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Recommended Services for Healthy Pregnancies

These guidelines have been designed to help you and your doctor determine what preventive services are right for you. It is important to note that these guidelines are recommended for individuals who have no current disease symptoms or other specific risk factors. Depending on your individual lifestyle and family history, you may need some tests more frequently than others. For this reason, it is important to discuss these guidelines with your physician.

[Bracketed] items in the table below refer only to high-risk groups and will not be standard for all women.

Recommended Services

 Event     Screenings      Counseling, Education, Intervention  Immunizations, Supplements, Medications 
 Preconception visit 
  • Risk profiles
  • Height and weight/BMI
  • Blood pressure
  • History and physical
  • Cervical cancer screening
  • Rubella/rubeola
  • Varicella
  • Domestic violence
  • Depression
  • Preterm labor education and prevention
  • Substance use
  • Nutrition and weight
  • Domestic violence
  • List of medications, herbal supplements, vitamins
  • Accurate recording of menstrual dates
  • Tetanus booster
  • Rubella / MMR
  • [Varicella / VZIG]
  • Hepatitis B vaccine
  • Folic acid supplement
 Visit 1
6-8 weeks
  • Risk profiles
  • GC/Chlamydia
  • Height and weight/BMI
  • Blood pressure
  • History and physical
  • Rubella
  • Varicella
  • Domestic violence
  • Depression
  • CBC
  • ABO/Rh/Ab
  • Syphilis
  • Urine culture
  • HIV
  • [Blood lead screening 21]
  • [VBAC 22]
  • Viral hepatitis



  • Preterm labor education and prevention
  • Prenatal and lifestyle education:
    • Physical activity
    • Nutrition
    • Follow-up of modifiable risk factors
    • Nausea and vomiting
    • Warning signs
    • Course of care
    • Physiology of pregnancy
    • Discuss fetal aneuploidy screening
  • Tetanus booster
  • Nutritional supplements
  • Influenza
  • [Varicella/VZIG 9]
  • Pertussis

  Visit 2
10-12 weeks
  • Weight
  • Blood pressure
  • Fetal aneuploidy screening
  • Fetal heart tones
  • Preterm labor education and prevention
  • Prenatal and lifestyle education:
    • Fetal growth
    • Review labs from visit 1
    • Breastfeeding
    • Nausea and vomiting
    • Physiology of pregnancy
    • Follow-up of modifiable risk factors
 
  Visit 3
16-18 weeks
  • Weight
  • Blood pressure
  • Depression
  • Fetal aneuploidy screening
  • Fetal heart tones
  • OB Ultrasound (optional)
  • Fundal height
  • Cervical assessment
  • Preterm labor education and prevention
  • Prenatal and lifestyle education:
    • Follow-up of modifiable risk factors
    • Physiology of pregnancy
    • Second-trimester growth
    • Quickening
  • [Progesterone]
  Visit 4
22 weeks
  • Weight
  • Blood pressure
  • Fetal heart tones
  • Fundal height
  • Cervical assessment
  • Preterm labor education and prevention
  • Prenatal and lifestyle education:
    • Follow-up of modifiable risk factors
    • Classes
    • Family issues
    • Length of stay
    • Gestational diabetes mellitus (GDM)
  • [RhoGAM]
  Visit 5
28 weeks
  • Preterm labor risk
  • Weight
  • Blood pressure
  • Depression
  • Fetal heart tones
  • Fundal height
  • Gestational diabetes mellitus (GDM)
  • Domestic abuse
  • [Rh antibody status]
  • [Hepatitis B Ag]
  • [GC/Chlamydia]
  • Psychosocial risk factors
  • Preterm labor education and prevention
  • Prenatal and lifestyle education:
    • Follow-up modifiable risk factors
    • Work
    • Physiology of pregnancy
    • Preregistration
    • Fetal growth
  • Awareness of fetal movement
  • [ABO/Rh/Ab 17]
  • [Hepatitis B Ag]
  • [RhoGAM 17]
  Visit 6
32 weeks
  • Weight
  • Blood pressure
  • Fetal heart tones
  • Fundal height
  • Preterm labor education and prevention
  • Prenatal and lifestyle education:
    • Follow-up of modifiable risk factors
    • Travel
    • Contraception
    • Sexuality
    • Pediatric care
    • Episiotomy
  • Labor & delivery issues
  • Warning signs/pregnancy induced
  • Hypertension
  • [VBAC 22]
 
  Visit 7
36 weeks
  • Weight
  • Blood pressure
  • Fetal heart tones
  • Fundal height
  • Cervix exam
  • Confirm fetal position
  • Culture for group B streptococcus
  • Prenatal and lifestyle education:
    • Follow-up of modifiable risk factors
    • Postpartum care
    • Management of late pregnancy symptoms
    • Contraception
    • When to call provider
    • Discussion of postpartum depression
 
  Visit 8-11
38-41 weeks
  • Weight
  • Blood pressure
  • Fetal heart tones
  • Fundal height
  • Cervix exam as indicated
  • Prenatal and lifestyle education:
    • Follow-up of modifiable risk factors
    • Postpartum vaccinations
    • Infant CPR
    • Post-term management
  • Labor and delivery update
  • Breastfeeding
 
Postpartum visit
4-6 weeks
  • Cervical cancer screening
  • [GC/Chlamydia]
  • Height and weight/BMI
  • Blood Pressure
  • History and physical
  • Domestic violence
  • Depression
  • Gestational diabetes mellitus (GDM)
  • Contraception
  • Discussion of postpartum depression
  • Breastfeeding concerns and support
  • Tetanus/pertussis
Date: 9/25/2020 4:27:43 AM Version: 4.0.30319.42000 Machine Name: PWIVE-CDWEB01