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Prenatal visits: What to expect and how to prepare

Regular prenatal visits are an important part of your pregnancy care. Find out how often you'll see a healthcare provider, what to expect at each appointment, and smart ways to prepare.

When to schedule a prenatal visit

Prenatal visitation schedule, how should i prepare for a prenatal visit, what happens during prenatal visits, how can i make the most of my pregnancy appointments.

Make an appointment for your first prenatal visit once you're aware you are pregnant – when you receive a positive home pregnancy test, for example. Booking it around week 8 of pregnancy is typical.

You'll come back regularly in the weeks and months following that initial appointment. Most people have between 8 and 14 prenatal visits throughout the course of their pregnancy.

During this time, you'll see a lot of your healthcare practitioner. That's why it's so important to choose someone you like and trust. If you're not comfortable or satisfied with your provider after your first visit or visits, don't be afraid to find someone with whom you have a better connection.

Typically, a pregnant woman will visit their doctor, midwife , or nurse practitioner every four weeks during the first and second trimesters. In the third trimester, you'll be seen more often – usually every other week until 36 weeks, and then every week until the baby is born.

For more information on what happens at these visits, see:

Your first prenatal visit

Second trimester prenatal visits (14 weeks to 27 weeks)

Third trimester prenatal visits (28 weeks through the end of pregnancy)

The specific number of scheduled appointments you'll have depends on if your pregnancy is considered to be high-risk. This is determined by your medical history and whether you have any complications or conditions that warrant more frequent checkups, such as gestational diabetes , high blood pressure , or a history of preterm labor . If you've had any medical problems in the past or develop any new problems during this pregnancy, you may need more prenatal visits than the average pregnant woman.

In the weeks before each visit, jot down any questions or concerns in a notebook or a notes app on your smartphone. This way, you'll remember to ask your practitioner about them at your next appointment. You may be surprised by how many questions you have, so don't miss the opportunity to get some answers in person.

For example, before you drink an herbal tea or take a supplement or an over-the-counter medication , ask your provider about it. You can even bring the item itself – or a picture of the label – with you to your next appointment. Then, your doctor, midwife, or nurse practitioner can read the label and let you know whether it's okay to ingest.

Of course, if you have any pressing questions or worries, or develop any new, unusual, or severe symptoms , don't wait for your appointment – call your practitioner right away.

In addition to your list, you may want to bring a partner, friend, family member, or labor coach with you to some or all of your prenatal visits. They can comfort you, take notes, ask questions, and help you remember important information.

The goal of prenatal visits is to see how your pregnancy is proceeding and to provide you with information to help keep you and your baby healthy. It's important that you go to all of your prenatal appointments, even if you're feeling just fine and believe that everything is progressing perfectly.

Your practitioner will start by asking how you're feeling physically and emotionally, whether you have any complaints or worries, and what questions you may have. They'll also ask you about your baby's movements once you begin to feel them, typically during the second trimester. Your practitioner will have other questions as well, which will vary depending on how far along you are and whether there are specific concerns.

Your midwife, doctor, or nurse practitioner will also:

Check your weight , blood pressure , and urine
Check for swelling
Measure your abdomen
Check the position of your baby
Listen to your baby's heartbeat
Perform other exams and order tests, as appropriate
Give you the appropriate vaccinations
Closely monitor any complications you have or that you develop, and intervene if necessary

Near the end of your pregnancy, your provider may also do a pelvic exam to check for cervical changes. You will also discuss your delivery plan in more depth.

At the end of each visit, your practitioner will review their findings with you. They'll also explain the normal changes to expect before your next visit, warning signs to watch for, and the pros and cons of optional tests you may want to consider. Lifestyle issues will likely be a topic of discussion, as well. Expect to talk about the importance of good nutrition , sleep, oral health, stress management, wearing seatbelts, and avoiding tobacco , alcohol , and illicit drugs.

Many people look forward to their prenatal appointments but are disappointed to find that, with the exception of the first visit, they're in and out of the office in 10 minutes. A quick visit is typical and is usually a sign that everything is progressing normally. Still, you want to make sure your concerns are addressed – and that you and your baby are being well cared for.

Here are some things you can do to ensure that your prenatal visits are satisfying:

Speak up. Your practitioner isn't a mind reader and won't be able to tell what you're thinking just by performing a physical exam. So, if anything is bothering you, say your piece. Are you having trouble controlling your heartburn ? Managing your constipation ? Suffering from headaches ? This is the time to ask for advice. Consult the notebook of questions you've been compiling. In addition to physical complaints, let your practitioner know if you have emotional concerns or fitness or nutrition questions.
Ask the staff about the administrative stuff. Save your questions about things like insurance and directions to the hospital for the office staff so your practitioner has more time to answer your health-related questions. Go to the admin staff with any inquiries about payments, scheduling, office policies, and your contact information.
Be open-minded. When talking with your doctor, midwife, or nurse practitioner, you should feel comfortable speaking freely. But remember to listen, too. Take notes if you find it helpful.

Keep in mind, too, that some days are busier than others. This is especially true during the COVID-19 pandemic. That doesn't mean your practitioner doesn't have to answer your questions, but sometimes a discussion can be continued at the next visit if it's a really busy day or if your practitioner needs to head to the hospital to deliver a baby.

At the same time, don't tolerate a healthcare practitioner who won't give you thorough answers, doesn't show reasonable compassion, or barely looks up from your chart. You and your baby deserve more than that.

Now that you know what to expect during all those prenatal visits, you might like a sneak peek at what else is in store. Here's an overview of the next nine months .

Learn more:

The ultimate pregnancy to-do list: First trimester
12 steps to a healthy pregnancy
When will my pregnancy start to show?
Fetal development timeline

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What happens at second trimester prenatal appointments

Pregnant woman getting blood pressure checked

What to expect at your first prenatal appointment

A young woman talking to a healthcare provider

Routine blood tests during the first trimester of pregnancy

What to expect from third trimester prenatal appointments

nurse talking to a pregnant woman and taking notes

BabyCenter's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world. When creating and updating content, we rely on credible sources: respected health organizations, professional groups of doctors and other experts, and published studies in peer-reviewed journals. We believe you should always know the source of the information you're seeing. Learn more about our editorial and medical review policies .

MedlinePlus. (2021). Prenatal care in your first trimester. https://medlineplus.gov/ency/patientinstructions/000544.htm Opens a new window [Accessed September 21, 2021.]

March of Dimes. (2017). Prenatal Care Checkups. https://www.marchofdimes.org/pregnancy/prenatal-care-checkups.aspx Opens a new window [Accessed September 21, 2021.]

Office on Women’s Health. (2019). Prenatal Care and Tests. https://www.womenshealth.gov/pregnancy/youre-pregnant-now-what/prenatal-care-and-tests Opens a new window [Accessed September 21, 2021.]

NIH: Eunice Kennedy Shriver National Institute of Child Health and Human Development. (2017). What happens during prenatal visits? https://www.nichd.nih.gov/health/topics/preconceptioncare/conditioninfo/prenatal-visits Opens a new window [Accessed September 21, 2021.]

NIH: Eunice Kennedy Shriver National Institute of Child Health and Human Development. (2017). What is a high-risk pregnancy? https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/high-risk Opens a new window [Accessed September 21, 2021.]

NIH: Eunice Kennedy Shriver National Institute of Child Health and Human Development. (2018). What are some factors that make a pregnancy high-risk? https://www.nichd.nih.gov/health/topics/high-risk/conditioninfo/factors Opens a new window [Accessed September 21, 2021.]

March of Dimes. (2020). Over-the-Counter Medicine, Supplements, and Herbal Products During Pregnancy. https://www.marchofdimes.org/pregnancy/over-the-counter-medicine-supplements-and-herbal-products.aspx Opens a new window [Accessed September 21, 2021.]

Associates in Women’s Healthcare (2021). Preparing for Your First Prenatal Visit. https://www.associatesinwomenshealthcare.net/blog/preparing-for-your-first-prenatal-visit/ Opens a new window [Accessed September 21, 2021.]

National Health Service (UK). (2018). Your baby’s movements. https://www.nhs.uk/pregnancy/keeping-well/your-babys-movements/ Opens a new window [Accessed September 21, 2021.]

MedlinePlus. (2021). Prenatal care in your third trimester. https://medlineplus.gov/ency/patientinstructions/000558.htm Opens a new window [Accessed September 21, 2021.]

UCLA Health. (2021). Schedule of prenatal care. https://www.uclahealth.org/obgyn/workfiles/Pregnancy/Schedule_of_Prenatal_Care.pdf Opens a new window [Accessed September 21, 2021.]

UCR Health. (2021). Healthy Pregnancy: The Importance of Prenatal Care. https://www.ucrhealth.org/2018/07/healthy-pregnancy-the-importance-of-prenatal-care/ Opens a new window [Accessed September 21, 2021.]

Mayo Clinic. (2020). Prenatal care: 1 st trimesters visits. https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/prenatal-care/art-20044882 Opens a new window [Accessed September 21, 2021.]

