We’ll schedule prenatal visits with you according to this schedule:
Once a month until your 7th month
Every two weeks until your last month
Every week until you have your baby
During your visits our OBGYNs and midwives offer these services at our Wilmette and Glenview locations: 3D / 4D ultrasound; non-stress test (NST), and biophysical profiles. When we need to do labs, we process them ourselves instead of sending them out so we can get results back to you faster.
Visits and common tests during your pregnancy
At 6-12 weeks from your Last Menstrual Period (LMP) Your First Trimester. During this phase we’ll take a medical and family history, risk screening, initial prenatal teaching, physical exam with PAP, cultures, blood work (hemoglobin to check iron levels, syphilis test, rubella (German measles) immunity, Hepatitis B screening, bloodtype and Rh factor, antibody screen, HIV screen and urine analysis.
10-14 weeks Chorionic Villi Sampling. We’ll do this test if desired. It’s used to determine fetal chromosomes if mom is over 35 years of age or couples who have an increases risk of genetic diseases.
Also if desired, we’ll do a First Trimester Down Syndrome Screening (BUN) to screen for Down Syndrome or trisomy 21 and trisomy 18.
0-20 weeks Free Fetal DNA. This test is also called Panarama, Harmony, Maternity 21, or Non-invasive Prenatal Testing (NIPT). It’s a blood draw that analyzes placental DNA fragments to determine the risk for three chromosomal abnormalities and to determine sex chromosome abnormalities: Down syndrome, Trisomy 18 and Trisomy 13. This test has so far only been validated in “high risk” women (i.e. 35 years or older, previously affected pregnancy, or abnormal BUN or abnormal ultrasound.) This test has a 99% detection rate for Down syndrome, 97-99% detection rate for Trisomy 18, and 60-92% detection rate for Trisomy 13. Currently, insurance covers this test for high risk women (over age 34, abnormal ultrasound or bun screening). If you would like this test and you are not high risk, we recommend you check with your insurance company about coverage.
11-14 weeks First Trimester Down Syndrome Screening. Also known as a BUN Test, it includes a blood test and an ultrasound to screen for Trisomy 21 (Down Syndrome), Trisomy 13 and Trisomy 18. We’ll do this test if desired.
15-20 weeks Alpha Fetal Protein (AFP). If desired, this is a blood test to screen for neural tube defects.
15-18 weeks Amniocentesis. This test determines fetal chromosomes or genetic screening, by women over 35 years old, or couples with an increases risk for neural tube defects or genetic diseases. We’ll do this test if desired.
18-22 weeks Ultrasound. During this visit we use ultrasound to confirm dates, check fetus for obvious abnormalities, and check placental location. Ultrasounds can be done in our office and/or at Fetal Diagnostic Centers at Evanston, Glenbrook, Highland Park, or Skokie. If baby cooperates you may find out his/her gender, if you want.
24+ weeks Childbirth education classes. Classes usually start in the 6th or 7th month.
26—28 weeks Blood work to check hemoglobin (iron levels) again, and to screen for gestational diabetes. You will drink a cola drink containing 50 grams of sugar (or eat 26 jelly beans) wait one hour, and then have your blood drawn to check sugar levels. We also check your urine for infection one more time.
28 weeks Rhogam injection after negative antibody screen. We’ll do this test if you are Rh negative and the father of the baby is Rh positive.
27 – 36 weeks TDAP. Tdap is a vaccine against adult whooping cough. The mother creates antibodies against whooping cough, which cross the placenta and help protect the newborn. The amount of antibodies against whooping cough decreases quickly in adults, which is why women should be vaccinated during every pregnancy and not before. By breastfeeding you may pass some antibodies you have made in response to the vaccine to your baby. Your baby should have his or her first whooping cough vaccine (DTaP) at 2 months of age.
35-37 weeks Group Beta Strep (GBS) vaginal/rectal culture. While GBS is normally present in the vagina and bowel of about 10-30% of women, we now know it can be dangerous for newborns. Accordingly, we check all women for GBS in the last month of pregnancy. If you are found to be a GBS carrier, we recommend treating you with antibiotics while you are in labor, in order to decrease the amount of bacteria the baby might be exposed to during delivery. Since Penicillin is our preferred antibiotic for GBS, please be sure to remind us if you are allergic to penicillin when we collect the culture.
37-42 weeks Your baby can come any time!!! If you have not delivered by 40 weeks, plan an ultrasound to check amniotic fluid levels and a non-stress test (NST) to be sure your baby is healthy. We repeat this testing twice during your final week 41-42 .