Capri's Pregnancy Guide


 

Congratulations on your new pregnancy!

Pregnancy is an experience unlike any other. This is a very exciting time with a lot of emotions, expectations, and challenges for first time parents and growing families alike. No matter where you are in your journey, whether you are preparing for conception, starting your pregnancy, or holding your newborn baby in your arms for the first time, we will be there to guide you along each step of the way.

Our Journey with you at Capri Ob/Gyn What to expect at each of your OB visits:

First Trimester

Weeks 6-9: This is usually when you would make your first prenatal visit. During this time we will attempt to confirm your pregnancy and find out whether it is growing in the right location. We may order an early pelvic ultrasound or order blood work to accomplish this. You may not have a baby bump yet but may already start to have signs and symptoms of pregnancy. You may have what’s commonly referred to as morning sickness and feel unusually more tired. Please let us know if you have any of these symptoms so we can better assist you.

Weeks10-14: You should start to feel much better by about 14 weeks. During this time we will also be discussing the different genetic screening modalities available and determine which one(s) will be most appropriate for you according to your risk factors that have been identified. The California first trimester screening test is done during this period. Other tests discussed include the non-invasive prenatal test (NIPT), nuchal translucency measurement via an ultrasound and your routine prenatal lab work. If you choose to perform NIPT, you may choose to find out the sex of your baby as early as 9-10 weeks.

Available Genetic Screening/Diagnostic Tests:


Second Trimester


Weeks 15-19: The second trimester genetic screening is discussed at this time. We will also review all your lab results from your routine prenatal blood work. You may start to feel “flutters” from your little one during this time!

Weeks 20-23: You’re halfway there! At this time, most patients will feel their baby’s movements . A formal anatomical ultrasound is usually done at about 20 weeks where we look more closely at your baby’s brain, heart and other important structural organs.

Weeks 24-28: These are the last few weeks of your second trimester! Congratulations, you are 2/3 of the way there! During this time you will be asked to do a diabetes screening test where you will be given a “sugar challenge” drink to take and have a  blood test taken at precisely an hour after you have finished the  drink.


Third Trimester


Weeks 29-34: You will be seeing your obstetrician about every 2-3 weeks during this time. Your baby will be growing more rapidly, especially the brain and vision. Usual weight is about 3-6 lbs for this time frame. With that, it is of great importance that you make sure your baby’s movements are adequate. A Fetal Kick Count Sheet with instructions will be given to you so you know how to do this appropriately. Most babies will be in the head down position at this time. If not, a follow-up ultrasound will be scheduled to confirm position.

This is the time to get your Tdap vaccination.  Getting Tdap before your baby delivers provides antibodies that will protect your newborn from contracting whooping cough.  The goal is to get vaccinated before 37 weeks.

It is also time for you to decide which hospital you will be having your baby.  Our doctors deliver at:

Hoag Memorial Hospital of Newport Beach (Hoag Hospital of Irvine does NOT offer OB services)

Fountain Valley Regional Hospital

Check with our office which hospital is the right one for you.  Once you have registered, you may sign up for a tour of the hospital as well as free and paid classes offered by the hospital.

Weeks 35-37: Just a few more weeks to go! During this time, a vaginal/rectal swab will be collected to check for a bacteria called Group B Streptoccocus (GBS). If the culture is positive, you will receive IV antibiotics when you go into labor.   You will receive a copy of this report to take with you to the hospital when you go into labor.

Weeks 37-40: You will now be seeing your obstetrician every week. Your cervix will be checked for dilation at each visit. We will discuss and go over your birthing expectations/plans, including pain control for your labor pains (i.e. Epidural, etc).

Weeks 40-41: You have now reached your due date!  You may go into labor any day now.  If you are a candidate for vaginal delivery, your doctor will talk to you about scheduling an induction of labor if nothing is happening on its own.

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