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Taiwan Prenatal Care Schedule

This is a general overview of the prenatal visits many people in Taiwan are offered during pregnancy, drawn from public guidance by Taiwan's Health Promotion Administration and the WHO. Every pregnancy is different — your own care provider decides which checks and timing are right for you. It's here for reference and orientation, 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 Visit / Booking (NHI Registration) — Weeks 8–12
  2. 12-Week Routine Visit — Week 12
  3. NT Scan / First Trimester Combined Screening (初唐) — Weeks 11–13
  4. Quadruple Test Option (中唐) — Week 16
  5. Anomaly Scan — Week 20
  6. 24-Week Routine Visit — Week 24
  7. GDM Screening (50g GCT) — Weeks 24–28
  8. 30-Week Routine Visit — Week 30
  9. Third Trimester Labs — Week 32
  10. 34-Week Routine Visit — Week 34
  11. GBS Screening — Weeks 35–37
  12. Birth Preparation — Week 37
  13. Fetal Monitoring — Week 38
  14. Post-Dates Assessment — Weeks 39–40

First Visit / Booking (NHI Registration)

First prenatal visit · Weeks 8–12

NHI registration, Maternal Health Handbook issued, baseline bloods, thalassaemia screening, hepatitis B, HIV, syphilis, rubella antibody, blood group/Rh, urine, medical history

Good to know: The first NHI prenatal visit in Taiwan is one of the most comprehensive appointments. You will be registered in the NHI prenatal care programme, which covers 14 free visits throughout pregnancy. The 孕妇健康手册 (Maternal Health Handbook) is your essential pregnancy record — bring it to every visit. Taiwan's high hepatitis B carrier rate (historically 15-20%) makes HBsAg screening especially important, and the country's successful universal hepatitis B vaccination programme (started 1984) is a global model. Thalassaemia screening via MCV is also critical given the 6-8% carrier rate. All NHI-covered screening tests are free, though some optional tests (NIPT, detailed anatomy scan) require self-payment.

Common checks

  • Height, Weight, and BMI — Your height and weight are measured to calculate your body mass index (BMI). BMI is used to assess risk for gestational diabetes, pre-eclampsia, and other pregnancy complications. Taiwan uses Asian-specific BMI thresholds — a BMI of 24 or above is considered overweight. Your baseline weight is recorded to track healthy weight gain throughout pregnancy, with recommended gains varying based on your pre-pregnancy BMI category.
  • Blood Pressure — Blood pressure is measured at every prenatal visit. The first reading establishes your baseline. A rise in blood pressure later in pregnancy, particularly combined with protein in the urine, could indicate pre-eclampsia. Regular monitoring is especially important as pre-eclampsia can develop without warning symptoms.
  • Urine Test (Protein, Glucose, Infection) — A urine sample is tested for protein, glucose, and signs of urinary tract infection. Protein in the urine can indicate kidney problems or, later in pregnancy, pre-eclampsia. Glucose in the urine may suggest gestational diabetes and will prompt further testing. This quick test is performed at every prenatal visit throughout your pregnancy.
  • Full Blood Count (CBC) — A full blood count measures your haemoglobin, red blood cells, white blood cells, and platelets. It checks for anaemia, which is common in pregnancy. In Taiwan, thalassaemia trait is prevalent and can cause lower-than-normal haemoglobin. The MCV (mean corpuscular volume) value is particularly important — if below 80 fL, further thalassaemia screening will be arranged. If anaemia is found, the cause will be determined before iron supplements are prescribed.
  • Thalassaemia Screening (MCV-Based) — Thalassaemia screening is an important part of Taiwan's prenatal blood work. Approximately 6-8% of Taiwan's population are thalassaemia carriers (alpha or beta). The initial screening uses MCV (mean corpuscular volume) from the full blood count. If MCV is below 80 fL, haemoglobin electrophoresis is performed. If you are confirmed as a carrier, your partner will also be tested. If both parents carry the same type, there is a 25% chance the baby could have severe thalassaemia, and genetic counselling and diagnostic testing (CVS or amniocentesis) will be offered.
  • Blood Group and Rh Status — This test determines your blood group (A, B, AB, or O) and Rh status (positive or negative). Rh-negative blood type is relatively rare in the Taiwanese population (less than 1%). If you are Rh-negative, you will be offered anti-D immunoglobulin injections at 28 weeks and after delivery to prevent your immune system from producing antibodies that could affect an Rh-positive baby in this or future pregnancies.
  • Hepatitis B Surface Antigen (HBsAg) — Hepatitis B screening is critical in Taiwan, where approximately 15-20% of the population were carriers before the universal vaccination programme began in 1984. Even with vaccination, screening remains essential for pregnant women. If you test positive, your baby will receive hepatitis B immunoglobulin (HBIG) and the first dose of hepatitis B vaccine within 24 hours of birth. Your viral load and HBeAg status will be checked to determine if antiviral treatment during pregnancy is needed to further reduce transmission risk.
  • HIV Screening — HIV screening is offered to all pregnant women in Taiwan as part of routine prenatal blood tests. If detected early, antiretroviral treatment during pregnancy can reduce mother-to-baby transmission to less than 1%. The test is confidential and performed with your consent. Early detection is essential for protecting both mother and baby.
  • Syphilis (RPR) Screening — Syphilis screening is a routine part of the initial blood tests. Untreated syphilis during pregnancy can cause miscarriage, stillbirth, premature birth, or congenital syphilis in the baby. If detected early, syphilis is effectively treated with penicillin, and early treatment prevents harm to the baby. An RPR test is used for screening, with confirmatory testing (TPHA) if positive.
  • Rubella Antibody (IgG) — A blood test checks whether you have immunity to rubella (German measles). Rubella infection in early pregnancy can cause serious birth defects including deafness, heart problems, and intellectual disability (congenital rubella syndrome). If you are not immune, you will be advised to avoid contact with anyone who has rubella and to receive the MMR vaccine after delivery. The vaccine cannot be given during pregnancy.
  • Maternal Health Handbook (孕妇健康手册) — At your first NHI prenatal visit, you will receive the Maternal Health Handbook (孕妇健康手册). This handbook is issued by the Health Promotion Administration and records all your prenatal checkup results, blood tests, ultrasound findings, and important health information. Bring it to every appointment. It also contains educational materials about pregnancy nutrition, exercise, warning signs, and newborn care — a valuable reference throughout your pregnancy.

