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Pregnancy Checkup

Pregnancy Check-up

Check-ups, tests and scans available during your pregnancy

Many problems can be identified before your baby is born, but not all of them. There are two main kinds of test offered during antenatal care:

  • screening tests, which will let you know if your kid has a higher risk of having a problem, but can’t confirm the problem for sure
  • diagnostic tests, which show whether your child has a problem, with a much higher level of certainty

The timing and number of some of the visits and tests listed below may rotate slightly depending on the antenatal care you choose, if you’ve had a prior pregnancy and if you are having any problems

First visit

  • confirmation that you are pregnant
  • counting how many weeks your pregnancy is and when your due date will be. You may be offered an ultrasound scan if the date is not clear.
  • blood pressure, height, and weight
  • blood test, to check your blood group and test for anemia, rubella immunity, hepatitis B, hepatitis C, syphilis, chlamydia, and HIV
  • urine test, to see if you have a bladder or urinary tract infection
  • screening for Down syndrome
  • cervical screening to check for human papillomavirus (HPV) and/or any signs of cervical cancer
  • if at danger of vitamin D deficiency, a test for this may be offered

As part of your check-up, you will normally also discuss with your gyanecologist or midwife:

  • which medicines you are taking
  • whether you smoke or drink alcohol
  • whether you would like influenza (flu) vaccination
  • which vitamin and mineral supplements you can use or should avoid
  • antenatal care options available to you
  • where you can get further information and antenatal classes

19-20 weeks

  • blood pressure
  • check Size of your tummy (abdominal palpation) to check your baby’s growth
  • checking how your health is and if there are any difficulties
  • an ultrasound scan to check your baby’s physical development, growth, and any complications with your pregnancy. If you require to, during the ultrasound, you can discover out whether the baby is a boy or girl.

22 weeks

  • blood pressure
  • check size your tummy (abdominal palpation) to check your baby’s growth
  • monitoring how your health is and if you have any problems

26-27 weeks

  • blood pressure
  • check size your tummy (abdominal palpation) to check your baby’s growth
  • checking how your health is and if you have any difficulties
  • blood glucose tolerance test for diabetes

28 weeks

  • blood pressure
  • examining how your health is and if you have any problems
  • monitoring your baby’s heartbeat and movements
  • a blood test to check for anemia and blood platelet levels. Your health specialist may also check again for syphilis, hepatitis B, hepatitis C, and HIV
  • if your blood type is Rh-negative, and anti-D immunoglobulin injection may be given
  • pertussis (whooping cough) vaccination
  • urine test, if you have signs of urinary tract infection or raised blood pressure

32 weeks

  • blood pressure
  • checking how your health is and if you have any difficulties
  • checking your baby’s heartbeat and movements
  • urine test, if you have signs of urinary tract infection or raised blood pressure

34-36 weeks

  • blood pressure
  • checking how your health is and if you have any difficulties
  • checking your baby’s heartbeat and movements
  • urine test, if you have signs of urinary tract infection or raised blood pressure
  • vaginal swab for Group B streptococcus (GBS)
  • if your blood type is Rh-negative, a second anti-D immunoglobulin dose may be provided
  • evaluating presentation (which way up your baby is) and station (how far down the baby’s head has moved into your pelvis)

38-39 weeks

  • blood pressure
  • checking your baby’s heartbeat and movements
  • urine test, if you have signs of urinary tract infection or raised blood pressure
  • assessing presentation and station

40-41 weeks

  • blood pressure
  • checking your baby’s heartbeat and movements
  • urine test, if you have signs of urinary tract infection or raised blood pressure
  • assessing presentation and station
  • if you haven’t had your child yet, monitoring your baby’s heartbeat and the amount of liquid around them

As well as the tests, scans, and check-ups listed above, your GP, midwife offer further tests, depending on your risk factors and circumstances. These can include:

  • Chorionic villus sampling (CVS), where a small quantity of the baby’s placenta is collected to test for chromosome difficulties such as Down syndrome or other abnormality. This is usually prepared between 10 and 11 weeks of pregnancy, or at another time if a problem is assumed.
  • Non-invasive pre-natal testing (NIPT), which is a very accurate test to identify Down syndrome and certain other abnormalities. It is done between 11 weeks and 13 weeks and 6 days of pregnancy.
  • A nuchal translucency scan, which looks at the back of your baby’s neck to evaluate the risk of your baby having Down syndrome. This test is performed between 11 weeks and 13 weeks and 6 days and maybe conducted at the same time as the dating ultrasound.
  • Amniocentesis, where a small quantity of amniotic fluid (fluid around the baby) is collected to test if the baby has a chromosome difficulty or other abnormality. This is usually done at 15-18 weeks, or at another time if a problem is recognized.