PRENATAL CARE INTERVENTION SUMMARY TABLE

Antenatal care for all pregnant women who meet criteria for the Uncomplicated Pregnancy Guideline should include the following interventions. It is recommended that each intervention be completed by the indicated week (NOTE: Between weeks 38-41, weekly visits are recommended).

 
WEEK
Interventions At All Visits
6-8
10-12
16-20
24
28
32
36
38-41
I-1
Screening for hypertensive disorders Recommended Recommended Recommended Recommended Recommended Recommended Recommended Recommended
I-2
Breastfeeding education Recommended Recommended Recommended Recommended Recommended Recommended Recommended Recommended
I-3
Exercise during pregnancy Recommended Recommended Recommended Recommended Recommended Recommended Recommended Recommended
I-4
Influenza vaccine (*season-related)
Recommended 
Recommended 
Recommended 
Recommended Recommended Recommended Recommended Recommended
First Visit With Nurse [6-8 Weeks]
6-8
10-12
16-20
24
28
32
36
38-41
I-5
Screening for tobacco use - offer cessation Recommended
 
 
 
 
 
 
 
I-6
Screening for alcohol use - offer cessation Recommended
 
 
 
 
 
 
 
I-7
Screening for drug abuse - offer cessation Recommended
 
 
 
 
 
 
 
I-8
Screening for domestic abuse Recommended
 
 
Recommended
 
Recommended
 
 
I-9
Screening for RH status Recommended
 
 
 
 
 
 
 
I-10
Screening for rubella Recommended
 
 
 
 
 
 
 
I-11
Screening for varicella Recommended
 
 
 
 
 
 
 
I-12
Screening for hepatitis B Recommended
 
 
 
 
 
 
 
I-13
Screening for syphilis rapid plasma reagin Recommended
 
 
 
 
 
 
 
I-14
Screening for asymptomatic bacteriuria Recommended
 
 
 
 
 
 
 
I-15
Screening for HIV - counsel Recommended
 
 
 
 
 
 
 
I-16
Immunization - Td booster (first trimester) Recommended
 
 
 
 
 
 
 
I-17
Immunization - hepatitis B (first trimester) Recommended
 
 
 
 
 
 
 
First Visit With Provider [10-12 Weeks]
6-8
10-12
16-20
24
28
32
36
38-41
I-18
Assessing weight gain (innappropriate)
 
Recommended Recommended Recommended Recommended Recommended Recommended Recommended
I-19
Auscultation fetal heart tones
 
Recommended Recommended Recommended Recommended Recommended Recommended Recommended
I-20
Screening fundal height
 
Recommended Recommended Recommended Recommended Recommended Recommended Recommended
I-21
Screening for gonorrhea
 
Recommended
 
 
 
 
 
 
I-22
Screening for chlamydia
 
Recommended
 
 
 
 
 
 
I-23
Screening for cervical cancer
 
Recommended
 
 
 
 
 
 
I-24
Counseling for cystic fibrosis screening
 
Recommended
 
 
 
 
 
 
Weeks: 16-27
6-8
10-12
16-20
24
28
32
36
38-41
I-25
Maternal serum analyte screening
 
 
Recommended
 
 
 
 
 
I-26
Routine ultrasound
 
 
Recommended
 
 
 
 
 
I-27
Counseling for family planning
 
 
Recommended
 
 
 
 
 
I-28
Educate regarding preterm labor
 
 
Recommended Recommended
 
 
 
 
Weeks: 28-37
6-8
10-12
16-20
24
28
32
36
38-41
I-29
Assess for preterm labor
 
 
 
 
Recommended Recommended Recommended
 
I-30
Daily fetal movements counts
 
 
 
 
Recommended
 
 
 
I-31
Screening for gestation diabetes
 
 
 
 
Recommended
 
 
 
I-32
Iron supplementation
 
 
 
 
Recommended
 
 
 
I-33
Anti-D prophylaxis for Rh-negative women
 
 
 
 
Recommended
 
 
 
I-34
Screening for Group B Streptococcus (GBS)
 
 
 
 
 
 
Recommended
 
I-35
Assessment of fetal presentation
 
 
 
 
 
 
Recommended Recommended
Weeks: 38-41
6-8
10-12
16-20
24
28
32
36
38-41
I-36
Weekly cervical check (stripping/sweeping)
 
 
 
 
 
 
 
Recommended
I-37 Post-dates antenatal fetal testing
 
 
 
 
 
 
 
Recommended

Interventions Not Recommended In Prenatal Care (All Weeks)
I-38 Post-dates antenatal fetal testing Not Recommended
I-39 Cervical Examination Not Recommended
I-40 Antenatal Pelvimetry Not Recommended
I-41 Routine Urine Dipstick Test Not Recommended
I-42 Routine Edema Evaluation Not Recommended
I-43 Screening for Cytomegalovirus (CMV) Not Recommended
I-44 Screening for Parvovirus Not Recommended
I-45 Screening for Toxoplasmosis Not Recommended
I-46 Screening for Bacterial Vaginosis Not Recommended
I-47 Vitamin Supplementation Not Recommended
I-48 Immunization - MMR Not Recommended
I-49 Immunization - Varicella Not Recommended
I-50 Ultrasound (US) Evaluation of Cervical Length at Week 24 Not Recommended
I-51 Repeat Screening for Anemia, Syphilis, and Isoimmunization Not Recommended
I-52 Screening for Hypothyroidism Not Recommended