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10 Must-Know Tips For Your First Prenatal Visit

Your first prenatal visit will undoubtedly be your longest office visit. As an obstetrician, I want to share what I believe are ten ways you can prepare for your first prenatal visit.

10 Must-Tips For Your First Prenatal Visit

 

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At your first visit, you will be discussing a great deal of information including many details about you and your partner’s medical history.

You will be asked if there are any medical/genetic conditions involving your family and your partner’s family. Both your immediate and extended family history may reveal information that is relevant to the management plan for your pregnancy.

Your first prenatal visit will also be when you will determine your due date, also known as the estimated date of confinement (EDC). Determining your due date may be very easy or it may require additional information.

Establishing an accurate due date may not be crucial if your pregnancy is uneventful. However, your due date may be involved in extremely important management decisions during the course of your pregnancy.

Establishing your due date is most accurate in the first trimester. The accuracy is approximately within one week during the first trimester, two weeks during the second trimester and three weeks during the third trimester.

10 Tips For Your First Prenatal Visit:

 

1. Know your menstrual history.

Your due date will set the stage for the remainder of your pregnancy. You will want to make sure to have as much information available at your first visit to help your provider establish an accurate due date.

If you have very regular 28-day menstrual cycles and your clinical exam is consistent with your due date based on your last menstrual period, your due date will be set for the remainder of your pregnancy.

However, there are often many factors that can make the calculation of one’s EDC (due date) more difficult.

If you do not have regular 28-day menstrual cycles or have other confounding issues (ie. birth control pills) determining your due date may require a more detailed menstrual history and additional tests.

Try to have the following information available for your provider to help determine your due date at your first prenatal visit:

  • Write down a detailed calendar of your menstrual pattern. If you have no record, offer the best information you can:
  • The interval between your menses (Day1 to Day1)
  • If you skip menstrual cycles, how often this occurs.
  • If you took any home pregnancy tests, the date they were done and when you first got a positive pregnancy test.
  • The date of the first day of your last menstrual period.
  • If you were taking hormonal birth control, note when you stopped.
  • If you had infertility problems or treatment. (Presumably, if you were managed for infertility, your due date should be very accurate.)

2. Bring your partner.

Have your partner attend your first visit if possible. If necessary, schedule your appointment later in the day. The amount of information discussed will be extensive.

Attempting to pass on all the details when you get home will be difficult. Though you can write things down, there is nothing better than having your partner present should any questions arise.

3. Arrange childcare.

If you have children, make arrangements to have them cared for by a family member or childcare provider well in advance of your appointment.

If possible, have your childcare begin the day before. Unforeseen events can come up in the morning and this can disrupt the flow of the entire day.

The worst scenario is that you miss your appointment and have to reschedule.

This might be alright for other health care appointments; however, when it comes to your first prenatal visit, there is a lot of time-sensitive information and testing to be done.

You will not want to have to reschedule.

Offices block off a lot of time for your initial prenatal appointment, so getting another appointment will cause a significant delay.

4. Get directions to the facility.

Many Women’s Health medical practices are part of a larger facility (hospital or medical office building). Make sure have clear directions to the facility and the location of the office within the building.

This information sounds very basic; however, I cannot count how many times prenatal patients have been late for their visit as a result of these logistical problems.

It is no one’s fault when this happens, but the delay can change the first prenatal visit into a far more hectic experience.

You want to make every effort to ensure that your first visit goes smoothly. You will already feel enough anxiety/anticipation at your first visit, especially if it is your first pregnancy.

5. Make sure you get your prescription for prenatal vitamins.

You likely will have received your necessary prescription for prenatal vitamins, when you first booked your appointment.

Make sure when you leave your appointment you have received a prescription for your prenatal vitamins for the duration of your pregnancy.

6. Allow extra time for the appointment.

Aside from your physical exam and bloodwork, you may find yourself getting an ultrasound to establish your due date.

Be prepared for an appointment that might go much longer than planned.

7. Be sure to eat before you go.

If your first prenatal visit is in the morning, make sure to have an adequate breakfast.

During pregnancy, you will get hungry often, mid-morning and early afternoon.

If you get your bloodwork the same day, it is often better tolerated if you are not hungry or dehydrated for these tests.

8. Prepare your pregnancy history before your appointment.

If you have had prior pregnancies, offer as much detail as you can about every pregnancy, whether you had a miscarriage or carried to term.

Prior pregnancy complications are particularly important, such as toxemia/preeclampsia, premature labor, gestational diabetes, bleeding problems or bleeding conditions, etc.. Prepare this information ahead of time.

9.  Bring your immunization record with you (if you have them)

Immunization histories are often unclear. If you have any medical records documenting immunizations, bring the documents with you.

Immunization for hepatitis is just one example of where this can be helpful.

Interpreting tests to determine immunity can be confusing and inconclusive after immunization. Immunization status must be established at your first prenatal visit.

10. Write down any questions you may have about possible exposure to toxic substances.

Any concerns about toxic exposures during the early stage of your pregnancy will be discussed at your first prenatal visit.

This includes exposure to medications, herbal supplements, occupational exposures, radiology tests, smoking, alcohol, recreational drugs, etc.

 

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