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Mothering › Groups › May 2014 Due Date Club › Discussions › when do they do what? like draw blood and us and test blood sugar?

when do they do what? like draw blood and us and test blood sugar?

post #1 of 3
Thread Starter 

mkay, I have done this before but I tots forgot... when in the appointments do they do what?  

 

Which ones are for "actual" tests like bloodwork, ultrasounds, and that, and which ones are just to pee in a cup and chat with the nurse / mw?   

 

I know at some point my mw will offer to draw blood for tests and to sheduale an ultrasoud and test my bloodsugar.  I know some sort of genetic test is offered every appointment until like 42 weeks, lol, so those I am just ignoring in this question  But when is the blood and us's and sugar and the other tests supposed to happen?  in what order?  

post #2 of 3

Depends on the provider and risk factors.

 

Bloodwork is usually done early on for things like rh factor, baseline blood chemistry/blood cell counts, HIV test, rubella immunity, and things like that. AFP is at around 16 weeks. The newer genetic tests like MaterniT21 are after 10 weeks, but I don't get the impression that this is routinely offered (or covered by insurance) yet. Glucose tolerance test is 24-28 weeks, but may be done earlier and repeated if you have risk factors or a paranoid provider (if you know you have a lot of risk factors, I'd suggest requesting an HbA1C test with the initial bloodwork to get a baseline and make sure you're not already diabetic, as some "gestational diabetes" is actually undiagnosed pre-existing diabetes).

 

Urine is generally every appointment.

 

Ultrasounds - many people have one done early (before 8 weeks) for confirmation of a viable pregnancy and date confirmation, but this isn't routinely offered. 11-13 weeks is common for nuchal translucency test and dating. Around 20 weeks is the anatomy scan. They typically want to do a doppler to listen to the heartbeat every appointment after 10 weeks or so.

 

GBS screening is generally 36-37 weeks, but is sometimes caught in a urine test earlier, and I've heard of practitioners who do the swab routinely early on.

 

There's probably more I'm forgetting.

post #3 of 3
Thread Starter 

Ah, got it.  I asked the mw, and it sounds like the breakdown for me will be:

 

all appointments, urine sample, measure bump or lack thereof atm :)

 

1-2nd appointments, bloodwork.

 

22 weeks, ultrasound.

 

rest of appointments, mostly just double checking to make sure baby is growing well. And check blood pressure every so often to make sure that is cool.  

 

the whole diabetes thing we are doing if/when I show signs of having that problem, otherwise no. And no to GBS swab unless she has other concerns and we agree a hospital transfer might be necessary (in which case we'd want the results for them).  The rest of it is pretty much logistical, plans, etc.

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