![]() Tell your health care provider when you begin noticing flutters or kicks. The Doppler instrument detects motion and conveys it as sound. At second trimester visits, you might hear your baby's heartbeat using a Doppler instrument. After 20 weeks of pregnancy, this measurement in centimeters often matches the number of weeks you've been pregnant, plus or minus 2 centimeters. By measuring the distance from the pubic bone to the top of your uterus (fundal height), your health care provider can gauge your baby's growth. Then it's time for your baby to take center stage. Your health care provider will check your blood pressure and weight at every visit. Here's what to expect at your second trimester prenatal appointments. Your health care provider might schedule prenatal care appointments about every four weeks throughout the second trimester. Ideally, prenatal care starts as soon as you think you're pregnant. ![]() The goal of prenatal care is to ensure that you and your baby remain healthy during your entire pregnancy. Keep your health care provider informed.Centers for Disease Control and Prevention. American College of Obstetricians and Gynecologists. FAQs: Pregnancy FAQ165: Prenatal genetic screening tests.FAQs: Pregnancy FAQ188: Multiple pregnancy.Pregnancy loss (miscarriage): Clinical presentations, diagnosis, and initial evaluation. In: Current Diagnosis & Treatment: Obstetrics & Gynecology. FAQs: Pregnancy FAQ098: Special tests for monitoring fetal well-being.FAQs: Pregnancy FAQ164: Prenatal genetic diagnostic tests.Preterm birth: Risk factors, interventions for risk reduction, and maternal prognosis. Discuss the risks and benefits with your health care provider. The decision to pursue these tests is up to you and your partner. Some prenatal diagnostic tests - such as amniocentesis and chorionic villus sampling - carry a small risk of pregnancy loss. It might involve only an ultrasound to evaluate fetal well-being or, depending on the results of the ultrasound, also fetal heart rate monitoring (nonstress test). This prenatal ultrasound is used to check on a baby's well-being. Your health care provider will test your urine for urinary tract infections and screen you for infectious diseases such as HIV and syphilis. Your health care provider might use an ultrasound to measure the length of your cervix at prenatal appointments to determine if you're at risk of preterm labor. Typically done between weeks 10 and 12 of pregnancy, CVS can identify certain genetic conditions. Talk to your health care provider about any medications or supplements you're taking.ĭuring CVS, a sample of cells is removed from the placenta. Alcohol and illegal drugs are off-limits, too. You might be referred to a specialist in maternal-fetal medicine, genetics, pediatrics or other areas. ![]() Prenatal visits can help your health care provider monitor your health and your baby's health. Your health care provider might also discuss your risk of having a baby with a genetic condition. If you have a medical condition, your treatment might be adjusted in preparation for pregnancy. Your provider might counsel you to start taking a daily prenatal vitamin with folic acid and reach a healthy weight before you become pregnant. If you're thinking about becoming pregnant, consult your health care provider. Whether you know ahead of time that you'll have a high-risk pregnancy or you simply want to do whatever you can to prevent a high-risk pregnancy, stick to the basics. Talk to your health care provider about your complete obstetric history. If you gave birth prematurely in your last pregnancy or you've had multiple premature births, you're at increased risk of an early delivery in your next pregnancy. A history of pregnancy-related hypertension disorders, such as preeclampsia, increases the risk of having this diagnosis during the next pregnancy. Pregnancy risks are higher for women carrying more than one fetus. Examples include an unusual placenta position, fetal growth less than the 10th percentile for gestational age (fetal growth restriction) and rhesus (Rh) sensitization - a potentially serious condition that can occur when your blood group is Rh negative and your baby's blood group is Rh positive. Various complications that develop during pregnancy can pose risks. High blood pressure, obesity, diabetes, epilepsy, thyroid disease, heart or blood disorders, poorly controlled asthma, and infections can increase pregnancy risks. Smoking cigarettes, drinking alcohol and using illegal drugs can put a pregnancy at risk. Pregnancy risks are higher for mothers older than age 35.
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