28 weeks...

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A milestone in your pregnancy! Between 24 &

28 weeks gestation, we perform a routine prenatal

visit and review fetal kick counts and belly mapping.

A few lab tests will be performed and after this appointment your visits will be every two weeks.

In addition to your standard visit, you will have eaten the breakfast listed below 45 minutes before your scheduled appointment. We will perform a blood draw to measure two different lab results. One is the glucose tolerance test (blood sugar) testing for gestational diabetes. The results to this test should be no higher than 139. If your test results are higher than 139 further testing is done to diagnose true gestational diabetes.

Please eat all the foods in the amounts listed:

• 4 ounces unsweetened juice (orange, grapefruit or apple)

• 2 eggs (scrambled, poached or boiled)

• 2 slices of whole wheat toast with butter

• 8 ounces low-fat milk (1-2%).

The other test is your hemoglobin (iron level).  We measure your hemoglobin to make sure that you are not anemic. At this point of pregnancy, your blood volume has increased by as much as 50% as it assists carrying oxygen throughout your body as well as preparing for birth. This is called hemodilution. At this stage, although your blood volume has increased, it is just as described...diluted, and not as rich and thick as it will be toward the end of pregnancy. If your hemoglobin is below 11 gm/dl, we will review some dietary changes we can make to increase your hemoglobin and discuss iron supplements. It will then be rechecked in 2 weeks. The range we like to see hemoglobin (also called hgb) is at around 12 gm/dl.

*For our Rh Negative mommies, you get an added test (yippie, you say) and it is a regular blood draw and it is to check for antibodies and Rhogam is offered.

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Call or Email Today for A Free Consultation 407-322-9944

If you can't eat these items we will provide glucola.

1110 Lexington Green Lane

Sanford, FL 32771

Phone: (407) 322-9944  Fax: (407) 878-5858

Email: info@h2hbirthcenter.com