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Pregnancy Checklist For First, Second And Third Trimester

Yourgutt

September 21, 2021

This article is suitable for first-time pregnant mothers (first pregnancy). This pregnancy to-do list covers from trying to conceive/have a baby to first how to check if you’re pregnant, the first trimester to the third trimester, and until your newborn is one month old. It is always good to be prepared for pregnancy as it is a lifetime commitment financially, mentally, and emotionally. 

On top of that,  this pregnancy checklist includes the number of prenatal tests that will be conducted; however, it may vary according to clinics and your OBGYN. Let your doctor know and your concerns on any additional tests you feel the need to do. 

 

When You Are Trying To Conceive

  • Start taking prenatal vitamins (the crucial vitamins and minerals for pregnancy are folate/ folic acid, iron, and vitamin B1, B2, B3, B6, B12)
  • Pregnancy: 600 μg/day of Dietary folate equivalent
  • Lactation: 500 μg/day of Dietary folate equivalent
  • 100mg/day of elemental iron
  • Talk to your doctor about having a baby. Do health screenings as well as discuss family medical history (congenital disabilities, miscarriages, and genetic disorders)
  • If there is difficulty getting pregnant, try to get a fertility test done and arrange for fertility counselling.
 

 

Are You Pregnant?

  • Miss your period? If you’ve been trying lately, it’s probably good news! Regardless, get a pregnancy test as confirmation.
  • Tell your partner the good news.
 

First Trimester Checklist

Week 1 to Week 8 of Pregnancy 

  • Schedule your first prenatal checkup/test with your doctor (it will start around week 8)
  • Examples of prenatal will do tests: blood test, delivery date estimation, breast, pelvic and cervical examination, including a Pap smear test, and more.
  • Check on your insurance policy and pregnancy coverage (if any)
  • Check on your workplace on pregnancy leaves/ benefits (if any)
  • Plan on your pregnancy journey from week 1 to 1 month postpartum.

Week 8 to Week 12 of Pregnancy

  • Prenatal checkups are usually done around this time. Talk to your doctor about which test to be done.
  • Here is an essential list of tests that are commonly done.
    1. Blood test ( The blood type and RH factor, Anaemia, a low red blood cell count Hepatitis B, Syphilis and HIV, VDRL, Immunity to German measles (rubella) and chickenpox)
    2. Nuchal translucency screening (around week 10 to 14) to detect an early indication of Down Syndrome, Trisomy 13, and Trisomy 18)
    3. Family medical history, surgical history, and medical history.
 

Second Trimester Checklist 

Week 12 to Week 16 of Pregnancy

  • Get into a healthy pregnancy routine such as a workout routine. 
  • Start planning on maternity leaves. 
  • It is time to start learning about childbirth, pregnancy, and breastfeeding/formula milk.
  • You can start picking out names if you want.

Week 16 to Week 20 of Pregnancy

  • Start your second-trimester prenatal screening:
    • Quad test for alpha-fetoprotein (AFP), a protein baby makes, hCG (same as in the first-semester screen), estriol, a hormone from the placenta and baby’s liver, inhibin A, another placental hormone. Quad test results can combine with Nuchal translucency screening from the first trimester for a more accurate reading of genetic tests. However, This test is optional if the first one has already been conducted.
    • Glucose screening test to determine whether there is any risk of gestational diabetes. Gestational diabetes will increase the potential for cesarean delivery as infants are usually larger for mothers with gestational diabetes.
    • Mid-pregnancy ultrasound to make internal measurements and determine baby’s growth. 
    • Ultrasound to determine the sex of your baby. 
  • You would probably start to feel your baby moving around in your tummy, dont worry, it is completely normal.

 

Week 20 to Week 28 of Pregnancy

  • Get your house ready for a baby that means getting baby supplies (or maybe ask for some, cause you don’t need a brand new stroller for your baby that will only use it for a couple of months)
  • Maternity clothes, baby-proofing your house, getting cradles, etc.

 

Third Trimester Checklist

Week 28 to Week 36 of Pregnancy

  • Your baby should start kicking from week 18 – 20. You can begin fetal kick count. Count 10 movements within an hour. If it is less than that, worry not. That means your baby is probably sleeping. If by the 2-hour mark and there is still no movement, it is best to find a doctor as soon as possible.
  • Learn more about childbirth and breastfeeding. The midwife from your clinic should provide classes.
  • Some tests that can/would be done:
    • Group B Streptococcus Screening, by checking fluid in the cervix. This infection could pass to the infant during birth; hence it is essential to treat before childbirth.
    • Non-stress test for pregnant mothers that are high-risk pregnancy or are carrying multiples, or have health conditions such as diabetes and high blood pressure. 
    • Biophysical profile for those with chronic health conditions or overdue babies. Pregnant mothers with decreased amniotic fluid, fetal movement, or placental irregularities may be advised to undergo this test.
    • Ultrasound to check on your infant’s progress (optional)

Week 36 until Delivery

  • Getting ready for childbirth. A reminder, you are doing great, and you’ve come so far to where you are now. Childbirth is a beautiful and unique experience.
  • If required, you can do an additional biophysical and non-stress test.

Childbirth Checklist 

  • Congratulations on your childbirth!! We are so proud of you for making it this far. 
  • Now is the best time to allow yourself to recover from childbirth and start bonding time with your newborn. Cradle with your baby, spend time with them. You have done enough.

My Baby Is One Month Old, So What Should I Do?

  • Depending on your childbirth and your condition, you may be required to stay in the hospital for a week. 
  • Visit your paediatricians (likely 2-3 times this month)
  • Postpartum clinical check-up (6 weeks after delivery)
  • Getting your baby Hep B vaccination (1-2 months old)
  • Lactation and breastfeeding classes (if any)

 

Recommended Reading:

 

References:

https://www.pantai.com.my/maternity-services

http://www.myhealth.gov.my/en/screening-chromosomal-anomalies/

https://www.acog.org/womens-health/faqs/prenatal-genetic-screening-tests

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Melvin T

Melvin T

Graduated from UCSI University with BSc (Hons) in Nutrition with Wellness, Melvin decided to venture into research & development with past experiences in clinical setting, food service, and retail pharmacy. His goal is to formulate health products that are scientifically driven and culturally acceptable.

Furthermore, he is passionate in the science and art of preventing diseases and health education. Hence, he took the role as community nutritionist to advocate primary health care to the community.

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