Prenatal examination schedule
Release time : 01/18/2025 18:13:27
As the baby approaches, prenatal checkups should be conducted more frequently, usually every 1-2 weeks. Through fetal heart rate monitoring and B-ultrasound examination, pay close attention to the status of amniotic fluid and fetal treasure in the uterus, and be psychologically prepared for labor.
A comprehensive examination should be done before labor.
Pregnant mothers prepare the schedule for prenatal examinations in advance to facilitate their own timely examinations.
Prenatal examination schedule 1. The first prenatal examination (about 12 weeks of pregnancy): The prenatal examination during this period is mainly to verify the pregnancy and provide a preliminary understanding of the embryo.
Essential prenatal examinations include: height, weight, gynecological examination, complete blood count, routine urine test, vaginal discharge, syphilis screening, and ultrasound examination.
Individuals who have not undergone prenatal or antepartum screening previously, as well as those with pets, should also be screened for thalassemia.
Experts advise: The first prenatal check-up involves a relatively comprehensive range of examinations, which is aimed at thoroughly assessing the health status of expectant mothers.
2. Second Prenatal Exam (16 Weeks of Pregnancy): The second prenatal examination includes physical examination, body temperature, pulse, respiration, blood pressure, weight, uterine height, and examination (edema, etc.).
Laboratory tests, complete blood count (CBC), routine urine analysis, and Down syndrome screening.
Auxiliary examinations, Doppler fetal heart monitoring.
Experts advise: The most important part of the second prenatal check-up is Down syndrome screening, which requires blood testing in an absolute fasting state for more than 12 hours.
3. The third trimester of pregnancy (20 weeks): The third trimester examination includes physical examination, body temperature, pulse, respiration, blood pressure, weight, uterine height, and palpation (edema, etc).
Laboratory test, complete blood count and urinalysis.
Adjunctive tests include Doppler fetal heart monitoring, obstetric ultrasonography, and screening for major congenital malformations.
Expert Advice: The most important aspect of the third trimester check-up is the ultrasound screening for major congenital anomalies. Prior to undergoing a fetal anomaly assessment, it is advisable to engage in some physical activity to optimize the baby's position. Additionally, consuming a few chocolate bars can stimulate the baby and promote increased movement, which is also beneficial for the fetal anomaly assessment.
4. Fourth Prenatal Visit (24 Weeks of Pregnancy): The fourth prenatal visit includes physical examination, temperature, pulse, respiration, blood pressure, weight, uterine height, and auscultation (edema, etc.).
Laboratory tests, blood routine, urine routine and oral glucose tolerance test.
Auxiliary examination, Doppler monitoring of fetal heart.
Experts remind: This is a routine examination, and you can also do screening for large malformations.
The fifth and sixth prenatal check-ups include physical examination, blood pressure, pulse, respiration, weight, uterine height, and other examinations (edema, etc.).
Laboratory tests, complete blood count, urinalysis.
Auxiliary examination, obstetric color ultrasound and Doppler ultrasound were used to monitor fetal heart.
Experts remind: Starting from the 28th week of pregnancy, prenatal check-ups have been changed to every two weeks. The fifth and sixth prenatal check-ups are routine items and do not need to be too nervous.
6 and 7 prenatal checkups (32 weeks of pregnancy): The items for the seventh prenatal checkup include: physical examination, body temperature, pulse, respiration, blood pressure, weight, uterine height, physical examination (edema, etc.).
Laboratory tests, blood routine, urine routine.
Auxiliary examination, pelvic measurement, pelvic internal examination, and Doppler monitoring of fetal heart rate.
Experts remind: This is a routine examination plus pelvic measurement and pelvic internal diagnosis.
Pelvic measurement is mainly used to detect whether the shape of the pelvis is abnormal and whether each diameter line is large enough, so as to determine whether the fetus can be delivered smoothly through the vagina.
