Antenatal care follows a structured schedule with documented medical assessments. The purpose is to monitor the course of the pregnancy and detect any deviations at an early stage. Check-ups are carried out regularly from the initial registration until weeks 40–42, depending on the development of the pregnancy.
At each visit, weight, blood pressure and fundal height are recorded. Blood pressure is measured to detect signs of preeclampsia or other circulatory changes. Fundal height, symphysis–fundus measurement, is the measurement from the upper edge of the pubic bone to the top of the uterus, used to follow fetal growth over time.
Urine samples are collected regularly to assess the presence of protein or glucose. Protein may indicate preeclampsia, while glucose may signal a risk of gestational diabetes. Blood samples are taken at specific intervals to monitor hemoglobin levels, blood type, antibody screening and in some cases glucose tolerance.
From around week 25, fetal heart rate can be monitored using a Doppler device. Gestational age is followed through earlier documentation and ultrasound results. All findings are recorded in the medical journal and form the basis for further assessment if needed.
These check-ups are standardized and carried out in the same way in uncomplicated pregnancies unless further investigations are medically indicated.
Alma’s tips 🌿
• A helpful tip can be to write down any questions before your appointment, so you remember them when you are there.
• You can ask the midwife to explain what the measurements mean, such as blood pressure, fundal height or lab results.
• If you’re unsure why certain tests are done at different times, you can ask how they relate to the stage of pregnancy.
• It can be useful to know that the information from each visit is documented and follows the pregnancy throughout the care process.
