At this point in the pregnancy, your visits would be approximately every 4 weeks. These visits occur via OTN (video-conferencing) if no physical concerns.

[COVID-19 Update - Clinic visits are extended to approximately every 5 weeks (if your pregnancy is progressing well).]

This ultrasound should be performed between 7-9 weeks to accurately date your pregnancy and help set your Estimated Due Date.

This is optional screening to be performed between 11-13 weeks.

This testing provides an individualized risk of your baby having Trisomy 13, Trisomy 18, or Trisomy 21 (Down Syndrome).

This involves both an Ultrasound and Blood work.

At this point in the pregnancy, your visits would be approximately every 4 weeks. These visits occur via OTN (video-conferencing) if no physical concerns until after your Anatomy Ultrasound.

[COVID-19 Update - Clinic visits are extended to approximately every 5 weeks (if your pregnancy is progressing well).]

This ultrasound is done at approximately 20 weeks.

This is done to examine the baby's anatomy, along with the position of the placenta and your baby's growth.

They may be able to determine baby's gender at this ultrasound, but not always (if baby does not cooperate). Gender determination is not a medical test and may not be seen nor reported.

This is a lab test performed between 24-28 weeks.

You do not have to fast for this test (Oral Glucose Challenge Test (OGCT)), but if you go first thing in the morning you can go in fasting.

The lab will have you drink a sweet drink and then will have you wait there for 1 hour before they draw your blood.

You may hear from us should further testing or referral to the diabetic clinic is required. Otherwise, your results will be reviewed with you at your next appointment.

For those women who have an Rh Negative blood type, you will require a dose of Rh Immunoglobulin (RhIg (WinRho)) at approximately 28 weeks.

If this applies to your pregnancy, you will require a repeat screen for antibodies approximately 1-2 weeks before your RhIg appointment.

RhIg is scheduled at the hospital (generally on Tuesday afternoons).

You will also require a dose at any other time in your pregnancy should you have any vaginal bleeding or any risk of bleeding (car accident, significant fall, trauma, etc.). If this occurs, please promptly present to the hospital for assessment.

At this point in the pregnancy, your visits would be approximately every 2 weeks until Term (37 weeks) and then every 1 week until delivery.

[COVID-19 Update - Clinic visits are extended to approximately every 3 weeks until 38 weeks and then every 1 week until delivery (if your pregnancy is progressing well).]

It is recommended that you see your Family Physician between 28-32 weeks (or earlier) to receive the Pertussis/Whooping Cough Vaccine (Tdap).

SOGC has prepared a Q&A available here.

All pregnancies are screened for Group B Streptococcus (GBS). Patients do their own swabs in the clinic at 35-37 weeks.

If positive, then you would require intravenous antibiotics in labour or if your water is broken. (If positive, and you think you are in labour or you think your water is broken, you should present to Labour & Delivery for assessment.)

A cervical Stretch & Sweep can release prostaglandins and help get the cervix ready for labour and in some cases bring on labour.

It is uncomfortable and can lead to bleeding and cramping.

This is offered from 38 weeks.

If no spontaneous labour and no concerns in the pregnancy, an induction of labour will be scheduled between 41+0 to 41+5 weeks.

This will be discussed with you after 40 weeks (after your estimated due date).

Most women will go into labour on their own and not require this induction.