The eighth prenatal examination (34 weeks of pregnancy): The eighth prenatal examination includes physical examination, body temperature, pulse, respiration, blood pressure, weight, uterine height, and a physical examination (edema, etc.).
Laboratory Tests, complete blood count, routine urine analysis, and B-hemolytic streptococcus culture.
Auxiliary examinations include obstetric ultrasound, pelvic measurement, pelvic examination, and Doppler fetal heart monitoring.
Experts remind that in addition to routine examinations, pelvic monitoring and pelvic examination can also be performed.
Special examinations include B-hemolytic streptococcal culture. While B-hemolytic streptococcus does not affect adults, it can cause infection during childbirth through the birth canal, especially in vaginally delivered fetuses, leading to Streptococcal pneumonia and septicemia.
8. The 9th Prenatal Examination (36 Weeks of Pregnancy): The 9th Prenatal Examination includes physical examination, body temperature, pulse, respiration, blood pressure, weight, fundal height, and examination of the body (edema, etc.).
Laboratory Tests: Complete Blood Count, Urinalysis, Liver Function Tests, Kidney Function Tests, and HIV.
Auxiliary examinations, fetal heart rate monitoring and Doppler tones of the fetal heart.
Experts remind: Besides the routine check-ups, liver function, kidney function and HIV tests will be conducted.
9. The tenth prenatal examination (37 weeks of pregnancy): The tenth prenatal examination includes physical examination, body temperature, pulse, respiration, blood pressure, weight, uterine height, and examination for signs of edema, etc.
Laboratory tests, blood routine,
Auxiliary examinations, obstetric color ultrasound, fetal heart rate monitoring, Doppler fetal heart rate monitoring, prenatal identification (pelvic measurement).
Experts remind: In addition to routine examinations this time, the most important thing is prenatal identification (pelvic measurement). The size and shape of the pelvis play a decisive role in the smooth delivery.
If the size and shape of the pelvis are abnormal and incompatible with the fetus, the fetus will be blocked from descending, which may lead to dystocia.
Therefore, prenatal examinations must include a measurement of the pelvis.
The 11th-13th prenatal check-ups (38 - 40 weeks of pregnancy): The last three prenatal check-ups include: physical examination, body temperature, pulse, respiration, blood pressure, weight, uterine height, physical examination (edema, etc.).
Laboratory tests, blood routine,
Auxiliary examination, fetal heart rate monitoring, Doppler monitoring of fetal heart rate.
Experts remind: In addition to some routine examinations, the most important thing for the last three prenatal checkups is fetal heart rate monitoring to ensure the safety of the baby and mother.
Time for the first prenatal check-up Under normal circumstances, you will go to the hospital for the first systematic prenatal check-up at 12 to 13 weeks of pregnancy.
However, if you have a history of previous miscarriage, fetal suspension or a history of deformed fetuses, or have symptoms such as vaginal bleeding, abdominal pain, severe nausea or vomiting, have taken drugs or suspect that you have been exposed to adverse factors that may harm the fetus, or Because of your advanced age or a family history of genetic diseases, you should go to the hospital for a checkup as soon as possible and receive prenatal care guidance from your doctor.
What tests do I need to take before I get pregnant? How should expectant mothers cooperate with doctors to successfully pass the pregnancy and have a healthy baby? First, do regular prenatal examinations.
According to the standards of obstetrics and gynecology textbooks, prenatal check-ups should be done once a month in the early stages of pregnancy, prenatal check-ups should be done every two weeks when pregnancy is 30 to 36 weeks, and once a week after 36 weeks.
Currently, the number of prenatal examinations prescribed by the Health Insurance Bureau is somewhat insufficient. If pregnant women do not undergo regular prenatal check-ups, it will become even more inadequate. A woman at 33 weeks of pregnancy should undergo her first prenatal check-up. If an abnormality is detected during this visit, it will be difficult for the physician to estimate the correct estimated date of delivery.