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Your Prenatal Care Appointments

If you're pregnant, especially if it's for the first time, you may be wondering what will happen at your prenatal care appointments with your doctor or midwife . Here's a rundown of everything you can expect at each appointment, including tests and exams.

Your First Prenatal Care Appointment

Your first prenatal appointment will probably be your longest one. Here you will give your doctor, midwife, or nurse your complete health and pregnancy history. This information is important because it will give your practitioner a good idea of how healthy you are and what type of problems you are most likely to experience during your pregnancy. You will learn what your estimated due date is as well.

There are many areas that may be checked during your physical exam, including:

Blood pressure
Breast exam
Pelvic exam
Pregnancy test
Ultrasound (if you're having pain or bleeding or underwent fertility treatments)
Urine screen for protein and sugar

You will probably be seen for your first appointment between 8 and 10 weeks gestation, though you may be seen earlier if you're having problems or if it's your doctor or midwife's policy.

Your Second Appointment

Your second prenatal appointment usually takes place about a month after your first appointment, unless you're having problems or need specific prenatal testing that is best performed in a specific time range. Here is what will most likely happen during this visit:

Blood pressure check
Listen to a fetal heartbeat using a Doppler
Record your weight
Urine screen for sugar and protein

Your baby's first heartbeat can usually be heard with a Doppler between 8 and 12 weeks gestation. If you have trouble hearing the baby's heartbeat, you will probably be asked to wait until your next visit when your baby is a bit bigger. Sometimes an ultrasound will be ordered as well.

Additional Testing

Additional testing may be performed at this appointment as needed. There are some optional tests you, your doctor, or your midwife may request:

Chorionic villus sampling (CVS) (diagnostic test for many genetic diseases)
Early amniocentesis (diagnostic test for many genetic diseases)
Nuchal fold test (screening for Down syndrome)

Be sure to discuss all of your options regarding these tests, including the risks and benefits, how the test results are given, and whether the test is a screening test or a diagnostic test.

Your Third Appointment

Towards the third prenatal visit, you're most likely around 14 to 16 weeks pregnant. You're probably feeling better and the most dangerous part of pregnancy is over. You are now probably feeling more confident in your pregnancy and sharing your good news .

It has been about a month since you've seen the midwife or doctor. Here's what this appointment may look like:

Check your blood pressure
Listen for baby's heartbeat
Measure your abdomen, called "fundal height," to check baby's growth
Urine sample to screen for sugar and protein

Optional Testing

You may also have the following prenatal testing done if you request it:

Amniocentesis (diagnostic test for many genetic diseases)
Neural tube defect (NTD)/Down syndrome screening by way of maternal blood work (several tests can be used including alpha-fetoprotein (AFP), triple screen, and quad screen)

Your Fourth Appointment

You are most likely between 16 to 20 weeks at this point, and it has been about a month since your last appointment. You probably feel like you've grown a lot since your last appointment and you may now be wearing maternity clothes and possibly even feeling your baby move . Here's what this visit may involve:

Measure your fundal height to check baby's growth

You may also have a mid-pregnancy ultrasound screening if you request it or if it's your doctor or midwife's policy.

Your Fifth Appointment

Between 18 to 22 weeks you'll likely have your fifth prenatal care visit. Here's what this appointment may involve:

Check for swelling in your hands and feet
Listen to the baby's heartbeat

Your Sixth Appointment

Your next prenatal care appointment will likely be between 22 to 26 weeks of pregnancy . You are probably still being seen monthly. Here's what this appointment may look like:

Listen to the baby's heartbeat
Measure your fundal height to check baby's growth
Questions about baby's movements

Your Seventh or Eighth Appointment

Between 26 to 28 weeks of pregnancy , you'll likely have another prenatal care appointment. Here's what may happen:

Check blood pressure
Questions about baby's movements

Other Testing and Information

You may have other tests or procedures ordered, like the glucose tolerance test (GTT) used to screen for gestational diabetes or the RhoGam , shot around 28 weeks of gestation for women who are Rh-negative. Your doctor or midwife may also give you information on screening for preterm labor on your own.

Your Eighth, Ninth Appointments and Beyond

Your next appointment will likely be between 28 to 36 weeks of pregnancy. In fact, you're likely to have at least two prenatal visits during this period because you're now being seen every other week. Here's what these appointments may involve:

Palpate to check baby's position (vertex, breech, posterior, etc.)

Screening for Group B strep (GBS) will normally be done between weeks 34 to 36. This involves rectal and vaginal swab. You will continue to be seen every other week until about the 36th week of pregnancy. At this point, your visits will likely be fairly routine with very few extra tests being performed.

Weekly Visits

Between 36 to 40 weeks of pregnancy, you're usually seen every week. Here's what these visits may entail:

You will continue to be seen every week until about the 41st week of pregnancy, at which point you may be seen every few days until your baby is born. Your visits are most likely fairly routine, with very few extra tests being performed.

You may also have an ultrasound to determine what position the baby is in at this point. Your doctor will also try to predict the size of your baby , but this is usually not very accurate. Because of this tendency for inaccuracy, it's not a great idea to have an induction of labor based on the predicted size of your baby.

If you're having a home birth , you may have a home visit during this time frame if your midwife doesn't do her normal prenatal visits there. You will be able to give her a tour of your home and answer questions she may have about where everything is located.

Overdue Pregnancy Visits

At 40 or 41 weeks of pregnancy, you may begin to see your midwife or doctor every few days. Here is what these visits may look like:

Since you are officially past your due date, your midwife or doctor may want to watch you and your baby more carefully until labor begins. This may include the following tests:

Non-stress test (NST)
Biophysical profile (BPP)

These tests will help determine if your practitioner needs to intervene with an induction of labor for the health of your baby or let your pregnancy continue.

National Institute of Child Health and Human Development. What Happens During Prenatal Visits ?

National Institute of Child Health and Human Development. What are some common complications of pregnancy ?

American College of Obstetricians and Gynecologists. How Your Fetus Grows During Pregnancy .

Mayo Clinic Staff. Prenatal Care: 1st Trimester Visits . Mayo Clinic.

By Robin Elise Weiss, PhD, MPH Robin Elise Weiss, PhD, MPH is a professor, author, childbirth and postpartum educator, certified doula, and lactation counselor.

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The Ultimate Pregnancy Appointment Guide: What to Expect Week by Week at Your Prenatal Visits

Central to ensuring the health and well-being of you and your growing baby is seeing your care team regularly for touchpoints and milestones that are part of your pregnancy appointment schedule. Diana Kaufman, MD , UnityPoint Health, shares the recommended timeline for prenatal visits, and the importance of each test and discussion that’ll prepare you for a safe pregnancy and delivery.

Confirming Your Pregnancy

Every woman’s body is unique, but it’s a good idea to visit a doctor to confirm a pregnancy when you’re experiencing early symptoms, such as a missed period or you’ve received a positive home pregnancy test. Typically, this visit happens at 6-8 weeks of pregnancy.

Your doctor may confirm your pregnancy through urine tests, blood tests or ultrasounds.

Initial Prenatal Appointment: 5-12 Weeks

Your first prenatal visit consists of important screenings and discussions, so your healthcare team can create a care plan that ensures you and baby stay healthy throughout your pregnancy. Prepare a few things for this visit, including:

Complete medical history: It’s important for your doctor to know your past and present health conditions or concerns, medications and any history of disease, substance abuse or known genetic conditions in your family.
Insurance information: This includes consents for care, your insurance carrier and other paperwork

Here’s what to expect at your first pregnancy appointment

A physical, which will likely include a breast and pelvic exam.
A urine sample is collected to check for certain infections and conditions that can occur during pregnancy. Urine tests may be taken at your following prenatal visits as well. Urine drug screening tests are also recommended for women, or their partners, with a history of substance use — including smoking.
Routine testing that includes blood draws to check your blood type and complete blood count (CBC) and look for specific diseases including hepatitis, HIV, syphilis and checking for immunity against rubella. Other testing that may occur includes genetic screening and testing for diabetes.

Your care team will review prenatal educational materials with you and remedies for any unpleasant pregnancy symptoms, such as nausea or vomiting . Your team also will provide an estimated due date for baby.

It’s also important to take good care of your teeth and gums during pregnancy. Changing hormone levels make your gums more sensitive to disease, which increases your risk for a low-birth weight or premature baby. Consider making an appointment to see your dentist during your first trimester.

Prenatal Appointment: Second Trimester (13 – 26 Weeks)

During weeks 13-26, you’ll see your doctor every four weeks. It’s a good idea to write down questions or concerns before your appointments to ensure they’re addressed.

At each appointment throughout the rest of your pregnancy, your care team will check the following:

Blood pressure
Position of baby
Baby’s heartbeat

Here are some additional things to expect.

Prenatal genetic testing: There are many different options for prenatal genetic testing. Your care team will review these with you.
Pregnancy blood tests: These are tailored to your specific needs. Most patients are tested for anemia and diabetes of pregnancy between weeks 24-28. Other recommended tests will be reviewed with you.
Ultrasound: It’s common to have an ultrasound in the first trimester to confirm the estimated due date. Ultrasound is also common at 20 weeks to check on baby's growth and development. Further ultrasounds could be needed if changes in your pregnancy make it necessary, such as concerns about baby’s growth or to see if baby is head down.
Discuss preterm labor signs: Preterm labor refers to labor that begins before the 37th week of pregnancy and requires medical attention. Knowing what to look for — such as contractions, changes in vaginal discharge — is important for preventing potential complications.
Childbirth classes: It’s a good idea to register for a class to help you prepare for baby’s arrival.

