Ultrasound for measurement of amniotic fluid volume
  • Monitor fetal heart beat pattern every 3-4 days
  • If not delivered by 41 weeks, induction recommended