Routine prenatal care

Evidence last reviewed: 15 Mar 2026
Topic last updated: 09 Apr 2026

Summary

Details

  • Preconception care
  • Prenatal care
  • Routine screening tests
  • Routine laboratory tests
  • Additional tests to consider
  • Ultrasonography
  • Screening for genetic abnormalities
  • Screening for neural tube defects (NTDs)
  • Screening for hypertensive disorders of pregnancy
  • Screening for gestational diabetes mellitus
  • Screening for group B streptococcus (GBS)
  • Rho (D) immune globulin administration
  • Diagnosis and treatment of anemia in pregnancy
  • Pregnancy at age 35 years or older
  • Obesity
  • Multiple gestations
  • Management of post-term pregnancy
Full details

Contributors

Authors

Alex Peahl, MD MSc

Assistant Professor

Department of Obstetrics and Gynecology

University of Michigan

Ann Arbor

MI

Disclosures

AP is a consultant for Pulsenmore, Mirvie, and United-Michigan. She receives research support and grants from Pulsenmore, the FDA, NIH (NICHD), BCBS Foundation of Michigan, Molina Foundation, Michigan Health Endowment fund, and the Michigan DHHS. AP is an author of several references cited in this topic.

Acknowledgements

Dr Alex Peahl would like to gratefully acknowledge Dr Mary E. D'Alton, Dr Russell S. Miller, Dr Linda M. Szymanski, and Dr Jessica L. Bienstock, the previous contributors to this topic.

Disclosures

MED declares that she is a member of the advisory boards for Merck for Mothers and March for Moms, as well as a member of the Scientific Advisory Boards for Maven and Johnson and Johnson. RSM, LMS, and JLB declare that they have no competing interests.

Peer reviewers

Chris Chisholm, MD

Associate Professor

Residency Program Director

Department of Obstetrics and Gynecology

University of Virginia Health System

Charlottesville

VA

Disclosures

CC declares that he has no competing interests.

Eva Pressman, MD

Director of Maternal Fetal Medicine

University of Rochester

School of Medicine and Dentistry

Rochester

NY

Disclosures

EP declares that she has no competing interests.

Jan Dickinson, MBBS(WA), MD, FRANZCOG, DDU, CMFM

Professor Maternal Fetal Medicine

School of Women's and Infants' Health

The University of Western Australia

Perth

Western Australia

Australia

Disclosures

JD declares that she has no competing interests.

Greg Ofili, FRCOG

Consultant Obstetrician and Gynaecologist

Wishaw General Hospital

Netherton Wishaw

UK

Disclosures

GO declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

American College of Obstetricians and Gynecologists. ACOG committee opinion no. 762: prepregnancy counseling. Jan 2019 [internet publication].Full text

National Institute for Health and Care Excellence. Antenatal care. Aug 2021 [internet publication].Full text

American College of Obstetricians and Gynecologists. Screening for fetal chromosomal abnormalities. Jan 2026 [internet publication].Full text  Abstract

American College of Obstetricians and Gynecologists. ACOG practice bulletin no. 175: ultrasound in pregnancy. Dec 2016 [internet publication].Full text

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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