Pregnancy by Trimester — First, Second and Third

Our approach to trimester-by-trimester care

Every pregnancy at Balaji Horizon is monitored on a structured schedule calibrated to risk profile — RCOG schedule for low-risk pregnancies, with additional checkpoints added for any identified risk factors. We discuss what to expect at each visit before the visit, so patients know what is happening and why.

First-trimester care (weeks 1–12)

Dating scan, viability confirmation, baseline bloods, screening discussion (NT scan + combined screening or NIPT), nutritional and lifestyle counselling. Early pregnancy is also when many anxieties peak — we provide accessible answers between visits.

Second-trimester care (weeks 13–27)

Anomaly scan (typically 18–22 weeks), gestational diabetes screening, fetal movement counselling, continued blood pressure and weight monitoring. The mid-pregnancy phase is when many patients begin to feel more confident — we maintain monitoring without manufacturing anxiety.

Third-trimester care (weeks 28–40)

Growth scans, blood pressure surveillance for preeclampsia, group B strep discussion, delivery planning conversations, birth preferences, breastfeeding preparation. The frequency of visits increases through the third trimester.

Trimester topics

Guidelines we follow

• NICE NG201 — Antenatal care
• RCOG green-top guidelines on antenatal care
• FIGO statements on pregnancy monitoring

Where this fits

Trimester care intersects with fetal medicine at scan checkpoints, with screening tests at specific gestations, and with high-risk care if risk factors emerge.