What is the antenatal checkup schedule?

During the pregnancy, women must go to the hospital for regular prenatal checkups. This is crucial. At different stages of pregnancy, the examination items that need to be done are completely different. In the late pregnancy, especially before the pregnant woman is about to give birth, she must go to the hospital for a series of examinations. These examinations are to ensure a smooth delivery. The following introduces the schedule and examination items for prenatal examinations.

Antenatal check-up schedule:

1. First prenatal check-up: 12 weeks of pregnancy

[Prenatal examination items]: Establish a pregnancy health care manual, determine the gestational age, calculate the expected date of delivery, evaluate high-risk factors during pregnancy, blood pressure, body mass index, fetal heart rate, blood routine, urine routine, blood type (ABO and Rh), fasting blood sugar, liver function and kidney function, hepatitis B virus surface antigen, syphilis spirochete, HIV screening, electrocardiogram.

[Warm Tips]: For those who have not had a premarital check-up or pre-pregnancy check-up before, they should also add screening for thalassemia. For those who have pets at home, they should add parasite checks. Experts remind: The first prenatal check-up has relatively more examination items, which is also to comprehensively check the health of the expectant mother. Bring the expectant father along for the checkup, and learn about the health of his immediate family and family members.

2. Second prenatal check-up: 16 weeks of pregnancy

【Prenatal examination items】: Analysis of the results of the first prenatal examination, blood pressure, weight, uterine fundus height, abdominal circumference, fetal heart rate, and Down syndrome blood screening in the second trimester (15-20 weeks)

[Warm Tips]: The most important item in the second prenatal check-up is Down syndrome screening. Do not eat or drink after 12 o'clock the night before the Down syndrome screening, and come to the hospital for the examination on an empty stomach the next morning. In addition, the examination is also related to the menstrual cycle, weight, height, accurate gestational age, and fetal age. It is best to consult a doctor for other preparations before the examination.

3. Third prenatal check-up: 20 weeks of pregnancy

【Prenatal examination items】: blood pressure, weight, uterine fundus height, abdominal circumference, fetal heart rate, B-ultrasound fetal malformation screening (18-24 weeks), blood routine, urine routine

[Warm Tips]: The most important item in the third prenatal checkup is B-ultrasound screening for fetal malformations. Ultrasound examination is done at 20 weeks of pregnancy, mainly to see if there are any major problems with the fetus's appearance and development. The doctor will carefully measure the fetus's head circumference, abdominal circumference, check the length of the thigh bone and examine the spine for congenital abnormalities. If the expectant mother takes a four-dimensional color ultrasound, she can also see the baby's real-time facial expressions. Before taking a color ultrasound, what expectant mothers need to do is to maintain a calm state of mind. If they are too nervous, it will affect the activities of the fetus.

4. Fourth prenatal check-up: 24 weeks of pregnancy

【Prenatal examination items】: blood pressure, weight, uterine fundus height, abdominal circumference, fetal heart rate, glucose tolerance screening (75g OGTT), blood routine, urine routine

[Warm Tips]: The most important item in the 4th routine prenatal check-up is the screening for gestational diabetes - glucose tolerance screening, which is usually done in the 24th week of pregnancy. Do not eat after 8 pm the night before the glucose tolerance test and drink less water. Don't drink sugar water too fast, drink it slowly, little by little, don't drink it all in one gulp, drink it within 3-5 minutes. It is best to walk more after drinking, so that the energy will be consumed within an hour, which will help lower blood sugar levels.

5. Fifth prenatal check-up: 28 weeks of pregnancy

【Prenatal examination items】: blood pressure, weight, uterine fundus height, abdominal circumference, fetal heart rate, obstetric B-ultrasound examination, blood routine, urine routine

[Warm Tips]: The incidence of anemia increases during this period, so expectant mothers must undergo anemia tests. If anemia is found, it must be cured before delivery. Starting from the 28th week of pregnancy, prenatal checkups are conducted every two weeks, and the 5th and 6th prenatal checkups are routine examinations.

