The best time for a first prenatal visit is just to know that you're pregnant, of not having a trusted specialist, you can find recommendations in your surroundings with family and friends.
To know how many weeks pregnant you are, and in what conditions you are in, and rule out any complications, are the first questions that should be clear in these first few weeks of gestation.
How will the first prenatal care visit in the first trimester?
- This will be the longest, in view that should perform the entire medical history, from the first menstruation of the mother, to the pathological conditions that arise in the family.
- Plantéale to the doctor all the questions you have and talk to her about all the things that you worry or think that are important.
Medical history of the mother
- The doctor asked what day was started your last period to determine an estimated date for your delivery.
- You'll also want to know how are your periods, if you have had gynecological problems, if you've been pregnant before and if you or your partner have had sexually transmitted diseases.
- Remember to go prepared to give the doctor as much information as possible. The will review your entire health history, identify problems with chronic diseases and psychiatric disorders, surgeries, illnesses in other family members, etc
- You will also want to know about your habits (whether you smoke, drink or use other drugs) and whether you have any history of abuse or mistreatment that might have some consequence on your emotional health.
A history of genetic abnormalities
In this area, the doctor will want to know if there is any family history (including you and your partner of course) of chromosomal abnormality, failure, genetic, disorder in the development or birth with physical defects. The doctor will ask about use of medications, and other drugs, home remedies or toxic products that may have been exposed, for work or pollution of your environment.
Prenatal genetic testing
- There are some of tests to determine a possible chromosomal abnormality or defect in the baby that you probably will be offered.
- In the first trimester of pregnancy you may also be offered blood tests at week 9 and 13, more of a test of nuchal translucency (an ultrasound scan of the neck of the baby between week 11 and 13).
- Also is the test multiple-marker that is generally done in the second trimester, between weeks 15 and 20. Sometimes you choose to to combine the tests in the first quarter with the multi-marker.
- Other tests that are used to offer are those that determine with certainty if your baby has Down syndrome or some other genetic abnormality. These are the analysis of chorionic villus sampling (between week 12 and 13) and amniocentesis (between weeks 16 and 20).
Full physical examination and other tests
- The doctor is going to examine you completely, including a vaginal examination internal. You will draw a sample to get a Pap smear (test to detect cancer of the cervix), unless you've done one recently.
- Will also do a culture to determine if you have any sexually transmitted disease.
- The examinations of blood routine that you will do will be to determine your Rh factor, red blood cell count to determine if you have anemia, analysis to find out if you have hepatitis B, syphilis and if you are immune to rubella.
- Depending on your particular situation you could do other tests (if you have a high risk of developing gestational diabetes, or other complications).