When to Call Your Doctor

Pregnancy creates new and unfamiliar symptoms in many women. However, some symptoms need attention. Here’s when to call your doctor in the second trimester:

Vaginal bleeding, even a small amount
Leg pain with numbness or leg weakness
Pain or tenderness in one of both calves that doesn’t go away
Thoughts of hurting yourself or others
Severe headaches that don’t go away with Tylenol
Persistent changes in vision such as blurriness or floaters
More than five contractions in an hour

Now, your visits to your care team become more frequent — happening every two weeks until you’re 36 weeks pregnant. Your care team continues to monitor you and baby. Here’s what else to expect:

Prenatal Appointments: Third Trimester (27 Weeks – Baby’s Arrival)

Check fetal movement: It’s important to be aware of your baby's movements. If you notice a sudden change or absence of fetal movement, let you care team know.
Rhogam injections: If an Rh-negative blood type was found during your initial prenatal visit, you’ll receive an injection to prevent immune system complications for future pregnancies. This usually happens at 28 weeks.
Additional prenatal testing: Around 35-37 weeks, you’re checked to see if you carry group B streptococcus bacteria . This is one of many bacteria that can live on our skin and typically does not cause problems. However, it can infect a newborn when you deliver. Antibiotics are given during delivery to prevent infection in a newborn if you test positive.

Prenatal Appointments: 36 Weeks – End of Pregnancy

Once you’ve reached 36 weeks, you’ll see your doctor every week until you deliver. These visits are essential for ensuring the well-being of both you and your little one, as well as preparing for a safe and smooth delivery. In addition to routine physical examinations and checking baby’s heartbeat and movement, here’s what else you can expect:

Cervical exams: If you’re having frequent contractions or preparing to be induced, your doctor will likely need to perform this exam.
Discuss labor signs: You’ll likely discuss signs of labor with your doctor and when to go to the hospital.
Discuss birth preferences: It’s not necessary to have a birth plan. Your care team has that covered. Our goal is to keep you and your baby healthy throughout the entire pregnancy and delivery process. However, if you have strong desires or needs for delivery, please discuss those during a prenatal appointment. It’s also helpful to write these things down and bring them to the hospital, since you may not be able to fully express your wishes during labor.

Postpartum Visits

After delivering baby, but before you leave the hospital, call your doctor to make your postpartum appointment, if it hasn’t been scheduled yet. This visit typically occurs around 6 weeks after you deliver. Other visits are scheduled based on your individual needs.

These visits are a time for your doctor to check on your healing , discuss normal or abnormal postpartum bleeding, talk about your well-being and any signs of postpartum depression or anxiety , discuss when it’s safe to start exercising again and address other questions or concerns you may have .

Our UnityPoint Health care team is here to care for you and baby throughout the entirety of your pregnancy and beyond. Call us to schedule your first appointment or if you have questions about any future appointments.

Group B Strep in Pregnancy: Understanding Risks, Testing and Treatment

Second Time Mom Gets Wish of Vaginal Birth After C-Section

An OBGYN Answers 17 Questions to Help You Prepare for Postpartum

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What happens during prenatal visits?

What happens during prenatal visits varies depending on how far along you are in your pregnancy.

Schedule your first prenatal visit as soon as you think you are pregnant, even if you have confirmed your pregnancy with a home pregnancy test. Early and regular prenatal visits help your health care provider monitor your health and the growth of the fetus.

The First Visit

Your first prenatal visit will probably be scheduled sometime after your eighth week of pregnancy. Most health care providers won't schedule a visit any earlier unless you have a medical condition, have had problems with a pregnancy in the past, or have symptoms such as spotting or bleeding, stomach pain, or severe nausea and vomiting. 1

You've probably heard pregnancy discussed in terms of months and trimesters (units of about 3 months). Your health care provider and health information might use weeks instead. Here's a chart that can help you understand pregnancy stages in terms of trimesters, months, and weeks.

Because your first visit will be one of your longest, allow plenty of time.

During the visit, you can expect your health care provider to do the following: 1

Answer your questions. This is a great time to ask questions and share any concerns you may have. Keep a running list for your visit.
Check your urine sample for infection and to confirm your pregnancy.
Check your blood pressure, weight, and height.
Calculate your due date based on your last menstrual cycle and ultrasound exam.
Ask about your health, including previous conditions, surgeries, or pregnancies.
Ask about your family health and genetic history.
Ask about your lifestyle, including whether you smoke, drink, or take drugs, and whether you exercise regularly.
Ask about your stress level.
Perform prenatal blood tests to do the following:
Determine your blood type and Rh (Rhesus) factor. Rh factor refers to a protein found on red blood cells. If the mother is Rh negative (lacks the protein) and the father is Rh positive (has the protein), the pregnancy requires a special level of care. 2
Do a blood count (e.g., hemoglobin, hematocrit).
Test for hepatitis B, HIV, rubella, and syphilis.
Do a complete physical exam, including a pelvic exam, and cultures for gonorrhea and chlamydia.
Do a Pap test or test for human papillomavirus (HPV) or both to screen for cervical cancer and infection with HPV, which can increase risk for cervical cancer. The timing of these tests depends on the schedule recommended by your health care provider.
Do an ultrasound test, depending on the week of pregnancy.
Offer genetic testing: screening for Down syndrome and other chromosomal problems, cystic fibrosis, other specialized testing depending on history.

Prenatal Visit Schedule

If your pregnancy is healthy, your health care provider will set up a regular schedule for visits that will probably look about like this: 1

Later Prenatal Visits

As your pregnancy progresses, your prenatal visits will vary greatly. During most visits, you can expect your health care provider to do the following:

Check your blood pressure.
Measure your weight gain.
Measure your abdomen to check your developing infant's growth—"fundal height" (once you begin to "show").
Check the fetal heart rate.
Check your hands and feet for swelling.
Feel your abdomen to find the fetus's position (later in pregnancy).
Do tests, such as blood tests or an ultrasound exam.

Talk to you about your questions or concerns. It's a good idea to write down your questions and bring them with you.

Several of these visits will include special tests to check for gestational diabetes (usually between 24 and 28 weeks) 3 and other conditions, depending on your age and family history.

In addition, the Centers for Disease Control and Prevention and the American Academy of Pediatrics released new vaccine guidelines for 2013 , including a recommendation for pregnant women to receive a booster of whooping cough (pertussis) vaccine. The guidelines recommend the shot be given between 27 and 36 weeks of pregnancy. 4

Centers for Disease Control and Prevention. (2013). Updated recommendations for use of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine (TDAP) in pregnant women―Advisory Committee on Immunization Practices (ACIP), 2012. Retrieved September 20, 2013, from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6207a4.htm

Appointments at Mayo Clinic

Pregnancy week by week

Prenatal care: 2nd trimester visits

During the second trimester, prenatal care includes routine lab tests and measurements of your baby's growth. You might consider prenatal testing, too.

The goal of prenatal care is to ensure that you and your baby remain healthy during your entire pregnancy. Ideally, prenatal care starts as soon as you think you're pregnant. Your health care provider might schedule prenatal care appointments about every four weeks throughout the second trimester.

Here's what to expect at your second trimester prenatal appointments.

Review the basics

Your health care provider will check your blood pressure and weight at every visit. Share any concerns you have. Then it's time for your baby to take center stage. Your health care provider might:

Track your baby's growth. By measuring the distance from the pubic bone to the top of your uterus (fundal height), your health care provider can gauge your baby's growth. After 20 weeks of pregnancy, this measurement in centimeters often matches the number of weeks you've been pregnant, plus or minus 2 centimeters.
Listen to your baby's heartbeat. At second trimester visits, you might hear your baby's heartbeat using a Doppler instrument. The Doppler instrument detects motion and conveys it as sound.
Assess fetal movement. Tell your health care provider when you begin noticing flutters or kicks. Keep in mind that mothers notice these movements at different times, and movement at this time in pregnancy is typically unpredictable. You'll likely notice flutters for the first time around 18 to 20 weeks of pregnancy.

Also, talk to your health care provider about any vaccinations you might need.

Consider prenatal testing

During the second trimester, you might be offered various prenatal screenings or tests:

Genetic tests. Blood tests might be offered to screen for genetic or chromosomal conditions, such as spina bifida or Down syndrome. If your results are concerning, your doctor will recommend a diagnostic test, typically an amniocentesis. During amniocentesis, a sample of the fluid that surrounds and protects a baby during pregnancy is removed from the uterus for testing.
Fetal ultrasound. Fetal ultrasound is an imaging technique that uses high-frequency sound waves to produce images of a baby in the uterus. A detailed ultrasound can help your health care provider evaluate fetal anatomy. Fetal ultrasound also might give you an opportunity to find out the baby's sex.
Blood tests. Blood tests might be offered between week 24 to 28 of pregnancy to check your blood count and iron levels and screen for diabetes that can develop during pregnancy (gestational diabetes). If you have Rh negative blood — an inherited trait that refers to a specific protein found on the surface of red blood cells — you might need a blood test to check for Rh antibodies. These antibodies can develop if your baby has Rh positive blood and your Rh negative blood mixes with your baby's blood. Without treatment, the antibodies could cross the placenta and attack the baby's red blood cells — particularly in a subsequent pregnancy with a baby who has Rh positive blood.

