what questions to ask first pregnancy doctor visit

32 MUST ASK Questions for Doctor During Your First Prenatal Visit

It’s time to head to your FIRST doctor’s appointment for your pregnancy. This is usually filled with excitement and a little bit of uncertainty. Having a list of the most important questions to ask your doctor during your first prenatal visit, will ensure that you leave feeling prepared for this pregnancy!

Being a first-time mom, I had NO idea what to expect during pregnancy. I had a lot of questions and my midwife was more than happy to answer all of them.

I want you to know that it is normal to be curious about what to expect. If your provider isn’t willing to listen, you may want to think about switching to another doctor. This first appointment is a good time to get to know who will be caring for you and if you are both on the same page.

Having a provider who is on your side and supports you in the birth you are wanting, will help you to have a positive experience … even if not everything goes to plan!

32 of the Most Important Questions to Ask Your Doctor at Your First Prenatal Visit

Like I said earlier, I had a LOT of questions. I found that bring a notebook helped me to leave feeling good about my appointment. Next time, I’ll start a journal as soon as I get a positive pregnancy test because it feels like FOREVER before your 8 week appointment.

I’m going to share the MOST Important Questions to ask your Doctor at your First Prenatal Visit from my experience as a first time mom. I hope this helps you!

Basic Questions To Ask

Questions about Food + Vitamins

Questions About Medications

Questions about symptoms + emergencies, questions about lifestyle, evaluate your provider.

I know how overwhelming it is to walk into your first prenatal appointment, especially if this is your first child. You have no idea what to expect and need some clarity on certain things. This appointment is really to see how your baby is doing and to talk about you and your spouse’s family history.

Your doctor will be asking you a lot of questions and will probably answer a lot of your without even asking. That’s why I wrote my top 10 questions for my midwife, to ensure that I didn’t forget the most important things. Here are the 10 basic questions you should ask your provider at your appointment.

1. What Foods SHOULD/SHOULDN’T I be eating?

Most doctors will give you a list! But be sure that you ask about anything specific to your diet.

Check out my FAVORITE foods for the First Trimester

2. How much weight should I gain?

I want to encourage you to not worry about your weight. My midwife never once questioned my weight and even encouraged me not to worry about it. But, knowing how much they would like you to gain just gives you an idea of who you are doing.

3. What should exercise look like for me?

My doctor recommended a light workout a couple of days a week, but she encouraged me just to walk! I actually had to purchase a belly support band, which helped me to continue walking up until birth.

Here are some awesome workout for the First Trimester

4. How often do I come in for appointments?

For a low-risk birth, you will probably be every 4 weeks until the third trimester. I was unclear what the last trimester looked like and wished that I had gone a little more frequently. I went into labor at 36 weeks and feel like maybe they could have caught something if I was going every 2 weeks.

5. How many ultrasounds do I have? And at what weeks?

My doctor did 3 ultrasounds. (9 weeks, 12 weeks, and 20 weeks) It gave me peace of mind knowing what to expect and when.

6. When can I find out the gender?

This is everyone’s favorite question if they are finding out the gender! Most doctors and midwives do this at 20 weeks, but some do offer it sooner!

If you are really impatient to find out, SneakPeek offers Early DNA Testing – which I did at 9 Weeks!

It’s never too early to start planning your Gender Reveal, here are some unique ideas!

7. What are some normal pregnancy symptoms and what should I call you about?

I didn’t even have to ask for this, but my midwife went through random and weird pregnancy symptoms that were normal. She also gave me a few that were important for me to call her about.

8. What number should I call for basic questions?

My midwife’s office had a nurse’s line I could call for basic questions. She also offered to answer anything on the online portal. I typically did this because I wanted to hear her thoughts, not the on-call nurse.

9. Where do I go + who do I call in an Emergency?

Obviously, we don’t want to think about the unexpected, but having the resources in case of an emergency will put your mind at ease. Your doctor should give you a list of numbers you can call along with facilities if need be.

10. Who will deliver my baby?

I didn’t realize HOW IMPORTANT this question was until after I gave birth. My midwife was there from my first appointment through delivering my daughter. If this is important to you, be sure to ask!

Like I said earlier, these are the questions I felt were the most important to ask my doctor at the first prenatal visit. But, there are obviously a lot more that come up. I’m going to give you a complete list of questions with everything from prenatal vitamins to symptoms.

You don’t necessarily need to write all these down. Most of them will be answered at your appointment, but if you feel like one really jumps out and feels important to you…. Definitely add it to your list!

Questions about Food + Vitamins

Staying healthy throughout your pregnancy is really important for you and your baby! Make sure you ask lots of questions about what you can and can not have. This will not only help you to maintain a healthy weight but will also support your birth. (I truly believe this is one of the reasons I was able to have a natural birth )

What vitamins should I be taking?
Are there any supplements I should add to my diet?
Can I have ….. (food you are curious about)?
How much water should I be drinking?
What can I drink instead of water?
How much caffeine can I have?

Be sure to bring all the medications that you take regularly to this appointment. Your OB/Midwife may want to take a look at them to ensure they are safe for pregnancy.

Should I continue to take the medications I’m currently on?
Are there any medications I need to stop immediately?
What over-the-counter medications are okay to take?

There is nothing worse than going to an appointment not asking about a symptom that is concerning you. I was too scared to ask about a few symptoms that felt silly at the time, but after I left I felt unsettled so I called my midwife. Do yourself a favor and ask if your symptoms are normal!

Is this (symptom) normal?
Do I have any increased risks for complications or conditions?
Do you have any recommendations for (nausea, constipation, etc.)?
What should I do if I have spotting?
What if I feel cramping?

If I’m being completely honest, I was scared to have sex during the first trimester. I was completely embarrassed to ask my OB if it was okay and totally wished I did. Here are some important questions about your lifestyle that you can ask your doctor, so you can enjoy your pregnancy!

Is it okay to continue having sex?
What do I need to know about traveling while pregnant?
When should I STOP traveling?
Can I color my hair? Get my nails done? Get a message?
What position should I be sleeping in?
How long can I continue working during pregnancy?
How do you feel about (Natural Birth, Medicated Birth, C-section)?
What are your thoughts on (Breastfeeding/Formula)

This first prenatal appointment is the perfect time to get to know your provider and see if they are the right fit for you. It’s SO much easier to switch doctors after this first appointment rather than later in pregnancy.

If you have any make or break questions be sure to ask them now so that you don’t waste you or your provider’s time. Welcoming a baby into this world is a big deal and you want someone who will support you the entire way!

(Check out my blog post on How to Choose a Provider for Your Pregnancy)

In Conclusion….

From the moment you find out you are pregnant, you will start thinking of a million questions. It’s important to really focus on the ones that matter for right now and not get overwhelmed with all the possible questions you could ask.

