prenatal visit schedule canada

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The BC Women’s Maternity Care Calendar and Genetic Screening Guidelines have been developed to better support clinicians in providing prenatal care, and as a foundation for prenatal education.  Both are endorsed by the College of Family Physicians of Canada.

The Maternity Care Calendar

Previous studies have shown that the traditional rotational calendar or pregnancy wheel used in doctors’ offices typically have up to a 5-day error in calculated delivery dates.  The Maternity Care Calendar, on the other hand, is engineered to make sure that it can accurately measure the 280-day gestational period within a day (in non-leap years).

Another important innovation of the Maternity Care Calendar is the presentation of likelihood of delivery in the event a woman has spontaneous onset of labour. The chance of delivery at various intervals around the dates of confinement are presented, de-emphasizing the relatively unimportant statistic of the mean due date.

When set to a patient’s dates, the face of the maternity calendar provides an “at-a-glance” individualized template outlining the timing of important interventions and key issues to be addressed during the pregnancy.  Care providers can photocopy the calendar, and dates can be set to serve as a guide for the patient. A second photocopy can also be placed with the patient’s chart to serve as a prompt for testing during the patient’s pregnancy, and avoid the need for repetitive date checking on the rotational calendar with each prenatal visit. Important facts can be highlighted on the calendar while unnecessary tests can be crossed off. Altogether, patients can plan important pregnancy milestones with their caregivers.

The Genetic Screening Guidelines

On the reverse side of the calendar is a guideline for genetic screening – this replaces the Maternity Care Guideline checklist provided with previous editions of the calendar. Two reference tables are now available. The first table provides the  Risks of Down Syndrome and Other Chromosome Abnormalities in Live Births by Maternal Age . The second table provides a guideline for  Indications, Screen Cut-Offs, and Performance of Screening Tests .

The recommended diagnostic intervention is consistent with the British Columbia Prenatal Genetic Screening Program. The information provided may vary across other provincial and international jurisdictions. Adjustments may need to be made to abide to local guidelines for use in other jurisdictions. For further information, please refer to the full  Guidelines Document .

________________________________________________________________________________

Twelve practising physicians, 12 Family Practice Residents and 10 pregnant women pilot-tested and evaluated the Maternity Care Calendar and Guidelines Checklist. Their responses were favourable.

Further information about both the Maternity Care Calendar and Maternity Care Guidelines checklist can be found in the  April 1999  edition of Family Matter’s or the article published in the  March 1999  edition of Canadian Family Physician. The Maternity Care Calendar and Guidelines Checklist from the  March 1999  edition of Canadian Family Physician has just been added.

We hope that the providers of maternity care and their patients will find this tool helpful. We would be very pleased to receive your  feedback .

*All proceeds from the sales of the Maternity Care Calendar go to support research and educational activities in the UBC Deptartment of Family Practice.

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First-Trimester Examinations and Tests

British columbia specific information.

​In British Columbia, prenatal screening is offered free of charge as a choice to all pregnant women with MSP coverage in BC. During your pregnancy, your health care provider will offer prenatal screening. Prenatal genetic screening can tell a pregnant woman her chance of having a baby with Down syndrome, trisomy 18, or an open neural tube defect.The tests can consist of one or more blood tests and ultrasound. These tests are ordered by your health care provider and can be done at any hospital or laboratory. For more information on prenatal genetic screening, visit BC Women's Hospital & Health Centre – Prenatal Screening and Perinatal Services BC - Prenatal Genetic Screening Program .

Every newborn baby born in BC and Yukon qualifies for screening. During the first few days after birth, your baby will have a newborn blood spot card screening test, which includes a blood test and examination by a doctor or midwife. Early detection and treatment of some disorders can help prevent disability and promote healthy development. For more information on newborn screening, visit

• Perinatal Services BC: Blood spot card screening - Parent information sheet
• Newborn Blood Spot Card Screening (HealthLinkBC file #67)
• Perinatal Services BC-Newborn Blood Spot Card Screening

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Related information.

At each prenatal visit during your first trimester, you'll be weighed and have your blood pressure checked. Your urine may also be checked for bacteria, protein, or sugar.

As early as weeks 10 to 12, you may be able to hear your baby's heartbeat using a Doppler ultrasound . By the 20th week, the heart tone is strong enough to hear with a special type of stethoscope.

Depression screening

Your care provider may ask questions about your health and your feelings to find out if you're depressed. Depression is common during pregnancy and after giving birth (postpartum). Experts recommend that all pregnant women be screened for depression. If it isn't treated, depression can cause problems during pregnancy and after birth.

Testing for genetic conditions and birth defects

You can choose whether to have tests for certain conditions, such as Down syndrome . First-trimester tests can be done around 10 to 13 weeks of pregnancy. Options include:

• First-trimester screening. This includes blood tests and a certain type of ultrasound. These tests can also be done as part of an integrated screening test.
• Chorionic villus sampling (CVS) . This test can be done to find certain genetic conditions.