Keep your health care provider informed

The second trimester often brings a renewed sense of well-being. Morning sickness typically begins to ease. You begin to feel the baby move. Your belly becomes more noticeable. There's a lot happening.

Tell your health care provider what's on your mind, even if it seems silly or unimportant. Nothing is too trivial when it comes to your health — or your baby's health.

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. http://www.womenshealth.gov/pregnancy/you-are-pregnant/prenatal-care-tests.html. 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:// 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.
American College of Obstetricians and Gynecologists (ACOG) Committee on Practice Bulletins — Obstetrics. ACOG Practice Bulletin No. 101: Ultrasonography in pregnancy. Obstetrics & Gynecology. 2009;113:451. Reaffirmed 2014.

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pregnant-woman-doctor-stethoscope-first-prenatal-visit | American Pregnancy Association

Your First Prenatal Visit

If you did not meet with your health care provider before you were pregnant, your first prenatal visit will generally be around 8 weeks after your LMP (last menstrual period ). If this applies to you, you should schedule a prenatal visit as soon as you know you are pregnant!

Even if you are not a first-time mother, prenatal visits are still important since every pregnancy is different. This initial visit will probably be one of the longest. It will be helpful if you arrive prepared with vital dates and information. This is also a good opportunity to bring a list of questions that you and your partner have about your pregnancy, prenatal care, and birth options.

What to Expect at Your First Pregnancy Appointment

Your doctor will ask for your medical history, including:.

Medical and/or psychosocial problems
Blood pressure, height, and weight
Breast and cervical exam
Date of your last menstrual period (an accurate LMP is helpful when determining gestational age and due date)
Birth control methods
History of abortions and/or miscarriages
Hospitalizations
Medications you are taking
Medication allergies
Your family’s medical history

Your healthcare provider will also perform a physical exam which will include a pap smear , cervical cultures, and possibly an ultrasound if there is a question about how far along you are or if you are experiencing any bleeding or cramping .

Blood will be drawn and several laboratory tests will also be done, including:

Hemoglobin/ hematocrit
Rh Factor and blood type (if Rh negative, rescreen at 26-28 weeks)
Rubella screen
Varicella or history of chickenpox, rubella, and hepatitis vaccine
Cystic Fibrosis screen
Hepatitis B surface antigen
Tay Sach’s screen
Sickle Cell prep screen
Hemoglobin levels
Hematocrit levels
Specific tests depending on the patient, such as testing for tuberculosis and Hepatitis C

Your healthcare provider will probably want to discuss:

Recommendations concerning dental care , cats, raw meat, fish, and gardening
Fevers and medications
Environmental hazards
Travel limitations
Miscarriage precautions
Prenatal vitamins , supplements, herbs
Diet , exercise , nutrition , weight gain
Physician/ midwife rotation in the office

Possible questions to ask your provider during your prenatal appointment:

Is there a nurse line that I can call if I have questions?
If I experience bleeding or cramping, do I call you or your nurse?
What do you consider an emergency?
Will I need to change my habits regarding sex, exercise, nutrition?
When will my next prenatal visit be scheduled?
What type of testing do you recommend and when are they to be done? (In case you want to do research the tests to decide if you want them or not.)

If you have not yet discussed labor and delivery issues with your doctor, this is a good time. This helps reduce the chance of surprises when labor arrives. Some questions to ask include:

What are your thoughts about natural childbirth ?
What situations would warrant a Cesarean ?
What situations would warrant an episiotomy ?
How long past my expected due date will I be allowed to go before intervening?
What is your policy on labor induction?

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17 Weeks Pregnant

Your baby is the size of a

At 17 weeks pregnant, you’re well into your second trimester and many big changes and developments are happening right now and in the coming weeks. Keep reading to find out more about your baby’s growth and those little movements you may start to feel, along with insights on symptoms and helpful tips for you at 17 weeks pregnant.

Highlights at 17 Weeks Pregnant

Below we’ve highlighted some of the ways your baby is growing and changing, and how you may feel at 17 weeks pregnant:

Tiny toenails are sprouting this week!

Your little one is putting on more weight as well as developing the protective film on their skin known as vernix.

You may start to feel your baby move over the next few weeks. Get ready for those belly flutters!

You may notice your breasts getting larger now. It might be time to shop for some new bras.

If you haven’t discovered your baby’s gender yet, have some (completely unscientific) fun by reading our old wives’ tales for gender prediction or using our Chinese gender predictor:

Chinese Gender Predictor

Can't wait to know whether your little one's a boy or a girl try our fun tool, fill in your info to get started:.

This is a mandatory field.

Please select a due date!

Baby's Due Date*

17 Weeks Pregnant: Your Baby’s Development

Your baby is making some exciting strides this week! Here's what happening inside your belly in terms of baby development at 17 weeks pregnant:

At week 17, your little one starts to develop a layer of brown fat under their skin and more layers will form as your pregnancy progresses. This added fat provides energy and will help keep your baby warm after birth—right now, your uterus is doing a nice job of that!

The oil-producing glands in your baby's skin may begin to produce vernix , which is a white, greasy film that protects and covers the skin and helps regulate body temperature.

At this point, your baby is becoming a little more active within the amniotic sac. You may not be able to feel any of this movement yet, but you’ll likely start to sense some tiny flips and rolls in the coming weeks.

Did you know your baby is also growing toenails this week? By the end of this month, nails will likely extend to the tips of the toes and fingers, and they may even need to be trimmed shortly after birth!

How Many Months Is 17 Weeks Pregnant?

In your 17th week of pregnancy, you may be wondering what month you're in. There isn't a single, standard way to group the 40 weeks of pregnancy into months, but at 17 weeks pregnant you’re likely completing your fourth month of pregnancy!

How Big Is a Baby at 17 Weeks Pregnant?

When you’re 17 weeks pregnant, your baby is about the size of a pear! At this stage, your baby might measure about five inches long.

Your Baby: What Does 17 Weeks Pregnant Look Like?

To get an idea of what things are looking like inside your belly at 17 weeks pregnant, check out the illustration below:

Your Body at 17 Weeks Pregnant

You may have noticed more growth and changes in your breasts . More blood is flowing to the breasts in preparation for milk production, and you may start to see darker veins appearing.

It’s not uncommon for pregnant women to go up one or even two cup sizes, so you may want to get a professional bra fitting to make sure you’re wearing the most comfortable size for you.

The placenta is also growing in order to help deliver enough nutrients and oxygen to your developing baby while helping to eliminate waste.

Have your feet gotten bigger recently? This could be due to pregnancy weight gain and also swelling, known as edema, that happens as your body retains extra fluid during pregnancy. Try a cool foot bath to relieve the swelling and elevate your feet whenever you can to stay comfortable. To keep track of your weight gain, use our pregnancy weight gain calculator .

17 Weeks Pregnant: Your Symptoms

At 17 weeks pregnant, here are some of the symptoms you may be experiencing:

Hemorrhoids. It’s true—they’re a pain in the you know what! Hemorrhoids are essentially veins in the rectum that have become over-dilated due to increased blood volume and flow in the pelvic area. Though hemorrhoids are more common later in pregnancy, it's smart to take steps now to help prevent them from occurring, such as following a high-fiber diet, drinking plenty of water, and getting regular exercise. And if you’re looking for ways to soothe hemorrhoids, try soaking in a warm bath (without soap or bubble bath) and avoid sitting for long periods of time. Contact your healthcare provider right away if you have severe pain or bleeding at 17 weeks pregnant or anytime during your pregnancy.

Itchy or sensitive skin . At 17 weeks pregnant, your belly and breasts are still growing, and the skin is stretching, which can sometimes lead to stretch marks and itching. Although you can’t completely prevent stretch marks from appearing, you can help reduce the itchiness of your skin by drinking lots of water and applying moisturizer to your skin in the mornings and evenings.

Heartburn and indigestion. By this time, morning sickness is a thing of the past for most moms-to-be, but you might be dealing with heartburn and indigestion, two symptoms you could experience at 17 weeks pregnant or later in this trimester. Try to eat six small meals a day instead of three large ones, avoiding spicy foods or other foods that you find contribute to your discomfort. It can also help to eat slowly and avoid lying down right after eating.

Leg cramps. In the second trimester, you may find your sleep interrupted by leg cramps. It’s not known what causes these cramps, but you can try stretching your legs before bed or massaging your calf muscles to relieve cramping at 17 weeks pregnant. Staying hydrated and physically active can also help, as can wearing comfortable, supportive shoes.