This first prenatal appointment is your provider to get to know you, your history, and to check in on baby! Don’t get carried away with concerns that won’t matter until later in your pregnancy. Use this appointment to get to know your provider, if you feel at all uncomfortable, it is easier to change now than later in your pregnancy! Best of luck… and congratulations mama!

Below is a Pinterest friendly photo… so you don’t lose this post!

What to expect at your first prenatal appointment

Your kickoff prenatal visit sets the stage for the rest of your pregnancy. Here's what to expect at this information-packed first appointment and how you can prepare.

When to schedule your first prenatal visit

When will your first appointment be, what happens at the first prenatal visit, how to prepare for your first prenatal appointment, what questions to ask at the first prenatal visit.

As soon as you get a positive result on a home pregnancy test , book an appointment with an obstetrician, family physician, or midwife . Depending on the practice, it's normal for another provider in the office, like a nurse practitioner or physician assistant, to handle your first visit.

If you haven't yet chosen a healthcare provider for your pregnancy, that's okay. It's still important to see someone now to start your prenatal care. You can always switch to another provider later.

Many healthcare providers will schedule your first visit for when you're about 8 weeks pregnant . Some will see you sooner, particularly if you have an existing health condition, had problems with a pregnancy in the past, or are having new or severe symptoms such as vaginal bleeding or abdominal pain .

If you're taking any medications or think you may have been exposed to a hazardous substance, let your provider know as soon as possible.

The first visit will probably be the longest of your prenatal appointments (unless you have complications with your pregnancy along the way). At this and all future visits, don't be afraid to raise any questions or concerns you've been wondering about – it helps to keep a running list between appointments.

Here's what your provider will likely do during your first prenatal visit.

Take your health history. Your provider will ask questions about your gynecological health, personal medical history, and lifestyle habits. Topics commonly covered include:

Whether your menstrual cycles are regular and how long they tend to last
The first day of your last period (to determine your due date )
Symptoms or problems you've noticed since your last period, whether they're related to pregnancy or not
Current or past gynecological conditions, including sexually transmitted infections
Details about previous pregnancies
Current or past diseases and conditions
Past surgeries or hospitalizations
Mental health difficulties and diagnoses
Whether you are being or have been abused , or have another situation that could affect your safety or emotional well-being
Smoking, drinking, and drug use
Medications, supplements, vitamins, and herbal drugs you take
Drug allergies

Your healthcare provider will also ask about your family medical history. Many genetic issues and birth defects are at least partly hereditary, so learning about your family history helps your medical team keep an eye out for potential issues. Let your provider know whether a relative in your or your partner's family has a chromosomal or genetic disorder, had developmental delays, or was born with a structural birth defect.

It's also important to mention any potential exposure to toxins, especially if you live or work near toxic materials.

Check you out and run some tests. You can expect a number of standard exams and tests at your first prenatal visit. Some healthcare providers will do an ultrasound , but if you don't have any medical problems or concerns, it may not be part of the routine. Here's what's typical:

A thorough physical exam
A pelvic exam, including a Pap smear (unless you've had one recently) to check for infections such as chlamydia and gonorrhea or abnormal cells that could indicate cervical cancer
A urine sample to test for urinary tract infections and other conditions

Your provider will also order blood tests to:

Identify your blood type and Rh status
Look for anemia
Check for HIV, syphilis, hepatitis B and, in certain cases, hepatitis C
Determine immunity to rubella (German measles) and chickenpox

Discuss any high-risk pregnancy concerns. Many people are considered to have high-risk pregnancies , meaning there's a higher-than-average chance of health issues during pregnancy, labor, and birth. High-risk groups include those who:

Become pregnant for the first time at age 35 or older
Become pregnant for the first time before age 18
Have certain medical issues that develop during pregnancy, such as preeclampsia and gestational diabetes
Have certain preexisting health problems, such as high blood pressure , thyroid disease , or type 1 or type 2 diabetes

High-risk pregnancies need extra care. While many potential complications are treatable or temporary, some can be dangerous to both you and your baby. Your provider will talk through the risks at your first visit and throughout your pregnancy – and don't be afraid to ask questions at any point.

Explain your options for prenatal genetic testing. Your provider will offer you various prenatal screenings that can give you information about your baby's risk for birth defects and chromosomal conditions. These tests include:

Noninvasive prenatal testing (NIPT) , also called cell-free fetal DNA testing. Performed at 9 weeks or later, it's used to examine the little bits of your baby's DNA present in your blood.
A first trimester screen, also called a first-trimester combined test. Typically done between weeks 11 and 13, it consists of a blood test and a type of ultrasound called a nuchal translucency .
A carrier screening if you haven't had one already. It's a simple blood or saliva test done to see whether your baby is at risk for any of 100 genetic disorders such as cystic fibrosis, sickle cell disease, thalassemia, and Tay-Sachs disease.

Finally, if you're high-risk, there are invasive genetic diagnostic tests that can tell you for sure whether your baby has Down syndrome or certain other conditions. These tests include chorionic villus sampling (CVS) , generally performed at 10 to 13 weeks, and amniocentesis , usually done at 16 to 20 weeks.

CVS and amniocentesis are invasive and may carry a small risk of miscarriage , so women who choose to have these procedures are usually those with a higher risk for genetic and chromosomal problems. Some moms-to-be choose to wait for the results of screening tests before deciding whether to have one of these diagnostic tests.

For more information, your provider can refer you to a genetic counselor .

Give you advice and let you know what's ahead. Your healthcare provider will give you information about eating well , foods to avoid , healthy weight gain , and prenatal vitamins . They'll also give you a heads-up about the common discomforts of early pregnancy and let you know which pregnancy symptoms require immediate attention .

Your emotional health is very important. Your provider may screen you for signs of depression during pregnancy . But don't wait to be asked. If you're feeling depressed or anxious, let your provider know so they can refer you to someone who can help.

The dangers of smoking , drinking alcohol, using drugs, and taking certain medications will be a topic of discussion, as well. If you need help quitting smoking or any other substance, your provider can recommend a program or counselor.

Other topics include the do's and don'ts of exercise , travel , and sex during pregnancy ; environmental and occupational hazards that can affect your baby; and how to avoid certain infections, such as toxoplasmosis . Your provider will also discuss recommended vaccinations , like the flu shot and the COVID-19 vaccine .

To help your visit go as smoothly as possible, try taking the following steps.

Review your medical history. Brush up on your health status so you can better answer questions. This includes information about your:

Overall physical and mental health
Current and past diseases, conditions and other health issues
Current medications, including prescriptions, supplements, vitamins and herbal supplements and teas
Fertility and pregnancy history
Family medical history
Partner's medical history

If possible, bring documentation along, such as immunization records or a list of your medications. You may even want to bring a baggie containing the medications themselves.

