Coming In For A Visit

First prenatal visit should be within the first ten weeks of pregnancy. This is especially important for any women with a family history (including the father's family history) of genetic diseases including but not limited to Down Syndrome, Neural Tube Defects, mental retardation, fetal malformations, etc.

Initial Visit:

  • Urine pregnancy test.
  • Complete History to determine gestational age, obstetric history and relevant medical history.
  • Complete Physical exam including a pelvic exam.

Follow Up Visit

  • If needed, an in-office obstetric ultrasound to determine fetal gestational age. If the ultrasound reveals a viable pregnancy then complete obstetric testing is completed including Pap smear, cervical cultures (Chlamydia, Gonorrhea) as well as blood work including: CBC, blood type, Rh determination, blood antibodies, Rubella, VDRL, HBsAg, Hep C, HIV, urine analysis and culture, among others.
  • If the obstetric ultrasound cannot detect an intrauterine pregnancy, then blood is obtained for a quantitative BHCG (pregnancy hormone) and repeated in approximately 48 hours.


Subsequent Visit:

For low risk, uncomplicated pregnancy, prenatal visits will be scheduled:

  • Every four weeks up to the 28 weeks of pregnancy.
  • Every two weeks from 28 to 36 weeks of pregnancy.
  • Once a week from 36 weeks until delivery.

At each Visit:

For low risk, uncomplicated pregnancy, prenatal visits will be scheduled:

  • Blood pressure.
  • Maternal weight.
  • Urine dipstick for glucose, protein and ketones.
  • Check fetal heart tones.
  • Confirm appropriate fetal growth.
  • Examination of abdomen for lie, position and presentation of fetus.
  • Weight Gain: Expect to gain 1 lb per month in the first half of pregnancy, 1 lb per week in the second half of pregnancy. Average weight gain is 25-35lbs.

Additional Test / Screenings:

The following screenings and tests are done during the second and third trimesters of pregnancy as follows:

Between 15 and 20 weeks of pregnancy:

The Quad Screen is a screening test for genetic diseases. It is not a diagnostic test. It determines the fetal risk for certain genetic diseases and assesses whether further diagnostic testing may be needed.

Between 18 and 20 weeks of pregnancy:

Fetal Anatomy Ultrasound detects fetal anomalies and confirms gestational age as well as fetal growth.

Between 24 and 28 weeks of pregnancy:

1 hour Glucola for Gestational Diabetic Screening, CBC.

Between 28 and 32 weeks of pregnancy:

Rhogam for Rh negative women. Follow up ultrasound for growth and position.

Between 34 and 36 weeks of pregnancy:

Group B Strep (GBS) swab.

Between 40 and 41 weeks of pregnancy:

NST (fetal non-stress test) and Bio-physical profile (BPP) to confirm fetal well-being.

At 41 weeks of pregnancy:

Evaluate for induction. Non-stress Fetal Monitor test and Biophysical Ultrasound examination may be ordered at any time to determine fetal well-being, especially if fetal movement decreases, or if risk factors such as diabetes or high blood pressure are present.

6 weeks postpartum: Follow up visit.

  • Discuss post-partum recovery.
  • Discuss contraception.
  • Breast exam and pelvic exam.
  • Evaluate for Depression/ mental health.
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Alex Ferro, MD
4302 Alton Road
Miami, FL 33140