First Visit

Personal interview with your physician.

Complete physical exam, including pelvic exam if not performed recently.

Pap smear if not performed recently.

Prescription for prenatal vitamins.

Routine prenatal lab work:

Complete Blood Count

Hepatitis B Antibody

Blood type, Rh factor, Antibody screen

HIV Antibody

Gonorrhea Culture

Chlamydia Culture

Rubella

Syphilis Antibody

Cystic Fibrosis and/or Sickle Cell if indicated

Urine Culture

You will have scheduled visits every four weeks until 28 weeks, every two weeks until 36 weeks, and then once a week until you are delivered. This schedule may vary depending on your particular pregnancy needs. At every visit, your blood pressure, weight, urine, and baby’s heartbeat will be checked. After 20 weeks the fundal height (top of your uterus) will be measured to assure adequate fetal growth. Tests may be repeated or added depending on the need of each pregnancy.

11 weeks

First trimester genetic screening for Down’s Syndrome, Trisomy 13 and 18 will be offered. This requires an ultrasound and blood work.

15-16 weeks

Optional early gender identification ultrasound.

15-20 weeks

Second trimester genetic screening for open spinal defects, Down’s syndrome, Trisomy 13 and 18 (if not already performed) will be offered.

20 weeks

An ultrasound will be done to evaluate fetal growth and anatomy. Gender will be disclosed if desired.

26-28 weeks

One hour glucose test to screen for Gestational Diabetes.

If your one hour glucose test is high, you will be scheduled for a three hour glucose test.

Complete Blood Count

If you have an Rh negative blood type, you will receive a Rhogam injection.

28-30 weeks

Optional 4D Ultrasound

35-37 weeks

Group B Strep Culture

Third trimester HIV Antibody

Vaginal exam to check for dilatation and cervical thinning.

An ultrasound will be done to assure adequate fetal growth.

38-41 weeks

Vaginal exam to check for dilatation and cervical thinning.

Additional Information

  • We encourage anyone who smokes to quit for your health and your baby’s.
  • Drink 8-10 glasses of water every day.
  • If you are experiencing nausea and vomiting in early pregnancy, eat small frequent meals consisting of bland and dry foods, such as, toast, soup, crackers, etc. Nausea and vomiting usually resolves around 12-16 weeks.
  • Walking and swimming are good sources of exercise.
  • Please refer to the Medications List (located in the Patient Information Forms tab) for over-the-counter medicines which are safe to use during pregnancy.
  • Feel free to ask the doctor any questions during your office visit.
  • Please call the office, during office hours, with any additional questions.

YOU SHOULD CALL IF:

  • Vomiting for more than 24 hours and unable to hold ANY fluids down.
  • Fever of 101.5 or higher after using Tylenol.
  • Vaginal bleeding like a period (spotting in pregnancy is normal, especially after intercourse).
  • Gushing or leaking a large amount of fluid from your vagina.
  • STRONG REGULAR contractions before your 36 week of pregnancy.
  • Frequent, painful urination.
  • Severe abdominal pain not relieved by bowel movement, rest, warm bath, and 3 big glasses of water.
  • SEVERE HEADACHE or headache associated with blurred vision, not relieved with Tylenol.
  • NO fetal movement after the 24 week.

Please restrict calls after hours for emergencies only.

In case of emergency, call the office at (423)778-8921 and the answering service will contact the doctor on call. If your call is not returned in a reasonable amount of time, try again. If your second call is not returned, go to the hospital. If you are less than 20 weeks, you need to go to the Emergency Room. If you are 20 weeks or more, go to Labor and Delivery.