If you have your first prenatal visit during your second trimester, you'll have more than these tests. Other tests you may have include tests for blood type, anemia, and HIV . You may be screened for hepatitis B, sexually transmitted infections, or thyroid disease. You'll also be checked for past infections, such as syphilis or rubella (German measles) .

Current as of: November 9, 2022

Author: Healthwise Staff Medical Review: Sarah Marshall MD - Family Medicine Kathleen Romito MD - Family Medicine Adam Husney MD - Family Medicine Kirtly Jones MD - Obstetrics and Gynecology RSURemoved

Author: Healthwise Staff

Medical Review: Sarah Marshall MD - Family Medicine & Kathleen Romito MD - Family Medicine & Adam Husney MD - Family Medicine & Kirtly Jones MD - Obstetrics and Gynecology & RSURemoved

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Pregnancy & prenatal care.

• Discuss key pre-conception considerations in healthy women of childbearing age (e.g. folic acid supplementation, smoking, rubella immunity, etc.).
• Perform an adequate first prenatal visit including taking a history and performing an appropriate focused physical exam with the assistance of available antenatal tracking tools.
• Screen for and identify pregnancies at risk (e.g. domestic violence, multiple gestation, maternal age, substance use, etc.)
• Conduct a basic prenatal visit, including BP measurement, weight, fetal heart rate (starting at 12 weeks), symphysis-fundal height (20 weeks and beyond), screening for concerns and complications.
• Identify potential serious complications in the first trimester and their initial work-up, including ectopic pregnancy and miscarriage.

Core Resources

Preconception health care tool.

Centre for Effective Practice in collaboration with the Ontario College of Family Physicians.  Preconception Health Care Tool.  Centre for Effective Practice.  Revised November 2015.

Ontario Perinatal Record

Ontario Ministry of Health and Long-Term Care. 2017 Ontario Perinatal Record. 2017. Available at: http://www.pcmch.on.ca/

Common Prenatal Problems Clinical Card-2011

Bach TV O’Beirne M Keegan DA.  Common Prenatal Problems.  Canadian Family Medicine Clinical Card.  2011.  Available at: https://sites.google.com/site/sharcfm/

First Trimester Bleeding

Deutchman M, Tubay AT, Turok D. First trimester bleeding. Am Fam Physician. 2009;79(11):985-994.

Diagnosis and Management of Ectopic Pregnancy

Barash JH, Buchanan EM, Hillson C. Diagnosis and management of ectopic pregnancy. Am Fam Physician. 2014;90(1):34-40. doi: d10859 [pii].

Antenatal emodule

Akhtar S, Law M, Mardimae A et al.  Antenatal Primary Care: Family and Community Medicine Clerkship Core Curriculum Module.  University of Toronto.

Postpartum Care: An Approach to the Fourth Trimester

Paladine H, Blenning C, and Strangas Y. Postpartum Care: An Approach to the Fourth Trimester. Am Fam Physician. 2019;100(8):485-491.

Supplemental Resources

Update on prenatal care.pdf.

Zolotor AJ, Carlough MC. Update on prenatal care. Am Fam Physician. 2014;89(3):199-208. doi: d10490 [pii].

Sunnybrook DFCM Prenatal checklist

Domb S.  Sunnybrook DFCM Routine Prenatal Checklist.  Sunnybrook Health Sciences Centre.  Revised Nov 2018. Dr. N. Gelber, Dr. S. Domb, Dr. M. Shuman.

An Approach to the Postpartum Office Visit.pdf

Blenning CE, Paladine H. An approach to the postpartum office visit. Am Fam Physician. 2005;72(12):2491-2496.

HYPERTENSION_IN_PREGNANCY_CLINICAL_CARD.pdf

Ressel B, O’Beirne M. HTN in Pregnancy. Canadian Family Medicine Clinical Card. 2015. Available at: https://sites.google.com/site/sharcfm/

First Trimester Bleeding: Evaluation and Management

Hendricks E, MacNaughton H, MacKenzie M. First Trimester Bleeding: Evaluation and Management. Am Fam Physciain. 2019; 99(3):166-174

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What are the common Prenatal Tests recommended during pregnancy in Canada?

Welcoming the prospect of pregnancy is an exhilarating journey, brimming with hope and anticipation. As you gear up for this momentous phase in your life, it’s imperative to arm yourself with knowledge about the essential prenatal tests recommended during pregnancy in Canada. Prenatal care encompasses far more than routine check-ups; it serves as a cornerstone in safeguarding your health and that of your precious little one.

In Canada, this comprehensive care is diligently overseen by dedicated healthcare professionals, including doctors, midwives, and nurses. They meticulously monitor the progress of your pregnancy through consistent screenings and tests tailored to factors such as age, medical history, and personal preferences.

