VISIT SUMMARY

WHAT TO EXPECT AT EACH VISIT

 

 
 

FIRST TRIMESTER

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6 -10 weeks

  • 6-10 weeks

  • Meet the Doctor, learn about NEST and decide which hospital you will deliver at

  • Review medical history and have a basic physical exam

  • You will be weighed, and your blood pressure checked

  • It is too early to hear the fetal heart rate

  • Dating ultrasound may be ordered if not already done

  • Flu Shot (once during influenza season (Nov-April) - book this at Public Health)

  • Visits are monthly

 

COMMON TOPICS/QUESTIONS:

DUE DATE CALCULATOR

PREGNANCY OVERVIEW

Managing MORNING SICKNESS

NAUSEA and VOMITING

CANNABIS during Pregnancy

NUTRITION during Pregnancy

Folic Acid

DEPRESSION during Pregnancy

     

 
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10-14 weeks

  • 10-14 weeks

  • You will be weighed and your blood pressure checked

  • We may try to listen for the fetal heart depending on how far along you are.

  • Blood work and urine tests to determine blood type, immunity to MMR and Varicella, STI screening (including HIV, Hep B, Syphilis, Chlamydia and Gonorrhea), Anemia and thyroid function

  • We will review your dating Ultrasound and give you an Estimated Due Date. This due date will not change with future ultrasounds.

  • Nuchal Translucency and First Trimester Screen

  • If you have had a previous pregnancy with high blood pressure or signs of placental insufficiency (small baby, preeclampsia, SGA) you may be asked to start a low dose of Aspirin until 36 weeks to decrease the risk for this pregnancy.

  • Flu Shot (once during influenza season (Nov-April) - book this at Public Health)

  • Visits are monthly

 

COMMON TOPICS/QUESTIONS:

TRAVEL during Pregnancy

EXERCISE during Pregnancy

SEX and Pregnancy

WEIGHT GAIN during Pregnancy

 

 

SECOND TRIMESTER

 
 
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14 - 18 weeks

  • 14-18 weeks

  • You will be weighed and your blood pressure checked

  • We will listen to your baby's heart rate

  • Your anatomical ultrasound should be scheduled ~18-20 weeks

  • Flu Shot (once during influenza season (Nov-April) - book this at Public Health)

  • Visits are monthly

 
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18 - 22 weeks

  • 18-22 weeks

  • You will be weighed and your blood pressure checked

  • We will listen to your baby's heart rate

  • We will review your Anatomical Ultrasound. This is the last routine ultrasound, other ultrasounds will be ordered if medically necessary (i.e. high blood pressure, advanced maternal age (>35y), growth concerns etc..)

  • You may start to feel your baby move

  • Flu Shot (once during influenza season (Nov-April) - book this at Public Health)

  • Visits are monthly

 
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22 - 26 weeks  

  • 22-26 weeks

  • You will be weighed, have your belly measured, and your blood pressure checked

  • We will listen to your baby's heart rate

  • Routine blood and urine test requisitions will be given at this visit (this includes the Diabetes screen). Please go for these tests around 26 weeks. If you go too early, we may not be able to interpret the results, You will likely be asked to repeat the tests... nobody wants to unnecessarily do the diabetes screen twice! Glucose Screening Test (non fasting)

  • BOOK LAB APPOINTMENT HERE

  • If your blood type is Rh negative or it is your first baby you will be given an extra requisition to retest for antibodies in your blood.

  • Flu Shot (once during influenza season (Nov-April) - book this at Public Health)

  • Visits are monthly

COMMON TOPICS/QUESTIONS:

FETAL MOVEMENT

PLACENTA PREVIA or LOW LYING PLACENTA

 

THIRD TRIMESTER 

 
 
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26 - 30 weeks

  • 26-30 weeks

  • You will be weighed, have your belly measured, and your blood pressure checked

  • We will listen to your baby's heart rate

  • Go for your routine labs (including diabetes screen) around 26 weeks

  • If you do not pass the glucose screening test you will be sent for the 2 hour Oral Glucose Tolerance Test. You must not eat or drink for at least 8 hours before this test. Call the lab to book this appointment CALL 403-770-5136

  • Around 28 weeks we start with FETAL KICK COUNTS. This should be done everyday until the baby delivers.

  • We will review your lab results as they come in. You will be notified if further testing is required or of critical results, otherwise results will be reviewed at your next routine visit.

  • If you are Rh negative you will likely need RhoGAM and will need to book an appointment at 28 weeks to receive this.

