Pre-Natal Care Checklist Outline
Prepared for: [YOUR NAME]
Prepared by: [YOUR COMPANY NAME]
Contact Details: [YOUR COMPANY ADDRESS], [YOUR COMPANY EMAIL], [YOUR COMPANY NUMBER]
Section 1: Key Medical Appointments
Appointment Type | Recommended Date | Status |
|---|
First Trimester Check-Up | January 10, 2050 | |
Ultrasound (12 Weeks) | February 5, 2050 | |
Glucose Screening | April 15, 2050 | |
Third Trimester Check-Up | July 20, 2050 | |
Birth Plan Consultation | August 1, 2050 | |
Section 2: Essential Tests and Vaccinations
☐ Blood Pressure Monitoring (Monthly)
☐ Blood Tests (Iron, Rh Factor, etc.)
☐ Gestational Diabetes Screening
☐ Tdap Vaccination (Between 27–36 weeks)
Section 3: Lifestyle Recommendations
☐ Nutrition Plan: Follow balanced meals rich in folic acid, calcium, and iron.
☐ Exercise Routine: Engage in low-impact activities like prenatal yoga or walking.
☐ Mental Health: Attend at least one stress-management session.
☐ Education: Complete a childbirth preparation class by August 15, 2050.
Section 4: Emergency Contacts
Contact Name | Role | Phone Number |
|---|
Primary Doctor | Obstetrician | 222 555 7777 |
Hospital | Delivery Center | 222 555 7777 |
[YOUR COMPANY NAME] | Support Line | [YOUR COMPANY NUMBER] |
Section 5: Notes and Follow-Up
Questions for the Next Visit:
☐________________________________________________________
☐________________________________________________________
Additional Notes:
☐________________________________________________________
☐________________________________________________________
Call to Action
Stay proactive about your health and your baby's well-being! Contact us at [YOUR EMAIL] or call us at [YOUR COMPANY NUMBER] to schedule your next appointment or for further guidance.
Checklist Templates @ Template.net