Lower back pain. At 17 weeks pregnant, your expanding uterus is growing in size and changing your center of gravity and your posture, putting more pressure on your back. As you gain weight during your pregnancy, you may experience lower back pain from time to time; exercise and stretching may help relieve some of the discomfort. Applying a heating pad to the affected area may also offer some relief. If you can, try to avoid standing for long periods of time. Your healthcare provider can also advise you on how to handle any form of back pain at 17 weeks pregnant, and beyond.

How Big Is a Pregnant Belly at 17 Weeks?

Although every pregnancy and body is different, your belly bump may be more obvious at 17 weeks pregnant and in the coming weeks as the size of your uterus increases, which may also be affecting your center of gravity.

It’s also possible that you may be feeling some of your baby’s movements at 17 weeks of pregnancy. If this isn’t your first baby, then you may be more aware of what the feeling is like and recognize it sooner. But don't worry if you haven’t felt anything yet. In the coming weeks, you’ll likely notice some activity that feels like fluttering or a light rumbling in your stomach.

What Does 17 Weeks Pregnant Look Like?

For a better idea of what your belly might look like around 17 weeks pregnant, and in your fourth month of pregnancy, check out the image below.

17 Weeks Pregnant: Things to Consider

As you make your way through pregnancy, there are plenty of important things to consider, from finding out the gender, if you wish, to looking into childbirth classes. Check out our list below.

You’re probably eager to know whether you’re having a boy or girl. It still may be a bit too soon to know for sure at 17 weeks, but you can usually find out (if you choose to) at an ultrasound exam that you’ll probably have at around 18 to 20 weeks. Of course, your little one may or may not cooperate during the ultrasound! The position of your baby is one factor that can affect whether your healthcare provider can accurately pinpoint your baby’s gender at 17 weeks pregnant, or in the next few weeks. In the meantime, you can learn more about the science behind what determines the sex of a baby , or take our gender quiz to have some fun guessing.

Have you looked into childbirth classes yet? You’re getting closer and closer to the halfway mark, so consider doing some research on this now. The earlier you start looking, the more options you may have for available classes, times, and dates. If you’re not sure where to start, ask your healthcare provider or parents in your area for suggestions.

Think about whether you're interested in any of the genetic tests that may be offered to you. Jot down any questions you have about them and ask your healthcare provider for advice on the risks and benefits of each.

If you have a little spare time this week, start looking into healthcare providers for your baby. You can ask other parents for recommendations or check a list of providers covered by your insurance. Your own healthcare provider will also be able to point you in the right direction. Once you’ve found a few options, you may want to meet up with potential providers for a face-to-face appointment before your baby is born. For more on this important topic, read our article on how to choose a pediatrician .

Pregnancy can sometimes put a strain on even the most harmonious relationship, which is understandable given all the financial and practical worries that such a big lifestyle change can bring. Talking to your partner about your feelings and involving them as much as possible in events related to your pregnancy, like scans, prenatal classes, and general planning, can help you both communicate and support each other. If you think you need outside support, your healthcare provider can help you find counseling and support groups in your area.

17 Weeks Pregnant: Questions for Your Healthcare Provider

Here are some questions that you could ask your healthcare provider at 17 weeks pregnant:

Is it normal to experience dizziness? What can I do about it?

Are any genetic tests recommended for my personal situation?

Should I have amniocentesis ? This is an optional test, and whether you have amnio or not is a personal choice. Your healthcare provider will be able to provide you with more information about this test and give you personalized advice about it.

Should I have the maternal serum alpha-fetoprotein (or MSAFP for short) screening test?

Is it safe to get a professional massage?

17 Weeks Pregnant: Your Checklist

As your pregnancy progresses and you get used to the various emotional and physical symptoms, consider the following to-dos at 17 weeks:

□ Do some research on healthcare providers to care for your baby after birth.

□ Planning a babymoon? Schedule a prenatal checkup before you travel.

□ Get a professional bra fitting at your local lingerie or department store. You’ll want to make sure you’re wearing the most comfortable bras as your pregnancy progresses.

□ Start a baby name shortlist. You may not know whether you’re looking for boy or girl names yet, but our Baby Name Generator can help you search by gender, theme, and many other filters.

□ Suggest that your partner read some of the content we have for expectant fathers to help them prepare for fatherhood .

How We Wrote This Article The information in this article is based on the expert advice found in trusted medical and government sources, such as the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists. You can find a full list of sources used for this article below. The content on this page should not replace professional medical advice. Always consult medical professionals for full diagnosis and treatment.

American College of Obstetricians and Gynecologists. Your Pregnancy and Childbirth: Month to Month, 6th ed. (Washington, DC: American College of Obstetricians and Gynecologists, 2015).
Cleveland Clinic. “Heartburn During Pregnancy.”
Kids Health. “Week 17.”
Kids Health. “Week 19.”
March of Dimes. “Common Discomforts of Pregnancy.”
Mayo Clinic. “Fetal Development.”
Mayo Clinic. Guide to a Healthy Pregnancy, 2nd ed. (Rochester, MN: Mayo Clinic Press, 2018).
Mayo Clinic. “Hemorrhoids During Pregnancy.”

Review this article:

15 Crucial Questions Every Woman Needs to Ask Her OB/GYN During Pregnancy

Medical review policy, latest update:, what over-the-counter medications are safe, what about prescription meds that i might take, do i need to change my beauty routine, how much weight should i gain, what should i eat and avoid eating, what exercise is okay during pregnancy, what vaccinations should i get, how long can i work when i'm pregnant, what pregnancy symptoms are normal, and what's an emergency, first trimester, second trimester, third trimester, can we discuss my birth plan, what should i expect during my labor and delivery, who will deliver my baby, what's the likelihood i'll need a c-section, what should i know if i want a vbac, what support can i get if i want to breastfeed.

The bottom line: Don’t be afraid to call your practitioner if you’re unsure about anything. He or she knows this is likely a new experience for you, and can help you figure out what’s normal and what’s not.

What to Expect When You're Expecting , 5th edition, Heidi Murkoff. WhatToExpect.com, Your First Prenatal Appointment , January 2021. WhatToExpect.com, Medications During Pregnancy: What’s Safe and What’s Not? , March 2021. WhatToExpect.com, How Much Weight You Should Gain During Pregnancy , October 2020. WhatToExpect.com, 19 Best Foods to Eat During Pregnancy , May 2020. WhatToExpect.com, The Best Pregnancy Workouts and Exercises You Can Do While Expecting , July 2021. WhatToExpect.com, Signs of Labor , July 2021. WhatToExpect.com, How to Create a Birth Plan , June 2021. WhatToExpect.com, Having a C-Section (Cesarean Section) , July 2021. WhatToExpect.com, How a Lactation Consultant Can Help You Breastfeed , February 2019. WhatToExpect.com, The COVID-19 Vaccine During Pregnancy , July 2021. WhatToExpect.com, Vaccines to Get Before and During Pregnancy , July 2021. American College of Obstetricians and Gynecologists, Weight Gain During Pregnancy , 2020. American Family Physician, ACOG Updates Recommendations on Vaginal Birth After Previous Cesarean Delivery , January 2011. Food & Drug Administration, Advice about Eating Fish , December 2020. Kristina Mixer , M.D., OB/GYN, Spectrum Health United Hospital, Greenville, MI. Karen Deighan , M.D., OB/GYN, Loyola University Medical Center, North Riverside, IL.

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Prenatal Appointment – Weeks 16 to 20 | My Doctor Online

My Doctor Online

Prenatal appointment – weeks 16 to 20, physician and woman reviewing information in front of a monitor.

At this appointment your clinician will:

Check your blood pressure and weight.
Take a urine sample, if you have certain conditions.
Listen to your baby's heartbeat.
Talk about healthy weight gain, nutrition, and exercise during pregnancy.

Your clinician may also:

Check your baby’s growth by measuring the size of your abdomen.
Discuss the results of any genetic screening tests you’ve had. If you decided to do certain types of genetic screening, you’ll be due for the second part of those screenings.
Review additional screenings that can be done in the second trimester.
Talk with you and develop a care plan if you’re pregnancy is considered “high risk.”

Radiology appointment for fetal anatomic ultrasound

You’ll be scheduled for a separate appointment in the Radiology Department for a longer, more detailed ultrasound.

Most parents-to-be really enjoy this appointment because they get to see their baby in motion. You might see your baby kick, wave, turn over, hiccup, or suck their thumb. This is a great appointment for your partner or support person to attend.

During this ultrasound, the technician will:

View your baby’s internal structures, such as heart, brain, and other organs.
Measure your baby’s growth and development.
Check the position of the placenta, umbilical cord, and the amount of amniotic fluid.

The technician is usually able to tell you if your baby is a boy or girl, if you want to know.

Additional References

If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.

This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.

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Prenatal Visit Schedule: What To Expect During Each Appointment

Prenatal care is an important part of a healthy pregnancy and allows your doctor to regularly monitor you and your baby . But what should you expect when it comes to your prenatal visit schedule?

Basically, you’ll visit your doctor once a month at the beginning of your pregnancy and then once a week at the end of your pregnancy. That said, it’s important to schedule your first prenatal visit as soon as you see a positive pregnancy test!