  • You should book an appointment with Public Health to obtain your Pertussis Vaccine once in EACH pregnancy

  • Flu Shot (once during influenza season (Nov-April) - book this at Public Health)

  • Visits are monthly

COMMON TOPICS/QUESTIONS:

SHOULD I GET THE PERTUSSIS VACCINE WITH EVERY PREGNANCY? YES!

GESTATIONAL DIABETES

DIET FOR GESTATIONAL DIABETES

IRON DEFICIENCY

HIGH IRON FOODS

 

 
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30 - 32 weeks

COMMON TOPICS/QUESTIONS:

PREMATURE RUPTURE OF MEMBRANES ('Water Breaking')

PRETERM LABOUR

HIGH BLOOD PRESSURE in Pregnancy

Troubles SLEEPING

 
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32 - 34 weeks  

  • 32-34 weeks

  • You will be weighed, have your belly measured, and your blood pressure checked

  • We ask about fetal movement, listen to your baby's heart rate and feel for baby's position.

  • You should book an appointment with Public Health to obtain your Pertussis Vaccine if not already done

  • Flu Shot (once during influenza season (Nov-April) - book this at Public Health)

  • Visits are every 2 weeks

COMMON TOPICS/QUESTIONS:

WORKING during Pregnancy

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34 - 36 weeks

  • 34-36 weeks

  • You will be weighed, have your belly measured, and your blood pressure checked

  • We ask about fetal movement, listen to your baby's heart rate and feel for baby's position. If we are unsure of position an ultrasound will likely be ordered to confirm baby's position (ie. vertex (head down) vs breech). If the baby is breech we will talk to you about the option of an ECV or booked C-section

  • At 35+5 or after you will have your GBS swab

  • If you have a history of genital herpes preventative treatment should be started at 36 weeks until delivery. Please let us know of any outbreaks for you or your partner.

  • Start packing your hospital bag (We will give you a handout with suggestions)

  • You should book an appointment with Public Health to obtain your Pertussis Vaccine if not already done

  • Flu Shot (once during influenza season (Nov-April) - book this at Public Health)

  • Visits are every week from 36 weeks on

COMMON TOPICS/QUESTIONS:

MATERNITY LEAVE

 
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37 weeks

  • 37 weeks

  • You will be weighed, have your belly measured, and your blood pressure checked

  • We ask about fetal movement, listen to your baby's heart rate and feel for baby's position.

  • We will review your GBS swab results

  • Please make sure you know how to get to Unit 31 Peter Lougheed Hospital and know who your delivery group is (NEST-MCC or NEST-LMG).

  • If you are delivering at Unit 51 Foothills Hospital you will be under NW Maternity

  • If there is concern regarding your health (ie high blood pressure) or the health of your pregnancy, an induction may be recommended. Click on the inductions link below for more information.

  • Visits are every week

COMMON TOPICS/QUESTIONS:

INDUCTIONS

LABOUR OVERVIEW

WHAT IS AN EPIDURAL?

NORMAL DELIVERY

VACUUM OR FORCEPS ASSISTED BIRTH

CAESAREAN SECTION (C-section)

DELAYED CORD CLAMPING

 
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38 weeks  

  • 38 weeks

  • You will be weighed, have your belly measured, and your blood pressure checked

  • We ask about fetal movement, listen to your baby's heart rate and feel for baby's position.

  • If you have Insulin controlled gestational diabetes (or difficult to manage diet controlled diabetes) an induction will likely be booked for the 38th week. See Inductions link above for more information.

  • Membrane sweeping will be offered

  • Visits are every week

COMMON TOPICS/QUESTIONS:

HOW LONG DO WE USUALLY STAY IN THE HOSPITAL?

 

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39 weeks

  • 39 weeks
  • You will be weighed, have your belly measured and your blood pressure checked.
  • We ask about fetal movement, listen to your baby's heart rate and feel for baby's position. 
  • Membrane sweeping will be offered
  • Visits are every week
 
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40 weeks

  • You will be weighed, have your belly measured and your blood pressure checked.
  • We ask about fetal movement, listen to your baby's heart rate and feel for baby's position. 
  • Membrane sweeping will be offered
  • A Post Dates induction will be booked between 41+0 - 41+3 
  • Visits are every week

COMMON TOPICS/QUESTIONS:

OVERDUE Pregnancy

 

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41 weeks

  • 41 weeks
  • You will be weighed, have your belly measured and your blood pressure checked.
  • Membrane sweeping will be offered
  • Your Post Dates induction should already be booked
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After Delivery (Post Partum) 

Final 6 week visit

YOUR BODY AFTER BABY - Pelvic Floor Clinic