Pregnancy testing is used to confirm pregnancy and assess the health of the mother and baby. There are different types of pregnancy tests available in Canada, including urine tests, blood tests, and ultrasound exams, each offering different levels of accuracy and information.

The significance of early prenatal testing cannot be overstated as these initial assessments offer glimpses into your baby’s development and allow proactive measures if any concerns arise. Should initial screenings suggest potential issues, diagnostic testing may be recommended – offering a deeper understanding of your baby’s health status while assisting you in making informed decisions regarding your pregnancy journey.

Prenatal Tests: Insight into your Baby’s Health

It’s crucial to note that while these prenatal tests offer valuable insights into potential genetic conditions, a positive result does not definitively indicate that your baby will have the condition. In cases where you are expecting multiples or have specific risk factors, additional testing may be advised to ensure the optimal health of each fetus. Certain chromosome differences might also necessitate specialized care during or after birth.

Empower yourself by staying informed about the range of pregnancy tests available in Canada. From urine tests to blood tests and ultrasound exams – each provides different levels of accuracy and information essential for assessing both your well-being and that of your growing baby.

Types of Prenatal Tests

Understanding the various types of prenatal testing available, such as screening and diagnostic tests, can help expectant parents make informed decisions about their pregnancy. By undergoing these tests, parents can ensure the health and well-being of their baby and address any potential issues early on. Consult with a healthcare provider for more  related information  about prenatal testing options and what is best for your specific situation

1. Pregnancy Urine Test:

This simple test can be done at home at doctor’s offices to confirm the pregnancy. The home test can confirm the pregnancy as early as  two weeks after   conception .

The ones done at the health care facilities might also include complete urinalysis and culture to check for any infection.

2. Blood Tests

Blood tests, on the other hand, offer a more accurate and detailed assessment of pregnancy. These tests measure the levels of hCG (human chorionic gonadotropin) hormones in the blood, providing more precise information about the stage of pregnancy and the health of the mother and baby. Blood tests may also be used to screen for other conditions, such as genetic disorders and infections, that could affect the pregnancy.

3. Pregnancy Ultrasound

An ultrasound uses sound waves to create images of the baby in the womb. Ultrasound exams are another important tool in prenatal care, allowing healthcare providers to visualize the developing baby and assess its growth and development. Ultrasounds are typically performed in the first trimester to confirm pregnancy, estimate the due date, and check for multiple pregnancies or other abnormalities. Additional ultrasounds may be done throughout the pregnancy to monitor the baby’s growth and health.

4. Amniocentesis

This prenatal test involves taking a small sample of amniotic fluid from the womb through a needle inserted into the abdomen. The fluid is then tested for genetic abnormalities and other conditions.

5. Chorionic villus sampling (CVS)

CVS is a prenatal test that involves taking a sample of cells from the placenta to test for genetic disorders and chromosomal abnormalities.

While some cases necessitate more extensive examinations like amniocentesis or chorionic villus sampling (CVS) for genetic abnormality assessment – other non-invasive options such as Non-Invasive Prenatal Testing (NIPT) offer effective screening alternatives without invasive procedures.

5. Non-invasive prenatal testing (NIPT)

NIPT is a blood test that can screen for certain genetic conditions, such as Down syndrome, without the need for invasive procedures like amniocentesis or CVS.

6. Glucose Screening Test

A glucose screening test is typically done between 24-28 weeks of pregnancy to check for gestational diabetes, a type of diabetes that develops during pregnancy. Detection of gestation diabetes emphasizes the significance placed on both maternal and fetal health throughout this transformative period.

7. Group B Streptococcus (GBS) Test

This test is done during pregnancy to check for the presence of GBS bacteria, which can lead to serious infections in newborns if passed on during birth.

8. Non-Stress Test (NST)

An NST is a simple test that involves monitoring the baby’s heart rate in response to its movements. It is often done in the third trimester to check on the baby’s well-being.

9. Fetal Movement Counting

This test involves keeping track of the baby’s movements to ensure that the baby is active and healthy. It’s often called kick counting and done after second trimester. It’s done by counting the number of kicks mother feels from the baby in a certain time period.

10. Genetic Screening

Genetic screening tests are done to determine the risk of the baby inheriting certain genetic conditions, such as cystic fibrosis or sickle cell anemia. These tests can be done before or during pregnancy.

Continual monitoring techniques such as Preimplantation Genetic Testing for Aneuploidy (PGT-A) provide expectant parents with invaluable insights into their baby’s health early on – enabling them to address potential issues proactively.

Prenatal Testing in Canada Healthcare Coverage

In Canada, prenatal testing is typically covered by provincial health insurance plans, making it accessible to all pregnant women regardless of their financial situation. It is important for women to seek prenatal care early in their pregnancy to ensure the best possible outcomes for themselves and their babies.

