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Routine Checkups – Having a Baby in China

Routine Checkups

Complete blood count (Hematocrit, Hemoglobin, White Blood Cell Count)

Completed at initial visit, 28, 36 weeks

This test is completed to survey the general health and well-being of mothers. This gives a baseline that can also be used during pregnancy to assess the mother.

Type and Rh

Completed at initial visit

This test is completed to determine mother’s blood type; if mother is Rh negative she will receive a Rhogam injection at 27 weeks, and possibly after delivery if fetus is Rh positive.

Antibody Screen

Completed at initial visit, 36 weeks

Rubella

Completed at initial visit

This test is completed to assess if the mother will need an injection for Rubella immunity after pregnancy.

50 Gram 1 Hour Glucose Challenge Test

24 to 28 weeks

This test is completed to indicate possible gestational diabetes.

HBsAg

Completed at initial visit, as indicated

These are completed to indicate high risk maternal-fetal transmission that can be reduced by prophylactic administration with medications.

Urinalysis

Completed at initial visit

This test is completed to survey the general health and well-being of mothers. This gives a baseline that can also be used during pregnancy to assess the mother.

Urine cultural and sensitivity

Completed at initial visit

This test is completed to survey the general health and well-being of mothers. This gives a baseline that can also be used during pregnancy to assess the mother.

Glucose/protein

Completed at each visit

These are completed to detect protein or glucose in the urine to treat early onset of complications such as Gestational Hypertension or Gestational Diabetes

Pap smear

Completed at initial visit

This test is completed to survey the general health and well-being of mothers. This can also detect any possible complication that may arise during the pregnancy or labor.

Group B Strep culture

Completed at 36 weeks

This is a culture completed to find the status for GBS in the mother. If she is positive she will require treatment with antibiotics during labor to decrease transmission to the fetus.

GC/Chlamydia probe

Completed at initial visit, 36 weeks

These are completed to indicate high risk maternal-fetal transmission that can be reduced by prophylactic administration with medications.

Rh Antibody

Completed at initial visit, 28weeks

This test is completed to determine mother’s blood type, if mother is Rh negative she will receive a rhogam injection at 27 weeks, and possible after delivery in fetus is Rh positive

HIV

Completed at initial visit, 36 weeks

This can be completed to indicate high risk maternal-fetal transmission of HIV that can be reduced by prophylactic administration of antiretroviral medications before and during pregnancy

Maternal serum screening (double, triple, quadruple screen)

Completed at 15 to 20 weeks

This test is completed to assess mothers that are high risk for possible genetics complications.

Sickle cell screen

Completed at initial visit

This test is completed to indicate high risk patients for Sickle Cell traits.

Tay-Sachs screen

Completed at initial visit

This test is completed to indicate high risk patients for Tay-Sachs.

PPD (tuberculin screen)

Completed at initial visit

This test is completed to indicate high risk patients for Tuberculosis.

Reference:
Simpson, Kathleen Rice: Creehan, Patricia A. (2008). Perinatal Nursing. Lippincott Williams and Wilkins. Philadelphia, Pennsylvania