Prior to Your First Visit
Please begin taking prenatal vitamins if you haven’t already. Have a t least .8 mg. of folic acid each day. Women who have a baby with a neural tube defect should take 4 mg. of folic acid each day. Prenatal vitamins are both over the counter and prescription, so you may want to compare prices.
Be sure you have a current copy of your insurance card and bring it to your appointment. Our insurance department will pre-certify your maternity care. If your insurance changes during your pregnancy, please notify the insurance department.
Please note that Warsaw Women’s Center providers will have total access to your health care records through Kosciusko Community Hospital. If you ever require the services of an ambulance please direct them to take you to KCH Emergency Room.
Prenatal Visits and Testing
Your first appointment will occur between the 10th and 12th week of pregnancy. If no complications arise, the doctor will see you every 4 weeks, and then later in pregnancy visits will be every 2 weeks, and the last month’s visits will be every week.
Your first OB appointment will be a complete physical with Pap smear, if needed. The physician will listen for your baby’s heartbeat. Then you will be directed to our lab and have a prenatal panel of blood work drawn. These tests include a blood count (to check for anemia), test for hepatitis B, HIV, Rubella, syphilis, thyroid test, blood type, Rh factor, and a urinalysis. (The cost of this panel and any other blood work that is ordered is not included in the fee for prenatal care).
On subsequent visits your weight, blood pressure and urine will be checked and the physician or nurse will check the baby’s heart beat and measure the size of your abdomen for uterine growth as well as answer any questions you may have.
Genetic testing is an optional blood test done on the mother’s blood after 10 weeks pregnancy. This test is done to assess the risk for chromosomal abnormalities such as downs syndrome. This is a screening test and you must check with your insurance company to check on coverage.
Cystic Fibrosis screening test is an optional blood test done on the mother’s blood to determine if she is a carrier of cystic fibrosis. If the test is positive, the father is tested. If both are positive, further testing can be done to determine if the baby has or is a carrier of having cystic fibrosis.
On or around your 36 week visit, a vaginal culture will be done to check for the presence of Beta Strep. If this test is positive, you will be treated with antibiotics during labor.
An additional ultrasound may not be part of your routine prenatal care, but will be ordered if indicated. Please check with your insurance company regarding their policy on ultrasound payment and precertification.
Non-stress Test (NST)
A non-stress test (NST) may be used later in pregnancy to monitor your baby’s well being. Belts will be arranged around your abdomen to time any contractions you are having and trace the baby’s heart rate. You will be monitored for approximately 20 minutes. The NST is not a routine test, but is done for a variety of reasons, included decreased fetal movement, tobacco use, etc.
At your 28th week appointment a one hour Glucola check will be done for gestational diabetes. If you are Rh negative, you will also have antibody screen checked and will receive a Rhogam injection.