Take your partner, a family member, or friend. Another person can write down notes, ask questions, and provide emotional support during this information-dense first visit.

Get there on time or a little early. This can be helpful for filling out forms and reviewing your insurance. Make sure to bring your insurance information and cash or a credit card for any necessary co-pays.

Just as your provider will ask you questions at your first prenatal visit, it's a good idea to come prepared with a list of questions for your provider. Ask anything – and don't be shy. Again, try to keep a running list in the weeks before the appointment, so nothing important slips your mind.

Here are some questions to consider if your provider doesn't bring up the topic first.

How much weight gain is healthy for me? The first prenatal visit is a great opportunity to learn about how your body will change. It's also a good time to ask about nutrition, including which foods to prioritize in your diet.
What are the foods I should avoid ? Raw fish and unpasteurized cheeses are long-established no-no's for pregnant people, but ask your provider for a full list of what to skip, since the accepted wisdom has changed over the years. Ask about caffeine and alcohol, too. Coffee is typically alright in limited doses, but no amount of alcohol is considered safe when you're having a baby.
Are prenatal supplements a good choice? Your provider will likely recommend a prenatal vitamin containing folic acid and iron, both of which are needed more during pregnancy.
Can I exercise? What about sex? With some exceptions, both are usually okay when you're pregnant. They're important to discuss, however, since certain conditions may complicate matters.
Is it safe to keep working? If you have a physically or emotionally demanding job , you may want to ask how you can ease the effects on your body and mind.
Is travel okay? While planes, trains, and automobiles are typically safe well into pregnancy, people with particular complications may need to limit or avoid traveling.
Which medications are safe to take? Ask about your current prescriptions, herbal products, teas, supplements, and any over-the-counter drugs you may use, such as pain relievers and cold medicines. Non-steroidal inflammatory drugs (NSAIDs) like ibuprofen and naproxen are not recommended, for example.
What are common symptoms of pregnancy? Your provider can tell you what to expect and how to cope. Remember to ask what symptoms are uncommon, too, and what red flags to watch for.
What should I do in an emergency? Find out who to contact and where to go if you begin to experience new, unusual, severe, or long-lasting symptoms.
Who will treat me over the course of my pregnancy? If your provider is part of a group practice, you may see other members of the group during appointments. They may even deliver your baby.
Do you recommend taking prenatal classes? Whether they're in a hospital, at a university, online, or somewhere else, prenatal classes can be invaluable learning experiences for parents-to-be. On top of the usual childbirth classes you hear about, you can also find courses in everything from stress management to good nutrition and even breastfeeding.

Last but not least, ask about your next visit and schedule the appointment before leaving the office. Until your 28th week of pregnancy, you'll likely see someone every four weeks or so.

You may also want to ask whether future visits will be in-person or virtual. Certain practices offer virtual visits for low-risk patients, those whose providers aren't close by, or even higher-risk patients that need to be evaluated more often.

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What is the NT scan (nuchal translucency test)?

doctor is doing an ultrasound scan on pregnant woman

NIPT (Noninvasive prenatal testing)

blood collection tubes laid out in a pattern

Prenatal visits: What to expect and how to prepare

doctor examining a pregnant women's belly with a stethoscope

Chorionic villus sampling (CVS)

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American Pregnancy Association. (2021). Your First Prenatal Visit. https://americanpregnancy.org/healthy-pregnancy/planning/first-prenatal-visit/ Opens a new window [Accessed March 2024]

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Centers for Disease Control and Prevention. 2022. Recommended Clinician Timeline for Screening for Syphilis, HIV, HBV, HCV, Chlamydia, and Gonorrhea. https://www.cdc.gov/nchhstp/pregnancy/screening/clinician-timeline.html Opens a new window [Accessed March 2024]

Alabama Perinatal Excellence Collaborative. 2015. APEC Guidelines for Routine Prenatal Care. http://apecguidelines.org/wp-content/uploads/2016/07/Routine-Prenatal-Care-6-30-2015.pdf Opens a new window [Accessed March 2024]

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NIH: Eunice Kennedy Shriver National Institute of Child Health and Human Development. 2017. What is a high-risk pregnancy? https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/high-risk Opens a new window [Accessed March 2024]

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Where to go next

Your First Prenatal Appointment

Medically reviewed for accuracy.

When should I schedule my first prenatal visit?

When will my first prenatal visit take place, read this next, how should i prepare for my first pregnancy appointment, what will happen at my first prenatal visit, will i see my baby on an ultrasound at my first prenatal visit, about what to expect, popular articles, tools & registry.

Pregnancy Classes

pregnant-woman-doctor-stethoscope-first-prenatal-visit | American Pregnancy Association

Your First Prenatal Visit

If you did not meet with your health care provider before you were pregnant, your first prenatal visit will generally be around 8 weeks after your LMP (last menstrual period ). If this applies to you, you should schedule a prenatal visit as soon as you know you are pregnant!

Even if you are not a first-time mother, prenatal visits are still important since every pregnancy is different. This initial visit will probably be one of the longest. It will be helpful if you arrive prepared with vital dates and information. This is also a good opportunity to bring a list of questions that you and your partner have about your pregnancy, prenatal care, and birth options.

What to Expect at Your First Pregnancy Appointment

Your doctor will ask for your medical history, including:.

Medical and/or psychosocial problems
Blood pressure, height, and weight
Breast and cervical exam
Date of your last menstrual period (an accurate LMP is helpful when determining gestational age and due date)
Birth control methods
History of abortions and/or miscarriages
Hospitalizations
Medications you are taking
Medication allergies
Your family’s medical history

Your healthcare provider will also perform a physical exam which will include a pap smear , cervical cultures, and possibly an ultrasound if there is a question about how far along you are or if you are experiencing any bleeding or cramping .

Blood will be drawn and several laboratory tests will also be done, including:

Hemoglobin/ hematocrit
Rh Factor and blood type (if Rh negative, rescreen at 26-28 weeks)
Rubella screen
Varicella or history of chickenpox, rubella, and hepatitis vaccine
Cystic Fibrosis screen
Hepatitis B surface antigen
Tay Sach’s screen
Sickle Cell prep screen
Hemoglobin levels
Hematocrit levels
Specific tests depending on the patient, such as testing for tuberculosis and Hepatitis C

Your healthcare provider will probably want to discuss:

Recommendations concerning dental care , cats, raw meat, fish, and gardening
Fevers and medications
Environmental hazards
Travel limitations
Miscarriage precautions
Prenatal vitamins , supplements, herbs
Diet , exercise , nutrition , weight gain
Physician/ midwife rotation in the office

Possible questions to ask your provider during your prenatal appointment:

Is there a nurse line that I can call if I have questions?
If I experience bleeding or cramping, do I call you or your nurse?
What do you consider an emergency?
Will I need to change my habits regarding sex, exercise, nutrition?
When will my next prenatal visit be scheduled?
What type of testing do you recommend and when are they to be done? (In case you want to do research the tests to decide if you want them or not.)

