Anticipated Prenatal Testing Schedule

(NOTE:  ALL TESTS ORDERED AT MD DISCRETION, YOU MIGHT NOT HAVE EVERY TEST LISTED)

 

1st trimester:

• Abdominal/Vaginal ultrasound at approx 7 – 9 weeks to determine dates

• First OB visit soon after sonogram with MD. (Complete exam including PAP smear)

• Prenatal Blood Work – Prescription given for patient to go to lab that is insurance appropriate

• Appointments will be every 4 weeks with MD or nurse, unless otherwise needed

•  1st trimester prenatal screening (ultrascreen, nuchal translucency, evaluates risk for down syndrome and trisomy 18), to be done between 12 weeks and 13 weeks 6 days. 

• If indicated, non-invasive prenatal testing (MaterniT21) can be done after 10 weeks. This is a blood test that checks DNA for trisomies.

• Pap, Gonorrhea and Chlamydia Cultures

 

2nd Trimester:

• Prenatal screening done at about 16 weeks – AFP Quad/Sequential Screen  - blood drawn at OB office (evaluates risk for neural tube defects, downs syndrome, and trisomy 18)

• Appointments will continue at every 4 weeks with MD or nurse, unless otherwise needed

• Level II Sonogram done between 19 and 22 weeks, by appointment only

• Glucose and Complete Blood Count drawn at OB office at 26 – 28 weeks

• Other tests may include an amniocentesis, fetal echocardiogram, extra blood tests if indicated

 

3rd Trimester:

• Appointments will be every 2 weeks with MD or nurse,beginning at 32 weeks, then once a week beginning at 36 weeks, unless otherwise needed

• Growth sono to be done at 32 – 35 weeks by appointment only

• Group B Strep culture to be obtained at about 36 weeks during routine weekly visit.

• Repeat HIV test at 36 weeks as recommended by CDC and NYSDOH

• More blood tests, sono’s and/or Biophysical Profiles may be done if indicated

 

Anticipated OB appointment schedule breakdown: (may be adjusted due to clinical situation and patient needs)

7-8 weeks - new OB sono

Approx. 8 weeks - MD visit (after sono has been obtained)

Approx. 10 - 12 weeks - Non-invasive prenatal testing (MaterniT21) if indicated

12 weeks - 13 6/7 weeks - Ultrascreen

After ultrascreen - MD visit

16 weeks- Sequential screen, Nurse visit

20 weeks - Level II Sono and MD visit

24 weeks - Nurse Appointment

28 weeks -Nurse Appointment

32 weeks - Growth sono and MD visit

34 weeks - Nurse Appointment

36 weeks - Nurse Appointment (Group B strep culture and HIV test)

37 weeks and beyond -MD appointments