How to prepare

  • Know the first day of your last menstrual period (LMP) — this is essential for estimating your due date.
  • Bring your NHI card (健保卡) and national ID card.
  • Gather medical history from both parents' families, especially thalassaemia carrier status, hepatitis B, diabetes, hypertension, and genetic conditions.
  • List all medications, vitamins, and supplements you are currently taking, including Traditional Chinese Medicine (中药).
  • If you have any previous pregnancy records or test results, bring them along.

Tips

  • The first visit can take 1-2 hours, including waiting time and multiple tests. Bring water and a snack.
  • Start taking folic acid 400mcg daily if not already. The Health Promotion Administration recommends taking it from before conception through the first 12 weeks.
  • If you or your partner has a family history of thalassaemia or is known to be a carrier, mention this immediately to prioritize screening.
  • Ask your doctor about optional self-pay screenings (NIPT, first trimester combined screening) early on, so you can plan within the optimal timing windows.

12-Week Routine Visit

Visit 1 · Week 12

Routine check, review booking blood results, blood pressure, urine, weight, discuss screening options

Good to know: The 12-week visit is NHI visit #2. It is a routine follow-up where your booking blood results are reviewed. This is also the time window for first trimester combined screening (初唐, OSCAR-type test), which is commonly done at 11-13+6 weeks. If you are interested in early Down syndrome screening, discuss with your doctor at this visit or the previous one. NHI does not cover first trimester combined screening — it is a self-pay test costing approximately NT$2,000-3,000. Some women opt for NIPT instead (self-pay, approximately NT$18,000-24,000).

Common checks

  • Blood Pressure — Routine blood pressure check to monitor for any upward trend from your booking baseline. Consistent readings are reassuring; any significant increase will be investigated further.
  • Urine Test — A quick urine test to check for protein, glucose, and infection markers. This routine screening helps detect early signs of pre-eclampsia or gestational diabetes.
  • Weight Check — Your weight is checked at every visit to monitor healthy weight gain. In the first trimester, weight gain is typically 1-2 kg total. Your doctor will advise on the recommended total weight gain based on your pre-pregnancy BMI.
  • Review of Booking Blood Results — Your doctor will review all blood test results from the first visit — including full blood count, blood type, hepatitis B, HIV, syphilis, rubella antibody, and thalassaemia screening (MCV). If any results need follow-up, such as thalassaemia carrier status requiring partner testing, arrangements will be made. This is a good time to ask questions about any results you do not understand.

How to prepare

  • Bring your Maternal Health Handbook (孕妇健康手册) and NHI card to every appointment.
  • Write down any questions about your blood test results or symptoms you have been experiencing.
  • If your partner was referred for thalassaemia testing, bring the results if available.

Tips

  • If you are considering first trimester combined screening (初唐) or NIPT, the optimal window is 11-13+6 weeks — do not delay.
  • Morning sickness usually improves after 12-14 weeks. If it is severe, talk to your doctor — medication is available.
  • Ask about NHI-covered versus self-pay screening options so you can budget accordingly.

NT Scan / First Trimester Combined Screening (初唐)

Visit 2 · Weeks 11–13

Nuchal translucency scan, first trimester combined screening (OSCAR/初唐) for Down syndrome, dating ultrasound — self-pay

Good to know: First trimester combined screening (初唐) is widely available in Taiwan but is NOT covered by NHI — it is a self-pay test costing approximately NT$2,000-3,000. The test combines NT scan + blood markers in one visit. NIPT (non-invasive prenatal testing using cell-free fetal DNA) is increasingly popular in Taiwan as an alternative or follow-up screening, costing approximately NT$18,000-24,000. For women aged 34 and over at the expected delivery date, the government subsidizes amniocentesis (NT$5,000 subsidy). If you miss the first trimester screening window (after 14 weeks), a second trimester quadruple test (中唐) can be offered at 15-20 weeks.