If you have not yet discussed labor and delivery issues with your doctor, this is a good time. This helps reduce the chance of surprises when labor arrives. Some questions to ask include:

What are your thoughts about natural childbirth ?
What situations would warrant a Cesarean ?
What situations would warrant an episiotomy ?
How long past my expected due date will I be allowed to go before intervening?
What is your policy on labor induction?

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what questions to ask first pregnancy doctor visit

Congratulations, you’re pregnant! You are probably feeling a lot of different things right now– excitement, nervousness, uncertainty, joy, disbelief and just about every other emotion under the sun. When you go to your first appointment (usually at 8 to 10 weeks) you can calm a few of those emotions by having a plan and a list of questions to ask your doctor. You may have your own questions ready, but also consider these nine questions to ask at your first prenatal appointment:

1. What lifestyle changes do I need to make immediately?

Once you learn you are pregnant, you’ll need to change some things about your lifestyle right away. Depending on your habits pre-pregnancy, these changes may seem drastic or they might not be super noticeable. Either way, you will not have a problem making these changes for the good of your child (and your own health while carrying the child, which is top priority).

Here are some things to discuss at the beginning of the pregnancy to avoid possible negative effects:

Diet: Obviously, alcohol should be cut out immediately. Caffeine should be limited and some other foods should be eliminated (usually deli meat, unpasteurized cheese, certain fish). Your doctor will give you a written list of what to avoid and explain why you should do so. They can also give guidance on what kind of foods and drinks to add or increase in your diet.
Medication: This is so important because many medications are not safe for use during pregnancy. Both over the counter medications and prescriptions should be looked at as soon as you know you’re pregnant. Working with your doctor, you can decide what is safe to keep taking and at what dosages. And if you need to come off of a certain important medication, they can help you come up with a plan to discontinue use as some are dangerous to discontinue cold turkey. When possible, they may be able to prescribe an alternative.
Sleep habits: If you aren’t getting the recommended amount of sleep each night, consider changing your sleep habits. Your body will be going through a lot of changes in the coming months, so adequate rest is important. You’ll also want to be well rested before those sleepless newborn nights start.
Work environment: Ask if your occupation or work environment might pose any risks. Make sure you aren’t exposed to chemicals or toxins that could be harmful. Work with your care team as well as a safety manager at your job.
Beauty products: If you’re worried about certain beauty products being safe for your baby during pregnancy, check with your doctor. A lot of women are concerned about hair dye, nail polish or treatments (especially chemicals present in some nail salons), sunless tanning lotions, retinols, serums, and essential oils. Your doctor can help steer you in the right direction for making safe choices where these products are concerned. You can also ask about massages or other spa treatments.

2. What things am I at risk for given my personal history?

This is a very important question to ask from the very beginning of your pregnancy. Pregnancy is not an illness by any means, and the human body is built for it. However, pregnancy can still put a lot of stress on your body, especially if you already have a condition that can be worsened.

Chances are if you continue care with your regular OB/GYN your doctor will know most of your medical history. But if you’re using a new doctor due to your pregnancy or for any other reason, you need to be sure they know everything. And it never hurts for a current doctor to go back over and re-check history.

If you have specific concerns your doctor does not address, be sure to speak up. Some common conditions that are important to note include, but aren’t limited to: depression, seizures, high blood pressure, diabetes, and thyroid issues. Any problems with anesthesia, antibiotics, medication, or surgeries should also be brought to your doctor’s attention.

3. What will the frequency of my appointment be?

In order to have an idea of the big picture of your pregnancy care, talk to your doctor about the base number of prenatal appointments you can expect. They’ll want to schedule the appointments regularly and the frequency will increase the further along you get in your pregnancy. The actual number will depend on your individual needs but in general you can expect to see the doctor more near the due date.

4. What vitamins do I need to take?

If you were actively trying to conceive, then you might have been taking a prenatal vitamin before you got pregnant. But if you got pregnant unexpectedly, or weren’t on a prenatal vitamin, your doctor will recommend you start taking one. He or she will give you guidance on what to look for in a vitamin if they do not prescribe one or recommend a specific brand.

5. What exercise can/should I be doing?

Staying active during pregnancy is important. If you are fit while you’re pregnant, recovery could be easier depending on how labor goes. Exercise and general fitness can also help you feel better both mentally and physically throughout the pregnancy. Many exercise regimens, excluding extreme examples, are safe as long as you feel physically comfortable. However, you should follow your doctor’s instructions on what kind of exercise is appropriate.

6. How much weight should I gain?

The amount of weight you should gain will depend on how much you weighed before you were pregnant. Your doctor can give you a more precise number or range but generally, women with healthy pre-pregnancy weights should gain 25-30 pounds. Women who are underweight should gain about 40 pounds and overweight women should gain 11 to 20 pounds. These weights can change based on your unique circumstances.

7. What about prenatal testing?

During your pregnancy, certain prenatal screenings are required whereas others may be optional. You can expect to have blood work done in the first and second trimester. You can also expect a test to determine whether or not you have gestational diabetes. Genetic testing is also available. What kind of genetic testing you get or if you decide to get it, is a personal decision and you should talk to your doctor about the risks and what certain results might mean, including false positives.

8. What is normal and what should I call you about? And when should I call 911 or go directly to the hospital?

Speak with your doctor about what is normal or common or when you need to call about problems. Make sure you’re clear on what is “normal” for your stage of pregnancy as you go along. But always err on the side of caution. Also ask the best way to contact your doctor with ask questions (email, phone, online patient portal) and who you should call in certain situations.

You should also know who to call in case of a medical emergency and where you should go. This might change based on how far along in your pregnancy you are.

9. What should I start considering to prepare my birth plan?

It might seem premature to start thinking about your delivery since you’re just at the beginning of your pregnancy, but in reality, the sooner you start talking with your doctor about your options and preferences, the more comfortable you’ll feel when the day gets closer. Some things to discuss with your doctor regarding a birth plan include:

Birth location: You probably already know which hospital your OB/GYN is affiliated with, but this is still a topic worth discussing. Some people prefer to deliver at birthing centers or at home. If you want to go this route, the sooner your doctor knows, the better so everyone is on the same page.
Care philosophy: It’s important to know your provider’s views on vaginal labor, C-sections, induced labor, epidurals, delivering without pain medication, etc.
Who will actually deliver the baby? Will it be the doctor you see for your regular appointments or someone else? As mentioned above, if you’re planning on delivery outside of a hospital, your doctor might not be the one delivering the baby, so midwives or doulas may need to be part of the discussion.

