BabyBerry
English
Download

WHO (International) Prenatal Care Schedule

This is a general overview of the antenatal-care schedule the World Health Organization (WHO) recommends as an international reference — useful where a country doesn't publish its own. Every pregnancy and every health system is different; your own care provider decides what's right for you. It's here for reference, not as medical advice.

Disclaimer: BabyBerry is for general information and self-tracking. It is not a medical device and does not provide medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider.
  1. First Antenatal Contact — Weeks 8–12
  2. Second Antenatal Contact — Week 20
  3. Third Antenatal Contact — Week 26
  4. Fourth Antenatal Contact — Week 30
  5. Fifth Antenatal Contact — Week 34
  6. Sixth Antenatal Contact — Week 36
  7. Seventh Antenatal Contact — Week 38
  8. Eighth Antenatal Contact — Week 40

First Antenatal Contact

First prenatal visit · Weeks 8–12 · Fasting may be needed

Confirm pregnancy, baseline assessment, dating ultrasound

Good to know: Your first antenatal contact is the most comprehensive visit. Its main goals are to confirm your pregnancy, estimate your due date, and establish baseline health measurements. Blood tests screen for conditions like anemia, infections, and blood sugar issues that are best caught early. This is also a great time to ask questions and discuss any concerns with your healthcare provider.

Common checks

  • Dating Ultrasound — An early ultrasound is used to confirm the pregnancy, check that the embryo is developing inside the uterus, and estimate your due date. If the timing is right, you may also hear your baby's heartbeat for the first time, which is a reassuring sign of healthy development.
  • Blood Pressure Measurement — Your blood pressure is measured to establish a baseline reading for your pregnancy. This initial value is important because it will be compared with future readings to detect any signs of pregnancy-related hypertension or preeclampsia.
  • Urine Test (Protein & Glucose) — A urine sample is tested for protein and glucose. Protein in the urine may indicate kidney issues or early signs of preeclampsia, while glucose can signal possible gestational diabetes. This simple test will be repeated at most visits throughout your pregnancy.
  • Complete Blood Count (CBC) — A full blood count checks your hemoglobin level to screen for anemia, your white blood cell count to check for infection, and your platelet count. These baseline values help your healthcare provider monitor your health throughout pregnancy.
  • Blood Type & Rh Factor — Your blood type (A, B, AB, or O) and Rh factor (positive or negative) are determined. Knowing your blood type is essential in case you need a blood transfusion during delivery. If you are Rh-negative, you may need a special injection later in pregnancy to protect your baby.
  • Blood Glucose (Fasting) — A fasting blood glucose test screens for pre-existing diabetes or early gestational diabetes. High blood sugar during pregnancy can affect both your health and your baby's development, so early detection allows for timely management.
  • HIV Test — HIV testing is recommended for all pregnant women as part of routine antenatal care. Early detection allows for treatment that can dramatically reduce the risk of passing the virus to your baby. This test is confidential and is an important step in protecting your baby's health.
  • Syphilis Test — Screening for syphilis is a standard part of first antenatal care worldwide. If syphilis is detected early, it can be effectively treated with antibiotics, preventing serious complications for both mother and baby.
  • Hepatitis B Test — A blood test checks whether you carry the hepatitis B virus. If positive, your healthcare team can take steps during and after delivery to protect your newborn from infection, including vaccination within the first 24 hours of life.
  • Height & Weight Measurement — Your height and weight are recorded to calculate your Body Mass Index (BMI). This helps your provider set appropriate weight gain goals for your pregnancy and identify any nutritional concerns early on.

How to prepare

  • Come fasting (no food for at least 8 hours before the visit) since baseline blood work will be drawn.
  • Write down the first day of your last menstrual period, as this is key for estimating your due date.
  • Bring a list of any medications or supplements you are currently taking.
  • Prepare a brief summary of your medical history and any family health conditions, including previous pregnancies.

