Generally, visits are every four weeks until 28 weeks and then every two weeks until 36 weeks. The following information describes the usual course of appointments when care is shared with us. You can also likely use this if you share care with other Obstetrical Care providers.

Initial 1st-trimester visit

At this visit, the physician does the following:

  • Reviews the patient’s history and risks
  • Does a complete physical, including a Pap smear (if needed) and swabs (note that some people choose to do these tests at a subsequent visit)
  • Has a discussion regarding integrated prenatal screening (IPS) and HIV testing. Organizes IPS, if desired
  • Discusses amniocentesis, which is available automatically to women over 40. Contacts the CHEO Genetics Program, or arranges for the testing through Millar Moores or other OB care provider
  • Gives information about and orders initial blood work (see the referral checklist for what is needed)
  • Arranges referral to the desired pregnancy care provider (GPOB or OB)

At about 14 weeks

  • Book your patient a morphology ultrasound for when she is at 18-20 weeks.

At 20 weeks

  • This is the first visit with the GPOB or OB. Please send the antenatal records and all test results before this visit

At 24 weeks

  • Review the visit with the GPOB/OB
  • Order the complete blood count (CBC) and the 50-gram gestational diabetes mellitus (GDM) screen (note: If your patient is Rh negative, also order a repeat prenatal antibodies screen at this time)
  • Organize a WinRho®SDF as required. (we can help here, if needed)
  • Review the signs and symptoms of preterm labour

Between 32 and 34 weeks

  • Prepare all documents for transfer to the GPOB/OB for ongoing care