1.First maternity checkup: before 12 weeks of pregnancy
Go to the obstetrics department of the hospital for examination immediately when pregnancy is confirmed, especially for advanced age and high-risk pregnant women.
Obstetrical examination items: establishment of pregnancy health handbook, determination of gestational week, projection of expected delivery date, assessment of 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.
Other high-risk pregnancies include torch, A-5, and anticardiolipin antibodies.
Fetal nuchal translucency thickness NT value and maternal serum screening in early pregnancy (11-13 weeks +6) can also be checked
Warm tip: It is better to do marriage test, preconception test, preconception uterine ultrasound, etc. before pregnancy.
Southern pregnant women should also increase the screening for thalassemia, etc.
Experts remind: the first maternity checkup does relatively the most checkups, which is also to check the health of the mother-to-be comprehensively. High-risk pregnant women should bring their previous medical records and laboratory tests, and tell the doctor about the health of you and your immediate family members and family members.
2.Second maternity check-up: 16 weeks of pregnancy
Maternity checkup: measure blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, mid-pregnancy maternal serum screening – Down’s syndrome screening (15-20 weeks +6). Choose fetal non-invasive DNA test according to the situation.
Warm tip: For the 2nd maternity test, eat lightly the day before the test, abstain from food and water after 12 pm, and come to the hospital for the test on an empty stomach the next morning.
In addition, the test is also related to menstrual cycle, weight, height, exact gestational week, gestational age size, bring all ultrasound examinations, and it is best to consult with your doctor about other preparations before the test.
3.Third maternity checkup: 20 weeks of pregnancy
Maternity checkup items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, ultrasound fetal malformation screening (22-24 weeks), optional checkup of blood routine and urine routine.
Warm tip: The most important item in the 3rd maternity checkup is ultrasound screening for fetal malformation, ultrasound examination is done at 22 weeks of pregnancy, mainly to see if there is any abnormality in the fetal appearance and development, the doctor will carefully measure and check the fetal head, abdomen, heart, limb length, internal organs, spine and other congenital abnormalities, check the placenta amniotic fluid umbilical artery resistance index and other conditions.
4.The fourth maternity checkup: 24 weeks of pregnancy
Maternity checkup items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, glucose tolerance screening (75g OGTT), selective check of blood routine and urine routine.
Warm tip: The most important item of the 4th routine maternity checkup is the screening test for gestational diabetes – glucose tolerance screening, which is usually done during the 24th-28th weeks of pregnancy. Do not eat or drink after 8:00 p.m. the day before the glucose tolerance screening.
5.The fifth maternity checkup: 28 weeks of pregnancy
Obstetric checkup items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, obstetric ultrasound, routine blood and urine tests.
Warm tip: The incidence of anemia increases during this period, so mothers-to-be should have anemia checkups, and if anemia is found, it should be cured before delivery. Starting from 28 weeks of pregnancy, the maternity checkup becomes once every two weeks, and the 5th and 6th maternity checkups are routine items.
6.The sixth maternity checkup: 30 weeks of pregnancy
Maternity checkup items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, blood routine, urine routine, fetal heart monitoring.
Warm tip: this week’s maternity checkup is a routine maternity checkup, the mother-to-be should pay attention to the daily self-counting fetal movements, and should seek medical attention immediately if abnormalities are found.
7.The seventh maternity checkup: 32 weeks of pregnancy
Maternity checkup items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, fetal position, selection of blood routine, urine routine, fetal heart monitoring.
Warm tip: you can choose a comfortable position for fetal heart monitoring, avoid lying down position. If the fetus does not want to move during the monitoring process, it is very likely that the fetus is asleep, you can gently shake your abdomen to wake up the fetus.
8.Eighth check-up: 34 weeks of pregnancy
Maternity checkup items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, fetal position, choose blood routine, urine routine, fetal heart monitoring.
Warm tips: the 8th maternity checkup, in addition to the regular maternity items, the mother-to-be need to do fetal heart monitoring, before doing fetal heart monitoring, you should try to walk more, or eat some snacks, let the baby move, so that the fetal heart monitoring can be more smoothly.
9.The ninth maternity checkup: 36 weeks of pregnancy
Maternity checkup items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, fetal position, routine blood count and urine count.
Warm tips: ultrasound examination at the end of pregnancy, including the size of the fetal biparietal diameter, placental function classification, amniotic fluid volume, etc.. The doctor will assess the weight and development of the fetus at that time and estimate the weight of the fetus until full-term delivery.
10.The tenth maternity checkup：37 weeks of pregnancy
Items of maternity checkup: ultrasound examination at the end of pregnancy, blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, fetal position, blood routine, urine routine, fetal heart monitoring, fetal position check.
Warm tip: In addition to fetal heart monitoring, the doctor will also check your fetal position to confirm the fetal position to determine whether the mother-to-be can have a natural birth or a surgical cesarean delivery.
11.The eleventh maternity checkup: 38 weeks of pregnancy
Maternity checkup items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, fetal position, blood count, urine count, cervical examination (Bishop score), fetal heart monitoring.
Warm tip: the labor and delivery program and fetal heart monitoring, the doctor will help the mother-to-be check and other comprehensive situation determination, in order to decide the mode of delivery.
12.The twelfth maternity checkup: 39 weeks of pregnancy
Maternity checkup items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, fetal position, cervical examination (Bishop score), blood routine, urine routine, fetal heart monitoring.
Warm tip: Maternity checkups are mainly routine checkups and fetal heart monitoring. The mother-to-be should develop the habit of detecting fetal movement by herself every day.
13.The thirteenth maternity checkup: 40 weeks of pregnancy
Maternity checkup items: blood pressure, weight, fundal height, abdominal circumference, fetal heart rate, fetal position, cervical examination (Bishop score), blood routine, urine routine, fetal heart monitoring.
Warm tip: When you reach the expected date of delivery, the most important thing at this time is fetal heart monitoring in addition to some routine checkups to ensure the safety of the fetus and the mother-to-be.