In this article, the experts at Mustela discuss how your prenatal visit schedule will most likely look and what to expect during each appointment.

Prenatal Visit Schedule: First Trimester

Expecting mom ready to schedule prenatal visit

This is such an exciting time in your life! When you saw the positive pregnancy test , you were probably four to six weeks pregnant, so go ahead and call your doctor to schedule your first appointment.

During the first trimester , you will have your initial prenatal visit, and then your doctor will schedule your visits every four weeks or once a month.

Check with the doctor or staff for a printout of your prenatal visit schedule.

What To Expect At Your First Appointment

Your first prenatal visit will be around six to nine weeks and will most likely be the lengthiest of all your appointments, so block out a good bit of time on your calendar.

Your doctor will ask a good bit of detailed questions and perform a pretty thorough check. Let’s take a look at what they’ll do during this appointment.

Medical History

Your doctor will ask questions about your:

Last menstrual cycle so they can give you a due date
Gynecological history
Obstetrical history (any past pregnancies)
Personal and family medical history
Supplements or medicines you’re taking (if any)
Lifestyle (use of tobacco products, alcohol, and caffeine; eating and exercising habits)
Recent travel adventures
Feelings of depression or anxiety (if any)

Your doctor will order various lab work to check your blood for:

Blood type and Rh status
Hemoglobin levels
Infections such as hepatitis B, syphilis, gonorrhea, chlamydia, and HIV
Thyroid levels
Any other important screenings

Physical Exam

To give you and your baby the best care, your doctor will need to do a thorough physical exam, which most likely will also include a Pap smear to detect any abnormal cervical cells.

Your doctor’s observation also includes:

Checking your blood pressure
Measuring your height and weight to determine your recommended weight gain for a healthy pregnancy
A breast exam
A pelvic exam
Screening your heart, lungs, and thyroid

Discuss any pregnancy discomforts , such as nausea and fatigue, with your doctor. Be honest with your doctor so they can take care of you and your baby to the best of their knowledge.

Some doctors also do an ultrasound during the first trimester to confirm or date your pregnancy. (Your first prenatal visit will vary based on the specific policies of your doctor’s office.)

What To Expect At Your 12-Week Appointment

You're nearing the end of your first trimester! During this appointment, you can expect your doctor to check the following:

Weight and blood pressure
Urine for sugar and protein levels
Your baby’s heartbeat (This will be the first time you’ll hear it!)
Size of your uterus
Hands and feet for any swelling

Prenatal Visit Schedule: Second Trimester

pregnant woman having her belly measured

Assuming you have a healthy pregnancy and no further examinations are necessary, this is what your prenatal visit schedule will look like during your second trimester :

Four-month appointment (around 16 weeks)
Five-month appointment (around 20 weeks)
Six-month appointment (around 24 weeks)

What To Expect During Routine Appointments

Many of your appointments from here on out will look similar regarding what your doctor will check for. During these visits, you can expect your doctor to look at:

Your baby’s heartbeat
Your fundal height (The size of your uterus is used to assess fetal growth and development. Your doctor will get this measurement by measuring the length from the top of your uterus to the top of your pubic bone. This measurement should match how many weeks you are. Example: If you’re 20 weeks pregnant, your fundal height should equal 20 centimeters.)
Hands and feet for swelling
Any symptoms you’ve been experiencing

At this point in your pregnancy, you may notice your skin becoming dry and starting to stretch a bit. Don’t worry; it’s completely normal!

To tackle dry skin, try Mustela’s Stretch Marks Cream . This velvety, hard-working cream delivers immediate moisture and comfort to your skin!

And our Stretch Marks Oil treats recently formed stretch marks. It’s a fast-absorbing oil that hydrates your skin throughout your pregnancy!

What To Expect During Your 20-Week Sonogram:

Sometime around your 20-week appointment, your doctor will schedule an ultrasound to determine the gender of your baby! During this sonogram, your sonographer will take a look at:

Baby’s size and all their major organs
Amniotic fluid
Location of placenta

Your sonographer passes this information to your doctor to give them a clear picture (literally!) of the overall health of your baby and your pregnancy.

Prenatal Visit Schedule: Third Trimester

woman following her prenatal visit schedule

During your third trimester , your prenatal visits will be every two weeks until the last month of your pregnancy, when you’ll have them every week. So that means your prenatal visit schedule will look like this:

What To Expect At Your Seventh- and Eighth-Month Visits

During your seventh and eighth months of pregnancy, expect your doctor to check the following:

Urine for sugar and protein
Your fundal height (top of your uterus)
Size and position of your baby
Feet and hands for swelling
Varicose veins in your legs
Glucose screen test (read below for more information)
Group B strep test (read below for more information)
Blood test for anemia
Any symptoms you’ve been having

Glucose Screen Test

This test is used to determine if you have gestational diabetes. Once you arrive at your doctor’s office, be prepared to have your blood drawn first.

Next, you’ll drink a very sugary drink that tastes like flat orange soda. Some women enjoy the taste, while others feel a little queasy afterward!

After you consume the entire drink, you’ll wait one hour before having your blood drawn again. If your blood work comes back with elevated numbers, your doctor will order the next level of tests, which is used to officially diagnose gestational diabetes.

Should you need to take the second test (no studying required!), you’ll have to fast before the appointment. Just like with the initial round of tests, your doctor will draw your blood first and then have you consume the drink.

The only difference is this time, your blood will be drawn every hour for three hours. Be prepared to stay in your doctor’s office for three to four hours.

If the results from this test also come back elevated, your doctor will discuss management techniques for gestational diabetes.

But don’t let this information worry you. Most women who monitor their blood sugar levels and work closely with their doctor have perfectly normal pregnancies and healthy babies!

woman waiting for her next prenatal visit

Group B Strep Test

Group B Strep (GBS) is bacteria that can be found in the vaginas of healthy women. (It’s not related to strep, the throat infection.)

If you are a carrier of GBS, your baby can catch the infection during delivery when they pass through the birth canal. While this bacteria isn’t harmful to you, it can be dangerous for your baby.

To check for GBS, your doctor will perform a test just like they would a Pap smear. If the test shows that you’re a carrier, you’ll receive antibiotics through an IV once you’re in labor. This way, you won’t pass the infection to your baby!

You’re routinely tested for GBS around the seventh or eighth month of pregnancy so your doctors can be prepared to give you the antibiotics at the onset of labor.

What To Expect During Your Ninth Month

Similar to months seven and eight, your doctor will closely monitor you and your baby during this time. Since you’re getting closer to your due date, expect a few additional observations from your doctor.

During your last month of pregnancy, they will take a look at:

Your cervix by an internal examination to check for effacement (thinning) and dilation (opening)
Baby’s heartbeat
Baby’s size (At this point in your pregnancy, your doctor may give you an estimation of your baby’s weight. They can tell your baby’s presentation: head or bottom first, and their position: front- or rear-facing.)
Any questions or concerns you may have about delivery

A Beautiful Pregnancy And Beautiful Skin

Pregnant woman contemplating her prenatal visit schedule

Throughout these nine months , your prenatal visits are special moments of checking on your sweet little baby. It’s exciting to see your belly grow with each visit! But that also means possible stretch marks.

The good news is that Mustela offers a line of prenatal products, including our Stretch Marks Cream and Bust Firming Serum , to soothe and hydrate your skin while you manage the busyness of your prenatal visit schedule.

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Prenatal care and tests

Medical checkups and screening tests help keep you and your baby healthy during pregnancy. This is called prenatal care. It also involves education and counseling about how to handle different aspects of your pregnancy. During your visits, your doctor may discuss many issues, such as healthy eating and physical activity, screening tests you might need, and what to expect during labor and delivery.

Choosing a prenatal care provider

You will see your prenatal care provider many times before you have your baby. So you want to be sure that the person you choose has a good reputation, and listens to and respects you. You will want to find out if the doctor or midwife can deliver your baby in the place you want to give birth , such as a specific hospital or birthing center. Your provider also should be willing and able to give you the information and support you need to make an informed choice about whether to breastfeed or bottle-feed.

Health care providers that care for women during pregnancy include:

Obstetricians (OB) are medical doctors who specialize in the care of pregnant women and in delivering babies. OBs also have special training in surgery so they are also able to do a cesarean delivery . Women who have health problems or are at risk for pregnancy complications should see an obstetrician. Women with the highest risk pregnancies might need special care from a maternal-fetal medicine specialist .
Family practice doctors are medical doctors who provide care for the whole family through all stages of life. This includes care during pregnancy and delivery, and following birth. Most family practice doctors cannot perform cesarean deliveries.
A certified nurse-midwife (CNM) and certified professional midwife (CPM) are trained to provide pregnancy and postpartum care. Midwives can be a good option for healthy women at low risk for problems during pregnancy, labor, or delivery. A CNM is educated in both nursing and midwifery. Most CNMs practice in hospitals and birth centers. A CPM is required to have experience delivering babies in home settings because most CPMs practice in homes and birthing centers. All midwives should have a back-up plan with an obstetrician in case of a problem or emergency.

