Date of Visit:
Name of Health Care Provider Seen:
Weeks of Pregnancy: Due Date: Weight:
Tests (Check each one you had): □ Blood Pressure (Reading: _
□ Glucose Test for Diabetes □ Heard my baby's heart beat List any other tests you had:
(Turn to pages 8 and 9 for more information about tests.) Date of Next Appointment:
Other visits or problems since my appointment: Problem Date
You may feel better during these last months of pregnancy if you eat smaller meals and snack on fruits, vegetables, milk, breads, and cereals.
Because your baby is getting big, it may be harder for you to breathe. Slow down, stretch your arms over your head, breathe deeply.
Call your health care provider right away if you have any of the signs of premature labor listed on page 12.
If you have children, talk to them about the new baby soon to be born.
1. How will I know when I go into labor?
2. What should I do to get ready for the birth of my baby?
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