Likewise, you'll be automatically treated during labor if you've previously had a baby infected with group B strep. While the answer is unique in each case, Dr. Mixer notes the common risk factors for C-sections include: 11. 2013a. Dr. Deighan says the best plan is to see your doctor before pregnancy to review all your current medical conditions and medications and decide whether it makes sense to continue your current meds, switch to a different medication, or try a different treatment plan altogether. American College of Obstetricians and Gynecologists. 12. In your third trimester (28 weeks through the end of your pregnancy), you'll most likely have a checkup every two weeks from 28 to 36 weeks, then switch to once-a-week visits until you deliver.

Between 40 and 41 weeks, you may get a full biophysical profile or a modified one, which includes a nonstress test to assess your baby's heart rate and an ultrasound to check your amniotic fluid level.

As a side note, make sure, too, to discuss maternity leave with your employer — and sooner rather than later. Many practitioners don't do them unless they have a specific concern, such as preterm labor or to double check your baby's position (if you're nearing your due date and his position isn't clear from the abdominal exam). http://www.cdc.gov/vaccines/vpd-vac/pertussis/tdap-pregnancy-hcp.htm, OWH. For women having their second or subsequent baby, if all is going well, the last few appointments might be two weeks apart.

One beauty habit that's A-OK to keep? Your practitioner can give you some names. If antibodies are present, your baby will be monitored for related problems for the rest of your pregnancy.

If needed, your midwife or doctor can refer you to another health professional – for example, a counsellor – or put you in touch with support services. Please whitelist our site to get all the best deals and offers from our partners. If you're feeling depressed or anxious, let your caregiver know. Here are some other tests and care you may receive in the third trimester: If your practitioner hasn't already done so, she'll talk to you early this trimester about the signs of preterm labor and preeclampsia and review other warning signs (such as vaginal bleeding or decreased fetal movement) that should prompt a call to her. She will probably be able to easily tell with a vaginal exam, though.

This content is not intended to be used as medical advice, for diagnosis, or treatment. Your midwife or doctor should: use a tape measure to measure the size of your uterus; measure your blood pressure and test your urine for protein; offer more screening tests; offer your first anti-D treatment if you're rhesus negative; consider an iron supplement if you're anaemic; 31 weeks.

U.S. Office on Women's Health. Use of this site is subject to our terms of use and privacy policy. Pregnancy is a totally new and exciting experience — one that will probably bring up a lot of questions for you. If you have questions, don’t hesitate to talk to your practitioner, who will help you come up with a plan to make sure that you’re gaining a healthy amount of weight. Once you’ve moved onto the second trimester, you may begin to have some pelvic pressure or lower abdominal stretching. In other practices, you'll always be with your own doctor. What pregnancy symptoms are normal, and what's an emergency?

Discussing ahead of time also allows you to review pain management options (like the epidural) so you'll be aware of and can plan for the options available to you through various stages of labor. What's the likelihood I'll need a C-section? A nutritious, whole foods diet — think lots of vegetables, fruit, lean protein— is ideal, says Dr. Deighan. An injection of Rh immune globulin at 28 weeks will prevent your body from producing these antibodies for the last part of your pregnancy. This educational content is not medical or diagnostic advice. How much weight should I gain in pregnancy?

2014a. As you near your due date, you’ll want to watch out for signs of labor, which includes contractions, your water breaking, and your “bloody show” (the loss of your mucous plug, which is often a good indicator that labor is imminent). But if you're past your due date, your practitioner will probably check your cervix to see if it's softening, effacing (thinning out), and dilating (opening). Finally, in the third trimester, it is very common to have occasional uterine contractions and pelvic pressure, Dr. Deighan notes. 15. While it's important to check with your doctor about the medications you can use before popping any pill, Dr. Kristina Mixer, M.D., OB-GYN with Spectrum Health United Hospital in Greenville, MI, says the following are typically recommended: 2. From 28-36 weeks of pregnancy, your appointments are likely to be every two weeks. If you didn't have the antibody screen earlier, your practitioner may do the blood test and give the injection at the same 28-week visit. What should I know about skincare/beauty products during pregnancy? 2015. Staying active during pregnancy keeps both you and your baby healthy and helps ease pregnancy symptoms from water retention to anxiety. Your ankles, hands, and face will be checked for swelling, which can be a sign of preeclampsia. U.S. Centers for Disease Control and Prevention. As you reach the end of the second trimester, your appointments will likely become more frequent. Finally, your practitioner may screen you for signs of depression during pregnancy. But are there any discussions you should definitely be sure to bring up with your doctor when you're expecting? See our other articles on prenatal visits: As before, your caregiver will probably start your visit by asking how you're doing, following up on any issues raised at your last appointment, and reviewing the results of any tests you've had since then.

