The third visit should take place around 30 – 32 weeks and is expected to take 20 minutes.

Address complaints and concerns.
Assess for multiple pregnancies, assess foetal well-being.
Review individualised birth plan and complication readiness including advice to access skilled attendance in case of onset of labour, special care and treatment for HIV-positive women based on the National Guideline for PMTCT of HIV in Ethiopia.
Advice on family planning and breastfeeding.
Decide on the need for referral based on updated risk assessment.

(Note any changes or events since the second visit).

Review relevant issues of medical history as recorded at first and second visits.
Ensure existence of diseases, injuries or other conditions and additional histories for HIV-positive women since the first and the second visit.
Note intake of medicines other than iron and foliate.
Compliance with iron intake.
Note other medical consultations and hospitalisation.

(Review relevant issues of obstetric history as recorded during the first visit and checked during the second one)

Vaginal bleeding and vaginal discharge.
Dysuria, frequency and urgency during micturition.
Severe or persistent headache or blurred vision.
Difficulty breathing.
Fever.
Severe abdominal pain.
Foetal movement; note time of first recognition in the medical record.
Other specific symptoms or events such as opportunistic infections in HIV-positive women.
Changes in body features or physical capacity, observed by the woman herself, her partner or other family members
Habits regarding alcohol, smoking and others.

Measure and record vital signs (BP, PR, RR, weight gain or loss and temperature).
Measure uterine height record on the graph.
Palpate abdomen for detect multiple foetuses.
Auscultate fetal heartbeat (using the fetoscope).
Check for generalised oedema.
Check for other alarming signs of disease such as shortness of breath and cough etc.
Check for bleeding or spotting (Never do a vaginal examination in these cases!).
Do breast examination for abnormality.

Repeat advice given at first and second visits.
Give advice on steps to be taken in case labour starts.
Questions and answers: give sufficient time for free communication and discussion.
Reconfirm written information on whom to call and where to go in case of emergency or any other problem.
Ensure availability of transport in case of an emergency like the onset of labour.
Provide advice on breastfeeding, contraception and importance of the postpartum visit.
Schedule appointment for the fourth visit at 36-38 weeks.