Tips

  • If you are not already taking folic acid (400 micrograms daily), start as soon as possible. WHO recommends daily iron and folic acid supplementation throughout pregnancy to prevent anemia and neural tube defects.
  • Don't worry if this first visit takes longer than expected. There are many tests and discussions to cover. Bring a support person if that makes you feel more comfortable.
  • Ask your healthcare provider about the recommended schedule for your remaining antenatal visits, so you can plan ahead.
  • If you smoke, drink alcohol, or use any substances, this is a safe space to discuss it. Your provider can offer support and resources without judgment.

Second Antenatal Contact

Visit 1 · Week 20

Anatomy scan, fetal growth assessment, iron supplementation review

Good to know: The second contact at 20 weeks is centered around the anatomy ultrasound, which provides a detailed look at your baby's development. Most structural abnormalities that can be detected by ultrasound are identified at this scan. This is also a wonderful moment — many parents get their first clear view of their baby. Remember that no ultrasound can detect every possible condition, but this scan offers valuable reassurance.

Common checks

  • Anatomy Ultrasound — This detailed ultrasound examines your baby's major organs and structures, including the brain, heart, spine, kidneys, and limbs. It also checks the placenta position, amniotic fluid levels, and umbilical cord. This is one of the most important scans of your pregnancy and typically takes 20 to 45 minutes.
  • Blood Pressure Measurement — Your blood pressure is checked and compared with your baseline reading from the first contact. Any upward trend is noted, as rising blood pressure can be an early warning sign of preeclampsia.
  • Urine Test (Protein & Glucose) — A routine urine test checks for protein and glucose levels. Persistent protein in the urine combined with high blood pressure may indicate preeclampsia, a condition that requires close monitoring.
  • Weight Measurement — Your weight is recorded to track your pregnancy weight gain. By 20 weeks, you can expect some weight gain, and your provider will ensure it is within a healthy range for your body type.
  • Fundal Height Measurement — Starting around this time, your provider may measure the distance from your pubic bone to the top of your uterus (fundal height). This simple measurement helps estimate whether your baby is growing at the expected rate.
  • Hemoglobin Check — A blood test may be done to check your hemoglobin levels and ensure you are not developing anemia. If your iron levels are low, your provider may adjust your iron supplementation dose.

How to prepare

  • You do not need to fast for this visit. In fact, eating beforehand may make your baby more active and easier to scan.
  • Wear comfortable, loose-fitting clothing that allows easy access to your abdomen.
  • Bring a list of any questions or concerns you have been noting since your first visit.
  • Consider bringing your partner or a loved one — seeing the baby on ultrasound is a special experience to share.

Tips

  • The anatomy scan may take longer if your baby is in a position that makes certain structures hard to see. This is normal and does not mean anything is wrong. You may be asked to walk around and come back.
  • If any findings on the ultrasound need further evaluation, try not to panic. Many minor variations resolve on their own as the pregnancy progresses.
  • Continue taking your daily iron and folic acid supplements as recommended by WHO. These are essential for preventing anemia and supporting your baby's growth.
  • Start paying attention to your baby's movements. You may begin to feel fluttering or gentle kicks around this time, especially if this is not your first pregnancy.

Third Antenatal Contact

Visit 2 · Week 26

Routine monitoring, anemia screening, gestational diabetes check

Good to know: The third contact focuses on routine monitoring and screening for two common pregnancy conditions: anemia and gestational diabetes. Both are very treatable when caught early. Iron-deficiency anemia can be managed with supplements, and gestational diabetes is usually controlled through diet and lifestyle changes. This visit is also a good opportunity to discuss birth preparedness and to plan for any emergencies.

