Pregnancy Checklist

1st Trimester

  • Read our Pregnancy Guide.
  • Take prenatal vitamins once a day with DHA. Most PN Vits include DHA. This provides a healthy dose of omega-3 essential fatty acids, which is normally obtained from fish sources, but do to fears about mercury in fish, many pregnant women do not get enough omega-3's.
  • We also advise a daily Calcium Supplement…Citracal or Tums, 1-2 per day. Usually this contains 500 mg of Calcium, and also added Vitamin D, about 400 to 1,000 units a day, is beneficial.
  • Have your first prenatal lab panel done. We will provide you with the lab slip at your first appointment.
  • You will receive information on prenatal screening tests, called Integrated Screening. Please look this over.
  • Read about the test called NIPT which stands for non-invasive prenatal testing. The mother's blood contains fragments of fetal DNA which can be tested for genetic conditions such as Trisomy 21 (Down Syndrome) and many others. Fetal gender (Boy/Girl) can also be determined, as early as 10 weeks gestational age.
  • Decide if you are interested in the nuchal translucency test (the NT test) which is done at 12-13 weeks
    gestation here in our office. This is the first of two prenatal screening tests.
  • The second prenatal screening test is the afp test, also called the alpha-fetoprotein test, done at 16 weeks.
  • If you are interested in CVS, done at about 11 weeks, please tell us right away.

Third Trimester 

  • All patients are tested for possible gestational diabetes about 26-28 weeks. In addition, if you are
    Rh Negative, you will need additional blood tests at that time followed by a Rhogam injection.
  • Decide about childbirth preparation classes. First-time patients may want to take Prepared Childbirth Classes, breast-feeding, infant care and others. Call Huntington’s Childbirth Education Dept. at 626-397-8768 for more information.
  • Send in your pre-registration form to Huntington Hospital. If you do not yet have a Pediatrician, leave that section blank. One day we will be able to do this online (we have asked the hospital for years to implement that!)
  • If you have never seen Huntington Hospital’s Birthing Center, you may attend a free Maternity Tour.
    Call 626-397-5037.
  • Select a Pediatrician for the baby’s care while in the hospital. We can recommend one, but many patients wish to ask around and pick someone of their own choosing. Verify that your selected Pediatrician is on your child’s medical insurance plan and is on staff at Huntington.
  • If you are planning on having a tubal ligation (tying the tubes), please be sure that you have signed the California State Sterilization Consent Form.
  • Any balance due should be paid by the 28th week. Please discuss all financial issues with our office manager.
  • A free breast pump is available under Obamacare.
  • Make a decision about umbilical cord blood banking. Cord tissue itself can also be banked. We work most closely with the Cord Blood Registry and StemCyte but there are other Family Cord Blanks as well.
  • If you work, once you have determined your last day of work, we can help you submit a disability claim. You may want to also look into the California Paid Family Leave program.
  • If you are having a boy, you might wish to have him circumcised. All the OB doctors in our group perform the routine circumcision procedure, normally done in the hospital before taking the baby home.
  • Contact your insurance carrier about 1 month before your due date to be sure that they are aware that you are pregnant, and that there have been no unexpected problems with your coverage. If you are planning on having a Cesarean, or a tubal ligation, or both, be sure they know about these issues as well.

AFTER DELIVERY

  • After you deliver, we will bill your insurance. If you are billing them yourself, you will need a “SUPERBILL” from us. Put the baby’s name and birthday on the superbill before sending it to your insurance company.
  • Read our Postpartum Information. There is good information on breastfeeding.
  • After delivery, call to schedule your postpartum appointment. We would like to see you 6 weeks after having a vaginal delivery, and 2 weeks after having a Cesarean delivery.
  • If you have had a good birth experience with us, please consider posting an online review. If not, please call us or e-mail your concerns to us. We will do everything possible to try and help you if your birth experience was not what you were hoping for.

Congratulations!