Common checks

  • Dating Ultrasound (Crown-Rump Length) — The ultrasound measures your baby's crown-rump length (CRL) to accurately determine gestational age and your estimated due date. This scan also confirms the number of babies, checks for a heartbeat, and provides a basic structural check. If your dates do not match the ultrasound, your due date will be adjusted based on the CRL measurement, which is more accurate than dates based on your last period.
  • Nuchal Translucency (NT) Measurement — The sonographer measures the fluid-filled space at the back of your baby's neck (nuchal translucency). An increased NT measurement may indicate a higher chance of Down syndrome (trisomy 21), Edwards syndrome (trisomy 18), or Patau syndrome (trisomy 13). The measurement must be done between 11 weeks 0 days and 13 weeks 6 days, when the CRL is between 45-84mm. This is combined with blood markers for a more accurate risk assessment.
  • First Trimester Combined Screening Blood Test (PAPP-A + Free Beta-hCG) — The first trimester combined screening (初唐) combines a blood test with the NT scan for Down syndrome risk assessment. A blood sample measures PAPP-A (pregnancy-associated plasma protein-A) and free beta-hCG. These levels, combined with the NT measurement, your age, and other factors, produce a risk estimate. In Taiwan, a risk of 1 in 270 or higher is generally considered "screen positive." If your risk is high, you may choose NIPT for further non-invasive screening or proceed directly to invasive diagnostic testing (amniocentesis). The combined detection rate is approximately 85-90%.

How to prepare

  • The NT scan and blood test are usually done at the same visit. Check with your clinic about appointment scheduling.
  • You may need a partially full bladder for the scan — drink a glass of water about an hour beforehand.
  • No fasting is required for this test.
  • Decide in advance whether you want screening for Down syndrome — it is optional. Discuss with your partner and family.

Tips

  • A "screen positive" result does not mean your baby has Down syndrome. Most women with a positive result go on to have healthy babies. Further testing will help clarify.
  • If you are 34 or older at expected delivery date, ask about the government amniocentesis subsidy — it covers NT$5,000 of the procedure cost.
  • NIPT has a detection rate of over 99% for Down syndrome but is a screening test, not a diagnostic test. Only amniocentesis provides a definitive diagnosis.
  • Many clinics in Taiwan can provide same-day or next-day results for first trimester combined screening.

Quadruple Test Option (中唐)

Visit 3 · Week 16

Routine check, second trimester quadruple test (中唐) if first trimester screening not done, blood pressure, urine, weight

Good to know: This is NHI visit #3. If you did not have first trimester combined screening (初唐), the second trimester quadruple test (中唐) is the main alternative for Down syndrome screening. The optimal window is 16-18 weeks. The quadruple test is less accurate than the first trimester combined test (80% vs 85-90% detection rate) but is still a valuable screening tool. In Taiwan, many women choose to do both 初唐 and 中唐 for the most comprehensive screening — this "sequential screening" approach can increase the overall detection rate. NIPT remains an option at any point if you prefer higher accuracy.

Common checks

  • Blood Pressure — Routine blood pressure check to monitor for any upward trend. Consistent readings are reassuring; any significant increase will be investigated further.
  • Urine Test — Routine urine check for protein, glucose, and infection markers. Persistent proteinuria or glucosuria at this stage will prompt further investigation.
  • Weight Check — Monitoring weight gain. From the second trimester, weight gain of approximately 0.3-0.5 kg per week is typical. Excessive or insufficient weight gain will be discussed with dietary advice.
  • Second Trimester Quadruple Test (中唐) — If Applicable — The quadruple test (中唐) is a blood test offered between 15-20 weeks (optimal at 16-18 weeks) that measures four markers: AFP (alpha-fetoprotein), hCG, unconjugated estriol (uE3), and inhibin-A. Combined with your age, these markers estimate the risk of Down syndrome and neural tube defects. This test is commonly offered to women who missed the first trimester combined screening (初唐) window. It is a self-pay test, costing approximately NT$2,000-2,500, with a detection rate of approximately 80% for Down syndrome.

How to prepare

  • Bring your Maternal Health Handbook and NHI card.
  • If you have questions about screening results from first trimester tests, write them down.
  • If your partner was referred for thalassaemia testing, bring the results if available.

Tips

  • You may start feeling fetal movements from around 16-22 weeks. First-time mothers usually notice them closer to 20 weeks — they feel like gentle fluttering or bubbling.
  • If both 初唐 and 中唐 show low risk, this is very reassuring. If either shows high risk, NIPT or amniocentesis can provide further clarity.
  • Start thinking about where you want to deliver — many popular hospitals in Taiwan require early registration.