Pregnant women who exceed their due date also require extra attention. Physicians usually encourage expectant mothers to be admitted for induction of labor about a week before the due date, which is around 41 weeks into pregnancy. Some physicians may opt to induce at 42 weeks, but this period is when the function of the placenta deteriorates significantly, resulting in a lower chance of a natural birth.
At 6 to 8 weeks of pregnancy, the primary examination is to confirm whether the pregnancy is intrauterine.
At Week 12 of pregnancy, it is recommended to choose a reputable hospital for an early morning blood test to establish the medical record and undergo basic examinations. These include B-mode ultrasound, vaginal discharge routine, gynecological examination, and evaluation of the embryonic development.
A comprehensive examination includes blood pressure, body weight, and assessments of heart, liver, and kidney functions. It also involves routine blood and urine tests, blood typing, Down syndrome screening, and a series of infectious diseases tests.
Exclusion of common diseases, such as ectopic pregnancy, molar pregnancy, and various types of miscarriages.
Local examination at 16 weeks of pregnancy includes B-ultrasound, leucorrhea routine, gynecological examination, and embryonic development.
A comprehensive physical examination includes blood pressure, weight, and a review of the heart, liver, and kidney functions. It also involves routine blood and urine tests, blood typing, Down syndrome screening, and a series of infectious disease tests.
For the above prenatal examination items, if they have already been done during 12 weeks of pregnancy, then they are not needed again.
The necessary projects include: uterine height, abdominal circumference, fetal heart rate, blood pressure, and weight.
At 20 weeks of pregnancy, this is aimed at a reexamination of blood and urine routines, obstetric examinations (uterine height, abdominal circumference, fetal heart rate, blood pressure, weight).
At 24 weeks of pregnancy, the aim of this follow-up is to review blood and urine routines, AFP, glucose screening, four-dimensional ultrasound fetal anomaly screening, obstetric examinations (uterine height, abdominal circumference, fetal heart rate, blood pressure, weight).
For individuals with abnormal results on the sugar screening, guidance on diet control is provided. After 2 weeks, follow-up tests for fasting blood glucose and postprandial 1-hour blood glucose are conducted, with one of these two tests showing abnormal results. If necessary, continue to monitor their diet control for another 2 weeks.
At 28 weeks of pregnancy, this aims to conduct a follow-up blood and urine routine tests, obstetric examinations (including cervical height, abdominal circumference, fetal heart rate, fetal position examination, blood pressure, weight), pelvic measurements, and for those with abnormal blood glucose levels, perform an oral glucose tolerance test (OGTT). For those who are positive for anti-HAV antibodies, administer 200 IU of hepatitis B immunoglobulin intramuscularly.
At 30 weeks of pregnancy, this session aims to review the urine routine and perform obstetric examinations (including uterine height, abdominal circumference, fetal heart rate, position of the fetus, blood pressure, and weight).
Guide pregnant women to count fetal movements, and assist in correcting the position of the fetus if necessary.
At 32 weeks of pregnancy, the patient underwent a follow-up examination including routine blood and urine tests, obstetrical assessments (height, abdominal circumference, fetal heart rate, fetal position, blood pressure, weight).
The aim is to guide pregnant women in counting fetal movements and to assist with correcting abnormal fetal positions.
Australian anti-virus was positive, and hepatitis B immunoglobulin 200IU was injected intramuscularly.
At 34 weeks of pregnancy, blood and urine routines, and obstetric examinations (uterine height, abdominal circumference, fetal heart rate, fetal position examination, blood pressure, weight) are required for this examination.
Guide pregnant women to count their fetal movements by themselves, and guide them to correct fetal position if the fetal position is abnormal.
At 36 weeks of pregnancy, urine routine and obstetric examination (uterine height, abdominal circumference, fetal heart rate, fetal position examination, blood pressure, weight) are required for this examination.
Guide pregnant women to count their fetal movements by themselves:
For Australian anti-positive patients, hepatitis B immunoglobulin 200 IU should be injected intramuscularly.