At Green Valley OB/GYN we have extensive experience in managing both high-risk and low-risk pregnancies. And when you’re at the beginning of your pregnancy we know you will have a lot of questions and concerns. Call (336) 378-1110 to make an appointment at our Greensboro office. The office is open Monday through Friday from 8 a.m. to 5 p.m. and we have an on-call physician available 24/7 in case of emergencies.

Real Experiences, From Real People

This is a very well-run office. I never wait long, the staff is super friendly and my physician is wonderful, very professional, and personable!

I haven’t met a provider that I didn’t absolutely love! During my last pregnancy, I transferred from another OBGYN that I did not care for at all. I couldn’t have picked a better place to put my trust in!

I travel 2800 miles for my visit with Dr. Wein! He is the most thorough, kind, and knowledgeable doctor EVER! No matter your age, you will be in the best hands.

Dr. Callahan and her team are absolutely amazing. I have been her patient for over nine years and drive over an hour to see her because I know I am receiving the very best care. From the time you check-in at Green Valley, to the conversation with the nurses , to your exam, and aftercare — you feel known and valued. I truly cannot say enough about how amazing everyone is. Dr. Callahan has my very highest regard and praise (as do Vlora, Stacy, and Cathy!) They are wonderful. Look no further!

I love seeing Dr. Kendra Ross. She is so friendly and personable yet professional all at the same time. She listens to me and makes sure she’s addressing any concerns or questions I may have. She explains things and has an amazing sense of humor and she always makes me laugh.

After having one GYN provider for so long in NY, Dr.Hovath definitely has made my transition a great one without even knowing. She has made me feel super comfortable and is greatly appreciated. I never cared for female GYN from past bad experiences but I have now found one that as long as she’s is practicing I will be a patient. Too bad no more babies for me! Awesome M.D.

Dr. Clark is an outstanding provider. I have recommended several other ladies to see her. She is always so kind and very personable. Her bedside manner is very professional and caring. She takes her time and seems to really care about your concerns. She also delivered my 2-year-old daughter and was awesome in the delivery room. I highly recommend her.

This place is AMAZING. I cannot stress enough how much I love Green Valley OBGYN. Everyone is so friendly and caring. There’s almost no wait time. I’ve recommended this place to friends and family.

Prepping for Your First Prenatal Visit? Ask Your Doc These Questions

Questions about your body and your health, questions about your doctor & delivery.

Early pregnancy often feels very abstract—all you have to show for it are two pink lines on a stick . Once you call your doctor’s office to tell them you’re pregnant (the receptionist is probably the first person you’ll tell besides your partner), they probably won’t have you come in until you’re somewhere between seven and ten weeks along. This is to ensure your appointment is far enough along to hear a heartbeat, but it also means you’ll have a lot of time to prep for that exciting and nerve-wracking first prenatal appointment, where it all starts to feel a little more real.

So how do you prepare for your first prenatal appointment? There’s not a ton you need to do, but there are a few things that will help ensure it goes as smoothly as possible. First, think about when your last period started—your pregnancy begins on the first day of your last period (so for the first two-ish weeks of your official pregnancy, you actually aren’t pregnant—weird).

You’ll also want to inventory any medications or supplements you take and think about anything from your medical history that may not be clearly outlined in your chart. For example, maybe your mom gave birth prematurely, you have irregular periods, or you’ve had a previous chemical pregnancy. But most of all, you’ll want to prep some questions to ask at your first prenatal visit. While your mind is spinning with excitement and your growing to-do list, we’re here to help you check off that last box.

You don’t need to ask all of these questions at your first appointment—you can pick and choose which are most relevant to you and decide what you need to know now versus what can wait for your next appointment. But it’s good to look over all of them, so you can be prepared to get answers, especially for things that are non-negotiables for you. For example, if you’re hoping for a VBAC (vaginal birth after cesarean) and your doctor or hospital is hesitant to do them, it’s probably time to look for a new provider. And the earlier you can do that, the better.

Read on for a comprehensive look at the questions you may want to consider asking at your first prenatal appointment, whether it’s your first pregnancy or your fifth.

How should I think about my exercise routine during my pregnancy?

If your doctor so far has been Google, you will know that there are conflicting takes about basically every type of exercise and pregnancy . ( No hot yoga during pregnancy! But do all the exercise you normally do! ). So, it’s helpful to get a medical professional’s insight on how much you should be exercising and how your routine should or shouldn’t change.

What should I know about sex during pregnancy?

Your doctor’s advice may change by trimester, but it’s good to start having the conversation early. They’ll probably tell you anything goes (as long as you’re comfortable), but in cases where there’s a history of certain conditions like placental issues or pre-term labor, your doctor may want you to exercise caution or abstain (sorry!).

Based on my medical history, does it appear that I’m at risk for any complications?

It’s better to have all the information you need upfront, right? For example, certain things like having frequent migraines, diabetes, or polycystic ovary syndrome may put you at an increased risk of preeclampsia 1 . Your doctor will be able to give you the broad strokes during this first visit of what you should and—even more importantly—shouldn’t worry about based on your history.

How long can I travel? And can I go on an international trip?

I had to reschedule a trip to Mexico when I was pregnant with my son because my doctor felt it was planned for a time that was too late in my pregnancy. I’m very glad I asked at that first appointment and had plenty of time to make changes.

What symptoms are not considered normal and warrant an immediate call to your office?

Many women (myself included) will have the urge to call their doctor over every little cramp and twinge. While you should feel empowered to ask your doctor anything and everything, there are some pregnancy symptoms they will definitely want you to contact them about, like bleeding or pain. They can also give you guidelines on the things you might experience that could cause you concern, especially if this is your first, but that are perfectly normal during pregnancy.

What medicine can I take?

You may be surprised by which medications are pregnancy-safe and which are not. You can (and probably should) Google before you take any medication, but the internet can be a confusing place, so it’s good to have a doctor’s sign-off, especially on any regular meds you take.

What foods do I really need to avoid? What is okay in moderation?

If you’re like me, you’ll have lots of questions like, “I know sushi is generally a ‘no,’ but what if it’s from a high-quality restaurant? And do I really need to give up Brie?” Your doctor will be able to give you guidelines on the foods that could put you and your baby at risk of listeria or toxoplasmosis (aka definitely don’t eat), and the ones that are on the avoid list, but that, if they do make you sick, will be no worse for you than it would be if you weren’t pregnant.

What beauty products should I steer clear of?