Anomaly Scan

Visit 4 · Week 20

NHI-covered ultrasound (1 of 2), detailed structural ultrasound screening, fetal anatomy survey, option for advanced self-pay scan (高层次超音波)

Good to know: This is NHI visit #4. Since 2021, NHI covers 2 ultrasounds during pregnancy — the 20-week scan is typically the first. However, the NHI-covered ultrasound is a general check, not a full level II anomaly scan. The 高层次超声波 (advanced anomaly scan) is a self-pay option that provides much more detailed assessment. In Taiwan, it is very commonly chosen — most obstetricians will recommend it. The best timing is 20-24 weeks. Popular hospitals may have long waiting lists, so book early. If an abnormality is found or suspected, you will be referred to a maternal-fetal medicine specialist for further assessment. You can usually ask to know the baby's sex at this scan.

Common checks

  • Blood Pressure — Routine blood pressure monitoring. Any new rise is investigated alongside urine results.
  • Urine Test — Routine urine check for protein, glucose, and infection. Combined with blood pressure monitoring to screen for pre-eclampsia.
  • Fetal Anomaly Scan (NHI Ultrasound) — This is one of the two NHI-covered ultrasounds (since 2021). The scan checks the baby's basic anatomy, growth, heartbeat, placenta position, and amniotic fluid. While the NHI ultrasound provides a good general assessment, it may not be as detailed as a dedicated anomaly scan. The sonographer will check key structures including the brain, spine, heart, stomach, kidneys, and limbs.
  • Advanced Anomaly Scan (高层次超音波) — Self-Pay Option — Many women in Taiwan choose to have an advanced anomaly scan (高层次超音波), which is a detailed level II ultrasound performed by a specialist. This self-pay scan (approximately NT$3,000-5,000) systematically examines every fetal organ system in much greater detail — including the brain, face (cleft lip), heart (four-chamber and outflow tract views), spine, kidneys, bladder, abdominal wall, limbs, and digits. The scan takes 30-60 minutes and can detect approximately 80% of structural abnormalities. It is highly recommended but not mandatory.
  • Placenta Location Check — The sonographer notes where the placenta is positioned in the uterus. If the placenta is low-lying (close to or covering the cervix), a follow-up scan will be arranged at approximately 32 weeks. In most cases, the placenta migrates upward as the uterus grows and the issue resolves by the third trimester.
  • Amniotic Fluid Assessment — The volume of amniotic fluid around the baby is assessed. Too much fluid (polyhydramnios) or too little (oligohydramnios) can indicate conditions that need monitoring. Normal amniotic fluid volume suggests the baby's kidneys and swallowing are functioning well.

How to prepare

  • Wear loose, comfortable clothing — ideally a two-piece outfit so you can easily expose your abdomen.
  • If you booked the 高层次超声波, confirm the appointment time — it takes longer than a regular scan.
  • You may need a partially full bladder. Drink a glass of water about an hour before the scan.
  • Decide beforehand if you want to know the baby's sex.

Tips

  • If the sonographer is quiet during the scan, do not worry — they are concentrating on obtaining precise measurements of many structures.
  • Book your 高层次超声波 appointment early — popular specialists in Taipei, Taichung, and Kaohsiung can have 4-6 week waiting lists.
  • A normal scan is very reassuring, but remember it is a screening tool — some conditions cannot be detected by ultrasound.
  • Ask for printed photos or digital copies of the ultrasound images.

24-Week Routine Visit

Visit 5 · Week 24

Routine check, blood pressure, urine, weight, fundal height, fetal movements discussion

Good to know: This is NHI visit #5. It is a routine monitoring appointment before the important GDM screening at the next visit. This is a good time to start paying attention to fetal movements — most women feel distinct movements by 24 weeks. There is no fixed number of kicks to count; what matters is learning your baby's usual pattern. Your doctor may discuss the upcoming glucose screening and explain the fasting requirements.

Common checks

  • Blood Pressure — Blood pressure monitoring becomes increasingly important as you approach the third trimester. Any upward trend from your baseline is closely watched.
  • Urine Test — Routine urine check for protein, glucose, and infection. Combined with blood pressure, this helps screen for pre-eclampsia.
  • Weight Check — Continued weight monitoring. Steady weight gain of 0.3-0.5 kg per week in the second trimester is typical. Excessive gain may increase the risk of gestational diabetes and macrosomia.
  • Symphysis-Fundal Height (SFH) — From around 24 weeks, the distance from your pubic bone to the top of your uterus is measured. This gives a rough estimate of the baby's growth. If the measurement is significantly above or below the expected range for your gestational age, an ultrasound will be arranged to assess the baby's growth more accurately.

How to prepare

  • Bring your Maternal Health Handbook and NHI card.
  • Note any questions about symptoms — round ligament pain, back pain, and heartburn are common at this stage.
  • Ask about scheduling the GDM screening (glucose challenge test) at the next visit.

Tips

  • Start paying close attention to your baby's movement pattern so you know what is normal for your baby.
  • Stay hydrated, especially in Taiwan's humid climate. Dehydration can trigger Braxton Hicks contractions.
  • The next visit includes the glucose screening test — prepare to fast if required by your doctor.

