At your initial OB visit, you will receive a pap smear, vaginal culture, and receive orders for basic blood work. Options for first trimester screening for genetic abnormalities and birth defects will be discussed. These tests are optional and are considered screening tools for genetic abnormalities, not all insurances will cover them. We recommend contacting your insurance to discuss your coverage if you are interested in having them done.
Between 15-20 weeks you will be offered a the option for Quad Marker Screening. The Quad Marker is a blood test that determines if a women is at a higher or lower risk for carrying a baby with a birth defect or chromosomal abnormality. Since this is considered a genetic screening, we recommend contacting your insurance to discuss your coverage if you are planning to have this done.
You will have a 1 hour glucose tolerance test and CBC between 24-28 weeks. The glucose tolerance test is done to screen for gestational diabetes and the CBC (Complete Blood Count) is done to evaluate the three major types of cells in the blood: red blood cells, white blood cells, and platelets.
If you are Rh negative, you will receive an injection called Rhogam at 28 weeks. This can be done at any of our local hospitals.
Around 36 weeks you will be tested for a bacteria called Group Beta Strep and will also have another CBC drawn. Group Beta Strep (GBS) is a type of bacteria that is found in 10-30% of pregnant women and is one of the many bacteria that live in the body and usually doesn't cause any harm. However, GBS can be passed to the baby during labor and delivery. If this happens, the illness can cause serious health problems and can even be life threatening.