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Pregnancy
Prenatal Medical Care
Being There: Advice for Expectant Dads
Cesarean Doesn't Mean Forever
Parents-to-Be Must Communicate
The Expectant Grandparent
Twins and Premature Birth
Exercise Your Way to a Healthy Pregnancy
Pregnancy Facts
Sound Advice for a Healthful Pregnancy
Women with Asthma Can Have Healthy Babies
Traveling While Pregnant or Breastfeeding
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Prenatal Medical Care
Prenatal Medical Care
The importance of early prenatal medical care:
As soon as a woman discovers she is pregnant, she should establish a schedule of prenatal care with her physician for the entire duration of the pregnancy. For normal pregnancies without significant complications, prenatal exams are usually scheduled as follows:
every month
from the 1st week through the 28th week
every two weeks
from the 29th week through the 36th week
weekly
from the 37th week until delivery
This schedule may vary depending on your personal medical condition and your physician's preference. Additional prenatal care may be necessary if there are any preexisting medical conditions (i.e., diabetes) present in the mother and/or if complications arise while carrying the baby to term.
Who provides prenatal care?
Prenatal care can be provided by various medical professionals, including the following:
Obstetrician/Gynecologist (OB/GYN)
- a physician who has specialized training in the care of women during pregnancy, labor, and delivery. An OB/GYN also specializes in many gynecological health issues.
Family Physician (FP)
- a physician who has specialized training in primary care, including obstetrics.
Nurse Practitioner
- a nurse with specialized training who can provide women's health care.
Certified Nurse Midwife (CNM)
- a nurse who has additional training to care for women with low-risk pregnancies. Some midwives work with physicians while some work on an independent basis.
Perinatologist
- an obstetrician who specializes in the diagnosis and treatment of complications during pregnancy and childbirth. Perinatologists are called maternal-fetal specialists.
Obstetricians (and other physicians who specialize in maternal-fetal medicine, reproductive endocrinology, and/or infertility) are certified by the American Board of Obstetrics and Gynecology. Almost 2,000 obstetricians are certified annually.
What occurs during the prenatal care visits?
The goal of prenatal care is not only to provide the best care for the pregnant women and the unborn child, but also to prepare the mother-to-be for the delivery of a healthy baby. During prenatal visits, tests are performed on both the mother and the baby to assess any potential risks, to treat any maternal or fetal complications, and to monitor the growth and development of the fetus. In addition, counseling and guidance are provided regarding various aspects of pregnancy, including weight gain, exercise, nutrition, and overall health. A typical prenatal visit may include any/all of the following:
weight measurement
blood pressure measurement
measurement of the uterus
to check for proper growth of the fetus
physical examination
of the mother to identify problems or discomforts (i.e., swelling of the hands and feet)
urine test
to measure sugar and protein levels, which can indicate diabetes or preecleampsia (a condition characterized by pregnancy-induced high blood pressure, protein in the urine, and swelling due to fluid retention)
fetal heart rate measurement
prenatal screening tests
(i.e., blood tests to check for anemia)