GDM Screening (50g GCT)

Visit 6 · Weeks 24–28

50g glucose challenge test (GCT) for gestational diabetes screening, FBC recheck for anaemia, blood pressure, urine

Good to know: A key Taiwan-specific feature: GDM screening uses a two-step approach — 50g GCT first, then 100g OGTT for confirmation (if GCT positive). This differs from Hong Kong and the UK which use a 75g OGTT directly. The 50g GCT does NOT require fasting, making it more convenient. NHI covers one GDM screening. If diagnosed with GDM, you will be referred to an endocrinologist or diabetes team for blood glucose monitoring, dietary management, and assessment of whether medication is needed. Most women manage GDM with lifestyle changes; only about 15-20% require insulin or metformin.

Common checks

  • Blood Pressure — Blood pressure monitoring becomes increasingly important as you enter the third trimester. Rising blood pressure can be an early sign of pre-eclampsia and needs prompt assessment.
  • Urine Test — Routine urine check for protein, glucose, and infection. Combined with blood pressure, this helps screen for pre-eclampsia.
  • 50g Glucose Challenge Test (GCT) — The 50g glucose challenge test (GCT) is the initial GDM screening method in Taiwan. Unlike Hong Kong which uses a 75g OGTT directly, Taiwan follows a two-step approach. You drink a 50g glucose solution (no fasting required), and blood is drawn after 1 hour. If your blood glucose exceeds 140 mg/dL (some clinics use 130 mg/dL), a follow-up 100g oral glucose tolerance test (OGTT) is arranged for definitive diagnosis. The GCT is NHI-covered. Gestational diabetes is common in Taiwan, affecting approximately 12-15% of pregnancies.
  • 100g OGTT — If GCT Positive — If the 50g GCT is positive, a 100g oral glucose tolerance test (OGTT) is performed on a separate day. You must fast overnight for at least 8 hours. Blood is drawn at fasting, 1 hour, 2 hours, and 3 hours after drinking the 100g glucose solution. GDM is diagnosed if two or more values exceed the thresholds: fasting ≥95 mg/dL, 1-hour ≥180 mg/dL, 2-hour ≥155 mg/dL, 3-hour ≥140 mg/dL (Carpenter-Coustan criteria). This two-step approach is the traditional method used in Taiwan.
  • Full Blood Count (CBC) Recheck — A repeat full blood count checks your haemoglobin for anaemia, which becomes more common in the third trimester as blood volume increases. If anaemia is found, iron or folic acid supplementation will be prescribed. For women with thalassaemia trait, the haemoglobin may be naturally lower, and the doctor will interpret results in context of your thalassaemia status.

How to prepare

  • The 50g GCT does NOT require fasting — you can eat normally before the test. However, avoid very sugary foods on the morning of the test.
  • If the 100g OGTT is needed, you MUST fast overnight for at least 8 hours. Only water is allowed.
  • The GCT takes about 1 hour of waiting after the glucose drink. Bring something to pass the time.
  • If you need the 100g OGTT, the test takes about 3-4 hours. Bring a snack for afterward.

Tips

  • The glucose drink can taste very sweet and may cause nausea. Drink it steadily within 5 minutes. Some women find it easier chilled.
  • If you vomit within 30 minutes of drinking the glucose solution, the test may need to be repeated on another day.
  • Do not be alarmed if you are diagnosed with GDM — it is common and manageable with proper care. It usually resolves after delivery.
  • If anaemia is found, take iron supplements with vitamin C (e.g., guava juice, very popular in Taiwan) to improve absorption. Avoid taking iron with tea or coffee.

30-Week Routine Visit

Visit 7 · Week 30

Routine monitoring, blood pressure, urine, weight, fundal height, fetal movements, review GDM results

Good to know: This is NHI visit #7, marking the transition to more frequent monitoring (every 2 weeks from 29-36 weeks). Fetal movement monitoring is one of the most important things you can do at home — reduced movements can be an early sign of fetal distress and should always be reported promptly. If you have GDM, your visits may be more frequent with additional blood glucose monitoring. From 28 weeks onwards, start sleeping on your side — research shows this reduces the risk of stillbirth compared to sleeping on your back.

Common checks

  • Blood Pressure — Third trimester blood pressure monitoring. Any new rise is closely assessed alongside urine protein results for signs of pre-eclampsia.
  • Urine Test — Routine urine check for protein, glucose, and infection. Proteinuria combined with rising blood pressure is a red flag for pre-eclampsia.
  • Symphysis-Fundal Height (SFH) — Continued growth monitoring. The fundal height should increase by approximately 1 cm per week in the third trimester. Measurements significantly above or below expected will prompt a growth ultrasound.
  • Review GDM Screening Results — If your GCT or OGTT was done at 24-28 weeks, the results will be reviewed. If gestational diabetes was diagnosed, your doctor will review your blood glucose monitoring records, discuss dietary management, and assess whether medication is needed. Ongoing GDM care involves regular follow-up with your obstetrician and possibly a diabetes specialist.
  • Fetal Movement Assessment — Your doctor will ask about the baby's movements. From 28-30 weeks, you should be well aware of your baby's usual movement pattern. If you notice reduced movements at any time, contact your hospital immediately — do not wait for the next appointment.

How to prepare

  • Bring your Maternal Health Handbook and any blood glucose monitoring records if you have GDM.
  • Start paying close attention to your baby's daily movement pattern so you know what is normal.

