Your complete pregnancy map

What we monitor from a positive test until birth

A normally progressing pregnancy follows a sequence of checks. Frequency and tests change when history, symptoms or findings require a different plan.

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  • Obstetric consultation
  • Advanced ultrasound
  • Laboratory and screening
  • Late-pregnancy monitoring
  • Nutrition
What we monitor from a positive test until birth
Complementary follow-upAskabide + Osakidetza · birth at the reference hospital

Early pregnancy: confirm, locate and plan

After a positive test we review the last menstrual period, cycle pattern, medical and obstetric history, medication and symptoms. The first scan is timed according to gestational age and the clinical situation.

A very early scan may not yet show everything expected. Repeating it after an interval does not by itself mean that there is a complication.

First trimester: dating and screening

The first trimester brings together clinical review, initial blood tests, the 11–13+6 week scan, chromosome screening and preeclampsia screening when appropriate.

NI/+ is available from ultrasound-confirmed week 10. It is a screening test and does not replace diagnostic testing when confirmation is indicated.

Preeclampsia screening

Maternal risk, blood pressure, biochemistry and Doppler within the relevant protocol.

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Second trimester: anatomy, growth and metabolism

The anomaly scan around 20 weeks systematically examines fetal anatomy, growth, placenta, fluid and other parameters. It cannot rule out every anomaly.

Blood tests and gestational diabetes screening commonly take place between 24 and 28 weeks, adapted to protocol and risk factors.

Gestational diabetes

O’Sullivan screening, results and next steps.

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Third trimester: growth and final preparation

Maternal progress, fetal growth, presentation, placenta, amniotic fluid and fetal wellbeing are assessed as clinically indicated.

Askabide’s protocol may include cardiotocography from week 36, usually weekly and always adapted to the clinical context.

Third-trimester ultrasound

Growth, presentation, placenta and fluid.

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Monitoring from week 36

Fetal heart rate and uterine activity during the recording.

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Preparing for hospital

Reports, warning signs and continuity of care.

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A timeline does not replace an individual plan

Multiple pregnancy, hypertension, diabetes, altered fetal growth, obstetric history, bleeding or other findings may require additional checks or specialist hospital care.

Knowing when to extend, repeat or refer is also part of responsible follow-up.

Clinical sources

General information only. It does not replace an individual medical assessment or recommendation.

Reviewed 19 August 2026

Would you like to organise your follow-up?

Choose Donostia, Vitoria-Gasteiz or Bilbao. We will explain which checks we provide and how to combine them with public care.