Overall, prenatal care and pregnancy testing play a crucial role in ensuring the health and well-being of both the mother and the developing baby. By working closely with healthcare providers and following their recommendations, women can help ensure a healthy pregnancy and a successful delivery.

Written by: Tina I Ureten MD, RDMS, RDCS  / Donna Costa

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Pregnancy: First Prenatal Visit

Your first prenatal visit will probably be the longest visit you'll have. Your doctor or midwife will take your medical history and do a complete physical exam. You may also have some tests. This will provide information that can be used to check for any problems as your pregnancy progresses.

Medical history

Your doctor or midwife will ask about your medical history. This helps your care provider plan the best possible care for your pregnancy and childbirth. Things you'll be asked about include:

• Your menstrual history. This will include your age when you had your first period, whether your cycles are regular, and the date of your last period. Information about your last period is used to estimate your due date .
• Any previous pregnancies, abortions, miscarriages, or stillbirths.
• Problems with previous pregnancies.
• Any problems with your reproductive organs .
• Health problems in your family, such as heart disease or genetic conditions .
• Your general health. This includes vaccinations, surgeries, and serious illnesses you have had. It also includes any current or past mental health issues, such as depression.
• Any medicines you take regularly. This includes prescription and over-the-counter medicines and natural health products.
• Any habits that could affect your pregnancy, such as tobacco, alcohol, or drug use.

Physical exam

A complete physical exam may include:

• Checking your weight and blood pressure.
• A pelvic exam .
• A Pap test (if you haven't had one recently).
• A breast exam.

This may be used to confirm your pregnancy and to:

• Estimate the due date.
• Make sure the pregnancy is located in your uterus.
• Check the number of embryos in your uterus.

A urine test may be done to check for:

• Sugar in your urine. This is a sign of gestational diabetes.
• Protein in your urine. This may be a sign of kidney disease.
• Bacteria in your urine. This is a sign of a urinary tract infection (UTI). UTIs are common during pregnancy, and they may not cause symptoms. If not treated, a UTI may lead to a kidney infection.

Blood tests

You may have blood tests to check for:

• Blood type . If your blood is Rh-negative and the father's blood is Rh-positive, the fetus may have Rh-positive blood. That can lead to problems with Rh sensitization.
• Iron deficiency anemia.
• Immunity to German measles (rubella).
• HIV infection.
• Hepatitis B infection. If you are infected, your baby will be treated within 12 hours of birth. You may also be tested for hepatitis C infection.
• Gestational diabetes.

Other tests

You may have other tests to look for some conditions, such as:

• Genetic conditions that can be passed down through families. These include cystic fibrosis, sickle cell disease, and Tay-Sachs disease.
• Sexually transmitted infections (STIs) such as gonorrhea and chlamydia. STIs during pregnancy have been linked to serious problems, including miscarriage and premature birth.
• Thyroid disease. You may have thyroid tests if you have a personal or family history of thyroid problems.
• Diabetes. You may have an early blood sugar test (glucose tolerance test) if you have risk factors for having gestational diabetes.
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Current as of: July 10, 2023

Author: Ignite Healthwise, LLC Staff Clinical Review Board All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Author: Ignite Healthwise, LLC Staff

Clinical Review Board All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

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This information does not replace the advice of a doctor. Ignite Healthwise, LLC, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use . Learn how we develop our content .

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Prenatal care: First trimester visits

Pregnancy and prenatal care go hand in hand. During the first trimester, prenatal care includes blood tests, a physical exam, conversations about lifestyle and more.

Prenatal care is an important part of a healthy pregnancy. Whether you choose a family physician, obstetrician, midwife or group prenatal care, here's what to expect during the first few prenatal appointments.

The 1st visit

When you find out you're pregnant, make your first prenatal appointment. Set aside time for the first visit to go over your medical history and talk about any risk factors for pregnancy problems that you may have.

Medical history

Your health care provider might ask about:

• Your menstrual cycle, gynecological history and any past pregnancies
• Your personal and family medical history
• Exposure to anything that could be toxic
• Medications you take, including prescription and over-the-counter medications, vitamins or supplements
• Your lifestyle, including your use of tobacco, alcohol, caffeine and recreational drugs
• Travel to areas where malaria, tuberculosis, Zika virus, mpox — also called monkeypox — or other infectious diseases are common

Share information about sensitive issues, such as domestic abuse or past drug use, too. This will help your health care provider take the best care of you — and your baby.

Your due date is not a prediction of when you will have your baby. It's simply the date that you will be 40 weeks pregnant. Few people give birth on their due dates. Still, establishing your due date — or estimated date of delivery — is important. It allows your health care provider to monitor your baby's growth and the progress of your pregnancy. Your due date also helps with scheduling tests and procedures, so they are done at the right time.