Tips

  • Never hesitate to contact the hospital if you are worried about reduced fetal movements. They would rather check and reassure you than have you wait.
  • Start sleeping on your side from 28 weeks onwards. A pregnancy pillow can help you stay comfortable.
  • This is a good time to start thinking about your hospital bag and birth plan.

Third Trimester Labs

Visit 8 · Week 32

Routine monitoring, third trimester blood tests (hepatitis B recheck), blood pressure, urine, fundal height, NHI ultrasound (2 of 2)

Good to know: This is NHI visit #8. The third trimester hepatitis B recheck is an important Taiwan-specific practice. Given Taiwan's historically high HBV carrier rate, confirming HBeAg status in the third trimester allows timely intervention — HBeAg-positive mothers with high viral load may be started on antiviral therapy (e.g., tenofovir) from 28-32 weeks to reduce vertical transmission. This is the typical timing for the second NHI-covered ultrasound, which focuses on growth assessment and fetal position rather than anatomy. Women with low-lying placenta noted at 20 weeks will have a follow-up check at this visit.

Common checks

  • Blood Pressure — Routine monitoring. Pre-eclampsia can develop at any time in the third trimester and requires immediate attention. Report any headaches, visual disturbances, or sudden swelling.
  • Urine Test — Routine urine check. New-onset proteinuria in the third trimester, especially combined with raised blood pressure, needs urgent assessment.
  • Symphysis-Fundal Height (SFH) — Continued growth monitoring. The growth trend should show a steady upward trajectory. If the measurement plateaus or deviates significantly, a growth scan will be arranged.
  • Third Trimester Ultrasound (NHI-Covered, 2 of 2) — This is the second NHI-covered ultrasound. It assesses fetal growth (estimated weight, head circumference, abdominal circumference, femur length), amniotic fluid volume, placenta position, and fetal presentation (head-down or breech). If a low-lying placenta was noted at the 20-week scan, this is when a follow-up check confirms whether it has migrated upward.
  • Hepatitis B Recheck (HBsAg and HBeAg) — Taiwan's prenatal protocol includes a hepatitis B recheck in the third trimester. This confirms your carrier status and checks HBeAg (e-antigen), which indicates high viral replication and higher risk of mother-to-baby transmission. If HBeAg-positive, your doctor will consider antiviral treatment in the third trimester to further reduce vertical transmission, and ensure the newborn receives both HBIG and hepatitis B vaccine at birth.

How to prepare

  • Bring your Maternal Health Handbook and any blood glucose monitoring records.
  • If you have GDM, bring your blood glucose diary and any food records.
  • Note any symptoms you want to discuss — swelling, headaches, breathlessness, or sleep difficulties are common in the third trimester.

Tips

  • This is a good time to start packing your hospital bag. Have it ready by 36 weeks.
  • If you are feeling breathless, this is normal — the growing uterus pushes against the diaphragm. Sitting upright and sleeping propped up can help.
  • Continue monitoring fetal movements daily. Report any changes to your hospital immediately.
  • Consider attending prenatal classes — many hospitals in Taiwan offer free or low-cost classes covering labour, breastfeeding, and newborn care.

34-Week Routine Visit

Visit 9 · Week 34

Routine monitoring, blood pressure, urine, weight, fundal height, fetal position check, birth planning discussion

Good to know: This is NHI visit #9. From 36 weeks, visits increase to weekly. This appointment is a good time to start finalizing your birth plan. Taiwan has both public and private hospitals with different service levels — discuss your options with your doctor. Epidural anaesthesia is widely available in Taiwan and can be requested during labour. If your baby is breech, your doctor will monitor the position over the next few weeks. About 3-4% of babies are still breech at term.

Common checks

  • Blood Pressure — Close monitoring continues. Pre-eclampsia is most common from 34 weeks onwards, and any new rise in blood pressure is taken very seriously.
  • Urine Test — Routine urine check. New proteinuria at this stage, combined with elevated blood pressure, is a warning sign for pre-eclampsia.
  • Symphysis-Fundal Height (SFH) — Continued growth monitoring. Any significant deviation from expected growth may prompt a growth scan.
  • Abdominal Palpation for Fetal Presentation — Your doctor will feel your abdomen to determine whether the baby is head-down (cephalic), bottom-first (breech), or lying sideways (transverse). Most babies are head-down by 34-36 weeks. If breech presentation is suspected, an ultrasound will confirm the position. External cephalic version (ECV) may be offered if breech persists at 36-37 weeks.
  • Birth Planning Discussion — Your doctor will begin discussing birth preferences — including recognising signs of labour, when to go to hospital, pain management options, and your delivery preferences. In Taiwan, pain relief options include epidural anaesthesia (widely available), pethidine, and breathing techniques. You will also discuss breastfeeding plans, cord blood banking options, and newborn care.

How to prepare

  • Start packing your hospital bag. Include items for you and baby, your Maternal Health Handbook, and your NHI card.
  • Think about your birth preferences — pain relief, birth companion, breastfeeding, and cord blood banking.
  • If you suspect your baby might be breech, mention it — the doctor can check with ultrasound.