Common checks

  • Blood Pressure Measurement — Blood pressure is monitored at every contact. The period between 24 and 28 weeks is when pregnancy-related hypertensive conditions can begin to emerge, making this check particularly important.
  • Urine Test (Protein & Glucose) — A routine urine sample is checked for protein and glucose. Glucose in the urine may prompt further testing for gestational diabetes.
  • Blood Glucose Screening — Around 24 to 28 weeks, screening for gestational diabetes is recommended. This may involve a fasting glucose test or an oral glucose tolerance test (OGTT), depending on local practice. Gestational diabetes affects about 1 in 7 pregnancies and is manageable with dietary changes and monitoring.
  • Hemoglobin Check — Your hemoglobin is tested again to screen for anemia, which becomes more common as blood volume increases during the second trimester. If anemia is detected, your provider will recommend increased iron supplementation.
  • Weight Measurement — Your weight gain is tracked to ensure you are gaining at a healthy rate. In the second trimester, a steady gain of about 0.3 to 0.5 kilograms per week is typical for most women.
  • Fundal Height Measurement — The fundal height is measured to monitor your baby's growth. At 26 weeks, the fundal height in centimeters often roughly matches the number of weeks of pregnancy.
  • Fetal Heart Rate — Your baby's heartbeat is listened to using a handheld Doppler device. A normal fetal heart rate is between 110 and 160 beats per minute. Hearing the heartbeat provides reassurance that your baby is doing well.

How to prepare

  • If a glucose tolerance test is planned, your provider may ask you to fast beforehand. Confirm fasting requirements when you schedule the visit.
  • Continue recording any questions or symptoms you want to discuss with your provider.
  • Wear clothing with sleeves that can be easily rolled up, as blood may be drawn.
  • Think about your birth plan — where you would like to deliver, who will accompany you, and how you will get to the facility.

Tips

  • If you are diagnosed with gestational diabetes, it does not mean you did anything wrong. It is caused by hormonal changes during pregnancy and can happen to anyone. Most cases resolve after delivery.
  • WHO recommends daily iron (30 to 60 milligrams) and folic acid (400 micrograms) throughout pregnancy. If you have been forgetting your supplements, try setting a daily reminder.
  • This is a good time to start learning about the signs of preterm labor: regular contractions before 37 weeks, lower back pain, pelvic pressure, or a change in vaginal discharge. Contact your provider immediately if you experience these.
  • Stay active with moderate exercise like walking or swimming, unless your provider has advised otherwise. Physical activity supports healthy weight gain and can improve your mood and energy levels.

Fourth Antenatal Contact

Visit 3 · Week 30

Third trimester begins, growth monitoring, birth preparedness

Good to know: Welcome to the third trimester! The fourth contact marks the beginning of more frequent monitoring as your due date approaches. This visit focuses on ensuring your baby is growing well and preparing you for birth. Start thinking about your birth plan: where you will deliver, who will be with you, how you will get there, and what to bring. Having a written plan and discussing it with your family can reduce stress when the time comes.

Common checks

  • Blood Pressure Measurement — Blood pressure monitoring becomes even more important in the third trimester. Preeclampsia most commonly develops after 28 weeks. Watch for warning signs such as severe headaches, visual disturbances, or sudden swelling.
  • Urine Test (Protein & Glucose) — Routine urine testing continues, with particular attention to protein levels. Protein in the urine combined with elevated blood pressure is a key diagnostic criterion for preeclampsia.
  • Weight Measurement — Weight gain is tracked. In the third trimester, a gain of about 0.3 to 0.5 kilograms per week is generally expected. Sudden or excessive weight gain may indicate fluid retention and warrants further evaluation.
  • Fundal Height Measurement — The distance from your pubic bone to the top of your uterus is measured. If the measurement is significantly larger or smaller than expected for your gestational age, an ultrasound may be recommended to check on your baby's growth.
  • Fetal Heart Rate — Your baby's heart rate is checked with a Doppler device. A reassuring heart rate between 110 and 160 beats per minute confirms your baby is well.
  • Fetal Position Check — Your provider will feel your abdomen to determine your baby's position — whether the baby is head-down (cephalic), bottom-down (breech), or lying sideways (transverse). At 30 weeks, there is still time for the baby to turn if not yet head-down.
  • Tetanus Toxoid Vaccination — If you have not already been vaccinated, WHO recommends tetanus toxoid vaccination to protect both you and your newborn from tetanus. The timing and number of doses depend on your prior vaccination history.