To estimate your due date, your health care provider will use the date your last period started, add seven days and count back three months. The due date will be about 40 weeks from the first day of your last period. Your health care provider can use a fetal ultrasound to help confirm the date. Typically, if the due date calculated with your last period and the due date calculated with an early ultrasound differ by more than seven days, the ultrasound is used to set the due date.

Physical exam

To find out how much weight you need to gain for a healthy pregnancy, your health care provider will measure your weight and height and calculate your body mass index.

Your health care provider might do a physical exam, including a breast exam and a pelvic exam. You might need a Pap test, depending on how long it's been since your last Pap test. Depending on your situation, you may need exams of your heart, lungs and thyroid.

At your first prenatal visit, blood tests might be done to:

• Check your blood type. This includes your Rh status. Rh factor is an inherited trait that refers to a protein found on the surface of red blood cells. Your pregnancy might need special care if you're Rh negative and your baby's father is Rh positive.
• Measure your hemoglobin. Hemoglobin is an iron-rich protein found in red blood cells that allows the cells to carry oxygen from your lungs to other parts of your body. Hemoglobin also carries carbon dioxide from other parts of your body to your lungs so that it can be exhaled. Low hemoglobin or a low level of red blood cells is a sign of anemia. Anemia can make you feel very tired, and it may affect your pregnancy.
• Check immunity to certain infections. This typically includes rubella and chickenpox (varicella) — unless proof of vaccination or natural immunity is documented in your medical history.
• Detect exposure to other infections. Your health care provider will suggest blood tests to detect infections such as hepatitis B, syphilis, gonorrhea, chlamydia and HIV , the virus that causes AIDS . A urine sample might also be tested for signs of a bladder or urinary tract infection.

Tests for fetal concerns

Prenatal tests can provide valuable information about your baby's health. Your health care provider will typically offer a variety of prenatal genetic screening tests. They may include ultrasound or blood tests to check for certain fetal genetic problems, such as Down syndrome.

Lifestyle issues

Your health care provider might discuss the importance of nutrition and prenatal vitamins. Ask about exercise, sex, dental care, vaccinations and travel during pregnancy, as well as other lifestyle issues. You might also talk about your work environment and the use of medications during pregnancy. If you smoke, ask your health care provider for suggestions to help you quit.

Discomforts of pregnancy

You might notice changes in your body early in your pregnancy. Your breasts might be tender and swollen. Nausea with or without vomiting (morning sickness) is also common. Talk to your health care provider if your morning sickness is severe.

Other 1st trimester visits

Your next prenatal visits — often scheduled about every four weeks during the first trimester — might be shorter than the first. Near the end of the first trimester — by about 12 to 14 weeks of pregnancy — you might be able to hear your baby's heartbeat with a small device, called a Doppler, that bounces sound waves off your baby's heart. Your health care provider may offer a first trimester ultrasound, too.

Your prenatal appointments are an ideal time to discuss questions you have. During your first visit, find out how to reach your health care team between appointments in case concerns come up. Knowing help is available can offer peace of mind.

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• Lockwood CJ, et al. Prenatal care: Initial assessment. https://www.uptodate.com/contents/search. Accessed July 9, 2018.
• Prenatal care and tests. Office on Women's Health. https://www.womenshealth.gov/pregnancy/youre-pregnant-now-what/prenatal-care-and-tests. Accessed July 9, 2018.
• Cunningham FG, et al., eds. Prenatal care. In: Williams Obstetrics. 25th ed. New York, N.Y.: McGraw-Hill Education; 2018. https://www.accessmedicine.mhmedical.com. Accessed July 9, 2018.
• Lockwood CJ, et al. Prenatal care: Second and third trimesters. https://www.uptodate.com/contents/search. Accessed July 9, 2018.
• WHO recommendations on antenatal care for a positive pregnancy experience. World Health Organization. http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/anc-positive-pregnancy-experience/en/. Accessed July 9, 2018.
• Bastian LA, et al. Clinical manifestations and early diagnosis of pregnancy. https://www.uptodate.com/contents/search. Accessed July 9, 2018.

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Chapter 3 Fact sheet: Family-centred pregnancy experience

Download in PDF format (187 KB, 1 page)

Organization: Public Health Agency of Canada

Date published: 2020-01-27

Related Topics

• Chapter 3: Care during pregnancy
• Chapter 3 Infographic: Pregnancy in Canada
• Family-Centred Maternity and Newborn Care: National Guidelines
• Fact sheets and infographics: Maternity and newborn care

Women who receive early and regular prenatal care generally have better outcomes.

Not everyone in Canada has equal access to prenatal care. Women - including many Indigenous women and their families, as well as those women and their families living in rural or remote areas of the country - may not always have access to health care providers (HCPs) who are trained in the provision of prenatal care.

