WHILE MOST PREGNANCIES WILL GO ON TO DELIVERY WITH NO COMPLICATIONS, THE ANTENATAL CHEK UP PROGRAM IS BASED ON THE MORE COMMON PROBLEMS THAT YOU WILL ENCOUNTER:

1. 10% OF ALL PREGNANCIES WILL BE COMPLICATED BY HYPERTENSION (HIGH BLOOD PRESSURE), USUALLY FROM 7 MONTHS ON WARDS
2. 8% OF PREGNANCIES WILL END UP PREMATURELY WITH SERIOUS PROBLEMS FOR THE BABIES
3. 4% OF ALL BABIES WILL BE BORN WITH SERIOUS BIRTH DEFECTS
4. 10% OF BABIES WILL NOT REACH THEIR FULL GROWTH POTENTIAL AND WILL BE BORN SMALLER THAN EXPECTED

HYPERTENSION AND PREMATURITY CAN BE PREVENTED BY EARLY DETECTION OF THOSE WHO ARE MOST LIKELY GOING TO DEVELOP THEM LATER. TESTING IS PERFORMED AT 11 TO 13 WEEKS OF THE PREGNANCY. PREVENTION MEASURES CAN THEN BE INSTITUTED.

BIRTH DEFECTS CAN BE DETECTED AS EARLY AS 11 TO 13TH WEEKS PREGNANCY.
.
WITH JUST 2-3 VISITS MOST OF THE ABOVE CAN BE SORTED OUT

ALL WOMEN SHOULD HAVE A RISK ASSESSMENT DONE PRIOR TO PREGNANCY, OR, IF ALREADY PREGNANT, AS SOON AS POSSIBLE BEFORE YOU PASS THE 3-MONTH MARK. SOME RISKS CAN BE MODIFIED, EVEN IF SEEN IN EARLY PREGNANCY.

GO TO OUR WHAT'S NEW SECTION AND READ MORE.

​THE BASIC PREGNANCY CARE PLAN IS OUTLINED BELOW:

Premarital Consultation
Pre-pregnancy Consultation

The ideal time to assess risk is:
1. Just after marriage
2. When a decision is made to have a baby (Pre-pregnancy) OR
3. As soon as pregnancy is confirmed

ALL COUPLES SHOULD ATTEND A PRE-PREGNANCY CONSULTATION FOR RISK ASSESSMENT AND GENERAL CHECK-UP. 

All couples who fulfill the criteria for high risk pregnancies should have a consultation prior to conception as some, if not all, factors may be modifiable BEFORE pregnancy, increasing the chance of a healthy pregnancy and baby.


ALL WOMEN PLANNING ON HAVING A BABY / GETTING MARRIED SHOULD START THEMSELVES ON FOLIC ACID 0.4 mg/DAY

Recommended Schedule

MISSED PERIOD TO 8 WEEKS




​
11 WEEKS TO 13WEEKS 6 DAYS
(11-13+6)



​18 TO 22 WEEKS


MONTHLY TILL 28 WEEKS

2 WEEKLY TILL 36 WEEKS

WEEKLY TILL DELIVERY

RISK ASSESSMENT, GENERAL CHECK UP, PAP SMEAR
EARLY PREGNANCY SCAN
BLOOD CHECK FOR ANEMIA, THALASSEMIA, BLOOD GROUP AND SEXUALLY TRANSMITTED DISEASES THAT MAY BE PREVENTED FROM INFECTING THE BABY (SYPHILIS, HEPATITIS B AND HIV)
DISCUSSION : RISK BASED CARE PLAN AND DOWN SYNDROME SCREENINGOPTIONS

FIRST TRIMESTER SCAN: STRUCTURE AND GENETIC SCAN
DOWN SYNDROME SCREENING OPTIONS
Pre-eclampsia Screening for First Time Moms


FLU JAB @ 16

DETAILED SCAN: STRUCTURAL SURVEY, SCREENING FOR GROWTH RESTRICTION AND PRETERM LABOUR PREDICTION



GROWTH SCANS EVERY MONTH (ROUTINE)

TETANUS-PERTUSSIS JAB @ 32

GROUP B STREPTOCOCCUS SCREENING @ 36 PRIOR TO VAGINAL DELIVERY

​SPESIFIC MASSAGES FOR PREVENTION OF TEARS DURING CHILDBIRTH
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