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    Pregnancy: First Prenatal Visit

    Pregnancy: First Prenatal Visit

    Topic Overview

    Your first prenatal visit is likely to be more extensive than later prenatal checks. Your doctor will take your medical history and do a complete physical exam.

    Medical history

    Your medical history helps your doctor plan the best possible care for your pregnancy and childbirth. It includes:

    • Your menstrual history, including your age when menstruation started, whether your cycles are regular, and the date of your last menstrual period.
    • Your reproductive history. This includes:
      • Any previous pregnancies, abortions, miscarriages, or stillbirths.
      • Problems with previous pregnancies.
      • Any problems with reproductive organs.
    • Family health conditions, such as heart disease or genetic defects.
    • Your general health, including vaccinations, surgeries, and serious illnesses you have had.
    • Tobacco or other substance use.

    Physical exam

    Your complete physical exam will include:

    • Weight and blood pressure measurement.
    • A pelvic examination to confirm the pregnancy.
    • A Pap smear (if not done recently).

    Urine tests

    A urine test can check for:

    Blood tests

    Blood testing may include:

    You may also be screened for:

    Related Information

    References

    Citations

    1. Centers for Disease Control and Prevention (2010). Syphilis section of Sexually transmitted diseases treatment guidelines, 2010. MMWR, 59(RR-12): 26-39. Also available online: http://www.cdc.gov/std/treatment/2010/default.htm.
    2. U.S. Preventive Services Task Force (2009). Screening for syphilis infection in pregnancy: U.S. Preventive Services Task Force reaffirmation recommendation statement. Annals of Internal Medicine, 150(10): 705-709.
    3. American Academy of Pediatrics, American College of Obstetricians and Gynecologists (2007). Human immunodeficiency virus section of Perinatal infections. In Guidelines for Perinatal Care, 6th ed., pp. 316-320. Elk Grove Village, IL: American Academy of Pediatrics.
    4. U.S. Preventive Services Task Force (2013). Screening for HIV: U.S. Preventive Services Task Force recommendation statement. Available online: http://www.uspreventiveservicestaskforce.org/uspstf/uspshivi.htm.

    Other Works Consulted

    • American Academy of Pediatrics, American College of Obstetricians and Gynecologists (2007). Antepartum care. In Guidelines for Perinatal Care, 6th ed., pp. 83-137. Elk Grove Village, IL: American Academy of Pediatrics.
    • U.S. Preventive Services Task Force (2004). Screening for Rh (D) incompatibility. Rockville, MD: Agency for Healthcare Research and Quality. Available online: http://www.uspreventiveservicestaskforce.org/uspstf/uspsdrhi.htm
    • U.S. Preventive Services Task Force (2006). Screening and supplementation for iron deficiency anemia. Available online: http://www.uspreventiveservicestaskforce.org/uspstf/uspsiron.htm.
    • U.S. Preventive Services Task Force (2008). Screening for asymptomatic bacteriuria in adults: U.S. Preventive Services Task Force reaffirmation recommendation statement. Rockville, MD: Agency for Healthcare Research and Quality. Available online: http://www.uspreventiveservicestaskforce.org/uspstf/uspsbact.htm.
    • U.S. Preventive Services Task Force (2009). Counseling and interventions to prevent tobacco use and tobacco-caused disease in adults and pregnant women: U.S. Preventive Services Task Force reaffirmation recommendation statement. Rockville, MD: Agency for Healthcare Research and Quality. Available online: http://www.uspreventiveservicestaskforce.org/uspstf/uspstbac2.htm.
    • U.S. Preventive Services Task Force (2009). Screening for hepatitis B virus infection in pregnancy: U.S. Preventive Services Task Force reaffirmation recommendation statement. Annals of Internal Medicine, 150(12): 869-874.

    Credits

    By Healthwise Staff
    Sarah Marshall, MD - Family Medicine
    Kirtly Jones, MD - Obstetrics and Gynecology
    Last Revised October 7, 2013

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