Healthy Lifestyle Pregnancy week by week. Products and services. Prenatal care: 3rd trimester visits During the third trimester, prenatal care might include vaginal exams to check the baby's position. By Mayo Clinic Staff. Thank you for Subscribing Our Housecall e-newsletter will keep you up-to-date on the latest health information. Please try again. Something went wrong on our side, please try again. Show references Frequently asked questions.
Pregnancy FAQ If your baby is breech. American College of Obstetricians and Gynecologists. Accessed July 13, Prenatal care and tests. Office on Women's Health. Accessed July 9, Cunningham FG, et al. Prenatal care. In: Williams Obstetrics. New York, N. Hofmeyr GJ. External cephalic version. Accessed July 10, Lockwood CJ, et al. Prenatal care: Second and third trimesters.
Vaccination during pregnancy. Your doctor may check your cervix to see if it's softening, effacing thinning out , and dilating opening. The cervical exam may give an idea of what method of induction of labor to use if it is indicated.
If you do have a pelvic exam late in pregnancy, you might have a little spotting afterward. Generally, practitioners won't do cervical checks unless they feel it's necessary, so if you're not comfortable, you can decline them. Moreover, you were screened to check whether you're Rh-negative during your first trimester. If it turns out you are Rh-negative, you will be given an injection of Rh immune globulin sometimes called RhIg or RhoGAM to prevent your body from producing antibodies for the last part of your pregnancy.
And as always, your doctor will also discuss results from previous tests and follow up on issues that were brought up at your last prenatal appointment. Whether or not she asks, let your doctor know about any symptoms you're having, even if they seem like the usual fatigue, moodiness, or aches and pains.
Be sure to also let your doctor know if you notice your baby is less active than usual she'll ask you to count baby's movements for a set period of time each day. Inside pregnancy: Weeks 28 to Between 36 and 37 weeks, your practitioner will swab your vagina and rectum to check for a common infection called group B strep.
If your test is positive, you'll be given antibiotics during labor to help keep you from passing it on to your baby. 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.
Likewise, you'll be automatically treated during labor if you've previously had a baby infected with group B strep. If you were diagnosed with gestational diabetes. Your doctor may also order a third trimester ultrasound to check your baby's growth and development. Preeclampsia very high blood pressure usually develops during the third trimester. Some of the signs of preeclampsia are sudden swelling in the face and hands and protein in the urine.
Most of the time, patients with preeclampsia have no symptoms and it is incidentally diagnosed in the office with new onset high blood pressure. If you're past 37 weeks of pregnancy, then your doctor may want to deliver your baby. 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. In severe cases, your doctor may want to admit you to the hospital and consider delivering your baby early. Carrying twins, triplets and higher-order multiples is considered a high-risk pregnancy.
Because you're at risk for preterm birth , you may need more frequent prenatal appointments, sometimes weekly. If you're experiencing symptoms of preterm labor, such as contractions, vaginal spotting, and abdominal cramps, be sure to alert your doctor. 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 it hasn't, you'll most likely have a C-section to deliver your baby safely.
Some women with placenta previa experience heavy bleeding, and in this case, your doctor may recommend a C-section to deliver your baby earlier. You'll most likely be given corticosteroids to help your baby's lungs develop faster if your delivery is scheduled before 37 weeks. Your blood may be checked again for anemia, particularly if you were anemic earlier in your pregnancy.
If you're at risk for sexually transmitted infections, you'll be tested again for syphilis, chlamydia, gonorrhea, and HIV. You should get the Tdap vaccine to help protect you and your baby from pertussis whooping cough. Even if you've been vaccinated before, the U. 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. Your doctor will also talk to you about the COVID vaccine, which helps protect you from the virus and lessens the severity of the illness if you become sick.
Studies show that antibodies are also passed to the fetus. Before your appointment, it's a good idea to write down any questions you may have for your doctor. This is also a great time to start thinking about your birth plan as well as what to expect postpartum.
Here are some common questions you may want to ask:. Since you may not be in any shape to make important decisions right after delivery, now's the time to start talking about whether you want your baby boy circumcised, whether you plan to breastfeed, and what you'd like to do for contraception after you have your baby. Of course, you can always change your mind between now and then. And if you haven't found a doctor for your baby, it's time to get started.
Your practitioner can give you some names. Finally, your practitioner may screen you for signs of depression during pregnancy. But don't wait to be asked. This could be because of domestic abuse or violence, sexual abuse or female genital mutilation FGM. FGM can cause problems during labour and childbirth, which can be life threatening for you and your baby.
This is the ultrasound scan to estimate when your baby is due, check the physical development of your baby, and screen for possible conditions, including Down's syndrome. Your midwife or doctor will give you information about the ultrasound scan you'll be offered at 18 to 20 weeks. You'll be offered an ultrasound scan to check the physical development of your baby. This is also known as the week scan.
Screening for HIV, syphilis and hepatitis B will be offered again by a specialist midwife if you opted not to have it earlier in pregnancy.
These tests are recommended as they greatly reduce the risk of passing infection from you to your baby. From 16 weeks, you'll be offered the whooping cough vaccine.
The best time to have this vaccine is after your scan, up to 32 weeks. Your midwife or doctor should give you information about preparing for labour and birth, including how to recognise active labour, ways of coping with pain in labour, and your birth plan. Your midwife or doctor should give you information about caesarean section.
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