Prenatal checkup: week 24 – 28

In your next visit, between weeks 24-28, the doctor will probably screen your blood for gestational diabetes (GDM). Gestational diabetes is a condition in which a woman without diabetes develops high blood sugar levels during pregnancy. 

What to expect:

• You’ll get your urine, blood pressure, and weight checked.
• Your doctor will listen to the baby’s heartbeat.
• Your doctor will feel and measure your belly.
• You’ll be given a very sweet beverage to drink. After one hour, your doctor will take your blood to check how your body reacts to sugar. If positive, you’ll be asked to come back for an Oral Glucose Tolerance Test (OGTT).

What to ask:

1. How long will you let me labor before recommending a C-section?
   Do you anticipate I may need an induction? 
2. How far would I go past my due date before needing an induction?
3. What is your policy on epidurals and other pain relief options?
4. Are there childbirth classes you recommend?
5. Are there any restrictions on traveling for the rest of my pregnancy?
6. Is there any reason I might be at higher risk for GDM?
7. If I need to return for the Oral Glucose Tolerance Test, how should I prepare for it?
8. What special diet and exercise plan should I follow if my test results are positive?
9. Can you refer me to a registered dietitian who specializes in prenatal nutrition?
10. What changes can I make now to lower my risk of developing GDM?

To prepare:

• Read up about different childbirth methods.
• Research childbirth classes if you are interested.
• Eat normally — there’s no need to fast for a glucose test.