We recommend that each pregnancy be monitored by a gynecologist. The gynecologist will keep track of the pregnancy's progression and write everything down in a pregnancy card. You should bring this card every time you visit the hospital and specifically when you come to give birth. 
All the tests specified below can be done at our new and comprehensive Women's Clinics complex. 

Routine prenatal care includes: 

First trimester - until week 12
•    Review of the woman's medical history - allergies and sensitivities, operations and diseases, previous pregnancies and a gynecological history. 
•    Lab work: 
   o    Blood test after fasting to check such things as hemoglobin levels, blood type, antibodies for rubella, hepatitis and CMV and blood sugar levels. 
   o    Urine culture. 
•    First ultrasound (US) is performed at week 6-7 to determine the number of embryos, the fetus's pulse and exact age. 
•    We recommend that the father undergo a genetic test to determine if he is a carrier for Tay-Sachs disease, a disease of the central nervous system that has no cure. 
•    The Israeli Ministry of Health recommends taking folic acid until the end of week 12, to prevent congenital defects. (It's recommended to start this treatment even before the pregnancy).

Second trimester - weeks 13-28
•    A nuchal translucency US scan, combined with a designated blood test, is performed before the end of week 13. The two tests help identify higher chances for Down syndrome and other chromosomal defects at an early stage of the pregnancy. 
•    Alpha-fetoprotein test is performed at weeks 16-18. This is a statistical blood test that helps locate further developmental abnormalities in the fetus and increases the accuracy of the assessment for Down syndrome performed a month earlier. 
•    Another CBC and urine culture (weeks 16-18). 
•    A US systems review (weeks 20-23).
•    Glucose tolerance and CBC (weeks 24-28). Glucose tolerance is a blood test performed without fasting. You will be given 50 grams of sugar diluted in water and lemon juice. Your blood will be drawn an hour after drinking the mixture. This test enables early detection of women in risk of developing gestational diabetes. If your blood sugar level is above 140, you'll be sent to do another glucose tolerance test, this time with 100 grams of sugar, after fasting. This test takes 3 hours. 

Third trimester - weeks 29-42
•    Women with a negative RG blood type will be given an anti-D injection to prevent the creation of antibodies in their blood. Another such injection will be given if the woman undergoes amniocentesis. 
•    US test to assess the fetus' position, growth and weight (weeks 36-38). 
•    GBS - a vaginal culture to determine the presence of the germ in the woman's vagina. If the result comes back positive, the woman will receive antibiotics during birth. The result should be clearly stated on the pregnancy card. 
•    If you haven't given birth by the end of week 40, you'll begin an excess pregnancy monitoring that includes a US and monitor scan every three days until the end of week 42. 

In addition to all these exams, you should be under regular supervision of a gynecologist:
•    Until week 28 - once a month
•    Between weeks 29-36 - once every two weeks
•    Between weeks 36-40 - once a week
•    After week 40 - excess pregnancy monitoring

Don’t forget: carrying your pregnancy card at all times will allow us to give you the proper care every time you seek medical assistance. So keep your card safe and carry it with you, especially if you need to go to the hospital.