Routine Investigations at First Visit:
• CBC
• Rubella status
• Hepatitis B Surface Antigen
• VDRL (Syphilis)
• Blood Group and Rh status, Antibody Screen (to check for red blood cell antibodies)
• Urinalysis (Routine and Microscopic)
• Mid-Stream Urine (MSU) for culture and sensitivity (2-7% or women have asymptomatic bacteriuria)
• Pap smear, if due
• Cervical cultures or urine screen for Gonorrhea and Chlamydia
• TSH routinely done by many OBs; TSH often physiologically depressed in early pregnancy, value of routine TSH screening is currently in doubt (2015 ACOG Guideline recommended against routine screening of asymptomatic women)