HCPs recognize that pregnancy is a state of health and a normal physiological event-as well as a profound event in the life of a woman and her family. All care should be based on the unique needs of each woman and her family.

Key family-centred care recommendations:

• Welcome the woman's support persons and acknowledge them at all points of care.
• Communicate using language based on respect, inclusion, and acceptance.
• Shared decision-making is based on the principle that the woman's self-determination is an essential component of her care and is a process that requires collaboration between families and HCPs. Take the time to determine the unique personal, psychosocial, educational, physical, spiritual, and cultural needs of the woman and her family.
• Be aware of the influence of culture on the unique needs, hopes, and expectations that women have during pregnancy. Each family is unique; they adapt their cultural traditions and practices to their own experience and needs and they interpret the culture of health care within this context. HCPs will want to be aware of this and assess each situation individually.
• Every effort should be made to provide women with continuity of care from the same HCP or team. By asking women about their questions, concerns and current needs at each prenatal visit, and documenting this information, HCP's can help ensure continuity of care when other HCPs are involved prenatally or during labour and birth.
• The location and organization of prenatal care can be a critical factor in determining whether women choose (or are able) to access services. Services need to be located and organized in such a way to minimize barriers to care.

For references, consult Chapter 3: Care during Pregnancy in Public Health Agency of Canada. Family-Centred Maternity and Newborn Care: National Guidelines. Ottawa (ON): PHAC; 2019.

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• First Trimester
• OB-GYN & Prenatal Care

Everything to Know About Your Prenatal Appointment Schedule

Over the course of your pregnancy, you might start to feel like you live at your provider’s office—and that’s actually a good thing. Studies show that moms-to-be and pregnant people who visit their providers regularly during pregnancy deliver much healthier babies on average. Your prenatal appointment schedule will of course vary depending on your provider and your own physical state, but these general guidelines should give you an idea of what to expect. Read on to learn from experts what a typical prenatal visit schedule looks like and how you can prepare.

Prenatal Appointment Schedule

It’s no secret that you’ll see your provider frequently during pregnancy and go through all types of tests and screenings. But exactly how often are prenatal visits scheduled? At a glance, you’ll likely have pregnancy appointments once every month (so every four weeks), between your first prenatal visit and 28 weeks of pregnancy, says Stephanie Hack , MD, ob-gyn and host of the Lady Parts Doctor podcast. Between 28 and 36 weeks, you’ll see your provider twice a month. After 36 weeks, as you get closer to delivery, that will increase to weekly—and may increase to bi-weekly after 40 weeks, Hack explains. Read on for an in-depth breakdown of the types of tests and routines to expect at each prenatal visit.

Pregnancy Appointment Schedule for First Trimester

During the first (and second) trimester, there will be optional testing to look for chromosomal and genetic abnormalities. Keep in mind that these tests aren’t mandatory and may not even be recommended, depending on your individual circumstances. It’s always best to discuss what prenatal tests are beneficial specifically for you with your provider.

First prenatal appointment

When you’ll have your first prenatal appointment can vary, as it’ll depend on when you get a positive pregnancy test . Hack says the first prenatal appointment usually takes place between 8 and 12 weeks. “By this point, an ultrasound can reveal a clear image of your developing baby, showing a healthy fetus and confirming the sound of its heartbeat,” says Cary Dicken , MD, a reproductive endocrinologist and infertility specialist at RMA of NY–Long Island. Along with a possible transvaginal ultrasound, the first visit will also include:

• A full workup of your medical and family history
• A thorough physical examination
• Blood work to test for infections and anemia
• Urine analysis
• Blood pressure check
• Pap smear, depending on when your last one was

Additional tests may also be recommended, depending on your personal history and risk for complications. These include:

First trimester screen

This noninvasive optional screening is usually time sensitive and completed between weeks 11 and 13. It includes the nuchal translucency ultrasound and a blood test. Your provider will evaluate the results from both of these screenings along with your age to assess baby’s risk for certain chromosomal issues and conditions, such as Down syndrome. This screening is usually recommended in conjunction with other noninvasive testing, detailed below.

Cell-free DNA test

Also known as noninvasive prenatal testing (NIPT) or NIPS, this test is optional. Blood tests look for the most common chromosomal abnormalities that can affect pregnancy. While you can get NIPT at any age, experts usually recommend it for those over age 35. If you do opt for the testing, you can also use it to find out baby’s sex.

Chorionic villus sampling (CVS) is another optional test that occurs between 10 and 12 weeks of pregnancy. However, this one is invasive, as it takes tissue samples from the placenta to analyze genetic information about the pregnancy, Johns Hopkins Medicine notes. The test is usually recommended for those over 35, those with a family history of genetic conditions or those with positive high-risk results from their other noninvasive prenatal screenings.

