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Obstetrical Care Milestones

First Confirmation of Pregnancy Visit

This visit includes a complete history with our nurse or medical assistant, a physical exam and pregnancy test with the obgyn doctor, an ultrasound to establish your due date and prenatal labs. Prenatal lab work including screens for many infections such as syphilis, chlamydia, gonorrhea HIV, hepatitis and herpes.

Nuchal Translucency/Quadruple Screen Test

These tests are offered to all patients in early pregnancy. These tests screen for Down’s syndrome, spina bifida and other chromosomal defects. It is your responsibility to let us know if you want these tests. We will discuss them at your visit. Some insurance companies do not cover these tests.

Second Trimester Ultrasound

This ultrasound is performed between 18 and 22 weeks by the perinatologist at the hospital and is used as a screening tool for birth defects. Although a normal ultrasound is reassuring, there are still many birth defects and diseases that cannot be diagnosed with ultrasound. We recommend a second trimester ultrasound for all patients. This ultrasound will be billed separately to your insurance company. Unfortunately, not all insurance companies cover routine ultrasounds.

Screening test for Diabetes

This test is performed between 24 and 28 weeks. The test takes at least one hour. You should not eat for two hours prior to this test. If this test is abnormal, you may need a confirmatory test.

Rh Negative Blood Type

If you are Rh negative, you will need a Rhogam injection around 28 weeks. You may require a second injection after the baby is born. Please notify us of any vaginal bleeding during your pregnancy as additional Rhogam may be needed.

Group B Strep Culture

This is a vaginal/rectal culture performed after 35 weeks that we recommend for all patients. If you are a carrier, you will need antibiotics in labor. Please tell the nurses in L & D your culture results when you come in to deliver.