What will happen at my second trimester doctor visits?

You can expect a whole new battery of tests now that you're in your second trimester: Beginning with your 12-week visit, your provider will listen for the fetus's heartbeatCheck your hands, feet, and face for swelling; if at risk, you'll undergo a work-up for preeclampsiaBeginning at your 20 week visit, your provider will measure your abdomen to check the fetus's growthBetween 18 and 20 weeks, a sonogram is commonly done to see whether your baby's health and growth are progressing normallyBetween 24 and 28 weeks, every pregnant woman receives a glucose screening test for gestational diabetesYour provider may check your blood once more for anemiaBlood test for Rh antibodies if you are Rh negative and your partner is Rh positive or unknown; if antibodies are not detected, you will be given in injection of Rh immune globulin at 28 weeksIn addition, your provider will ask questions to insure that you are staying in good mental and physical health as your pregnancy progresses (you'll be asked about fetal movement and the pattern that is developing so you can learn to monitor this important health tool).

The finish line may be in sight, but there's still plenty for your doctor to do: Continue to monitor the fetal heartbeat at every visit and document your perception of consistent fetal movementContinue to monitor the growth of the fetus by belly measurementCheck for swelling of hands, feet, and faceCheck fetus's position (if it's not in head down position near the time of delivery, your provider will offer you options)Check the adequacy of your pelvis for vaginal delivery and the condition of your cervix as you progress toward deliveryIf glucose screening test showed high blood sugar, you will be given a glucose tolerance testBetween 35 and 37 weeks, during a pelvic exam, you will be screened for the presence of group B strep in your vaginaIf you were anemic early in your pregnancy or didn't have your blood checked in the second trimester, you may have your blood tested again for anemiaIf you are at high risk for sexually transmitted diseases, you will be retestedIf you had placenta previa or low-lying placenta earlier in pregnancy, you'll have another ultrasound to determine location of the placenta; delivery mode will be planned as necessaryIf your pregnancy is high risk or you experience certain problems, you may have a biophysical profile or nonstress test to help with decisions about the timing of your deliveryIf you go past your due date, your provider will do an ultrasound to check the amount of amniotic fluid and may also order a nonstress test or biophysical profile to determine the baby's condition. These tests may be given once or twice a week until you either go into labor naturally or are induced.

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