Prenatal Appointment Schedule for Second Trimester

During your prenatal appointments in the second trimester, “the focus will primarily be on monitoring your ongoing progress, the growth of your baby and their development,” Dicken says. “Your provider will closely monitor key indicators such as weight and blood pressure.” You can also expect some more testing, as well as the mid-pregnancy anatomy scan. Below, what to know about your pregnancy appointments timeline for the second trimester.

Week 14 prenatal visit

During the second trimester, you’ll see your provider about every four weeks. At every appointment, you’ll have to provide a urine sample for analysis, do a weigh-in and get your blood pressure taken.

Amniocentesis

This test is optional, but it’s an almost definitive way to assess the genetic abnormalities that may be affecting your pregnancy. It’s usually done between 15 and 20 weeks of pregnancy. Like the others, amniocentesis is recommended for women over age 35 or those with a family history of genetic conditions. It’s also recommended for those with abnormal results from their quad or sequential screening, which, according to Penn Medicine , uses a subsequent blood test, combined with the results from the first trimester screening to asses overall risk of chromosal and genetic conditions.

Triple/Quad screen test

Also conducted between weeks 15 and 22, this is another optional prenatal screening that looks at the risk of the pregnancy being affected by any of the three most common genetic disorders: Down syndrome, Edwards syndrome and neural tube defects , the American Pregnancy Association notes. The screening can also look at the risk of complications such as fetal growth restriction and preeclampsia .

Mid-pregnancy anatomy scan

This scan is also sometimes called the 20-week ultrasound, but it’s important to note it can occur anytime between weeks 18 and 22, Dicken says. As the name would suggest, it tells expectant parents baby’s sex, as well as evaluates baby’s growth; the formation of baby’s internal organs; amniotic fluid levels and the location of the placenta.

Week 24 prenatal visit

You’ll have your next visit following the anatomy scan around 24 weeks. This will be a routine check-up with a weigh in, monitoring of your blood pressure and a urine analysis.

Glucose challenge screening

The glucose challenge screening occurs between weeks 24 and 28 and is used to assess the risk of gestational diabetes . During this screening, your provider will have you drink a very sweet beverage and draw your blood an hour later to check your blood glucose levels.

Glucose tolerance test

This test is normally only given if your one-hour glucose screening result is abnormal. The glucose tolerance test is longer and requires fasting for a few hours prior to your appointment. Your provider will offer you another extremely sweet drink and then draw your blood an hour later, two hours later and three hours later to assess whether or not you have gestational diabetes. If the results are positive, know the condition can be managed through diet , exercise and, if needed, medication.

Pregnancy Appointment Schedule for Third Trimester

You’ve reached the home stretch! As mentioned, your prenatal appointments will be a bit more frequent in the third trimester, as you’ll see your provider every two to three weeks and then weekly as you get closer to meeting baby. These appointments may also involve some new tests to monitor baby’s heart rate and overall well-being.

Week 28 prenatal visit

Your first prenatal appointment in the third trimester will be around week 28. At this visit, your provider will conduct a urine analysis, do a weigh-in, check your blood pressure and chat with you about any questions, concerns or symptoms you may have.

Nonstress test

The nonstress test is a way for your provider to assess baby’s well-being, Hack says. Not everyone gets this test though. It’s generally recommended if there’s ever decreased fetal movement or for high-risk pregnancies. You’ll have sensors attached to your belly with soft belts. These allow your provider to listen to baby’s fetal heart rate and see how it responds to baby’s movement. While the first nonstress test occurs around 28 weeks, your provider may want to repeat it later on, depending on how the pregnancy is progressing.

Week 30, 32 and 34 prenatal visits

Because your provider will be checking in with you every two to three weeks, you’ll likely have visits at weeks 30, 32 and 34. At these appointments, you’ll get weighed, do a urine test and have your blood pressure taken.

Group B strep test

Group B strep (GBS) is a bacteria that can naturally occur in the body, including the vaginal and rectal areas. While it’s typically not harmful to you, it can be harmful to baby if they’re exposed to it during a vaginal birth. For this reason, between 36 and 37 weeks, your provider will swab your vagina and rectum to screen for GBS, Dicken says. If it’s positive and you’re hoping for a vaginal birth, you may need antibiotics.

Weeks 37, 38 and 39 prenatal visit

After 36 weeks, your prenatal appointments will increase to at least weekly until childbirth. As with previous visits, you’ll get a urine test, your blood pressure checked and do a weigh-in. Hack and Dicken note your provider may also:

• Do any necessary repeat testing for sexually transmitted infections
• Perform an in-office ultrasound to look at baby’s positioning (i.e. head down, breech , etc.)
• Do a pelvic exam to evaluate cervical effacement and dilation
• Discuss your birth plan and pain management preferences

“It’s also a valuable time for you to receive guidance and information about labor, postpartum care and life with a newborn, to help you feel more prepared,” Dicken says.