At 37 weeks of pregnancy, this examination requires a recheck of blood and urine routines, as well as liver function tests for any abnormalities. The coagulation profile should be reviewed if there are any abnormalities. B-ultrasonography, electrocardiogram (ECG), obstetric examinations (uterine fundal height, abdominal circumference, fetal heart rate, position, blood pressure, and weight) are also required.
To examine the overall condition of the fetus and the pregnant woman's pelvis, and to determine the mode of delivery.
Fetal heart rate monitoring, self-counting of fetal movement, and guidance on discomfort such as abdominal pain, vaginal bleeding, or fluid discharge for follow-up.
38th Week of Pregnancy: This examination requires a repeat urine routine, obstetric examination (uterine height, abdominal circumference, fetal heart rate, position check, blood pressure, weight), guidance on self-counting fetal movements and signs of labor, and fetal heart monitoring.
At 39 weeks' pregnant, this examination will require a repeat urine routine, obstetric examination (uterine height, abdominal circumference, fetal heart rate, fetal position examination, blood pressure, weight), guidance on self-counting of fetal movements and labor signs, and fetal heart rate monitoring.
At 40 weeks of pregnancy, it is necessary to repeat blood and urine routine tests, obstetric examinations (uterine height, abdominal circumference, fetal heart rate, fetal position examination, blood pressure, weight), and instruct on self-counting fetal movements and signs of labor. Fetal heart rate monitoring is also conducted.
What should be noted during prenatal examinations? Despite the widespread adoption of prenatal examinations, there are still reports of birthing babies with congenital diseases or physical disabilities. What should be taken into account when conducting prenatal examinations? Prenatal examinations should begin around week 10 of pregnancy, but in reality, it is best to visit a hospital as early as two weeks after your period has not started to confirm your pregnancy. This is because, if you have confirmed your pregnancy, some things should be particularly attended to. For instance, medication use should be cautious, and certain medical examinations such as X-rays should be avoided. Maintaining a regular diet and lifestyle is also important.
On the other hand, ultrasound examination can be used to determine whether the embryo has indeed implanted in the uterine cavity and understand its developmental status.
If the embryo is not in the uterine cavity, there are two possibilities: one possibility is an ectopic pregnancy, which is a serious condition that may endanger the pregnant woman's life.
Another possibility is cystic ovum, which means an abnormal embryo that may very likely abort. At this point, the physician can make a differential diagnosis to ensure the safety of the expectant mother.
The entire pregnancy process can only be done once with an ultrasound. That should not be enough.
The first prenatal check-up is usually around the 10th week of pregnancy. At this time, some blood and urine tests will be conducted to understand the basic health condition of the pregnant woman. This includes whether or not there are diabetes, kidney disease, or thalassemia trait.
If the expectant mother has thalassemia, it is necessary to test the father as soon as possible to determine whether he also has thalassemia; if both parents have it, there is a 1 in 4 chance that the baby will have severe thalassemia. Special attention should be paid throughout the pregnancy.
During the examination, it is also important to note whether there are twins or even triplets present, as these conditions can be distinguished by ultrasound examination.
At around 16 weeks of pregnancy, physicians often recommend amniocentesis for high-risk pregnancies, including those with advanced maternal age. This procedure can detect Down syndrome and other chromosomal abnormalities early on, allowing for timely intervention.
Up to this point, amniocentesis is the most accurate method for diagnosing fetal aneuploidies such as Down syndrome. However, it is not recommended for every pregnant woman. This procedure is an invasive one and has a rate of miscarriage of about 1 in every 100, which is not too high.
However, pregnant women under 34 years old are still at risk of giving birth to babies with Down syndrome. Blood tests can be conducted for screenings for Down syndrome and neural tube defects. The mother's blood is tested for alpha-fetoprotein or placental chorionic gonadotropin levels, which can detect abnormalities with a higher likelihood. If these screenings indicate a high risk, amniocentesis may be recommended; if the risk is low, ultrasonography alone is sufficient for observation.
