Week 8-10 (approximately)

• Pregnancy confirmation visit includes: Ultrasound* – particularly for patients who are unsure of  last menstrual period date or who have had a history of miscarriage
• Doctor/Nurse Practitioner/Midwife visit to discuss ultrasound findings

Week 11-13  (approximately)

• OB work-up
• Doctor/Midwife visit: pap smear, physical exam
• Lab work
• NT (FIRST TRIMESTER SCREEN) must make ultrasound appointment in conjunction with the OB work up visit.

Week 16-18

• Doctor/Midwife visit
• AFP4* (16-18 weeks)
• Amniocentesis* (16-18 weeks) Must be scheduled along with genetic counseling
• Rhogam following Amnio (if Rh negative)

Week 18-21

• U/S* (18-21 weeks) (Must be scheduled in addition to office visit)
• Doctor/Midwife visit

Week 24-26

• Doctor/Midwife visit
• 1 hr Glucose Tolerance Test* (24-28 weeks)
• Hemoglobin, Antibody scrn (if Rh negative)

Week 28-30

• Doctor/Midwife visit
• RhoGAM (if Rh negative)

Week 32-34

• Doctor/Midwife visit

Week 34-36

• Doctor/Midwife visit
• Group Beta Strep Culture* (36 weeks)
• Hemoglobin

Week 36

• Doctor/Midwife visit

Week 37

• Doctor/Midwife visit

Week 38

• Doctor/Midwife visit with Cervical Exam

Week 39

• Doctor/Midwife visit with Cervical Exam

Week 40

• Doctor/Midwife visit with Cervical Exam

Week 41

• Ultrasound
• Non-Stress Test
• Doctor/Midwife visit with Cervical Exam
• Discuss induction with provider