How to prepare

  • Begin counting your baby's movements daily. Choose a time when your baby is usually active, sit or lie quietly, and note how long it takes to feel 10 movements. Most babies reach 10 movements within 1 to 2 hours.
  • If you notice any swelling in your face or hands, persistent headaches, or visual changes, inform your provider immediately.
  • Start preparing a list of essential items for delivery — both for you and your newborn.
  • Discuss your birth preferences with your support person and healthcare provider.

Tips

  • Mild swelling in the ankles and feet is common in the third trimester and usually harmless. However, sudden swelling in the face or hands, especially with headache or blurred vision, may signal preeclampsia — seek care right away.
  • Continue your iron and folic acid supplements. If you are experiencing constipation from iron tablets, try taking them with vitamin C-rich foods and increasing your fiber and water intake.
  • Learn about the danger signs in pregnancy that require immediate medical attention: severe headache, blurred vision, severe abdominal pain, vaginal bleeding, leaking fluid, or reduced fetal movement.
  • If your healthcare provider has discussed tetanus vaccination, make sure you receive it according to the recommended schedule to protect your newborn from neonatal tetanus.

Fifth Antenatal Contact

Visit 4 · Week 34

Growth assessment, preeclampsia screening, birth plan review

Good to know: At 34 weeks, your baby is gaining weight rapidly and developing the fat stores needed to regulate body temperature after birth. This contact is important for assessing your baby's growth and your overall health as delivery approaches. Your provider will also review your birth plan with you, discuss what to expect during labor, and ensure you know the warning signs that require immediate medical attention.

Common checks

  • Blood Pressure Measurement — Blood pressure is carefully monitored. At 34 weeks, the risk of developing preeclampsia continues to increase. Your provider will look at the trend of your readings across all your visits.
  • Urine Test (Protein & Glucose) — Urine is tested for protein and glucose. Proteinuria at this stage, especially in combination with high blood pressure, requires prompt evaluation.
  • Weight Measurement — Weight gain continues to be monitored. Your total weight gain so far is reviewed to ensure it falls within the recommended range for your pre-pregnancy BMI.
  • Fundal Height Measurement — Fundal height is measured and compared with previous readings to assess your baby's growth trajectory. Consistent growth is reassuring, while a plateau or acceleration may warrant further investigation.
  • Fetal Heart Rate — Your baby's heart rate is checked to confirm well-being. At this stage, you should be feeling regular movements throughout the day.
  • Fetal Position Check — Your provider checks your baby's position. By 34 weeks, most babies have settled into a head-down position. If your baby is still breech, your provider may discuss options and will continue to monitor the position at future visits.
  • Hemoglobin Check — A blood test may be performed to recheck your hemoglobin level. Treating anemia before delivery is important, as blood loss during childbirth can worsen anemia and affect your recovery.

How to prepare

  • Continue daily fetal movement counting. If you notice fewer than 10 movements in 2 hours, or a significant decrease from your baby's usual pattern, contact your provider.
  • Have your birth plan written down and bring it to discuss with your provider.
  • Start gathering the items you will need for the birth — basic supplies for both mother and baby.
  • Make sure you know how to reach your healthcare facility at any time of day or night.

Tips

  • A baby born at 34 weeks, while premature, has an excellent chance of doing well with appropriate medical support. However, every additional week in the womb is beneficial for your baby's development.
  • You may start experiencing Braxton Hicks contractions — irregular tightening of the abdomen that is usually painless. These are normal practice contractions and are different from true labor.
  • Finalize your plans for getting to your place of delivery. Know the route, have backup transportation options, and keep your phone charged.
  • Rest when you can, but continue light physical activity such as walking. Good rest and moderate exercise both support a smoother labor and delivery.

Sixth Antenatal Contact

Visit 5 · Week 36

Birth preparedness, fetal well-being, labor signs education

Good to know: At 36 weeks, your baby is nearly full-term and preparations for birth become the main focus. Your provider will review the signs of labor with you: regular contractions that grow stronger and closer together, rupture of membranes (your water breaking), and the "bloody show" (a small amount of blood-tinged mucus). Know when to go to your healthcare facility — generally when contractions are 5 minutes apart, each lasting about 1 minute, for at least 1 hour, or immediately if your water breaks.