Sorry, but your retinol will probably have to take a backseat. Your doctor will explain any skincare ingredients to avoid and sneaky places they may be hiding.

Can I clean a litter box? Garden? Dye my hair?

There are a variety of activities that everyone talks about avoiding during pregnancy. Take a look at your normal habits and ask your doctor about anything that you’re concerned about. They can give you guidelines on what you do and don’t need to change.

What is your stance on the occasional drink?

If you survey your parent friends, you’ll probably find that some completely avoided alcohol for all 40 weeks, while others had an occasional beer or glass of wine later in pregnancy. (French women, yada yada). Depending on how by the book your doctor is, they may give you the ACOG answer 2 (there is no safe amount of alcohol during pregnancy) or something a little more nuanced about how it’s impossible to study alcohol and pregnancy, so they don’t know for sure. Either way, it’s a good idea to get their opinion before you make the decision that’s right for you.

What are weight gain expectations for this pregnancy? Does it change if I didn’t shed all the weight from the first pregnancy?

Your doctor will be able to address all your questions about weight and pregnancy, including any complications associated with gaining too little or too much. The first appointment is a good time to set expectations for future conversations about weight, whether it’s not wanting to know the number on the scale (something I’m really glad I asked for) or opting out of weight checks altogether.

What can I do for constipation and hemorrhoids?

Just trust me, you’re going to want to know.

What do you recommend I do to prepare for birth?

Sure, this is your first appointment, but it’s never too early to start getting ready for the big day. Your doctor may recommend specific books, exercises, Instagram accounts they like, or even a doula or birth class. It’s a good idea to start figuring out your options early so that you have plenty of time to do the birth-prep exercises or start interviewing doulas.

What is the best way for me to contact you with non-urgent questions?

You’re going to have a lot of questions, and not all of them need to be answered right away. Does your doctor like to be messaged through the patient portal? Would they prefer you leave a message with the receptionist? How long should you expect to wait to get an answer? And what should you do for urgent questions?

Does your doctor have any travel planned?

Now’s the time to find out if your doctor has an African safari planned around your due date. If they do have vacation or extended time off on the calendar during your pregnancy, it’s important to know who you’ll see instead and what the practice’s plans are for coverage.

Who will deliver my baby if you are not on call?

So much of having a good birth experience is feeling comfortable with your team. For that reason, it can be nice to get to know the other doctors in the practice who could potentially deliver your baby or at least familiarize yourself with who it could be.

How much past 40 weeks will you allow me to go?

Doctors have many different stances on how long past 40 weeks they’ll allow patients to go, so this question is important to ask. Some research shows 3 that inducing after 41 weeks lowers the risk of stillbirth and other complications, like meconium aspiration (when babies breathe in their waste). Some will insist on inducing earlier than 41 weeks, and some may let you go up to 42 weeks. It’s good to know their policy regardless, but if you have a specific preference, you will want to make sure your doctor’s policies are in alignment.

What is your policy on _______?

Pick and choose the questions on policies that are meaningful for you here. Some doctors, for example, are not trained on instrument-assisted deliveries, so in the event that you would need one (if you fatigue from pushing or the baby is in distress), you’d instead have an emergency C-section. (I did not think to ask this question myself, but I will if I have future pregnancies, as my son was born assisted by vacuum when his heart rate began to drop). Some situations to consider asking about:

Scheduled c-sections

Pain management

Episiotomies

Intermittent vs continuous monitoring

Instrument-assisted deliveries (forceps or vacuum)

VBACs (This will only be relevant to you if you’ve previously had one or more caesareans and are hoping for a vaginal delivery)

What is the cadence of my appointments?

Your ob-gyn practice may set up all your appointments, or at least all of them through 20 weeks, at that very first prenatal appointment. Generally, you’ll go monthly up until about 28 weeks, then every other week until 36 weeks when you begin weekly appointments. But this is a good time to let the office know if a certain day or time doesn’t work for you and how they handle scheduling.

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Expectful uses only high-quality sources, including academic research institutions, medical associations, and subject matter experts.

National Institutes of Health . " Who is at risk of preeclampsia? " , https://www.nichd.nih.gov/health/topics/preeclampsia/conditioninfo/risk#:~:text=Preeclampsia%20is%20also%20more%20common,diabetes%2C%20and%20sickle%20cell%20disease. .

The American College of Obstetrics and Gynecologists . " Alcohol and Pregnancy " , https://www.acog.org/womens-health/infographics/alcohol-and-pregnancy .

Institute for Quality and Efficiency in Health Care . " Pregnancy and birth: When does labor need to be induced? " , Sep 24, 2008 , https://www.ncbi.nlm.nih.gov/books/NBK279570/#:~:text=In%20other%20words%3A%20The%20research,aspiration%20(breathing%20in%20meconium). .

Grace Gallagher, MFA, Hunter College

Grace Gallagher is a freelance writer based in Portland, Oregon. Her work focuses on parenting, health, and beauty and has appeared in Parents, Romper, Pregnancy & Newborn, Shape, InStyle, and more.

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10 Questions to Ask Your OBGYN at the First Prenatal Visit

Empowered Parenting

Congratulations, you are pregnant! After peeing on countless sticks, you are ready to see your OBGYN for that first prenatal appointment. A new pregnancy can fill you with so many emotions, ranging from excited to nervous to anxious. But, the first prenatal appointment can be an excellent time to get to know your OBGYN or Midwife as well as answer all your prenatal questions about what to expect in the coming months and hopefully relieve some of your anxiety.

As an OBGYN/fertility doctor and also having been in the shoes of a pregnant patient myself in the past (and currently!), I have a unique perspective on what is typically discussed at the first visit as well as what questions may still arise.

What to Expect at Your First Prenatal Visit

Before diving into the questions to ask your OBGYN, it's important to know what typically happens during the first prenatal visit . This visit is a cornerstone in your pregnancy journey, setting the stage for your prenatal care . Here’s a brief overview of what you can expect:

A Comprehensive Health Evaluation : Your OBGYN or Midwife will start with a thorough health assessment, including your medical history, family history, and any previous pregnancies. This step is necessary for tailoring your prenatal care to your specific needs.
Physical Examination : Expect a general physical exam , including checking your blood pressure , weight, and height. Your doctor may also perform a pelvic exam to check the uterus and pelvis and a Pap smear if you're due for one.
Lab Tests : Several blood tests are standard during the first visit to check for blood type, Rh factor, iron levels, and possible exposure to infections. Urine tests are also common to screen for urinary tract infections and to check the levels of protein and sugar.
Ultrasound : While not always performed at the first visit, an early ultrasound may be done to confirm the pregnancy, determine the due date, and rule out ectopic pregnancy. This is also a chance to see your baby for the first time.
Discussion about Your Health and Pregnancy : This is where your prepared questions come into play. Your prenatal care provider will discuss your health and lifestyle as it relates to your pregnancy and what changes you may need to make to ensure a healthy pregnancy journey.
Setting Expectations for Future Visits : Before you leave, your healthcare provider will outline the schedule for your prenatal appointments and discuss any immediate changes you should make in your lifestyle, diet, or medication regimen.

