Your First Prenatal Appointment: What to Expect & How to Prepare

Your first prenatal visit is an important step in your pregnancy. It sets the stage for the care you’ll receive over the next nine months and helps ensure you and your baby stay healthy. Research shows that early and regular prenatal care lowers the risk of complications and preterm birth. Good thing there are some preparation tips of what to anticipate from your first OB visit to help allay any worries.

When to Schedule Your First Pregnancy Appointment

It’s a good idea to call your doctor or midwife as soon as you find out you’re pregnant. Most first prenatal visits happen between 6 and 8 weeks of pregnancy—calculated from the first day of your last period. If you’ve had complications in the past, like miscarriages or health issues, your provider might see you earlier.

While you’re waiting for your appointment, start taking a prenatal vitamin with at least 400 mcg of folic acid. This is vital for your baby’s development, especially in the early weeks. Look for one that also includes iron (to prevent anemia) and DHA (to support your baby’s brain development).

What Happens at Your First Pregnancy Appointment?

Your first OB appointment when pregnant will likely be the most thorough of your pregnancy. Here’s what will typically happen:

1. Health and History Q&A

Your doctor or midwife will start by asking about your overall health. Be ready to answer questions about:

• Any past pregnancies or surgeries.
• Medical background of your family, including any genetic disorders.
• Medications, vitamins, or herbs you’re currently taking.
• Lifestyle habits like smoking, drinking, exercise, or diet.

It’s important to be honest. This information helps your provider give you the safest care possible.

2. Physical Exam and Lab Tests

You’ll have a basic physical exam that could include:

• A pelvic exam to check your uterus.
• A Pap smear to screen for cervical cancer.
• Tests for infections like gonorrhea or chlamydia.

Bloodwork will be done to check things like your blood type, iron levels, and immunity to diseases such as rubella. You’ll also give a urine sample to check for infections, sugar, or protein, which can be early signs of pregnancy complications.

3. Ultrasound and Baby’s Heartbeat

You might have an ultrasound if you’re far enough along, usually six weeks or more. This helps confirm your pregnancy, measure the baby’s size, and calculate your due date. Sometimes, you can even hear your baby’s heartbeat for the first time! If it’s too early, you’ll hear it at a future visit.

4. Genetic Screening

Your provider may bring up tests that check for genetic conditions, like Down syndrome. Non-invasive options include a blood test or an ultrasound called a nuchal translucency scan. Both are safe for your baby and help provide early clues about the pregnancy’s progress.

Advice for a Healthy Pregnancy

Your doctor will offer tips on staying healthy, like eating a balanced diet, avoiding risky foods (like raw fish and unpasteurized cheeses), and exercising safely. If you’re struggling with morning sickness, they’ll share ways to manage symptoms, such as eating smaller, more frequent meals and staying hydrated.

Questions to Ask at Your First Prenatal Visit

Your first visit is the perfect time to ask questions and start building trust with your provider. Here are some ideas to get you started:

1. What symptoms are normal, and when should I call the office?
2. Are there any medications I should avoid?
3. How much weight should I gain during pregnancy?
4. Can I continue my usual exercise routine?
5. When will I have my next ultrasound or additional tests?
6. What are the costs of prenatal care, and does my insurance cover it?

Talking through your concerns can help you feel more at ease about the months ahead.

Preparing for Your Appointment

To make the most of your time, here are a few tips to prepare:

1. Write Down Your Medical History

Make a list of any health problems, allergies, or surgeries you’ve had before. This will help your doctor understand your health better and give you the right care.

2. Keep Track of Symptoms

Notice any pregnancy symptoms you’ve had, like nausea, tiredness, or cramps. Write down when they started. Sharing these with your doctor helps them know how your pregnancy is going.

3. Know the Important Dates

The first day of your last period is important. Your doctor will use this date to figure out when your baby is due and plan your care.

4. Check Your Insurance Details

Find out what your insurance covers. Call your provider to see if prenatal checkups and ultrasounds are included. This will also help you know how much your first visit might cost, which could be between $100 and $500, depending on your plan.

Building Confidence & Support in Your Pregnancy Journey

Once your first prenatal visit is done, the journey continues with regular check-ups. During the first trimester, you’ll likely see your doctor about once a month. These visits are usually quick but essential, as your doctor will track your weight, blood pressure, and your baby’s growth to ensure everything is on track.

Toward the end of the first trimester, you’ll have discussions about upcoming tests, such as bloodwork or early screenings. It’s also a great time to bring up any questions about your birth plan or delivery preferences if you’re already thinking about what’s ahead.

Your first prenatal appointment isn’t just a check-up—it’s the start of a partnership between you and your care provider, built to support you and your baby’s health. You will feel more assured as the months pass if you remain organized, communicate your worries, and ask questions.

Never forget that a question is never truly stupid. Every worry or thought is worth sharing with your provider. Take one step at a time, stay informed, and enjoy this exciting new chapter—you’ve got this!