Ask your primary care doctor, friends, and family members for provider recommendations. When making your choice, think about:

Personality and bedside manner
The provider's gender and age
Office location and hours
Whether you always will be seen by the same provider during office checkups and delivery
Who covers for the provider when she or he is not available
Where you want to deliver
How the provider handles phone consultations and after-hour calls

What is a doula?

A doula (DOO-luh) is a professional labor coach, who gives physical and emotional support to women during labor and delivery. They offer advice on breathing, relaxation, movement, and positioning. Doulas also give emotional support and comfort to women and their partners during labor and birth. Doulas and midwives often work together during a woman's labor. A recent study showed that continuous doula support during labor was linked to shorter labors and much lower use of:

Pain medicines
Oxytocin (ok-see-TOHS-uhn) (medicine to help labor progress)
Cesarean delivery

Check with your health insurance company to find out if they will cover the cost of a doula. When choosing a doula, find out if she is certified by Doulas of North America (DONA) or another professional group.

Places to deliver your baby

Many women have strong views about where and how they'd like to deliver their babies. In general, women can choose to deliver at a hospital, birth center, or at home. You will need to contact your health insurance provider to find out what options are available. Also, find out if the doctor or midwife you are considering can deliver your baby in the place you want to give birth.

Hospitals are a good choice for women with health problems, pregnancy complications, or those who are at risk for problems during labor and delivery. Hospitals offer the most advanced medical equipment and highly trained doctors for pregnant women and their babies. In a hospital, doctors can do a cesarean delivery if you or your baby is in danger during labor. Women can get epidurals or many other pain relief options. Also, more and more hospitals now offer on-site birth centers, which aim to offer a style of care similar to standalone birth centers.

Questions to ask when choosing a hospital:

Is it close to your home?
Is a doctor who can give pain relief, such as an epidural, at the hospital 24-hours a day?
Do you like the feel of the labor and delivery rooms?
Are private rooms available?
How many support people can you invite into the room with you?
Does it have a neonatal intensive care unit (NICU) in case of serious problems with the baby?
Can the baby stay in the room with you?
Does the hospital have the staff and set-up to support successful breastfeeding?
Does it have an on-site birth center?

Birth or birthing centers give women a "homey" environment in which to labor and give birth. They try to make labor and delivery a natural and personal process by doing away with most high-tech equipment and routine procedures. So, you will not automatically be hooked up to an IV. Likewise, you won't have an electronic fetal monitor around your belly the whole time. Instead, the midwife or nurse will check in on your baby from time to time with a handheld machine. Once the baby is born, all exams and care will occur in your room. Usually certified nurse-midwives, not obstetricians, deliver babies at birth centers. Healthy women who are at low risk for problems during pregnancy, labor, and delivery may choose to deliver at a birth center.

Women can not receive epidurals at a birth center, although some pain medicines may be available. If a cesarean delivery becomes necessary, women must be moved to a hospital for the procedure. After delivery, babies with problems can receive basic emergency care while being moved to a hospital.

Many birthing centers have showers or tubs in their rooms for laboring women. They also tend to have comforts of home like large beds and rocking chairs. In general, birth centers allow more people in the delivery room than do hospitals.

Birth centers can be inside of hospitals, a part of a hospital or completely separate facilities. If you want to deliver at a birth center, make sure it meets the standards of the Accreditation Association for Ambulatory Health Care, The Joint Commission, or the American Association of Birth Centers. Accredited birth centers must have doctors who can work at a nearby hospital in case of problems with the mom or baby. Also, make sure the birth center has the staff and set-up to support successful breastfeeding.

Homebirth is an option for healthy pregnant women with no risk factors for complications during pregnancy, labor or delivery. It is also important women have a strong after-care support system at home. Some certified nurse midwives and doctors will deliver babies at home. Many health insurance companies do not cover the cost of care for homebirths. So check with your plan if you'd like to deliver at home.

Homebirths are common in many countries in Europe. But in the United States, planned homebirths are not supported by the American Congress of Obstetricians and Gynecologists (ACOG). ACOG states that hospitals are the safest place to deliver a baby. In case of an emergency, says ACOG, a hospital's equipment and highly trained doctors can provide the best care for a woman and her baby.

If you are thinking about a homebirth, you need to weigh the pros and cons. The main advantage is that you will be able to experience labor and delivery in the privacy and comfort of your own home. Since there will be no routine medical procedures, you will have control of your experience.

The main disadvantage of a homebirth is that in case of a problem, you and the baby will not have immediate hospital/medical care. It will have to wait until you are transferred to the hospital. Plus, women who deliver at home have no options for pain relief.

To ensure your safety and that of your baby, you must have a highly trained and experienced midwife along with a fail-safe back-up plan. You will need fast, reliable transportation to a hospital. If you live far away from a hospital, homebirth may not be the best choice. Your midwife must be experienced and have the necessary skills and supplies to start emergency care for you and your baby if need be. Your midwife should also have access to a doctor 24 hours a day.

Prenatal checkups

During pregnancy, regular checkups are very important. This consistent care can help keep you and your baby healthy, spot problems if they occur, and prevent problems during delivery. Typically, routine checkups occur:

Once each month for weeks four through 28
Twice a month for weeks 28 through 36
Weekly for weeks 36 to birth

Women with high-risk pregnancies need to see their doctors more often.

At your first visit your doctor will perform a full physical exam, take your blood for lab tests, and calculate your due date. Your doctor might also do a breast exam, a pelvic exam to check your uterus (womb), and a cervical exam, including a Pap test. During this first visit, your doctor will ask you lots of questions about your lifestyle, relationships, and health habits. It's important to be honest with your doctor.

After the first visit, most prenatal visits will include:

Checking your blood pressure and weight
Checking the baby's heart rate
Measuring your abdomen to check your baby's growth

You also will have some routine tests throughout your pregnancy, such as tests to look for anemia , tests to measure risk of gestational diabetes , and tests to look for harmful infections.

Become a partner with your doctor to manage your care. Keep all of your appointments — every one is important! Ask questions and read to educate yourself about this exciting time.

Monitor your baby's activity

After 28 weeks, keep track of your baby's movement. This will help you to notice if your baby is moving less than normal, which could be a sign that your baby is in distress and needs a doctor's care. An easy way to do this is the "count-to-10" approach. Count your baby's movements in the evening — the time of day when the fetus tends to be most active. Lie down if you have trouble feeling your baby move. Most women count 10 movements within about 20 minutes. But it is rare for a woman to count less than 10 movements within two hours at times when the baby is active. Count your baby's movements every day so you know what is normal for you. Call your doctor if you count less than 10 movements within two hours or if you notice your baby is moving less than normal. If your baby is not moving at all, call your doctor right away.

Prenatal tests

Tests are used during pregnancy to check your and your baby's health. At your fist prenatal visit, your doctor will use tests to check for a number of things, such as:

Your blood type and Rh factor
Infections, such as toxoplasmosis and sexually transmitted infections (STIs), including hepatitis B , syphilis , chlamydia , and HIV
Signs that you are immune to rubella (German measles) and chicken pox

Throughout your pregnancy, your doctor or midwife may suggest a number of other tests, too. Some tests are suggested for all women, such as screenings for gestational diabetes, Down syndrome, and HIV. Other tests might be offered based on your:

Personal or family health history
Ethnic background
Results of routine tests

Some tests are screening tests. They detect risks for or signs of possible health problems in you or your baby. Based on screening test results, your doctor might suggest diagnostic tests. Diagnostic tests confirm or rule out health problems in you or your baby.

Understanding prenatal tests and test results

If your doctor suggests certain prenatal tests, don't be afraid to ask lots of questions. Learning about the test, why your doctor is suggesting it for you, and what the test results could mean can help you cope with any worries or fears you might have. Keep in mind that screening tests do not diagnose problems. They evaluate risk. So if a screening test comes back abnormal, this doesn't mean there is a problem with your baby. More information is needed. Your doctor can explain what test results mean and possible next steps.

Avoid keepsake ultrasounds

You might think a keepsake ultrasound is a must-have for your scrapbook. But, doctors advise against ultrasound when there is no medical need to do so. Some companies sell "keepsake" ultrasound videos and images. Although ultrasound is considered safe for medical purposes, exposure to ultrasound energy for a keepsake video or image may put a mother and her unborn baby at risk. Don't take that chance.

High-risk pregnancy

Pregnancies with a greater chance of complications are called "high-risk." But this doesn't mean there will be problems. The following factors may increase the risk of problems during pregnancy:

Very young age or older than 35
Overweight or underweight
Problems in previous pregnancy
Health conditions you have before you become pregnant, such as high blood pressure , diabetes , autoimmune disorders , cancer , and HIV
Pregnancy with twins or other multiples

Health problems also may develop during a pregnancy that make it high-risk, such as gestational diabetes or preeclampsia . See Pregnancy complications to learn more.

Women with high-risk pregnancies need prenatal care more often and sometimes from a specially trained doctor. A maternal-fetal medicine specialist is a medical doctor that cares for high-risk pregnancies.

If your pregnancy is considered high risk, you might worry about your unborn baby's health and have trouble enjoying your pregnancy. Share your concerns with your doctor. Your doctor can explain your risks and the chances of a real problem. Also, be sure to follow your doctor's advice. For example, if your doctor tells you to take it easy, then ask your partner, family members, and friends to help you out in the months ahead. You will feel better knowing that you are doing all you can to care for your unborn baby.