As you get ready for your first visit, consider asking the following 10 questions as you embark on your pregnancy journey:

1. Confirm your due date

You may be 1000% sure of your due date because you were tracking your periods and ovulation and timing intercourse (or you may have no clue!), but you should confirm your dates with your OBGYN as they may change depending on when ovulation and implantation occurred.

2. What lifestyle changes should be made?

Important questions to ask include: which foods should be avoided in pregnancy, exposures to environmental toxins, avoidance of certain beauty products (say goodbye to using retinol while pregnant!), recommendations on sleep and travel, etc.

3. What is an appropriate amount of weight gain in pregnancy?

Weight gain in pregnancy is normal and expected as the fetus grows, however, recommendations will vary on the amount of expected weight gain based on your pre-pregnancy BMI (measurement of your height and weight) with most of the weight gain occurring in the second and third trimesters. In general, pregnant individuals who have a normal BMI (18.4-24.9) can gain 25-35 lbs in pregnancy, those with a low BMI (< 18.4) can gain up to 40 pounds in pregnancy and individuals with a BMI over 30 should keep weight gain to 20 pounds.

4. What pregnancy symptoms can you expect each trimester?

Each trimester of pregnancy brings with it different symptoms you may experience, like fatigue, insomnia, and morning sickness, to name a few, and your OBGYN can be a great resource to let you know what is normal and what may require additional evaluation.

5. Which vitamins and/or supplements to be on

It is important to ask about any medications you may be on as well as any recommendations regarding prenatal vitamins. While it is best to start prenatal supplements prior to conception, if you haven’t started one yet, ACOG recommends a daily prenatal vitamin with folic acid to reduce the risk of neural tube defects.

6. What should you do in regards to exercise?

Exercise in pregnancy is safe and, in general, recommended for almost all pregnant and postpartum individuals. Exercise has been shown to increase the incidence of vaginal delivery, encourage healthy weight gain, reduce stress and anxiety as well as reducing the incidence of cesarean delivery, gestational diabetes and gestational high blood pressure . Depending on the type of exercise you perform, you may need to make modifications to your routine. As always, discuss with your OBGYN your own unique pregnancy and medical history regarding exercise.

7. How often will you be seen for prenatal appointments?

As you prepare for your prenatal appointments, you will find that (for uncomplicated pregnancies) appointments are usually every 4 weeks for the first 28 weeks, every 2 weeks until 36 weeks and then weekly thereafter until delivery. It is helpful to understand the flow of appointments and even schedule them in advance as OBGYN schedules can get full quickly.

8. Who will deliver you?

This is often a common question we get asked about who will be doing your delivery. Every clinic is different so it is important to discuss. In the past, many OBGYNs worked in solo or dual practices where it was almost guaranteed your own physician would deliver you. However, as a physician, those hours can be grueling so many practices now have multiple OBGYNs that will rotate in a call pool for delivery. Oftentimes you will be managed by the OBGYN you choose, but you will also likely see other OBGYns in their group so you can get to know several of the doctors in case one of them delivers you. If knowing exactly who will deliver you is extremely important, that may impact which OBGYN you ultimealtry choose to see.

9. Recommendations on genetic testing?

Your OBGYN will typically discuss options for genetic testing for the pregnancy that may range from non-invasive prenatal testing to more invasive options depending on your personal medical and pregnancy history as well as age.

10. What to know about your chronic medical conditions and possible impact on pregnancy?

If you have chronic medical conditions such as high blood pressure, diabetes, thyroid disorders etc. your doctor will likely talk to you about their possible impact on pregnancy and outcomes. You should discuss whether any medication you are taking for chronic medical conditions are safe in pregnancy and if the dose should be adjusted. Additionally, you should ask if you will need any additional follow-up or monitoring due to any chronic medical conditions.

As you navigate your first prenatal appointment, I always recommend writing down your questions in advance so you remember to ask what you need as those appointments can also feel overwhelming and it is easy to forget your own questions. Another tip is to bring your partner, a friend, or family member with you (if it is allowed) so they are able to take notes and listen to the advice and instruction as well!

If you find that you forgot to ask some of these questions, no worries. You have plenty of future visits to discuss with your provider!

Temeka Zore , MD, is a reproductive endocrinologist and infertility specialist and board-certified obstetrician and gynecologist currently practicing at Spring Fertility in San Francisco. She enjoys taking care of a wide range of reproductive and fertility issues but has a special passion for fertility preservation and educating and empowering women regarding their reproductive health. Follow her on Instagram @temekazoremd .

Nanit is dedicated to delivering high-quality, reliable content for our readers. Our Parent Confidently articles are crafted by experienced parenting contributors and are firmly rooted in data and research. To ensure the accuracy and relevance of the content, all articles undergo a rigorous review process by our team of parenting experts. Additionally, our wellness-related content receives further scrutiny from Nanit Lab , our think tank of scientists, engineers, physicians, academic experts, and thought leaders.

Our primary objective is to furnish readers with the most current, trustworthy, and actionable information concerning a host of parenting topics. We strive to empower our readers to make informed decisions by offering comprehensive and respected insights.

In pursuit of transparency and credibility, our articles incorporate credible third-party sources, peer-reviewed studies, and abstracts. These sources are directly linked within the text or provided at the bottom of the articles to grant readers easy access to the source material.

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Natalie Barnett, PhD serves as VP of Clinical Research at Nanit. Natalie initiated sleep research collaborations at Nanit and in her current role, Natalie oversees collaborations with researchers at hospitals and universities around the world who use the Nanit camera to better understand pediatric sleep and leads the internal sleep and development research programs at Nanit. Natalie holds a Ph.D. in Genetics from the University of New England in Australia and a Postgraduate Certificate in Pediatric Sleep Science from the University of Western Australia. Natalie was an Assistant Professor in the Neurogenetics Unit at NYU School of Medicine prior to joining Nanit. Natalie is also the voice of Nanit's science-backed, personalized sleep tips delivered to users throughout their baby's first few years.

Kristy Ojala is Nanit’s Digital Content Director. She spends way too much time looking at maps and weather forecasts and pictures of Devon Rex cats and no-cook dinners. A former sleep champion, she strives to share trustworthy somnabulism tips with other parents—praying for that one fine day when no tiny humans wake her up while it’s still dark out. Her kids highly recommend 3 books, approximately 600 stuffies, Chopin’s “Nocturnes,” and the Nanit Sound + Light for bedtime success.

