Pregnancy Checklist

Second Trimester - Month 4 (weeks 14-17)
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Go to your 16-week prenatal appointment.

Month 4

If you had early genetic testing, your provider will discuss these results and make sure you're scheduled for the 2nd part of this testing.

If you did not undergo any 1st trimester screens, then your provider may recommend getting a Quad or Penta screen which can indicate risk for chromosomal or developmental abnormalities.

Your OB provider will listen to your baby's heartbeat using a fetal doppler and may feel your belly to check if your uterus can be felt about halfway between the pubic hairline.

You will get a prescription for your anatomy ultrasound, if not yet done.

TASK TYPE

To Do

PURPOSE

Medical

TEAM

Doctor

Schedule your anatomy ultrasound for about 19-20 weeks.

Month 4

The purpose of this ultrasound is to evaluate the baby's anatomy and screen for any birth defects that may be present or that may raise the index of suspicion for the presence of a chromosomal or genetic abnormality.

Another purpose is to check if the placenta is in the proper place and determine if there is adequate amniotic fluid surrounding the baby.

At this visit, the sex of your baby can usually, but not always, be seen. Let your ultrasound technician know if you wish to know or not know the sex of your baby.

TASK TYPE

To Do

PURPOSE

Medical

TEAM

Doctor

Schedule your next prenatal appointment (~20 weeks).

Month 4

During the 4th month, your baby will grow from the size of a peach to the size of a turnip and will weigh approximately 6 ounces by the end of this month.

Whether you can feel movement or not, your baby is able to move all of his or her limbs and joints.

TASK TYPE

To Do

PURPOSE

Medical

TEAM

Doctor

Try to get in at least 30 minutes of physical activity every day.

Month 4

If your OB provider has cleared you to exercise and you are new to exercise, start out slowly and gradually increase your activity. Begin with as little as 5 minutes a day. Add 5 minutes each week until you can stay active for at least 30 minutes a day.

Walking is an easy way to start. Other safe options for exercise are prenatal yoga, pilates modified for pregnancy, swimming/water workouts, and stationary bicycling.

If you were very active before pregnancy, you can keep doing the same workouts with your OB provider's approval.

TASK TYPE

To Do

PURPOSE

Personal

TEAM

Self

What can I do for headaches?

Month 4

Headaches are fairly common between 16 to 20 weeks in pregnancy and are sometimes due to dehydration.

But if hydrating with water doesn't help, make sure to speak with your provider about what you can take and if you need to be seen.
- Most providers recommend trying Tylenol.
- Magnesium citrate 400mg may also help with headaches and constipation during pregnancy.

TASK TYPE

To Ask

PURPOSE

Medical

TEAM

Doctor

How many extra calories do I need to eat while pregnant?

Month 4

Your calorie needs will depend on your weight gain goals.

Eating for two doesn't mean eating twice as much. Most women need about 300 calories more per day during the last 6 months of pregnancy.

Although you want to be careful not to eat more than you need for a healthy pregnancy, make sure not to restrict your diet during pregnancy either.

TASK TYPE

To Ask

PURPOSE

Medical

TEAM

Doctor

What is the company maternity/paternity leave policy?

Month 4

Most people are eligible for maternity/paternity leave under the Family and Medical Leave Act (FMLA) for up to 12 weeks for the birth of a child within one year of birth.

Different state laws offer different protections.

TASK TYPE

To Ask

PURPOSE

Personal

TEAM

Self

Can I get reimbursed for childbirth, breastfeeding, and parenting education classes?

Month 4

If you are a first-time parent, prenatal education courses on labor and delivery, breastfeeding, infant CPR, and baby care are extremely helpful.

If you have an FSA or HSA, you may be able to use it to cover the cost of any education courses you take to prepare for parenthood.

TASK TYPE

To Ask

PURPOSE

Financial

TEAM

Insurance

How much time do I have to add my baby to my insurance policy after delivery? Will well-baby and sick-baby care be covered until then?

Month 4

After giving birth, your baby should be covered for the first 30 days as an extension of your policy and deductible.

You should add your baby to your health insurance policy or change to a policy that will also cover your baby as a dependent as soon as possible after delivery. Since having a baby is a qualifying event, you do not need to wait until open enrollment to make these changes.

TASK TYPE

To Ask

PURPOSE

Financial

TEAM

Insurance

Will postpartum home visits by a nurse be covered for both myself and my baby?

Month 4

At this time, home visits are not widely available in the U.S. Even if not covered by insurance, check if your birth center, health system, or home health agency offers postpartum home visits.

Medicaid partners with Health Resources & Services Administration (HRSA) to provide home visit support to high-risk beneficiaries.

TASK TYPE

To Ask

PURPOSE

Financial

TEAM

Insurance

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