Prenatal Care: Nurturing Health from the Start


By H. M. Bennett, MD, FACOG

Dr. Bennett is an OB-GYN at Vanderbilt Integrated Center for Women’s Health in Tullahoma, Tennessee.

Prenatal care is the cornerstone of ensuring a healthy pregnancy journey for both expectant mothers and their developing babies. Without prenatal care, babies are much more likely to have low birth weight or other serious complications.

But for many expectant mothers, these appointments, and the importance of regular care, can be confusing. In this article, we explore the various facets of prenatal care, from early visits and medical assessments to its far-reaching implications.

Prenatal care should start early in pregnancy, aiming to optimize the mother’s health and create the best conditions for fetal growth. Early assessments involve monitoring nutrition and guiding essential aspects like folic acid supplementation, which is vital for brain and spinal cord development. Establishing an accurate due date during these initial visits helps guide future visits.

Prenatal visits also entail medical tests and screenings. These include blood tests for infections like HIV and hepatitis, crucial blood type testing, gestational diabetes screening around 28 weeks, and Group B strep testing at about 35 weeks. These assessments identify potential complications so early action can be taken.

Significant progress has been made in early genetic testing, making it a more common part of prenatal care. Noninvasive prenatal screening (NIPS) is a simple blood test done in the first trimester that diagnoses genetic issues early, reducing invasive procedures. This empowers parents with valuable insights into their baby’s health and helps plan for any additional postnatal care that will be needed.

The frequency of visits will change as a pregnancy progresses, with monthly appointments initially, every other week later, and weekly after 36 weeks to monitor fetal development and detect complications.

Consistent prenatal care yields positive outcomes for mothers and babies. Not attending regular visits can have serious consequences. It helps monitor for complications like gestational diabetes and genetic conditions, allowing parents to share milestones like knowing the baby’s sex. Early care prevents complications like pre-eclampsia and preterm births.

But prenatal care goes beyond medical checkups. It builds trust, creates a supportive community and addresses mental health. Regular visits allow mothers to express concerns, receive support and access resources. This personalized guidance creates an important foundation for early childhood.

For pregnancy-related questions, consult your physician for personalized guidance. Prioritizing prenatal care ensures mothers have the support and resources needed, leading to healthier outcomes for both the mothers and their babies.


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