Blood tests:
As soon as diagnosed for pregnancy:
CBC, Urine Routine,
HbA1C,
Thyroid function test, Rubella IgG, Blood group, Hb Electrophoresis , Serology adviced.
12 weeks: NT Scan with Doublemarker test
OGCT
16 weeks: Early Anatomy scan with Quadruple marker if Double marker not done.
18-19weeks: Anomaly scan
Repeat CBC,Ultra
TSH, Urine culture
22-23weeks: Fetal 2D Echo recommended
28weeks: Growth scan
Repeat CBC, Ultra TSH, OGCT
32weeks: Rrpeat growth scan only if previous scan is abnormal
36-38weeks:
Last Growth scan to know Fetal weight, Amniotic Fluid Level and Doppler
Repeat CBC, UltraTSH, HbA1c, Urine routine, Serology.
Here we are doing CBC and Ultra TSH almost every 2 to 2.5 months. So we can know Hemoglobin level and Thyroid level. And if they r not normal, we give treatment and will know the effect of treatment as we will do in every 2 to 2.5 months.
Patient with GDM, Hypertension, Hypothyroidism, Rh Negative Pregnancy, Twin pregnancy, This schedule may change