Your Prenatal Care: What to Expect

  • You will go to your first prenatal appointment. Your healthcare team will ask questions about your pregnancy, review your medical, immunization, and family health history, and share resources & important information about pregnancy.
  • At each appointment, your healthcare team may:
    • do a physical assessment, including taking your blood pressure and weight.
    • talk about any symptoms you are having.
    • talk about recommended prenatal bloodwork and/or an early ultrasound. An early pregnancy ultrasound (also known as a dating ultrasound) will let you know your estimated due date.
  • You may wish to talk about prenatal genetic screening, which is optional screening that shows the chance that the baby has a chromosome or birth defect.
  • If you choose to do prenatal genetic screening, the blood tests will be completed along with the nuchal translucency screening ultrasound between 11-14 weeks.
  • Start thinking about:
    • where you want to have your baby.
    • who you want to see for your prenatal care (family physician, midwife, or obstetrician).
    • any questions you want to ask your healthcare team.
  • Make appointments with your prenatal care provider every 4 weeks, or more often if needed. During these appointments, talk about how you are feeling, share any symptoms, and ask questions.
  • Decide on a delivery provider and/or where you want to have your baby. Let your healthcare team know your decision so they can send a referral letter, if needed.
  • Your healthcare team will continue to share ways to support your health during pregnancy.
  • You can expect your healthcare team to measure your uterus (fundal height), listen to the baby’s heartbeat with a doppler, and continue to take your blood pressure and weight.
  • Between 18-20 weeks, you will have the detailed anatomy ultrasound to look at how the baby is developing. This is often when you can find out the baby’s sex if you choose to.
  • By week 20 you will likely start to feel the baby’s movements.
  • Your healthcare team usually checks for gestational diabetes between 24-28 weeks. If you had diabetes in a previous pregnancy, you may need to do this screening earlier. Learn about screening for gestational diabetes.

Key topics to think about and discuss with your healthcare team:

Prenatal classes – Explore what is offered and sign up for one that fits your needs. Some options include:

When to call your provider or seek emergency care:

  • Between 27-32 weeks it is recommended that all pregnant people receive a dose of Tdap vaccine (tetanus, diphtheria and pertussis). Learn about immunization: tetanus, diphtheria, acellular pertussis (Tdap vaccine).
  • After 30 weeks you may start to see your prenatal care provider at least every 2 weeks, or more often if required.
  • You will feel your baby move every day. You may be asked to keep track of baby’s movements or do movement counting.
  • You will be offered screening for group B streptococcus (GBS) between 35-37 weeks. GBS is a common bacteria found in adults but can affect a baby born vaginally. If the swab is positive, your healthcare team will review your options with you. Learn about group B streptococcus screening in pregnancy.
  • After week 36 you will see your prenatal care provider weekly, or more often if needed, as you get closer to your due date.
  • You may go for another ultrasound to check the baby’s position and continue to check growth and development.

Key topics to think about and discuss with your healthcare team:

Key topics to think about and discuss with your healthcare team:

Physical changes and when to call your provider or seek emergency care: