Dr. Shahrzad Akhounzadeh is a Consultant Gynecologist & Obstetrician with more than 15 years of clinical experience in women’s health. Her areas of expertise include pregnancy and high-risk pregnancy care, infertility management, minimally invasive gynecological procedures, maternal-fetal medicine, colposcopy, hormonal management, and antenatal and postnatal care. She holds professional licenses in Dubai, Abu Dhabi, and the UAE and provides evidence-based, patient-centered care across obstetrics and gynecology.
Pregnancy care begins long before the final weeks before delivery. From the first positive pregnancy test, regular medical follow-up can help monitor the health of both mother and baby, confirm that the pregnancy is progressing as expected, and identify whether additional testing or closer observation may be needed.
For women looking for pregnancy care in Dubai, prenatal follow-up may include medical consultations, blood and urine tests, ultrasound scans, genetic screening options, gestational diabetes screening, fetal growth monitoring and preparation for delivery.
At the Obstetrics & Gynaecology Department at DRFK Dubai, pregnancy follow-up is planned according to gestational age, medical history, previous pregnancies and individual risk factors.
What Is Prenatal Care?
Prenatal care refers to the medical follow-up provided during pregnancy to support the health of the mother and developing baby.
It usually includes a combination of:
- Obstetric consultations.
- Blood pressure and weight monitoring.
- Blood tests.
- Urine tests.
- Ultrasound examinations.
- Assessment of fetal growth.
- Monitoring of fetal wellbeing when medically indicated.
- Screening for conditions that may affect pregnancy.
- Planning for labour and delivery.
The exact schedule does not need to be identical for every pregnant woman. Current guidance increasingly supports tailoring prenatal care according to individual risk and clinical need rather than applying one fixed schedule to everyone.
When Should Pregnancy Follow-Up Start?
It is generally appropriate to arrange your first obstetric appointment soon after confirming pregnancy.
During the first consultation, the doctor may review:
- The date of your last menstrual period.
- Previous pregnancies and deliveries.
- Previous miscarriages or pregnancy complications.
- Existing medical conditions.
- Current medications and supplements.
- Family medical history.
- Any bleeding, pelvic pain or other symptoms.
- Lifestyle factors that may affect pregnancy.
The doctor can then determine which tests are appropriate and whether an early ultrasound is needed.
What Tests Are Usually Done in Early Pregnancy?
The first stage of pregnancy care often involves baseline tests that help provide an overall picture of the mother's health.
Depending on the patient, these may include:
- Complete blood count.
- Blood group.
- Rh factor.
- Urine analysis.
- Screening for selected infections.
- Blood glucose assessment.
- Thyroid tests when clinically appropriate.
- Additional blood tests according to medical history.
These tests can help identify issues such as anemia, blood group incompatibility, infection, glucose abnormalities or other conditions that may influence the pregnancy care plan.
What Happens During the First Trimester?
The first trimester lasts until approximately the end of week 13.
During this stage, pregnancy care commonly focuses on confirming gestational age, reviewing maternal health and discussing prenatal screening options.
Follow-up may include:
- Early pregnancy ultrasound when indicated.
- Routine laboratory testing.
- Blood pressure measurement.
- Review of medications and supplements.
- Discussion of prenatal genetic screening.
- Assessment of symptoms such as bleeding or significant pain.
- Evaluation of any factors that may make the pregnancy higher risk.
Does Every Pregnant Woman Need an Early Ultrasound?
Not necessarily.
An early pregnancy ultrasound may be recommended to:
- Confirm the location of the pregnancy.
- Estimate gestational age.
- Confirm the number of fetuses.
- Evaluate vaginal bleeding.
- Investigate pelvic or abdominal pain.
- Clarify pregnancy dates when the last menstrual period is uncertain.
- Assess pregnancies with certain previous complications.
The timing and need for the scan depend on the clinical situation.
What Is the NT Scan?
The nuchal translucency scan, commonly called the NT scan, is an ultrasound assessment performed during a specific period in the first trimester.
It measures the fluid-filled space at the back of the baby's neck.
The result may contribute to screening for certain chromosomal conditions when combined with other information.
An NT scan is a screening assessment, not a final diagnosis.
What Is NIPT?

NIPT prenatal screening test using a maternal blood sample to assess certain chromosomal conditions at DRFK Dubai.
NIPT, or non-invasive prenatal testing, is a prenatal screening test performed using a blood sample from the mother.
It analyses cell-free DNA circulating in maternal blood and can be used to screen for the likelihood of certain chromosomal differences.
NIPT is considered a highly sensitive screening method for some common fetal chromosomal abnormalities, but it remains a screening test rather than a diagnostic test. A high-risk result may require genetic counseling, detailed ultrasound assessment and diagnostic testing for confirmation.
Does Every Pregnant Woman Need NIPT?
Not every pregnant woman must undergo NIPT.
However, prenatal genetic screening options should be discussed so that patients understand:
- What the test screens for.
- What it does not detect.
- How accurate the test is for different conditions.
- What a high-risk result may mean.
- Whether further testing might be needed.
The decision should be made after appropriate medical counseling.
What Happens During the Second Trimester?
The second trimester generally covers approximately weeks 14 to 27.
During this period, the focus increasingly shifts toward fetal growth and anatomy as well as continued monitoring of maternal health.
Follow-up may include:
- Blood pressure monitoring.
- Weight assessment.
- Repeat blood or urine tests when needed.
- Anatomy ultrasound.
- Gestational diabetes screening.
- Review of fetal growth.
- Assessment of new symptoms.
When Is the Detailed Pregnancy Ultrasound Done?
One of the most important scans during pregnancy is the detailed fetal anatomy scan, sometimes called the anomaly scan or mid-pregnancy ultrasound.
Current ACOG guidance recommends offering a second-trimester ultrasound for fetal structural abnormalities, ideally between 18 and 22 weeks of pregnancy.
During this scan, the clinician may evaluate:
- The fetal head and brain.
- Spine.
- Heart.
- Limbs.
- Abdominal organs.
- Placental location.
- Amniotic fluid.
- Overall fetal growth and development.
The Obstetrics & Gynaecology service at DRFK Dubai includes antenatal assessment and ultrasound-based pregnancy follow-up.
Can the Anatomy Scan Detect Every Fetal Condition?
No.
The anatomy scan is an important part of prenatal care, but no ultrasound can detect every possible fetal condition.
Some abnormalities may be difficult to identify, may develop later, or may require additional specialist imaging or genetic evaluation.
If something unusual is seen, the obstetrician may recommend:
- A repeat targeted ultrasound.
- Maternal-fetal medicine assessment.
- Genetic counseling.
- Additional screening or diagnostic tests.
When Is Gestational Diabetes Screening Performed?
Gestational diabetes is a form of diabetes that develops during pregnancy.
Screening commonly takes place during the second trimester, although women with certain risk factors may be assessed earlier.
Risk factors can include:
- Previous gestational diabetes.
- Family history of diabetes.
- Elevated blood glucose before pregnancy.
- Excess body weight.
- Certain previous pregnancy complications.
Routine pregnancy testing is intended to identify conditions that may require additional monitoring or treatment during pregnancy.
What Happens During the Third Trimester?
The third trimester begins at approximately week 28 and continues until delivery.
Prenatal visits during this stage may increasingly focus on:
- Maternal blood pressure.
- Fetal growth.
- Fetal movements.
- Fetal position.
- Symptoms suggesting pregnancy complications.
- Preparation for labour.
- Planning the timing and mode of delivery.
- Determining whether additional fetal monitoring is required.
Some women may need more frequent visits or scans depending on their clinical situation.
Do You Need an Ultrasound Every Week During Pregnancy?
No. Weekly ultrasound is not routinely required for every pregnancy.
The number and timing of ultrasound examinations depend on factors such as:
- Maternal health.
- Fetal growth.
- Gestational diabetes.
- High blood pressure.
- Multiple pregnancy.
- Placental problems.
- Changes in amniotic fluid.
- Previous pregnancy complications.
- Findings from earlier scans.
A low-risk pregnancy may require fewer scans than a pregnancy needing closer observation.
What Is a High-Risk Pregnancy?
A pregnancy may be classified as high risk when a maternal or fetal factor increases the need for closer medical monitoring.
Examples may include:
- Pre-existing diabetes.
- High blood pressure.
- Multiple pregnancy.
- Previous significant pregnancy complications.
- Fetal growth concerns.
- Certain placental conditions.
- Maternal chronic disease.
- Abnormal findings on prenatal screening.
A high-risk classification does not automatically mean that a serious problem will occur. It means that the pregnancy may require additional monitoring or specialist care.
How Does Pregnancy Care Change From Trimester to Trimester?
The exact plan varies for every patient, but pregnancy care can broadly be understood in stages.
Early pregnancy:
Pregnancy confirmation, medical history, initial laboratory tests and pregnancy dating.
First trimester:
Maternal health assessment, early ultrasound when needed and discussion of prenatal screening options.
Around 18–22 weeks:
Detailed fetal anatomy ultrasound.
Second trimester:
Continued maternal and fetal monitoring and gestational diabetes screening when appropriate.
Third trimester:
Closer attention to fetal growth, movements, maternal blood pressure and delivery planning.
Final weeks:
Appointments may become more frequent depending on maternal and fetal health.
After delivery:
Postnatal care focuses on maternal recovery, breastfeeding support and newborn health.
How Often Should You See an Obstetrician During Pregnancy?
There is no single number of prenatal visits that is right for every pregnancy.
Visit frequency depends on:
- Gestational age.
- Whether the pregnancy is low or high risk.
- Maternal health.
- Fetal growth.
- Test results.
- Previous pregnancy history.
Modern prenatal care models increasingly support individualizing the schedule according to patient needs and risk factors.
When Should You Seek Urgent Medical Advice During Pregnancy?
You should not wait for your next routine appointment if you develop concerning symptoms.
These may include:
- Vaginal bleeding.
- Severe or persistent abdominal pain.
- Leakage of fluid.
- Severe or unusual headache.
- Sudden visual changes.
- Significant or sudden swelling.
- Fever.
- Shortness of breath.
- Persistent severe vomiting.
- Noticeably reduced fetal movements once movements have become established.
- Regular contractions before the expected time of labour.
The significance of these symptoms depends on gestational age and severity, so appropriate medical assessment is important.
Pregnancy Care in Dubai at DRFK
Women looking for pregnancy care in Dubai can access antenatal and gynecological assessment through the Obstetrics & Gynaecology Department at DRFK Turkish International Day Surgery Center.
Pregnancy services may include:
- Obstetric consultations.
- Early pregnancy assessment.
- Pregnancy ultrasound.
- Fetal anatomy assessment.
- Maternal blood and urine testing.
- Gestational diabetes screening.
- Fetal growth follow-up.
- High-risk pregnancy monitoring.
- Birth planning.
- Postnatal care.
The aim is to create an individualized care pathway based on the mother's health, gestational age and fetal development.
Who Provides Obstetrics and Gynaecology Care at DRFK?
Dr. Shahrzad Akhounzadeh is a Consultant Gynecologist & Obstetrician with more than 15 years of clinical experience across the UAE and Iran. Her clinical areas include antenatal and postnatal care, high-risk pregnancy management, ultrasound diagnostics, infertility care, hysteroscopy and laparoscopic gynecological procedures.
DRFK is located in Jumeirah 3, Dubai, and provides multidisciplinary medical services within the same center.
Frequently Asked Questions
What should I do first after finding out I am pregnant?
Arrange an obstetric consultation so your medical history, gestational age, symptoms and appropriate early pregnancy tests can be reviewed.
When should I have my first pregnancy ultrasound?
The timing varies. An early ultrasound may be recommended for pregnancy dating, pain, bleeding, uncertain dates or other clinical reasons.
When is the anatomy scan performed?
The detailed second-trimester ultrasound is ideally performed between 18 and 22 weeks.
Is NIPT a diagnostic test?
No. NIPT is a screening test. A high-risk result may require diagnostic testing before a chromosomal condition can be confirmed.
Does NIPT replace pregnancy ultrasound?
No. NIPT and ultrasound assess different aspects of pregnancy. Even after prenatal genetic screening, a second-trimester ultrasound remains an important part of fetal structural assessment.
Does every pregnant woman need the same number of appointments?
No. Prenatal care can be tailored according to medical risk, pregnancy history, gestational age and individual clinical needs.
Where can I get pregnancy follow-up in Dubai?
Pregnancy assessment and antenatal follow-up are available through the DRFK Obstetrics & Gynaecology Department in Dubai.
Pregnancy Care in Dubai: The Key Takeaway
Good prenatal care is not simply about having regular ultrasound scans.
It is an ongoing process that combines medical consultations, maternal health checks, laboratory tests, prenatal screening, fetal ultrasound and monitoring throughout pregnancy.
The right tests and appointment schedule depend on the individual pregnancy.
At DRFK Turkish International Day Surgery Center in Dubai, women can receive personalized pregnancy follow-up through the Obstetrics & Gynaecology Department, with care tailored to maternal health, fetal development and the stage of pregnancy.
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About Dr. Shahrzad Akhounzadeh
Dr. Shahrzad Akhounzadeh is a Consultant Gynecologist & Obstetrician with more than 15 years of clinical experience in women’s health. Her areas of expertise include pregnancy and high-risk pregnancy care, infertility management, minimally invasive gynecological procedures, maternal-fetal medicine, colposcopy, hormonal management, and antenatal and postnatal care. She holds professional licenses in Dubai, Abu Dhabi, and the UAE and provides evidence-based, patient-centered care across obstetrics and gynecology.
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