Common checks

  • Blood Pressure Measurement — Blood pressure is monitored closely. Late-onset preeclampsia can develop at any time in the final weeks. Report any sudden headaches, visual changes, or upper abdominal pain to your provider immediately.
  • Urine Test (Protein & Glucose) — Routine urine testing for protein and glucose continues. At this stage, even trace amounts of protein are taken seriously when combined with other symptoms.
  • Weight Measurement — Your weight is checked. Some women notice a slight slowdown in weight gain in the final weeks, which can be normal as the body prepares for birth.
  • Fundal Height Measurement — The fundal height is measured. If the baby has started to descend into the pelvis (engagement), you may notice the measurement is slightly lower than the previous visit and breathing may feel easier.
  • Fetal Heart Rate — Your baby's heart rate is monitored to confirm well-being. A normal rate of 110 to 160 beats per minute is expected.
  • Fetal Position Check — Your provider confirms whether your baby is in the head-down position. At 36 weeks, the baby's position is usually close to final. If your baby is still breech, your provider will discuss delivery options with you.
  • Group B Streptococcus (GBS) Screening — Depending on local guidelines, a vaginal and rectal swab may be taken to screen for Group B Streptococcus. GBS is a common bacterium that is usually harmless to adults but can cause serious infection in newborns. If positive, antibiotics are given during labor to protect your baby.

How to prepare

  • Pack your bag for the birth facility with essentials: identification documents, comfortable clothing, sanitary pads, baby clothes, and any items your facility has recommended.
  • Review the signs of labor so you feel confident recognizing when it begins.
  • Ensure your support person knows the plan and is available and reachable at all times.
  • If you have other children, arrange care for them during your time at the facility.

Tips

  • Learn the difference between false labor (Braxton Hicks) and true labor. False contractions are irregular, do not increase in intensity, and stop with rest or position changes. True labor contractions are regular, progressively stronger, and do not go away.
  • Keep your healthcare provider's contact information easily accessible at all times, including after-hours or emergency numbers.
  • Stay well-hydrated and eat balanced meals. Your body needs energy reserves for labor and delivery.
  • It is normal to feel a mix of excitement and anxiety as your due date approaches. Talk to your support person, friends, or provider about your feelings.

Seventh Antenatal Contact

Visit 6 · Week 38

Near-term monitoring, cervical assessment, delivery readiness

Good to know: At 38 weeks, your baby is considered early-term and is well-developed. The lungs, brain, and liver are maturing in these final weeks. This contact ensures that both you and your baby are healthy and ready for birth. Your provider will discuss what to expect during labor and delivery, including pain management options and the importance of skin-to-skin contact and early breastfeeding after birth.

Common checks

  • Blood Pressure Measurement — Blood pressure is closely monitored in the final weeks. Elevated readings at this stage may lead your provider to recommend more frequent monitoring or early delivery if preeclampsia is suspected.
  • Urine Test (Protein & Glucose) — Protein and glucose levels in urine are checked as part of the ongoing screening for preeclampsia and gestational diabetes.
  • Weight Measurement — Your weight is recorded. At this stage, some women experience a slight decrease in weight as the body starts to shed excess fluid in preparation for labor.
  • Fundal Height Measurement — The fundal height is measured. If the baby has engaged (dropped into the pelvis), the measurement may be slightly smaller than at 36 weeks. This is a positive sign that your body is preparing for birth.
  • Fetal Heart Rate — Your baby's heartbeat is checked to ensure continued well-being. Consistent monitoring in the final weeks provides reassurance as you approach delivery.
  • Cervical Assessment — Your provider may perform a gentle vaginal examination to assess your cervix — checking whether it is softening, thinning (effacing), or beginning to open (dilate). These changes suggest your body is preparing for labor, though they do not predict exactly when labor will begin.
  • Fetal Position Confirmation — A final check of your baby's position confirms that the baby is head-down and properly aligned for delivery. At 38 weeks, the position is nearly always fixed.