Tips

  • If you are interested in cord blood banking, research your options now — Taiwan has several private cord blood banks.
  • Start preparing a list of emergency contacts and know your hospital's labour ward phone number.
  • Rest as much as you can. Nap when possible, eat well, and stay hydrated.

GBS Screening

Visit 10 · Weeks 35–37

GBS (Group B Streptococcus) screening swab (NHI-covered), blood pressure, urine, fetal position confirmation

Good to know: Universal GBS screening at 35-37 weeks is NHI-covered in Taiwan — this has been standard since 2012. About 15-20% of women test positive. A positive result does not mean you are ill; it simply means antibiotics during labour are needed to protect the baby. The GBS swab is a simple, quick procedure. If positive, you should go to the hospital as soon as labour starts (or when waters break) so antibiotics can be given at least 4 hours before delivery for maximum protection. Taiwan's universal GBS screening programme has significantly reduced neonatal GBS infection rates.

Common checks

  • Blood Pressure — Close monitoring continues. Any new rise in blood pressure at this stage needs prompt assessment.
  • Urine Test — Routine urine check. Vigilance for pre-eclampsia signs continues until delivery.
  • GBS (Group B Streptococcus) Screening Swab — A vaginal and rectal swab is taken between 35-37 weeks to screen for Group B Streptococcus (GBS). About 15-20% of pregnant women in Taiwan carry GBS. GBS is usually harmless to the mother but can cause serious infection in the newborn (sepsis, pneumonia, meningitis) if passed during delivery. If you test positive, intravenous antibiotics (usually penicillin) will be given during labour to protect the baby. Universal GBS screening has been NHI-covered in Taiwan since 2012, making Taiwan one of the countries with the most comprehensive GBS prevention programmes.
  • Fetal Presentation Confirmation — Your doctor will confirm whether the baby is head-down. If still breech at 36-37 weeks, external cephalic version (ECV) may be offered, or a planned caesarean section will be discussed, typically scheduled for 38-39 weeks.

How to prepare

  • Your hospital bag should be packed by now. Include items for you and baby, your Maternal Health Handbook, NHI card, and personal items.
  • Know your hospital's labour ward phone number and address. Make sure your birth companion knows the route.
  • If you suspect your baby is breech, mention it at this visit.

Tips

  • The GBS swab is a quick, simple test. It is not painful, just slightly uncomfortable.
  • If you test GBS positive, it does not affect your birth plan otherwise — you just need IV antibiotics during labour.
  • If your baby is breech, ECV has about a 50% success rate. If unsuccessful, a planned caesarean is usually recommended.

Birth Preparation

Visit 11 · Week 37

Review GBS results, finalize birth plan, routine checks, presentation confirmation

Good to know: From 37 weeks, the baby is considered "early term" and delivery is generally safe. This is NHI visit #11 — weekly visits from 36 weeks until delivery. If you are GBS-positive, make sure you understand the plan: go to hospital as soon as labour starts so IV antibiotics can begin. In Taiwan, most hospitals allow one or two birth companions. Epidural anaesthesia is widely available — discuss this option with your doctor. If you have a planned caesarean, the date is usually confirmed around now.

Common checks

  • Blood Pressure — Continued close monitoring. Any new rise in blood pressure at this late stage is taken very seriously and may require hospital assessment.
  • Urine Test — Routine urine test. Vigilance for pre-eclampsia signs continues until delivery.
  • Review GBS Screening Results — The results of the GBS swab from 35-37 weeks will be reviewed. If positive, the plan for intrapartum antibiotics will be confirmed. You will be advised to come to hospital as soon as labour starts (or when waters break) so antibiotics can be started promptly — at least 4 hours before delivery is ideal.
  • Presentation Confirmation — The baby's position is reassessed. If head-down and engaged, this is ideal for vaginal birth. If still breech at 37 weeks, ECV will be discussed urgently, or a planned caesarean arranged.
  • Birth Plan Finalization — Your finalized birth preferences are reviewed, including delivery location, pain relief choices (epidural, pethidine, breathing techniques), birth companion, breastfeeding intentions, cord blood banking decisions, and any special requests. Your doctor will also confirm contact numbers and when to come to hospital.

How to prepare

  • Finalize your birth plan and share it with your birth companion.
  • Confirm the hospital labour ward phone number and know when to call.
  • Double-check your hospital bag. Include NHI card, Maternal Health Handbook, phone charger, comfortable clothes, and baby items.
  • Ensure your birth companion is available and contactable at all times.

Tips

  • Signs that labour may be starting: regular contractions getting stronger and closer together, waters breaking, a "show" (blood-tinged mucus), persistent lower back pain.
  • If your waters break, note the time, colour, and amount, and go to hospital. Green or brown fluid may indicate meconium — go immediately.
  • Try to rest as much as possible. Labour can be long, especially for first-time mothers.

Fetal Monitoring

Visit 12 · Week 38

Fetal monitoring (CTG if indicated), blood pressure, urine, fundal height, fetal movements, review birth readiness

Good to know: This is NHI visit #12. From 38 weeks, you are very close to delivery. Most babies are born between 38-42 weeks. CTG monitoring may be done routinely at some Taiwan hospitals from 38-40 weeks, especially for women with GDM or other risk factors. An important point: babies do NOT move less as the due date approaches. Any change in your baby's usual movement pattern should be reported immediately. If you have a planned caesarean, it is typically scheduled for 38-39 weeks.

