Singleton Pregnancies Management

In the following table, you will see a concise calendar of the most important pregnancy follow- up apointments alongside the purpose of each visit. This calendar is about a singleton, normally continuing pregnancy that will lead to a normal, vaginal delivery. Elective (scheduled) cesareans are performed at 39 weeks of pregnancy.

It goes without saying that this schedule will be adjusted and individualised to each woman and pregnancy needs.

 

WEEK

APPOINTMENT

PURPOSE

4-5

Pregnancy test positive

Scheduling, medical history taking

5-7

Early pregnancy scan

Confirm fetal viability, exlusion of ectopic pregnancy

Booking tests

Full blood count, BUN, Creatinine, Electrolytes, Liver and thyroid function tests, Urine test, ABO Blood Group type, Rhesus Blood Group type, Circulating Antibodies, Test for thalassemia and sickle cell anemia trait, HIV, Hep Β and C test, Syphilis test, Toxoplasmosis and Cytomegalovirus antibodies, Smear test (if not done recently), Blood pressure, Body weight

11-14

1st trimester scan

Nuchal translucency, Probability of chromosomal abnormalities calculation, Fetal anatomy check, Estimated due date calculation, gender prediction (if possible), Preeclampsia and preterm delivery calculation

20-22

Anomaly scan

Detailed assesment of the fetal anatomy, fetal heart anatomy assessment, gender determination, placenta site assessment, Uterine arteries Dopplers studies to predict preeclampsia, cervical length measurement to predict preterm birth

Pregnancy check

Weight, Blood pressure, Fetal movements, Blood and urine tests

28

Growth scan

Assessment of fetal growth centiles, Amniotic fluid volume, Fetal anatomy

Glucose tolerance test

Gestational diabetes check

32

3rd trimester scan

Assessment of fetal growth centiles, Amniotic fluid volume, Fetal anatomy, Fetal Dopplers studies

Pregnancy check

Weight, Blood pressure, Fetal movements, Blood and urine tests

38

Pregnancy check

NST, Weight, Blood pressure, Fetal movements, Blood and urine tests

40

Growth scan

Assessment of fetal growth centiles, Amniotic fluid volume, Fetal anatomy

Pregnancy check

NST, Weight, Blood pressure, Fetal movements, Blood and urine tests

Discussion about induction of labour

 

41

Pregnancy check

NST, Weight, Blood pressure, Fetal movements, Blood and urine tests

Discussion about induction of labour