Additionally, observing the position of the fetal implantation and the appropriateness of amniotic fluid volume can also serve as indicators of the health of the fetus.
At about 20 weeks of pregnancy, which is the third prenatal check-up stipulated by the National Health Insurance Corporation, an ultrasound examination can be performed to determine whether there is a malformation or placental problem, or even whether the fetus has a harelip can be checked.
During prenatal examinations in the middle of pregnancy, attention should be paid to the growth rate of the fetus, whether the fetal tumor and placental implantation position are normal. For example, placenta previa is often prone to bleeding in the middle of pregnancy, so more attention should also be paid.
Prenatal examination in late pregnancy should not only pay attention to the growth rate and fetal position of the fetus, but also pay attention to the occurrence of pregnancy toxemia. If a pregnant woman has systemic diseases such as diabetes, kidney disease, heart disease, or hypertension, as the number of weeks of pregnancy increases, the weight of the fetus increases, and the burden on the pregnant woman will increase, which may aggravate her symptoms, so special attention must be paid. Pregnant women should be cared for in conjunction with physicians.
In the later prenatal check-ups, urine tests are performed every time to find out whether there is urine sugar and urine protein. In addition, glucose screening can be performed at 28 weeks of pregnancy to determine whether you have gestational diabetes.
How should a pregnant mother choose a suitable obstetrician to perform prenatal examinations and provide medical care during pregnancy and childbirth? When selecting an obstetrics and gynecologist in a hospital or clinic, the most basic thing should be to pay attention to whether he is a specialist in obstetrics and gynecology. If he is, it means that he has received complete obstetrics and gynecology specialist training.
At the same time, attention should be paid to whether the hospital or clinic has complete equipment, such as ultrasound examination equipment. Without ultrasound equipment, it is difficult for doctors to detect twins or conjoined babies. This is not only related to the quality of ultrasound equipment and the doctor's skills, but also has a great relationship with whether the doctor has thought of and noticed it.
This has nothing to do with the size of the hospital, because even in well-known medical centers across the country, doctors may not find that a pregnant woman is carrying twins or Siamese twins. Therefore, whether the doctor himself notices this problem is very important.
Secondly, the doctor's reputation and ability to communicate and respond with patients also require careful observation and understanding by expectant mothers.
In addition, expectant mothers should be reminded that if any tests are performed at each prenatal check-up, they must ask the doctor for the results of the examination during the next prenatal check-up.
Sometimes there are many patients in a doctor's outpatient clinic, or several doctors visit him at the same time. I don't necessarily remember the examination performed by everyone. At this time, it is up to pregnant women to remind and ask the doctor about the results of the previous examination and matters to pay attention. This is an important step in protecting personal interests.
The Importance of Prenatal Examination: Due to the neglect of prenatal examinations, tragic incidents of birth defects have occurred from time to time. Parents who are irresponsible often abandon their children because of their physical abnormalities, turning them into abandoned infants. This is not only a family's misfortune but also a sorrow for society as a whole! Prenatal examination should never be overlooked! So, how important is prenatal examination really? Let's find out together.
1. Prenatal examinations can detect certain diseases in pregnant women that are not suitable for pregnancy, allowing for timely induced abortion if necessary.
Regular check-ups can reveal the development of the fetus and changes in the mother's physiology. If any abnormalities are detected, they can be addressed early on.
3. Through prenatal examinations, you can acquire knowledge about the physiological hygiene, life, and nutrition of pregnancy from your doctor, learn about issues to be aware of during pregnancy and after birth, as well as common knowledge on normal childbirth.
After the examination of system, it can predict whether there is any difficulty during childbirth and decide the method and place of childbirth to reduce danger in childbirth or after childbirth and ensure the safety of pregnancy.
The medical information provided in this text is for reference only.
In case of discomfort, it is recommended to seek medical attention immediately. The diagnosis and treatment should be made based on the clinical examination conducted by a physician in person.