Your Visit

At your initial visit to the clinic:

• A detailed obstetrical history will be taken. Your physician will want to know whether you have had any previous experiences with preterm birth, what your health has been like in the past, whether you are on any medications, and other such information.

• A speculum exam will be performed to examine the texture, dilatation, and length of the cervix.

• Swabs of the vagina and cervix will be taken to look for any infections and inflammatory markers. These swabs will be repeated 4 weeks later.

• A sample of urine will be taken for culture and will be repeated throughout the pregnancy.

• An ultrasound will be performed to check the health and wellbeing of the fetus.

At follow-up visits to the clinic:
• Repeated measurements of the length of the cervix and speculum exams will be performed. These are meant to monitor the risks of preterm birth and pick up any changes early on.

• Measurements from the First Trimester Screen, the Maternal Serum Screen and a placental ultrasound can be used to predict the development of the placenta. These tests are explained later on in the booklet.

Clinic visits will be booked generally as follows: 12 weeks, 16 weeks, 18 weeks, and then weekly visits from 20 weeks until 28-30 weeks.

However, your care will be tailored based on your obstetrical history, and your physician may recommend you schedule more or less frequent visits.

Your activity level at home will be based on your medical findings and will be discussed with you by your doctor.

After 32 weeks of gestation, the risks of prematurity greatly decrease and the tools of predicting prematurity become less relevant. At this time, you may be discharged to a low risk follow-up clinic at Mount Sinai Hospital or back to your referring doctor.

Modified Activity or Bedrest

If you are at risk of preterm labour, your doctor may recommend rest at home.

Types of Bedrest
Limited bedrest / Limited activity / Bedrest with bathroom privileges
You should be lying on your side or sitting for most of the day. You may be up for short periods of time (less than 30 minutes). NO heavy work or lifting is permitted. Someone else needs to do the laundry and cleaning.

Intimacy while on Bedrest
Hugging, kissing and clitoral touching are fine, but intercourse or fondling breasts are not.

Screen shot 2013-05-16 at 4.09.55 PM

Special Pregnancy Program

Referrals »

Fetal Medicine: 416-586-4800 x 7756
Fax: 416-586-3216

Maternal Medicine: 416-586-4800 x 7000
Fax: 416-586-5109

Main clinic hours: Monday to Friday, 8am to 4pm

Prenatal Diagnosis & Medical Genetics

Referrals »

phone: 416-586-4800 x 4523
fax numbers:
416-586-4723 or 416-586-8384

Perinatal Mental Health

Referrals »

Phone: 416-586-4800 x 8325
Fax: 416-586-8596