How to prepare

  • Keep your packed bag and important documents ready by the door. Labor can begin at any time.
  • Continue daily fetal movement monitoring. Report any significant decrease immediately.
  • Confirm your transportation plan to the healthcare facility, including a backup option.
  • Review your birth preferences with your provider and ask any remaining questions about the delivery process.

Tips

  • If your water breaks, note the time, color, and odor of the fluid, and go to your healthcare facility right away. Clear or slightly pink fluid is normal; green or brown fluid may indicate that your baby has passed stool (meconium) and needs prompt attention.
  • Rest as much as possible while staying gently active. Short walks can help your baby settle deeper into the pelvis.
  • Prepare for the postpartum period: learn about breastfeeding basics, newborn care, and the importance of the postnatal visit for both you and your baby.
  • Remember that a healthy delivery can happen in many ways. Whether you have a vaginal birth or need a cesarean section, the goal is the safety of you and your baby. Trust your healthcare team.

Eighth Antenatal Contact

Visit 7 · Week 40

Due date assessment, post-dates planning, final monitoring

Good to know: You have reached your estimated due date — congratulations on this milestone! Only about 5% of babies arrive on their exact due date, so it is perfectly normal if your baby has not yet made an appearance. Your provider will assess whether it is safe to continue waiting for spontaneous labor or whether induction should be considered. Factors that influence this decision include your baby's well-being, amniotic fluid levels, placental function, and your overall health. In most cases, if both mother and baby are doing well, it is safe to wait until 41 to 42 weeks before recommending induction.

Common checks

  • Blood Pressure Measurement — Blood pressure is carefully measured. At 40 weeks, any elevation is taken very seriously and may influence the decision about whether to continue waiting or to recommend induction of labor.
  • Urine Test (Protein & Glucose) — A urine test screens for protein and glucose. In combination with blood pressure readings, this helps assess the overall risk profile at this late stage of pregnancy.
  • Ultrasound Assessment — An ultrasound may be performed to evaluate your baby's size, amniotic fluid levels, and placental function. Low amniotic fluid or signs of decreased placental function may prompt a recommendation for induction or closer monitoring.
  • Fetal Heart Rate Monitoring — Your baby's heart rate is monitored, possibly with an extended recording (non-stress test) to ensure the baby is responding normally. Variations in heart rate with movement are a good sign of fetal well-being.
  • Fundal Height Measurement — A final fundal height measurement is taken to assess your baby's size relative to your due date.
  • Cervical Assessment — Your cervix is examined to evaluate readiness for labor. The degree of softening, thinning, and dilation helps your provider determine whether induction of labor is likely to be successful if it becomes necessary.
  • Weight Measurement — Your weight is recorded for a final comparison. Any sudden changes since the last visit are noted.

How to prepare

  • Continue monitoring fetal movements closely. If you feel fewer than 10 movements in 2 hours, or notice a significant change in your baby's activity pattern, seek care immediately.
  • Make sure your bag is packed and your support team is on standby.
  • Be mentally prepared for the possibility of labor induction, and ask your provider to explain the process so you know what to expect.
  • Keep yourself well-nourished and well-rested — you will need energy for labor and delivery.

Tips

  • Going past your due date can feel frustrating, but remember that your due date is an estimate. Many healthy babies are born between 40 and 41 weeks.
  • Induction of labor, when medically indicated, is a safe and well-established procedure. Common methods include membrane sweeping, medications to ripen the cervix, and oxytocin to stimulate contractions.
  • While waiting, stay gently active with walks and rest. Avoid unproven methods of inducing labor at home, and always follow your provider's guidance.
  • After your baby arrives, WHO recommends immediate skin-to-skin contact, delayed cord clamping (at least 1 minute), and initiating breastfeeding within the first hour. These simple steps give your baby the best start in life.

Sources

This overview references public guidance from:

Prenatal Care Schedules by Country