Antenatal care, or prenatal care, is the care provided from the moment you confirm your pregnancy until the day your baby is born. It involves regular check-ups with your obstetrician to monitor both your health and your baby’s development. Starting antenatal care early allows for the screening of pregnancy risk factors, tracking foetal growth, and guidance on maintaining both physical and mental well-being throughout your pregnancy. This proactive approach helps to ensure a more comfortable pregnancy, reduces risks, and supports a healthy delivery for both mother and baby.
Antenatal Care
What is Antenatal Care?
The Importance of Antenatal Care
Maintaining Maternal Health
Regular antenatal check-ups are important for monitoring your health throughout pregnancy. These visits enable healthcare providers to detect and address potential health issues, which helps prevent complications and supports pregnancy and delivery.
Monitoring Foetal Growth
Antenatal care includes vital tests and screenings to track your baby’s development. This helps with the early identification of any issues or abnormalities, allowing for timely interventions to safeguard your baby’s health and well-being.
Preventing and Managing Risks
Antenatal care is crucial for identifying and addressing risk factors and potential complications during pregnancy. With consistent monitoring and proactive management, healthcare providers can minimise the risk of preterm birth, low birth weight, and other adverse outcomes, promoting a healthier pregnancy for both mother and baby.
Overview of Antenatal Care Through the Trimesters
1st Trimester: The Early Days of Pregnancy
- Early Development: The fertilised egg implants in the uterine lining, with rapid development from embryo to foetus, and 90% of anatomical structures forming by 11 weeks.
- Initial Ultrasound: A dating and viability ultrasound confirms your pregnancy’s location, estimates the due date, and checks for multiple pregnancies.
- Genetic Screening: Non-invasive blood tests, such as the OSCAR test and the Non-Invasive Prenatal Test (NIPT), screen for genetic conditions and chromosomal abnormalities.
- Early Consultation: At this stage, you can discuss genetic risks and early foetal development with your obstetrician to better understand your pregnancy.
2nd Trimester: Growth and Development
- Increased Foetal Activity: By 16 to 20 weeks, you’ll start feeling your baby’s movements, and by week 20, they respond to external sounds.
- 20-Week Scan: This scan detects structural abnormalities in the foetus, including in the brain, spine, limbs, and other organs, identifying 80-90% of potential issues.
- Gender Reveal: If you wish to learn your baby’s gender, the scan at this stage can reveal it.
- Ongoing Monitoring: Regular ultrasound scans track your baby’s growth and development throughout the second trimester.
3rd Trimester: Preparing for Birth
- Significant Growth: Your baby gains weight rapidly at this stage, accumulating fat and preparing for birth.
- Positioning: By weeks 30 to 34, most babies turn head-down. Ultrasound confirms the baby’s position and readiness for delivery.
- Full-Term Preparation: From week 37, the pregnancy is considered full-term. Regular checks will focus on weight gain, blood pressure, and screening for conditions like pre-eclampsia and gestational diabetes.
- Countdown to Delivery: Delivery can occur any time after 38 weeks, and ongoing antenatal visits are conducted to monitor progress and address any concerns.
FAQs about Antenatal Care
How should I prepare for my antenatal care appointments?
Prepare for your antenatal care appointments by bringing any relevant medical records and test results. Make a list of questions or concerns about your pregnancy and note any symptoms you’ve noticed. Consider bringing a support person for assistance, and make sure that your contact and insurance details are updated with your provider.
How often should I attend antenatal care appointments?
The frequency of the appointments typically increases as your pregnancy progresses. Initially, appointments may be scheduled every 4 to 6 weeks, becoming more frequent as you approach your due date.
What are the signs of complications during pregnancy, and when should I get medical help?
Seek medical help if you experience severe abdominal pain, heavy bleeding, severe headaches, or vision changes. Sudden swelling of hands, feet, or face, or a significant decrease in foetal movement after 28 weeks, are also signs of potential complications that should be promptly evaluated.
What lifestyle advice can I receive during antenatal care?
Your healthcare provider can advise on maintaining a healthy diet, exercising, and managing pregnancy symptoms. This guidance helps you stay well and supports the overall health of both you and your baby.
Are there specific antenatal care services for high-risk pregnancies?
Yes, these services can be tailored for high-risk pregnancies. If you have specific health concerns or complications, your care provider will offer specialised monitoring and treatments to address those risks.
- Pre-conception Health Screening
- Antenatal Scans & Tests
- Delivery
- Postpartum Check-up
- Mommy Makeover (Post-pregnancy)
Pre-conception Health Screening
- Detailed Consultation and Review of Medical History
- Basic Gynaecological Examination (Ultrasound Scan)
- Blood Grouping
- Diabetes Screening
- Full Blood Count
- Hepatitis B Screening
- Rubella IgG Antibody
- HIV & STD Screening
- Medical Report
Understand why pre-pregnancy care is important for a healthy pregnancy.
Antenatal Scans & Tests
- Amniocentesis
- Chronic Villus Sampling
- Dating Scan
- Doppler Ultrasound Scan for Foetal Surveillance
- Foetal Anomaly Screening Scan
- Growth Scan
- Viability Scan
- 3D & 4D Ultrasound Scans
- OSCAR (First Trimester Screening for Down’s Syndrome)
- Non-invasive Prenatal Tests (NIPT)
- Pre-eclampsia Assessment in Mothers
- Routine Antenatal Blood Tests
- Screening for Gestational Diabetes
Find out about the different antenatal checks in your first trimester, second trimester and third trimester.
Delivery
- Vaginal Delivery
- Assisted Vaginal Delivery (Forceps or Vacuum)
- Caesarean Section
- Vaginal Birth After Caesarean (VBAC)
Find out more about the various Delivery Methods.
Postpartum Check-up
- Review of Mother’s Physical and Mental Well-being
- Pelvic Examination
- Wound Inspection
- Laboratory Tests
- Health Education (Breastfeeding, Birth Control, Weight Reduction)
Learn more about Postpartum Recovery.
Mommy Makeover (Post-pregnancy)*
- Treatments for stretch-marks, loose skin and excess body fat
- Managing post-partum hair loss and facial skin changes
- Improving sagging and deflated breasts
- Post-pregnancy tummy concerns
Find out more about mommy makeover services at (an SMG clinic)
Need to consult an O&G specialist?
The male and female O&G specialists in our clinic network are located at multiple locations in Singapore for easy and quick access.