Health Info > Health Checks & Blood Test Published on : April 22, 2024

Health Checks In Pregnancy and Tests in Australia - A Guide

Written by Dr Nelson Lau, MBBS FRACGP, GP & Digital Health Specialist

Embarking on the journey of pregnancy is a transformative experience, marked by anticipation, preparation, and the embrace of motherhood. Integral to this journey is a series of health checks and prenatal tests, designed to safeguard the health of both the expectant mother and the developing baby. In Australia, the approach to prenatal care is a partnership, fostering open dialogue and personalised care between healthcare providers and pregnant women. This detailed article discusses the essential health screenings and prenatal tests conducted during the various stages of pregnancy, emphasising their importance and what they entail.

First Trimester: The Foundation

Initial Comprehensive Health Check

The pregnancy journey begins with an initial health check, typically scheduled soon after the pregnancy is confirmed. This critical first appointment sets the stage for personalised prenatal care, encompassing a thorough review of the mother’s medical history, current medications, and an initial assessment of pregnancy health. Key evaluations include:

Blood Pressure Measurement: Essential for identifying any early signs of hypertension.
BMI Calculation: Offers insights into nutritional status and guidance on healthy weight gain.
Blood Tests: A broad spectrum of tests to determine blood type, Rh factor, immunity to certain infections, and overall health indicators such as iron levels to preemptively address anaemia.

Consult an Australian Health Practitioner Regulation Agency (AHPRA) accredited telehealth doctor about a blood test referral now.

Dating Ultrasound

Between 7 and 12 weeks, the dating ultrasound serves multiple purposes: confirming the pregnancy’s viability, establishing a precise due date, and checking for multiple pregnancies. This scan is a cornerstone in prenatal care, providing early insights into the pregnancy’s health.

Combined First Trimester Screening

A critical screening for chromosomal abnormalities combines a blood test with a nuchal translucency ultrasound. Conducted between 11 and 13 weeks, it assesses the risk of conditions like Down syndrome and trisomy 18, offering early insight into the baby’s genetic health.

Second Trimester: In-depth Insights

Morphology Ultrasound

Scheduled around 18–22 weeks, this detailed scan is a comprehensive examination of the baby’s anatomy. It examines the brain, heart, limbs, and organs, searching for signs of developmental abnormalities and also often revealing the baby’s sex, adding a personal dimension to the pregnancy journey.

Maternal Serum Screening

Between 14 and 20 weeks, this second blood test further evaluates the risk of chromosomal abnormalities and neural tube defects. It’s a continuation of the first trimester’s scrutiny, refining risk assessments with greater accuracy.

Third Trimester: Final Preparations

Gestational Diabetes Screening

The Glucose Tolerance Test (GTT), conducted between 24 and 28 weeks, involves drinking a sweet glucose solution and then having blood samples taken at specific intervals to measure how effectively the body processes sugar, identifying gestational diabetes by assessing blood sugar levels over time. This condition, specific to pregnancy, can have implications for both mother and baby, making early detection and management crucial.

Group B Streptococcus Screening

Between 35 and 37 weeks, screening for GBS bacteria presence is conducted via a vaginal swab. While harmless to adults, GBS can pose serious risks to newborns. Detection allows for effective management during labour to prevent newborn infection.

Biophysical Profile and Non-Stress Tests

For pregnancies identified as high-risk, these advanced tests offer a closer look at the baby’s well-being in the womb. They measure heart rate, movements, and amniotic fluid levels, providing reassurance and guiding potential interventions.

Additional Aspects of Prenatal Care

Managing Pre-existing Conditions – Women with pre-existing health issues or identified high-risk factors will receive tailored care plans. This ensures both mother and baby are supported throughout the pregnancy with appropriate interventions and monitoring.
Mental Health Support – Pregnancy can be emotionally demanding. Screening for mental health concerns is a vital part of prenatal care, ensuring women have access to necessary support, counselling, or therapy to navigate this transformative period. Opt for a Mental Health Care Plan to get support.
Lifestyle Guidance – Prenatal visits are more than just medical checks; they’re opportunities to gain valuable insights into maintaining a healthy lifestyle during pregnancy. Discussions may cover nutritional advice, safe exercise routines, and guidelines on avoiding harmful substances.
Birth Planning – As the due date approaches, conversations will pivot towards preparing for labour and delivery. This includes discussing birth plans, pain management options, and setting expectations for the birthing process, ensuring women feel informed and supported.

Talk to a GP now for a quick consult and get medical advice.

The Central Role of Prenatal Care

Engaging in comprehensive prenatal care is fundamental to securing a healthy pregnancy outcome. It facilitates the early detection of potential health concerns, enables timely interventions, and provides a framework for educating and empowering expectant mothers. Attending all scheduled prenatal appointments and maintaining open communication with healthcare providers are pivotal steps in navigating pregnancy with confidence.

With each prenatal check and test, expectant mothers in Australia can feel reassured that they are receiving the care and attention necessary for a healthy pregnancy. By prioritising prenatal care, mothers-to-be are taking the most important steps toward a safe delivery and a healthy future for their children. Embrace this special time with the knowledge that through comprehensive prenatal care, you and your baby are in capable hands.