Whether you're pregnant with your own child or carrying for another family as a gestational surrogate, a your goal over those nine months is a healthy baby. Regular prenatal care is an essential part of the process; when you start and how often you go can help ensure both you and the baby are thriving.
Prenatal care is defined as the health care you receive while you are pregnant. The benefits of prenatal care are numerous, both for the woman and the unborn baby. The U.S. Office on Women’s Health recommends getting both early and regular prenatal care.
If you know you’re pregnant, or suspect you might be, it’s important to contact your health care provider to schedule a visit. Consider the type of care you’d like to receive during your pregnancy; will you work with an OB/Gyn? A midwife? Research the options in your area that most align with your needs. Depending on your situation and health history, you may go in for a confirmation pregnancy test. Your doctor may also perform an ultrasound to give a more accurate due date.
Pregnancy is discussed in terms of months and trimesters, which are units of three months. The first trimester is months 0-3, or weeks 0-17. The second trimester is months 4-6, or weeks 18-30. The third trimester is months 7-9, or weeks 31-42. Pregnancy is often thought of as 40 weeks, but full term is now considered any time between 39 weeks, 0 days and 40 weeks, 6 days. That spans 1 week before the due date to 1 week after the due date.
In many cases, your first prenatal appointment may not take place until 8 weeks gestation. Prenatal care truly starts, however, the moment you even consider getting pregnant. Preconception health is an understanding of how your body is functioning, medications you’re taking and lifestyle considerations that could have an impact on your pregnancy and the health of your unborn baby. The Office on Women’s Health recommends women give themselves three months to prepare before getting pregnant. The five things to prioritize include:
Taking 400-800 micrograms of folic acid every day for at least 3 months to reduce the risk of birth defects in the brain and spine. Research shows that daily folic acid reduces the risk of neural tube defects by 70%. Some foods, like cereals and grains, include folic acid but it’s best to get the necessary amount from a supplement.
Stop smoking and drinking alcohol. In addition to Fetal Alcohol Syndrom, the use of tobacco and alcohol has been shown to increase the risk of Sudden Infant Death Syndrome.
Work to manage any medical conditions, such as asthma, diabetes, high blood pressure and thyroid disease.
Consider any medication or supplements you’re currently taking and confirm with your doctor if they are safe for pregnancy. If not, discuss your options. Depending on your individual needs and health history, your provider might recommend additional supplementation.
Prenatal visits with a health care provider will typically include a physical exam, weight check and providing a urine sample. Depending on the stage of the pregnancy, you can expect blood tests and ultrasounds. The very first appointment is typically the longest; in addition to a general exam, medical history and lifestyle will also be discussed. Blood work to determine blood type, blood count and Rh factor is completed during the first visit, along with testing for certain viruses and sexually transmitted diseases. This work up can help determine if there are any warning signs that the pregnancy is high risk; if so, prenatal care will be adjusted accordingly. Depending on the issue, you may also have appointments with a specialist.
Pregnancy requires many appointments – typically once a month during the first two trimesters, then twice a month during weeks 28 through 36, and eventually every week from week 36 until delivery. Women with high-risk pregnancies will go in more regularly. The check ups all serve a purpose and should not be missed.
The cost of prenatal care ultimately depends on health insurance coverage. With insurance, most prenatal visits and diagnostic tests like ultrasounds are covered as “preventative” care. Without health insurance, the average cost of prenatal care is about $2,000. Planned Parenthood, community health centers and family planning clinics may offer free or low-cost prenatal care, and you may qualify for health insurance through your state. Every state in the United States has a program to help women have healthy pregnancies.
Whether you are pregnant for the first time or carrying a surrogate pregnancy, prenatal care is essential for the health of both you and the baby. To learn more about the logistics of surrogacy and if it’s the right path for you, contact our team!
All Things Conceivable is a blog dedicated to sharing the knowledge and expert opinions of the dedicated team at ConceiveAbilities, a Chicago-based egg donation and surrogacy agency.