Will I Get to Hear My Baby's Heartbeat at My First Prenantal Appointment

Prenatal care in your showtime trimester

Pregnancy care - offset trimester

Your Starting time Prenatal Visit

You should schedule your first prenatal visit soon later you learn that you are pregnant. Your doctor or midwife will:

• Draw your blood
• Perform a total pelvic examination
• Do a Pap smear and cultures to expect for infections or problems

Your doctor or midwife will listen for your baby's heartbeat, only may not exist able to hear it. Most frequently, the heartbeat cannot exist heard or seen on ultrasound until at least 6 to 7 weeks.

During this starting time visit, your doctor or midwife will ask yous questions about:

• Your overall health
• Any wellness problems yous take
• Past pregnancies
• Medicines, herbs, or vitamins you lot take
• Whether or not you lot exercise
• Whether you lot fume or drink alcohol
• Whether you or your partner accept genetic disorders or health issues that run in your family

You will have many visits to talk about a birthing plan. You can also discuss information technology with your medico or midwife at your first visit.

The first visit will also be a good time to talk about:

• Eating healthy, exercising, and making lifestyle changes while you lot are pregnant
• Common symptoms during pregnancy such equally fatigue, heartburn, and varicose veins
• How to manage morning time sickness
• What to exercise about vaginal bleeding during early pregnancy
• What to wait at each visit

You volition also be given prenatal vitamins with fe if you lot are not already taking them.

Follow-up Prenatal Visits

In your first trimester, you will accept a prenatal visit every month. The visits may be quick, but they are still important. It is OK to bring your partner or labor omnibus with you.

During your visits, your doctor or midwife will:

• Weigh you.
• Cheque your claret pressure level.
• Check for fetal heart sounds.
• Take a urine sample to test for sugar or protein in your urine. If either of these is establish, it could mean that you have gestational diabetes or high blood pressure level caused by pregnancy.

At the finish of each visit, your doctor or midwife will tell you what changes to expect before your next visit. Tell your physician if you have whatsoever problems or concerns. It is OK to talk well-nigh them even if yous do not feel that they are important or related to your pregnancy.

Lab Tests

At your first visit, your doctor or midwife will draw claret for a group of tests known as the prenatal panel. These tests are washed to notice problems or infections early in the pregnancy.

This console of tests includes, just is non limited to:

• A complete claret count (CBC)
• Claret typing (including Rh screen)
• Rubella viral antigen screen (this shows how immune you are to the disease Rubella)
• Hepatitis panel (this shows if you are positive for hepatitis A, B, or C)
• Syphilis test
• HIV test (this test shows if you are positive for the virus that causes AIDS)
• Cystic fibrosis screen (this examination shows if you are a carrier for cystic fibrosis)
• A urine analysis and culture

Ultrasounds

An ultrasound is a simple, painless process. A wand that uses audio waves will exist placed on your belly. The audio waves will let your doctor or midwife run across the baby.

You should have an ultrasound washed in the starting time trimester to become an idea of your due engagement.

Genetic Testing

All women are offered genetic testing to screen for birth defects and genetic problems, such as Down's syndrome or encephalon and spinal column defects.

• If your doctor thinks that you need any of these tests, talk about which ones will be best for yous.
• Exist sure to ask about what the results could mean for you lot and your baby.
• A genetic advisor can help you lot understand your risks and tests results.
• At that place are many options at present for genetic testing. Some of these tests carry some risks to your baby, while others do not.

Women who may be at higher adventure for these genetic problems include:

• Women who have had a fetus with genetic problems in earlier pregnancies
• Women, historic period 35 years or older
• Women with a strong family history of inherited birth defects

In i test, your provider tin use an ultrasound to mensurate the back of the baby'south neck. This is called nuchal translucency.

• A claret test is besides done.
• Together, these ii measures will tell if the baby is at hazard for having Down syndrome.
• If a examination called a quadruple screen is done in the second trimester, the results of both tests are more accurate than doing either test alone. This is called integrated screening.

Another examination, called chorionic villus sampling (CVS), tin can find Down syndrome and other genetic disorders as early on equally ten weeks into a pregnancy.

A newer test, called cell free Deoxyribonucleic acid testing, looks for small pieces of your baby's genes in a sample of claret from the female parent. This test is newer, but offers a lot of promise for accuracy without risks of miscarriage.

There are other tests that may exist done in the second trimester.

When to Call the Physician

Call your provider if:

• You take a significant amount of nausea and vomiting.
• You accept bleeding or cramping.
• You have increased belch or a discharge with odor.
• You take a fever, chills, or hurting when passing urine.
• You have whatever questions or concerns almost your health or your pregnancy.

References

Gregory KD, Ramos DE, Jauniaux ERM. Preconception and prenatal care. In:.Landon MB, Galan HL, Jauniaux ERM, et al, eds. Gabbe's Obstetrics: Normal and Problem Pregnancies. 7th ed. Philadelphia, PA: Elsevier; 2021:chap five.

Hobel CJ, Williams J. Antepartum care. In: Hacker N, Gambone JC, Hobel CJ, eds. Hacker & Moore's Essentials of Obstetrics and Gynecology. sixth ed. Philadelphia, PA: Elsevier; 2016:chap vii.

Magowan BA, Owen P, Thomson A. Antenatal and postnatal intendance. In: Magowan BA, Owen P, Thomson A, eds. Clinical Obstetrics and Gynaecology. quaternary ed. Philadelphia, PA: Elsevier; 2019:chap 22.

Williams DE, Pridjian G. Obstetrics. In: Rakel RE, Rakel DP, eds. Textbook of Family Medicine. ninth ed. Philadelphia, PA: Elsevier; 2016:chap xx.

Version Info

Last reviewed on: half-dozen/2/2020

Reviewed by: LaQuita Martinez, Doc, Department of Obstetrics and Gynecology, Emory Johns Creek Hospital, Alpharetta, GA. Also reviewed by David Zieve, MD, MHA, Medical Manager, Brenda Conaway, Editorial Director, and the A.D.A.One thousand. Editorial team.

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Source: https://www.mountsinai.org/health-library/selfcare-instructions/prenatal-care-in-your-first-trimester

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