What should you expect during your pregnancy?

Pregnancy information is best understood when grouped within the different stages of pregnancy. 

Each stage is referred to as a trimester because there are three of them:  first, second and third.  Each one is a unique stage for moms-to-be and a miraculous stage in baby's development. 

The most common questions we receive are addressed below and sorted by trimester:

first trimester: 0-13 weeks

Most pregnancies begin with a positive pregnancy test at home. After you have contacted our office you will be scheduled for your first appointment with our OB Coordinator. This is a short talk to give you pertinent literature, obtain a brief history, and draw all of your lab work. You will be given preregistration paperwork for Saint Francis Eastside hospital. Depending on your history at this visit, an ultrasound may be scheduled.

Your next visit will again be with our OB Coordinator. At this visit, between 8 and 10 weeks of pregnancy, we will obtain a more detailed history and discuss a plan of care for you and your baby. Optional prenatal screening will be discussed in depth at this visit. We will also review results from your lab work.

Your first visit with one of our physicians will occur around 12 weeks of pregnancy. At this visit you will have a routine exam including a pelvic exam with PAP smear (if it is time for your PAP), as well as Gonorrhea and Chlamydia cultures. This is the time to ask any unanswered medical questions.

After you have completed this initial process, you will be seen once a month during your first trimester. We ask that you see ALL of our OB doctors at least once during your pregnancy so you get to know each of them. The physician on call when you go into labor will be delivering your baby. A typical visit will consist of a urine test to check for protein and sugar, checking your weight and blood pressure, and listening to your baby's heart rate. This is also a good time for you to ask any questions you may have about your pregnancy.

second trimester: 14-28 weeks

You will continue to be seen monthly during your second trimester. Your visits will remain the same with a few exceptions:

At 20 weeks you will have an ultrasound of the baby's anatomy.
PLEASE BRING A DVD-R WITH YOU IF YOU WOULD LIKE THIS RECORDED.
**NO RECORDING BY ANY OUTSIDE DEVICE WILL BE ALLOWED**
**NO MORE THAN 2 GUESTS ARE ALLOWED IN ULTRASOUND ROOM**

At 28 weeks you will be asked to complete a glucose tolerance test. This test, which consists of drinking a sugary "soda-like" beverage, is used as a screening test to determine whether or not you are at risk for gestational diabetes. The risk of gestational diabetes can be decreased by 30 minutes of daily exercise, a healthy diet of fruits, vegetables, whole grains, fiber, and lean protein with limited carbohydrates.

third trimester: 29-40 weeks

During the third trimester, most folks will start coming in every two weeks until they reach 36 weeks' gestation. Starting at 36 weeks, we'll ask you to come weekly. A lot of important things happen each trimester. One thing that happens in you third trimester (at around 36 weeks) is your Group Beta Strep (GBS) screen. Should you test positive, you would be treated with antibiotics during labor. At 38 weeks we will begin to check for cervical dilatation, unless there is a planned C-Section. Repeat C-Sections are done at about 39 weeks. Most vaginal deliveries occur spontaneously. We do inductions only when medically indicated.

As your third trimester nears its end, we join you in anticipation the arrival of your new family member!