Common checks

  • Blood Pressure — Close monitoring continues. Any new rise in blood pressure at this late stage needs urgent assessment and may prompt consideration of early delivery.
  • Urine Test — Routine check for protein and glucose. New proteinuria at this stage is treated very seriously.
  • Symphysis-Fundal Height (SFH) — Final growth measurements. The baby may have engaged in the pelvis, causing the fundal height to plateau or decrease slightly, especially in first pregnancies.
  • Cardiotocography (CTG) — If Indicated — A CTG may be performed if there are concerns about the baby's wellbeing, such as reduced fetal movements, GDM, or other risk factors. The CTG monitors the baby's heart rate pattern and any uterine contractions using sensors on your abdomen. A "reactive" trace with good variability and accelerations is reassuring. The test usually takes 20-40 minutes.
  • Fetal Movement Review — Your doctor will ask in detail about the baby's movements. Continue monitoring daily and report any changes immediately. Babies do NOT move less near the end of pregnancy — this is a myth. You should feel your baby moving right up until labour.

How to prepare

  • Make sure your hospital bag is packed and your birth companion is on standby.
  • Know the signs of labour and when to go to hospital.
  • Have your hospital's labour ward number saved in your phone.
  • If you have a planned caesarean, the date should be confirmed by now.

Tips

  • Stay active with gentle walking if you feel well — it can help encourage labour to start naturally.
  • Continue eating well and staying hydrated. Rest when you need to — you are almost there!
  • Many first-time mothers go past their due date — this is normal and not a cause for concern.
  • If you are anxious about delivery, talk to your doctor or a counsellor. They are there to support you.

Post-Dates Assessment

Visit 13 · Weeks 39–40

Blood pressure, urine, fundal height, fetal monitoring (CTG), discuss post-dates management, membrane sweep option, induction planning

Good to know: Going past your due date is very common, especially for first-time mothers — only about 5% of babies arrive exactly on the estimated due date. This is NHI visits #13-14 (weekly visits at 39 and 40 weeks). In Taiwan, the standard approach is to offer induction of labour at around 41 weeks if labour has not started naturally. Before induction, membrane sweeps may be offered. If you go past your due date, visits will be more frequent (every 2-3 days) with CTG monitoring and amniotic fluid checks. The decision to induce is always discussed with you — your informed consent is important.

Common checks

  • Blood Pressure — Vigilant monitoring. Any rise is taken very seriously at this stage as the pregnancy approaches or passes the due date.
  • Urine Test — Routine urine check. Protein levels are closely monitored alongside blood pressure right up to delivery.
  • Symphysis-Fundal Height (SFH) — Growth monitoring continues. At 39-40 weeks, the baby is full term. The fundal height may plateau if the baby has engaged deep in the pelvis.
  • Cardiotocography (CTG) — A CTG is commonly performed at 39-40 weeks in Taiwan, especially if the pregnancy has reached or passed the due date. The trace monitors the baby's heart rate and any contractions. A reassuring trace confirms the baby is well. If the trace is non-reassuring, further assessment or delivery may be recommended.
  • Amniotic Fluid Check (Ultrasound) — An ultrasound may be used to check the amniotic fluid volume. As the pregnancy approaches or passes the due date, amniotic fluid can gradually decrease. A low amniotic fluid index (AFI) may prompt consideration of induction of labour.
  • Membrane Sweep (If Offered) — A membrane sweep may be offered around 40-41 weeks to help encourage labour to start naturally. During a vaginal examination, the doctor separates the membranes from the lower segment of the uterus. This releases prostaglandins that can help trigger labour. It increases the chance of labour starting within 48 hours by about 20%. The procedure can be uncomfortable but is quick.
  • Post-Dates Management Discussion — Your doctor will discuss what happens if your pregnancy goes past the due date. In Taiwan, induction of labour is typically offered at 41 weeks if labour has not started spontaneously. The risks of continuing beyond this point — including a small increase in stillbirth risk and placental insufficiency — will be explained. Induction methods include prostaglandin gel, artificial rupture of membranes, and oxytocin drip.

How to prepare

  • Make sure your birth partner is ready and can be contacted at any time.
  • Confirm your route to the hospital, including a backup plan for traffic.
  • Continue monitoring fetal movements and report any changes immediately.
  • If you are offered a membrane sweep, be prepared — it can be done at this visit. Wear comfortable clothing.

Tips

  • Going past your due date is normal and does not mean anything is wrong. Labour will come when it is ready.
  • After a membrane sweep, you may experience cramping, spotting, or a "show." If you develop regular, strong contractions, labour may be starting.
  • Stay active with gentle walking if you feel well — it can help the baby engage and labour to start.
  • The decision about induction is yours. Ask your doctor to explain the pros and cons so you can make an informed choice.

Sources

This overview references public guidance from:

Prenatal Care Schedules by Country