Pregnancy Care

What Happens During a Prenatal Exam?

Prenatal exams include different types of evaluations and services depending on the stage of the pregnancy and other factors. Typically, exams begin with a review of any symptoms the patient may be experiencing, followed by weight and blood pressure measurements. During most exams, the doctor will measure the belly and listen to the baby’s heartbeat, and a urine test may also be administered. Blood tests may also be performed, along with an ultrasound exam to evaluate the baby’s development and the position and size of the placenta. Other tests may also be ordered, depending on the patient’s specific needs. And of course, there will be time to ask questions and find out about what to expect during the next few weeks of pregnancy.

How Often Do I Need to See the Obstetrician While I’m Pregnant?

Most women see their obstetrician every month for the first seven months or 28 weeks, then every other week until week 36, then weekly until delivery. Women with high-risk pregnancies probably will need to be seen more frequently.

Can I Have a Vaginal Delivery if I’ve Had a Cesarean?

Many women who have had cesarean sections can have vaginal deliveries for subsequent pregnancies. Patients who have had cesarean sections and want to be considered for vaginal births should discuss their desires with the doctor so they can be evaluated to see if a vaginal birth after c-section (VBAC) is feasible.

What is a High-Risk Pregnancy?

High-risk pregnancies are pregnancies where the health of the mother or the baby is or could be compromised in some way. Some of the most common causes of high-risk pregnancies include:

• Older age
• Drug or alcohol use
• Obesity
• High blood pressure or diabetes that develops during pregnancy, or exists prior to pregnancy
• Multiple prior miscarriages
• Carrying more than one baby
• Certain medical treatments, including cancer treatments
• Some underlying genetic issues

Women who have high-risk pregnancies typically need to be seen more often for testing and examinations to ensure both the mother and the baby stay healthy throughout pregnancy and delivery. Genetic testing and other types of specialized testing may also be ordered for women with high-risk pregnancies, depending on their underlying condition.