6. Sixth prenatal check-up: 30 weeks of pregnancy

【Prenatal examination items】: blood pressure, weight, uterine fundus height, abdominal circumference, fetal heart rate, blood routine, urine routine

[Warm reminder]: This week's prenatal check-up is a routine check-up. Expectant mothers should pay attention to counting fetal movements every day and seek medical attention immediately if any abnormalities are found.

7. Seventh prenatal checkup: 32 weeks of pregnancy

【Prenatal examination items】: blood pressure, weight, uterine fundus height, abdominal circumference, fetal heart rate, fetal position, blood routine, urine routine, fetal heart monitoring

[Warm Tips]: Generally, starting from the 32nd week, fetal heart monitoring will be added to the prenatal check-up items. You can choose a comfortable posture for monitoring and avoid lying flat. If the fetus is unwilling to move during monitoring, it is very likely that the fetus is asleep. You can gently shake the abdomen to wake the fetus up.

8. Eighth prenatal checkup: 34 weeks of pregnancy

【Prenatal examination items】: blood pressure, weight, uterine fundus height, abdominal circumference, fetal heart rate, fetal position, blood routine, urine routine, fetal heart monitoring

[Warm Tips]: During the 8th prenatal check-up, in addition to routine prenatal check-up items, expectant mothers need to do fetal heart monitoring. Before doing fetal heart monitoring, they should try to walk more, or eat some snacks to get the baby moving, so that the fetal heart monitoring can be carried out more smoothly.

9. Ninth prenatal checkup: 36 weeks of pregnancy

【Prenatal examination items】: blood pressure, weight, uterine fundus height, abdominal circumference, fetal heart rate, fetal position, blood routine, urine routine, obstetric B-ultrasound examination

[Warm Tips]: During this prenatal check-up, the expectant mother needs to undergo a detailed ultrasound examination, including the size of the fetal biparietal diameter, placental function grade, amniotic fluid volume, etc. The doctor will use this to assess the weight and developmental status of the fetus at the time, and estimate the weight of the fetus when it is delivered at full term. Once the fetus is found to be underweight, the expectant mother should supplement more nutrients.

10. Tenth prenatal checkup: 37 weeks of pregnancy

【Prenatal examination items】: blood pressure, weight, uterine fundus height, abdominal circumference, fetal heart rate, fetal position, cervical examination (Bishop score), blood routine, urine routine, fetal heart monitoring, fetal position examination

[Warm Tips]: During the prenatal check-up in the late pregnancy, in addition to fetal heart monitoring, the doctor will also check the fetal position to confirm the fetal position to determine whether the expectant mother can give birth naturally or with an assisted delivery.

11. Eleventh prenatal checkup: 38 weeks of pregnancy

【Prenatal examination items】: blood pressure, weight, uterine fundus height, abdominal circumference, fetal heart rate, fetal position, blood routine, urine routine, cervical examination (Bishop score), fetal heart monitoring

[Warm Tips]: During this prenatal checkup, in addition to routine prenatal checkups and fetal heart rate monitoring, the doctor will help the expectant mother check her pelvis and other comprehensive conditions to decide the mode of delivery.

12. Twelfth prenatal checkup: 39 weeks of pregnancy

【Prenatal examination items】: blood pressure, weight, uterine fundus height, abdominal circumference, fetal heart rate, fetal position, cervical examination (Bishop score), blood routine, urine routine, fetal heart monitoring

[Warm reminder]: The due date is almost here, and prenatal checkups at this stage are still mainly routine examinations and fetal heart monitoring. However, the most important thing is for expectant mothers to develop the habit of checking fetal movements every day.

13. Thirteenth prenatal checkup: 40 weeks of pregnancy

【Prenatal examination items】: blood pressure, weight, uterine fundus height, abdominal circumference, fetal heart rate, fetal position, cervical examination (Bishop score), blood routine, urine routine, fetal heart monitoring

[Warm Tips]: When the due date arrives, in addition to some routine examinations, the most important prenatal check-up is fetal heart monitoring to ensure the safety of the fetus and the expectant mother.