PRENATAL INSTRUCTIONS
Congratulations On Your Pregnancy

To help make things go smoothly during your pregnancy, here is a checklist of things to keep in mind:

You will need to fill out the pre-registration form for Mount Sinai Hospital. Please fill it out by Week 15. If you do not receive an admissions packet by 28 weeks, please notify the front desk.

Please check with your insurance company regarding your coverage for pregnancy. It is the patient’s responsibility to understand what may or may not be covered.

There can be separate charges for laboratory studies, which include pap smears, cultures, blood work, amniocentesis, CVS, and Sequential Screening for Down Syndrome. It is a good idea to know which labs your insurance company has a contract with. We use Mount Sinai, Quest, DCL, Labcorp, Genzyme, NTD and BioReference. Whenever possible, we will attempt to have your lab work done at facilities that have contracts with your insurance carrier. However, when it is not possible to use contracted labs, patients are directly responsible for those charges.

We may need to send tests to specialty laboratories located in Chicago/ Texas/ Wisconsin/ California/ Utah. In those instances, payment is required in advance.

TEST CHECKLIST

FIRST VISIT

Routine OB Labs/Pap/Urine culture/Urinalysis/Ultrasound.
Urine will be collected at each prenatal visit.

11.5-13.6 WEEK VISITS

First Trimester Screening (Nuchal Translucency Ultrasound)
CVS, if indicated.
One hour glucose test.

14 WEEK VISIT

Cervical length until 32wks, as directed by MD.

15-16 WEEK VISITS

Amniocentesis if indicated.
Early anatomy ultrasound survey.
AFP Quad screen.
If you require fetal fibronectin (FFN) please check with your insurance carrier to confirm coverage.

21-22 WEEK VISITS

Follow-up anatomy ultrasound survey.
Fetal echocardiogram as directed by MD.

22 WEEK VISIT

Fetal Fibronectin (FFN) until 32weeks, as directed by MD.

24 WEEK VISIT

Growth scan for multiples gestations every four weeks.
FFN

26 WEEK VISIT

FFN
Ask about Childbirth Prep classes.

28 WEEK VISIT

Growth scan
FFN
Rhogam for Rh negative
One hour diabetic screen
CBC

30 WEEK VISIT

FFN

32 WEEK VISIT

Growth scan if directed by MD.
Biophysical Profile (BPP) if directed by MD.

34 WEEK VISIT

Group B Strep (GBS) vaginal culture for multiple gestations, or h/o preterm labor/preterm delivery.

36 WEEK VISIT

Growth scan/BPP if directed by MD.
GBS culture if not done earlier.

40 WEEK VISIT

Growth scan
Fluid check (AFI)
Biophysical Profile (BPP) as indicated.