3rd Trimester: 2nd Prenatal Visit

You're in the homestretch of pregnancy! During this visit, your doctor may explain the warning signs for preeclampsia. Preeclampsia is a disease of pregnancy that causes high blood pressure and your kidneys to release more protein than usual. It can develop toward the end of pregnancy, especially in women who are carrying twins. Your doctor will also measure your progress and answer your pregnancy-related questions.

What You Can Expect:

At this visit, your doctor will:

  • Check your legs for varicose veins. This condition can develop because the uterus puts extra pressure on leg veins. Your doctor may recommend ways to help relieve the pressure, such as elevating your legs at night or wearing compression stockings during the day.
  • Check your weight and blood pressure.
  • Check your baby's heart rate.
  • Ask if your babies' movements are occurring about as often as your last appointment.
  • Ask you to leave a urine sample to check sugar and protein levels.

If you're carrying twins that share a placenta, your doctor will use ultrasound to see how well the babies are growing well and check for TTS.

Be Prepared to Discuss:

To make sure that you and your babies stay healthy as your pregnancy progresses, your doctor may talk with you about:

  • Preeclampsia. Your doctor monitors your risk of preeclampsia at every visit by checking your blood pressure and testing your urine. Preeclampsia is much more common among women who are pregnant with twins. It can cause serious complications in mothers and babies. If you have preeclampsia, your doctor will monitor and test you and your babies more often to make sure you are all healthy. Your doctor will explain the symptoms of preeclampsia and when you should call your doctor.

Ask Your Doctor:

Tap the Action button above to select questions to ask your doctor.

  • Will my varicose veins go away after I give birth?
  • What signs of preeclampsia should I watch for?
  • What complications are caused by preeclampsia?
WebMD Medical Reference Reviewed by Traci C. Johnson, MD on July 02, 2018



ACOG: "High Blood Pressure During Pregnancy."

ACOG: "Skin Conditions During Pregnancy."

ACOG: "Your Pregnancy and Childbirth Month to Month, thh ed."

AAP and ACOG: "Guidelines for Perinatal Care, 6th ed."

William Goodnight, III, MD, assistant professor in obstetrics & gynecology at the University of North Carolina School of Medicine in Chapel Hill, board certified in maternal-fetal medicine.

Harish M. Sehdev, MD, associate professor of obstetrics & gynecology at the University of Pennsylvania Perelman School of Medicine in Philadelphia, board certified in maternal-fetal medicine.

Natali Aziz, MD, assistant professor of obstetrics & gynecology at Stanford University School of Medicine.

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