Tests & Medical Visits
Ultrasound examination to determine viability of pregnancy, heartbeat and the number of fetuses.
Accurate estimate of the fetus age and likely due date.
Take medical and obstetrical history. Pregnancy blood test.
11-13 (+6) weeks
Ultrasound assessment of nuchal translucency and PAPP-A blood test to assess risk of Down Syndrome. At this stage if necessary a chorionic villus sample can be taken for karyotyping and to rule out thalassemia. The Fetal DNA testing to maternal blood can be offered.
Discussion of lab test results and assessment of the risk of Down Syndrome. Discussion about benefits and risks of amniocentesis.
Possibility to have amniocentesis if requested.
Ultrasound assessment of baby's anatomy and Doppler assessment of uterine arteries.
Arrange glucose screening for 28 weeks gestation.
Schedule blood tests, Coombs test (only if blood group is Rhesus negative) and glucose screening for 28 weeks.
Glucose screening test at 28 weeks gestation.
Routine check-up at 30 & 34 weeks gestation
Schedule blood test at 28 & 34 weeks gestation.
Ultrasound assessment of embryo's development and Doppler assessment between 28-34 weeks gestation.
Coombs test (only if blood group is Rhesus negative) before Anti-D injection is given.
Anti-D to be given if Coombs test is negative in two doses at 28 and 34 weeks gestation or in one dose at 30 weeks gestation depending on the amount of the dose.
Routine check-up. Vaginal swab to test for Streptococcus B. Routine check-up
Routine check-up. Cardiotocography (CTG) and biophysical profile. Routine check-up. Membrane sweep.
Routine check-up. Membrane sweep.
Schedule induction at hospital.