Week 40 prenatal visit

By this point, you’ll no doubt be pretty eager to meet baby. You’ll get the routine examination at this visit, including a urine test, blood pressure check and weigh-in. For high-risk pregnancies, your provider may also discuss increasing your visits to monitor baby’s health with weekly or biweekly nonstress tests and ultrasounds (otherwise known as a biophysical profile . Or, they may ask you to do kick counts at home to get a sense of baby’s well-being.

Reasons Why Your Prenatal Appointment Schedule Might Change

How frequently you have prenatal appointments will depend on how you and baby are progressing. If there are any complications that arise, like gestational diabetes, preeclampsia or other high-risk factors, you may need to come in more frequently. “Sometimes, things might change in your pregnancy that require more attention from your healthcare provider,” Dicken says. “It could be something like a complication, or maybe just needing a bit more monitoring as you get closer to your due date.

Questions to Ask About Your Prenatal Appointment Schedule

With all the phrases, tests and symptoms thrown at you during pregnancy, it’s natural to have some (a lot) of questions—and these questions may change as your pregnancy progresses, depending on personal symptoms, circumstances and concerns. Below, some topics to keep in mind as you head into your pregnancy appointments each trimester:

• Questions for the first trimester: Hack recommends asking about nutrition, supplements and any lifestyle changes that should be made. “Make sure to discuss any pre-pregnancy health conditions you may have, or previous pregnancy complications, so you understand how they may impact your current pregnancy,” she adds. Dickens agrees, noting that you’ll also want to ask about any aspect of prenatal care you don’t understand, as well as how to manage early pregnancy symptoms .
• Questions for the second trimester: As pregnancy moves into the second trimester, experts recommend asking questions about fetal development, childbirth classes and staying active.
• Questions for the third trimester: Experts recommend asking questions about labor signs , pain management, birth plans, breastfeeding and postpartum care .

Regardless of what questions you have, Dickens stresses the importance of open and honest communication. “Ask questions that address your concerns, help you understand the progress of your pregnancy and prepare you for childbirth and postpartum.”

Frequently Asked Questions

Can you do virtual prenatal visits.

While some visits may be done over the phone or video chat, both Hack and Dicken note that when physical exams are required, the pregnancy appointments will need to be in-person.

How often do you go to the doctor when pregnant?

You’ll have monthly prenatal appointments during weeks 4 to 28, and bi-monthly appointments between weeks 28 and 36. After that, as you get closer to delivery, your provider will want to see you weekly or even more frequently. Ultimately, how often you go to your provider during pregnancy will depend on how you and baby are progressing.

When do prenatal appointments become weekly?

Prenatal appointments become weekly towards the end of pregnancy, typically after 36 weeks, Hack says.

How many postpartum visits will I have?

According to Dickens, you can expect to have at least one, but the frequency will depend on your personal circumstances surrounding birth and postpartum. Your provider should ideally contact you via phone shortly after birth, Hack notes, but the first in-person postpartum visit may not happen until 4 to 6 weeks after birth for someone without complications. For women with more complicated medical histories or birth experiences, your initial postpartum visit may be sooner. “For example, you may have a visit at two weeks postpartum after a cesarean section so that your incision may be evaluated, and then come back for your postpartum visit two to four weeks later,” Hack explains. During the postpartum visits, your provider will check in on your physical and emotional health, as well as discuss your postpartum recovery, birth control options, breastfeeding and newborn care.

While this is a good cheat sheet of what a prenatal appointment schedule typically looks like, know it “differs from person to person and even pregnancy to pregnancy,” Hack says. One of the best things you can do for your health and baby’s? “Maintain a good line of communication with your healthcare provider throughout your pregnancy,” she adds. This includes asking for clarifications, expressing concerns and raising your hand whenever something feels off.

Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such. You should always consult with a qualified physician or health professional about your specific circumstances.

Cary L. Dicken , MD, is a reproductive endocrinologist and infertility specialist at RMA of NY–Long Island. She earned her medical degree from Albert Einstein College of Medicine and completed her residency at Columbia University.

Stephanie Hack , MD, MPH, is board certified ob-gyn and host of the Lady Parts Doctor podcast. She obtained her medical degree from Lewis Katz School of Medicine at Temple University, as well as a masters degree in public health. She completed her residency at Georgetown University Hospital and Washington Hospital Center.

Science and Babies: Private Decisions, Public Dilemmas, Prenatal Care: Having Healthy Babies , 1990

Johns Hopkins Medicine, Chorionic Villus Sampling (CVS)

Penn Medicine, Sequential Screening (Combined First and Second Trimester Screening)

American Pregnancy Association, Triple Screen Test

Learn how we ensure the accuracy of our content through our editorial and medical review process .

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