If you haven’t done antenatal classes yet, your midwife might give you information about them – what they are, where you can do them and why they might be useful. But don't wait to be asked.

(Of course, you can always change your mind between now and then.).

Not in the right place? 2014b. “Fatigue may return,” she adds. From 36 weeks, you’re likely to have weekly appointments until the birth. Some cramping or spotting is normal in the first trimester, as a fertilized egg implants and begins to grow inside the uterus, says Dr. Mixer. American College of Obstetricians and Gynecologists. 2013. 1. There's no need for the Rh immune globulin shot in the unlikely event that the blood test shows that you're already producing antibodies. FAQ079: What to expect after your due date. What should I eat/avoid eating?

http://www.acog.org/Resources_And_Publications/Committee_Opinions/Committee_on_Obstetric_Practice/Update_on_Immunization_and_Pregnancy_Tetanus_Diphtheria_and_Pertussis_Vaccination, ACOG. This may help her decide if and when to induce labor. American College of Obstetricians and Gynecologists. What's more, many fitness activities are safe in pregnancy, notes Dr. Mixer, including walking, swimming, yoga and strength training. ". Prenatal care and tests. The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff.

If you feel very stressed or sad, it can affect you and your baby’s health.

If you haven’t done antenatal classes yet, your midwife might give you information about them – what they are, where you can do them and why they might be useful. 28 weeks. • My feet, ankles and hands are even more swollen — when do I have to worry about preeclampsia? This is definitely a subject you’ll want to go over with your OB-GYN, says Dr. Deighan. What support can I get if I want to breastfeed? • I’ve been feeling a bit dizzy — is this normal? Your late pregnancy appointments will be with your midwife at the birth centre. If you were a regular at any particular class before you got pregnant, it's likely okay to continue that exercise during pregnancy, though you should make sure to check with your doctor first. 10. 28 Week Appointment. Some have a number of OB-GYNs on-call, and you'll get whoever that person is when you go into labor. Amanda Capritto. http://www.acog.org/~/media/For%20Patients/faq165.pdf, CDC. Since you may not be in any shape to make important decisions right after delivery, now's the time to start talking about whether you want your baby boy circumcised, whether you plan to breastfeed, and what you'd like to do for contraception after you have your baby. Don't be put off by a too-busy-to-talk feeling: Your practitioner may see dozens of patients a day, but your pregnancy is still the most important thing in the world to you.

Who ultimately brings your baby into the world depends on your physician's practice. 13. She can refer you to someone who can help. Your practitioner will probably be able to tell whether your baby is in the head-down position or breech (bottom down). Your doctor, obstetrician or midwife will talk about your options at this stage, including induction of labour. While a birth plan isn't necessary (and, when the big day arrives, you may not end up following some or even a lot of it), many women make one to familiarize themselves with the labor and delivery process and to make sure everyone involved is aware of their personal preferences, says Dr. Mixer. 8.

As you and your healthcare practitioner get to know each other better and as your due date draws near, you can expect a mix of regular physical exams, late-pregnancy tests, and discussions about the coming birth. “Extreme fatigue is normal and breast tenderness is common.

You probably won't have routine pelvic exams at your prenatal visits, even in the third trimester. FAQ069: If your baby is breech. However, if you suddenly experience severe pelvic pressure or pain, vaginal bleeding or increased vaginal discharge, call your practitioner. Currently, the Institute of Medicine recommends the following weight gain for moms of multiples based on BMI: That said, everyone’s pregnancy will look different and that includes pregnancy weight gain.

Get a flu shot! ask you about your general health; check your blood pressure; possibly check your weight and urine; check your baby’s growth, listen to baby’s heart and ask you about your baby’s movements; check what position the baby is in; possibly recommend extra tests or ultrasound scans if you need them; possibly test you for group B streptococcus (GBS) If you think you may be suffering from depression or anxiety, it's important to get help immediately. If your pregnancy is normal but you go past your due date, you'll need testing to make sure your baby is still doing well. They will also want to know why you had the first C-section to help you calculate your chances of a successful vaginal delivery.”. Your health professional can let you know where to get support if you need it. © 2020 Everyday Health, Inc. Find advice, support, and good company (and some stuff just for fun). 2013b. What exercise is okay for me during pregnancy?

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