Your pregnancy check-ups, trimester by trimester

Regular check-ups are the backbone of a healthy pregnancy. They let your care team follow your baby’s growth, keep an eye on your own health, and give you time to ask questions. Every pregnancy is different, so your schedule may vary, but this is what most people can expect.

First trimester (weeks 1–13)

Your first visit is usually the longest. Your doctor or midwife will:

• ask about your health, past pregnancies and family history
• check your blood pressure, weight and urine
• offer blood tests for blood group, anaemia and common infections
• talk through vitamins, especially folic acid, and what to eat and avoid

Most people have a first ultrasound scan around weeks 8 to 14 to confirm the due date. Screening tests for chromosomal conditions may also be offered; your doctor will explain your choices so you can decide what feels right.

Second trimester (weeks 14–27)

Visits are often every four weeks and tend to feel more relaxed. Expect:

1. blood pressure and urine checks at every visit
2. measuring your bump and listening to your baby’s heartbeat
3. a detailed anatomy scan, usually between weeks 18 and 22
4. a test for gestational diabetes, often between weeks 24 and 28

This is a good time to ask about antenatal classes and to start thinking about your birth preferences.

Third trimester (week 28 to birth)

Visits become more frequent as your due date approaches. Your team will check the baby’s position and growth, your blood pressure and any swelling. Many people are offered a swab test for group B streptococcus around weeks 36 to 37.

“Bring your questions to every visit, even the ones that feel small. There is no such thing as a silly question in pregnancy.” — Dr. Grace Mensah, Gynecologist & Obstetrician

Questions worth asking

It can help to write questions down between visits. Many people ask about:

• which symptoms are normal, and which need a call
• how much weight gain to expect
• whether their medicines are safe to keep taking
• travel, work and exercise during pregnancy
• what pain relief is available during labour

Signs to call us straight away

Do not wait for your next appointment if you have:

• bleeding or fluid leaking from the vagina
• severe headache, blurred vision or sudden swelling of the face and hands
• strong tummy pain
• fewer movements from your baby than usual, later in pregnancy
• fever or feeling very unwell

Looking after yourself

• Keep active with walking, swimming or pregnancy yoga.
• Eat regular, balanced meals and stay well hydrated.
• Rest when you can, and ask for help when you need it.
• Talk to someone if you feel low or anxious; mental health matters just as much.

At Healora, pregnancy care is shared by one small team of doctors and midwives, so you see familiar faces from your first visit to your baby’s first check-up.

This article is general information, not medical advice. Follow the schedule and advice of your own care team.