![]() Studies show that antibodies are also passed to the fetus. Your doctor will also talk to you about the COVID-19 vaccine, which helps protect you from the virus and lessens the severity of the illness if you become sick. If flu season is here or approaching, your practitioner should talk with you about the benefits of getting a flu shot if you haven't already had one. Centers for Disease Control and Prevention (CDC) recommend all pregnant women get a booster between 27 and 36 weeks. Even if you've been vaccinated before, the U.S. You should get the Tdap vaccine to help protect you and your baby from pertussis (whooping cough). If you're at risk for sexually transmitted infections, you'll be tested again for syphilis, chlamydia, gonorrhea, and HIV. Your blood may be checked again for anemia, particularly if you were anemic earlier in your pregnancy. You'll most likely be given corticosteroids to help your baby's lungs develop faster if your delivery is scheduled before 37 weeks. Some women with placenta previa experience heavy bleeding, and in this case, your doctor may recommend a C-section to deliver your baby earlier. If it hasn't, you'll most likely have a C-section to deliver your baby safely. If you were found to have placenta previa, which is what happens when the placenta partially or totally covers the cervix, you'll have a third trimester ultrasound to check whether the previa has resolved. If you're experiencing symptoms of preterm labor, such as contractions, vaginal spotting, and abdominal cramps, be sure to alert your doctor. You'll also need more tests, including an ultrasound and/or non-stress test, which tracks your babies' heart rate for a period of time. Because you're at risk for preterm birth, you may need more frequent prenatal appointments, sometimes weekly. In severe cases, your doctor may want to admit you to the hospital and consider delivering your baby early.Ĭarrying twins, triplets, and higher-order multiples is considered a high-risk pregnancy. But if you're not at 37 weeks, your doctor will order an ultrasound and heart rate monitoring to check your baby's well-being. If you're past 37 weeks of pregnancy, then your doctor may want to deliver your baby. Most of the time, patients with preeclampsia have no symptoms and it's incidentally diagnosed in the office with new onset high blood pressure. Some of the signs of preeclampsia are sudden swelling in the face and hands and protein in the urine. Preeclampsia (very high blood pressure) usually develops during the third trimester. Your doctor may also order a third trimester ultrasound to check your baby's growth and development. If you were diagnosed with gestational diabetes, your doctor will continue to monitor your blood glucose levels and ensure that you're following a healthy diet and exercise routine. Likewise, you'll be automatically treated during labor if you've previously had a baby infected with group B strep.) Gestational diabetes (If you've had a group B strep urinary tract infection during this pregnancy, you won't need this test because even though the infection was treated, you'll automatically get antibiotics during labor. If your test is positive, you'll be given antibiotics during labor to help keep you from passing it on to your baby. If it turns out your baby is breech, you may be offered an external cephalic version, which are maneuvers done to try to turn your baby into a vertex (head-down) position.īetween 36 and 37 weeks, your practitioner will swab your vagina and rectum to check for a common infection called group B strep. Your doctor may also order an ultrasound if they aren't sure about your baby's position from an abdominal exam. And if you have a high-risk pregnancy, your doctor may also order a third trimester ultrasound to do a biophysical profile (BPP) test, where they'll examine your baby's movement and fluid level. If your baby is measuring too small or too big, your doctor may order a third trimester ultrasound to evaluate their growth and your amniotic fluid levels. So, if you're 37 weeks, your fundal height should be around 37 centimeters. At this stage, the measurement should match the number of weeks you're pregnant. Your doctor will also evaluate the baby's heartbeat using a Doppler and measure the fundal height (the distance between your pubic bone and the top of your uterus). Some practices have you provide a urine sample to screen for protein, sugar, and infection. Like your previous prenatal appointments, you can expect to get your blood pressure and weight checked. What happens at your third trimester appointments? After all, there's a chance your doctor won't be available when you give birth. In some practices where multiple practitioners share the on-call pool, you may make your rounds to get to know everyone as your due date draws near. ![]()
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