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Fortunately, the number of tests performed usually drops in the third and final trimester as long as both mother and baby are deemed to be healthy, and there are no other complications. Urine testing, however, will continue to monitor the protein levels and to detect any unusual bacteria. Testing for GBS, a bacteria that is normally present in the intestines, is standard between 35 to 37 weeks. If GBS infects your baby, it can cause serious illness. The test involves taking swabs from the anal and genital regions to test for traces of the bacteria. If you test positive for the bacterium, you will likely be given antibiotics during labor to protect your baby. If you don’t feel your baby moving, are past your due date, carrying more than one baby, or have chronic health conditions, your doctor may ask you to measure the amount of time it takes your baby to move ten times while lying on your side. The best time to do this test is directly after eating as this is when babies tend to be most active. If the baby does not kick at least 10 times in two hours or if the number of moves seems to be decreasing, your doctor may order additional testing. If you have risk factors such as chronic health conditions or are carrying multiples, this test may be conducted more than once beginning at 32 weeks (possibly earlier). A strap will be placed around your abdomen to monitor the baby’s heartbeat. The test usually takes anywhere from 20 – 40 minutes. A baby whose heart rate doesn’t rise when he moves may simply be sleeping. Your doctor will try to wake the baby using a buzzer placed on the belly. If the problem persists, further testing will be done. If your baby is overdue or if you’ve had many complications throughout your pregnancy, your healthcare provider may want to complete a biophysical profile. The test involves an ultrasound combined with the nonstress test, and helps the doctor to determine whether your baby may benefit from being delivered as soon as possible. For example, if your level of amniotic fluid is low, your doctor may wish to deliver the baby as soon as possible.
Have routine urine testing. Submit to testing for group B Streptococcus (GBS). Conduct a kick count. Conduct a nonstress test. Consider a biophysical profile.