Your first prenatal visit

09.05.2019

We encourage members of your family and friends to be involved in your pregnancy. 

 You will see your
 physician for many of your visits. Other times, one of the other physicians or a Certified Nurse Midwife will see you. 

Your First Prenatal Visits: 

We ask that you arrive at this appointment with all the enclosed forms filled out. 

If you bring children to an ultrasound appointment, please bring an adult to supervise them during your visit. 

The baby’s heartbeat is visible on ultrasound 7 weeks from the first day of your last menstrual period. The dating ultrasound appointment can be scheduled anytime after the end of week six. At this appointment, an ultrasound will be done to confirm your pregnancy and determine your due date. Lab work will be drawn; please review the list of labs included. You will receive a packet of important pregnancy-related information. Your provider will review previous pregnancies, surgeries, medical conditions and exposure to contagious diseases. She will record medications or supplements you have taken or are currently taking. Let your provider know about unusual activities, work conditions or stress you are experiencing. 

Soon after your dating ultrasound appointment, you will have your “New OB” appointment. 


An internal exam will be performed to determine the size of your uterus and pelvis. Your provider may listen for the baby's heartbeat with a Doppler. 

Nuchal Translucency ultrasound performed during weeks 11-14 at our OBGYN Health Center or at Maternal Fetal medicine. 

OB Lab Tests 

Complete Blood Count (CBC): This test screens for blood problems such as anemia.
HIV test: This test is routinely ordered; please let us know if you want to decline the HIV test. 

RPR: This test screens for syphilis (a sexually transmitted disease) that can be transmitted to your unborn child. If left untreated, it can cause a dangerous condition called congenital syphilis in the baby that leads to bone and tooth deformity, nerve damage, or brain damage. 

Hep B : These tests screen for hepatitis, a viral infection that affects the liver. It is transmitted through contaminated needles, or blood, or through saliva, semen, or vaginal fluid. Infected mothers can transmit this disease to their baby during childbirth. You could have this disease and not know it. 

Urinalysis: During this test you will urinate in a cup and the urine will be tested for kidney disease or bladder infections and high levels of sugar that might indicate diabetes. Bladder infections are very common in pregnant women and are easily treated. If left untreated, bladder infections can quickly progress to kidney infections, which can cause problems for the baby or premature labor. 

Type and screen blood test: This test determines your blood type and Rh factor. Everyone is either Rh negative or Rh positive (85% of us are Rh positive). If your blood is Rh negative and your partner's blood is Rh positive, your baby's Rh factor may not match yours. This can be a problem for future pregnancies.
If your blood type is Rh-, you will be given an injection of Rhesonativeduring the 28th week of your pregnancy. You will also receive this injection if you have any significant bleeding during your pregnancy. Additionally, an injection of Rhesonative or Igamadis given after delivery if your baby has Rh+ blood. 

First Trimester Screening is a series of tests to see if you are at increased risk of having a baby with a chromosome anomaly such as Down Syndrome, Trisomy 13, or Trisomy 18. 

 

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