Paying for prenatal care

Pregnancy can be stressful if you are worried about affording health care for you and your unborn baby. For many women, the extra expenses of prenatal care and preparing for the new baby are overwhelming. The good news is that women in every state can get help to pay for medical care during their pregnancies. Every state in the United States has a program to help. Programs give medical care, information, advice, and other services important for a healthy pregnancy.

Learn more about programs available in your state.

You may also find help through these places:

Local hospital or social service agencies – Ask to speak with a social worker on staff. She or he will be able to tell you where to go for help.
Community clinics – Some areas have free clinics or clinics that provide free care to women in need.
Women, Infants and Children (WIC) Program – This government program is available in every state. It provides help with food, nutritional counseling, and access to health services for women, infants, and children.
Places of worship

More information on prenatal care and tests

Explore other publications and websites

Chorionic Villus Sampling (CVS) (Copyright © March of Dimes) - Chorionic villus sampling (CVS) is a prenatal test that can diagnose or rule out certain birth defects. The test is generally performed between 10 and 12 weeks after a woman's last menstrual period. This fact sheet provides information about this test, and how the test sample is taken.
Folic Acid (Copyright © March of Dimes) - This fact sheet stresses the importance of getting higher amounts of folic acid during pregnancy in order to prevent neural tube defects in unborn children.
Folic Acid: Questions and Answers - The purpose of this question and answer sheet is to educate women of childbearing age on the importance of consuming folic acid every day to reduce the risk of spina bifida.
For Women With Diabetes: Your Guide to Pregnancy - This booklet discusses pregnancy in women with diabetes. If you have type 1 or type 2 diabetes and you are pregnant or hoping to get pregnant soon, you can learn what to do to have a healthy baby. You can also learn how to take care of yourself and your diabetes before, during, and after your pregnancy.
Genetics Home Reference - This website provides information on specific genetic conditions and the genes or chromosomes responsible for these conditions.
Guidelines for Vaccinating Pregnant Women - This publication provides information on routine and other vaccines and whether they are recommended for use during pregnancy.
How Your Baby Grows (Copyright © March of Dimes) - This site provides information on the development of your baby and the changes in your body during each month of pregnancy. In addition, for each month, it provides information on when to go for prenatal care appointments and general tips to take care of yourself and your baby.
Pregnancy Registries - Pregnancy registries help women make informed and educated decisions about using medicines during pregnancy. If you are pregnant and currently taking medicine — or have been exposed to a medicine during your pregnancy — you may be able to participate and help in the collection of this information. This website provides a list of pregnancy registries that are enrolling pregnant women.
Pregnancy, Breastfeeding, and Bone Health - This publication provides information on pregnancy-associated osteoporosis, lactation and bone loss, and what you can do to keep your bones healthy during pregnancy.
Prenatal Care: First-Trimester Visits (Copyright © Mayo Foundation) - This fact sheet explains what to expect during routine exams with your doctor. In addition, if you have a condition that makes your pregnancy high-risk, special tests may be performed on a regular basis to check the baby's health.
Ten Tips for a Healthy Pregnancy (Copyright © Lamaze International) - This easy-to-read fact sheet provides 10 simple recommendations to help mothers have a healthy pregnancy.
Ultrasound (Copyright © March of Dimes) - This fact sheet discusses the use of an ultrasound in prenatal care at each trimester.

Connect with other organizations

American Academy of Family Physicians
American Association of Birth Centers
American College of Obstetricians and Gynecologists
Center for Research on Reproduction and Women's Health, University of Pennsylvania Medical Center
Dona International
March of Dimes
Maternal and Child Health Bureau, HRSA, HHS
National Association for Down Syndrome
National Center on Birth Defects and Developmental Disabilities, CDC
Public Information and Communications Branch, NICHD, NIH, HHS
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10 Reasons to Wait for Next Year's iPhone 17

Apple's iPhone development roadmap runs several years into the future and the company is continually working with suppliers on several successive iPhone models concurrently, which is why we sometimes get rumored feature leaks so far ahead of launch. The iPhone 17 series is no different, and already we have some idea of what to expect from Apple's 2025 smartphone lineup.

Beyond iPhone 13 Better Blue Face ID Single Camera Hole

1. Under-Display Face ID

iPhone 17 Pro & iPhone 17 Pro Max

The iPhone 17 Pro is expected to be the first ‌iPhone‌ to feature under-panel Face ID technology. The only external indication of the under-display ‌Face ID‌ technology will likely be a circular cutout for the front-facing camera. This will probably be Apple's last premium model to include a circular cutout for the front-facing camera. Apple is then expected adopt under-display cameras in 2027's "Pro" ‌iPhone‌ models for a true "all-screen" appearance. 2. New Display Sizes

iPhone 17 & iPhone 17 Plus

This year's iPhone 16 Pro and iPhone 16 Pro Max are rumored to be getting bigger display sizes, going from 6.12- and 6.69-inches to 6.27- and 6.86-inches, respectively. For 2025, Apple is also expected to bring the larger 6.27-inch display size to its standard ‌iPhone‌ model, while the equivalent "iPhone 17 Plus" model could adopt completely new display dimensions . 3. 120Hz ProMotion (Always-on Display)

Apple intends to expand ProMotion to its standard models in 2025, allowing them to ramp up to a 120Hz refresh rate for smoother scrolling and video content when necessary. Notably, ProMotion would also enable the display on the iPhone 17 and iPhone 17 Plus to ramp down to a more power-efficient refresh rate as low as 1Hz, allowing for an always-on display that can show the Lock Screen's clock, widgets, notifications, and wallpaper even when the device is locked.

4. Apple-Designed Wi-Fi 7 Chip

Apple's premium 2025 models are expected to be equipped with an Apple-designed Wi-Fi 7 chip for the first time. Wi-Fi 7 support would allow the "Pro" models to send and receive data over the 2.4GHz, 5GHz, and 6GHz bands simultaneously with a supported router, resulting in faster Wi-Fi speeds, lower latency, and more reliable connectivity. The Wi-Fi chip would also allow Apple to further reduce its dependance on external suppliers like Broadcom, which currently supplies Apple with a combined Wi-Fi and Bluetooth chip for iPhones.

5. 48MP Telephoto Lens

iPhone 17 Pro Max

An upgraded 48-megapixel Telephoto lens on Apple's largest premium device is expected to be optimized for use with Apple's upcoming Vision Pro headset, which launches on February 2, 2024. (The current iPhone 15 Pro models feature 48-megapixel main, 12-megapixel ultra wide, and 12-megapixel telephoto lenses.) That would make 2025's "Pro Max" the first iPhone to have a rear camera system composed entirely of 48-megapixel lenses, making it capable of capturing even more photographic detail.

6. 24MP Selfie Camera

All iPhone 17 Models

The iPhone 17 lineup will feature a 24-megapixel front-facing camera with a six-element lens, according to one rumor. The iPhone 14 and 15 feature a 12-megapixel front-facing camera with five plastic lens elements, and this year's iPhone 16 lineup is expected to feature the same hardware. The upgraded resolution to 24 megapixels on the iPhone 17 will allow photos to maintain their quality even when cropped or zoomed in, while the larger number of pixels will capture finer details. The upgrade to a six-element lens should also slightly enhance image quality.

7. Scratch Resistant Anti-Reflective Display

The iPhone 17 will feature an anti-reflective display that is more scratch-resistant than Apple's Ceramic Shield found on iPhone 15 models, according to one rumor . The outer glass on the iPhone 17 is said to have a "super-hard anti-reflective layer" that is "more scratch-resistant." It's not clear whether Apple is planning to adopt the Gorilla Glass Armor that Samsung uses in its Galaxy S24 Ultra, but the description of Corning's latest technology matches the rumor.

8. More Memory

Apple's Pro models next year will come with 12GB of RAM, claims Jeff Pu of investment firm Haitong. For comparison, the iPhone 15 Pro models have 8GB of RAM, while the iPhone 16 Pro models are also expected to have 8GB of RAM. Any such increase would allow for improved multitasking on the iPhone, as well as provide additional resources for any artificial intelligence features that require large-language models to be resident in memory.

9. Smaller Dynamic Island

Apple's highest-end 2025 iPhone will feature a significantly narrower Dynamic Island, thanks to the device's adoption of a smaller "metalens" for the Face ID system, claims Haitong's Jeff Pu. Assuming that's the case, it would be the first time that Apple has changed the Dynamic Island since it debuted on the iPhone 14 Pro in 2022.

10. iPhone 17 "Slim"

iPhone 17 Plus

Apple plans to launch an all-new iPhone 17 model with a "significantly thinner" design, reports The Information . The device will allegedly feature a "major redesign" that could see the rear cameras being relocated from the top-left corner of the device to the top-center, along with a narrower Dynamic Island. The device is rumored to have a 6.5-inch display size, and may replace the iPhone 17 Plus model. Other potential features include an aluminum chassis, an A19 chip, and an improved front camera.

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