Routine Checks and Scans Carried out at an Antenatal Clinic

Routine Antenatal Appointments - General Overview

Routine antenatal appointments, also known as prenatal check-ups, are essential to ensure the health of both mother and developing baby.
The number of visits to the antenatal clinic will increase as the pregnancy progresses.
The appointments involve a range of checks and scans designed to detect and monitor any potential health complications.

Initial Scans and Checks

During the first antenatal appointment, a number of checks will be done, including measuring blood pressure, testing urine samples, and blood tests to check for certain conditions.
The first ultrasound scan, often known as the dating scan, typically occurs between 8 to 14 weeks of pregnancy. It is used to predict the baby’s due date and checks for multiple pregnancies.
Another scan, called the nuchal translucency scan, is often done around 11 to 14 weeks. It assesses the risk of Down’s syndrome, and checks the baby’s neck thickness.

Routine Checks in the Second Trimester

Another ultrasound scan, the anomaly scan, is typically carried out between 18 to 21 weeks. It checks for structural abnormalities in the baby.
Routine tests include checks on the mother’s weight gain, blood pressure, urine tests for protein, and palpating the abdomen to assess the baby’s position and growth.

Routine Checks in the Third Trimester

During this period, appointments become more frequent. The focus remains on monitoring growth and detecting any complications.
There may be an additional ultrasound scan if there are concerns about the baby’s growth or position.
Late in pregnancy, the position of the baby and the mother’s pelvis will be assessed to determine whether a normal vaginal delivery or a caesarean section might be best.

Antenatal Screening and Testing

Screening tests are offered to every pregnant woman. These include tests to check for HIV, syphilis, hepatitis B, thalassemia, and sickle cell disease, amongst others.
Diagnostic tests like amniocentesis and chorionic villus sampling are available if screening indicates a higher risk for chromosomal or genetic abnormalities.

Antenatal Care Communication and Counselling

Clear and effective communication is crucial to ensure that the mother-to-be understands the purpose of tests and is comfortable with the procedures.
Time for discussion and counselling should be provided so that the woman can make informed decisions about her care.
All test results should be explained, with support provided as necessary in the event of any complications or abnormal findings.