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Pregnancy Care Timeline

From Preconception to Postpartum

Your guide to prenatal visits, tests, and screenings throughout pregnancy. Know what to expect at each stage.

Before You Conceive

Folic acid: 400-800 mcg daily (start at least 1 month before)
Vaccinations: Ensure MMR, varicella, flu are current
Health optimization: Manage chronic conditions, healthy weight
Lifestyle: Stop smoking, alcohol, recreational drugs
1st

First Trimester

Weeks 1-13

6-8First Prenatal Visit (Weeks 6-8)

  • Confirm pregnancy, estimate due date
  • Complete medical & family history
  • Physical exam, pelvic exam
  • Blood tests: blood type, Rh factor, CBC, STIs, rubella, hepatitis B
  • Urine test for protein, glucose
  • Possibly early ultrasound

10-13First Trimester Screening (Weeks 10-13)

  • Optional: Cell-free DNA screening (NIPT) - can be done from week 10
  • Nuchal translucency ultrasound (11-14 weeks)
  • Blood tests for chromosomal abnormalities
  • Optional: CVS (chorionic villus sampling) if indicated
2nd

Second Trimester

Weeks 14-27

15-20Mid-Pregnancy Tests

  • Quad screen or integrated screening (15-20 weeks)
  • Optional: Amniocentesis (15-20 weeks) if indicated
  • AFP (alpha-fetoprotein) screening for neural tube defects

18-22Anatomy Ultrasound

Detailed ultrasound to check baby's development:

  • Organs, spine, limbs development
  • Placenta location
  • Amniotic fluid levels
  • Can often determine sex

24-28Glucose Screening & More

  • Glucose challenge test for gestational diabetes (24-28 weeks)
  • Complete blood count (check for anemia)
  • Rh antibody test if Rh-negative
  • RhoGAM shot if Rh-negative (28 weeks)
3rd

Third Trimester

Weeks 28-40

Visit Schedule

  • Weeks 28-36:Every 2 weeks
  • Weeks 36-40:Weekly visits

Each visit typically includes weight check, blood pressure, urine test, fundal height measurement, and fetal heart rate.

35-37Group B Strep Test

  • Vaginal/rectal swab for GBS bacteria
  • If positive, antibiotics during labor protect baby
  • About 25% of women carry GBS (harmless to mom)

Tdap Vaccination

Recommended: Weeks 27-36 (ideally early in this window)

Protects baby from whooping cough (pertussis) in first months of life before they can be vaccinated. Safe and recommended every pregnancy.

Late Pregnancy Monitoring

  • Fetal movement counts (kick counts)
  • Baby's position check
  • Signs of labor education
  • Birth plan discussion

Postpartum Care

The postpartum period is an important time for recovery and bonding. Follow-up care helps ensure your health.

Postpartum Visits

  • • First visit within 3 weeks (or earlier if needed)
  • • Comprehensive visit by 12 weeks
  • • Check physical recovery
  • • Screen for postpartum depression
  • • Discuss contraception

When to Call Immediately

  • • Heavy bleeding (soaking a pad in 1 hour)
  • • Fever over 100.4°F
  • • Severe headache or vision changes
  • • Thoughts of harming yourself or baby
  • • Signs of infection at incision site

Medical Disclaimer: This information is for educational purposes only and is not intended as medical advice. Every pregnancy is unique. Always follow your healthcare provider's recommendations for your specific situation.

Pregnancy Care Timeline | KC Women's Health