Mackenzie Sangster is on the Brand and Community team at Nanit. She supports content development and editing for Nanit’s Parent Confidently blog as well as other marketing initiatives. Outside of work, she enjoys spending time with her friends, cooking, being active, and using the Pro + Flex Duo to keep an eye on her fur-baby, Poppy! Holly Hays is a contributor and writer for Nanit, channeling her years as a mama and former magazine editor to create fun, useful content for fellow busy, trying-to-do-their-best parents and caregivers. Holly has written for a wide range of brands and media outlets (Ergobaby, HGTV, Manhattan Toy Company, OXO), loves to cook and read mystery novels, and leans heavily on her two daughters to keep her up to date on all the latest slang.

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Prenatal care: 1st trimester visits

Pregnancy and prenatal care go hand in hand. During the first trimester, prenatal care includes blood tests, a physical exam, conversations about lifestyle and more.

Prenatal care is an important part of a healthy pregnancy. Whether you choose a family physician, obstetrician, midwife or group prenatal care, here's what to expect during the first few prenatal appointments.

The 1st visit

When you find out you're pregnant, make your first prenatal appointment. Set aside time for the first visit to go over your medical history and talk about any risk factors for pregnancy problems that you may have.

Medical history

Your health care provider might ask about:

Your menstrual cycle, gynecological history and any past pregnancies
Your personal and family medical history
Exposure to anything that could be toxic
Medications you take, including prescription and over-the-counter medications, vitamins or supplements
Your lifestyle, including your use of tobacco, alcohol, caffeine and recreational drugs
Travel to areas where malaria, tuberculosis, Zika virus, mpox — also called monkeypox — or other infectious diseases are common

Share information about sensitive issues, such as domestic abuse or past drug use, too. This will help your health care provider take the best care of you — and your baby.

Your due date is not a prediction of when you will have your baby. It's simply the date that you will be 40 weeks pregnant. Few people give birth on their due dates. Still, establishing your due date — or estimated date of delivery — is important. It allows your health care provider to monitor your baby's growth and the progress of your pregnancy. Your due date also helps with scheduling tests and procedures, so they are done at the right time.

To estimate your due date, your health care provider will use the date your last period started, add seven days and count back three months. The due date will be about 40 weeks from the first day of your last period. Your health care provider can use a fetal ultrasound to help confirm the date. Typically, if the due date calculated with your last period and the due date calculated with an early ultrasound differ by more than seven days, the ultrasound is used to set the due date.

Physical exam

To find out how much weight you need to gain for a healthy pregnancy, your health care provider will measure your weight and height and calculate your body mass index.

Your health care provider might do a physical exam, including a breast exam and a pelvic exam. You might need a Pap test, depending on how long it's been since your last Pap test. Depending on your situation, you may need exams of your heart, lungs and thyroid.

At your first prenatal visit, blood tests might be done to:

Check your blood type. This includes your Rh status. Rh factor is an inherited trait that refers to a protein found on the surface of red blood cells. Your pregnancy might need special care if you're Rh negative and your baby's father is Rh positive.
Measure your hemoglobin. Hemoglobin is an iron-rich protein found in red blood cells that allows the cells to carry oxygen from your lungs to other parts of your body. Hemoglobin also carries carbon dioxide from other parts of your body to your lungs so that it can be exhaled. Low hemoglobin or a low level of red blood cells is a sign of anemia. Anemia can make you feel very tired, and it may affect your pregnancy.
Check immunity to certain infections. This typically includes rubella and chickenpox (varicella) — unless proof of vaccination or natural immunity is documented in your medical history.
Detect exposure to other infections. Your health care provider will suggest blood tests to detect infections such as hepatitis B, syphilis, gonorrhea, chlamydia and HIV , the virus that causes AIDS . A urine sample might also be tested for signs of a bladder or urinary tract infection.

Tests for fetal concerns

Prenatal tests can provide valuable information about your baby's health. Your health care provider will typically offer a variety of prenatal genetic screening tests. They may include ultrasound or blood tests to check for certain fetal genetic problems, such as Down syndrome.

Lifestyle issues

Your health care provider might discuss the importance of nutrition and prenatal vitamins. Ask about exercise, sex, dental care, vaccinations and travel during pregnancy, as well as other lifestyle issues. You might also talk about your work environment and the use of medications during pregnancy. If you smoke, ask your health care provider for suggestions to help you quit.

Discomforts of pregnancy

You might notice changes in your body early in your pregnancy. Your breasts might be tender and swollen. Nausea with or without vomiting (morning sickness) is also common. Talk to your health care provider if your morning sickness is severe.

Other 1st trimester visits

Your next prenatal visits — often scheduled about every four weeks during the first trimester — might be shorter than the first. Near the end of the first trimester — by about 12 to 14 weeks of pregnancy — you might be able to hear your baby's heartbeat with a small device, called a Doppler, that bounces sound waves off your baby's heart. Your health care provider may offer a first trimester ultrasound, too.

Your prenatal appointments are an ideal time to discuss questions you have. During your first visit, find out how to reach your health care team between appointments in case concerns come up. Knowing help is available can offer peace of mind.

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Lockwood CJ, et al. Prenatal care: Initial assessment. https://www.uptodate.com/contents/search. Accessed July 9, 2018.
Prenatal care and tests. Office on Women's Health. https://www.womenshealth.gov/pregnancy/youre-pregnant-now-what/prenatal-care-and-tests. Accessed July 9, 2018.
Cunningham FG, et al., eds. Prenatal care. In: Williams Obstetrics. 25th ed. New York, N.Y.: McGraw-Hill Education; 2018. https://www.accessmedicine.mhmedical.com. Accessed July 9, 2018.
Lockwood CJ, et al. Prenatal care: Second and third trimesters. https://www.uptodate.com/contents/search. Accessed July 9, 2018.
WHO recommendations on antenatal care for a positive pregnancy experience. World Health Organization. http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/anc-positive-pregnancy-experience/en/. Accessed July 9, 2018.
Bastian LA, et al. Clinical manifestations and early diagnosis of pregnancy. https://www.uptodate.com/contents/search. Accessed July 9, 2018.

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21 Questions To Ask Your OB-GYN at Your First Prenatal Visit

Learn about topics to cover with your OB-GYN, such as prenatal care, screening and testing, nutrition and exercise, and labor and delivery.

by Kirsten White

Medically reviewed by Stephanie Sublett

Early pregnancy is an exciting and anxious time. While awaiting your first prenatal visit, your mind may race with questions. Or you might wonder what you should be asking! Here, we’ve compiled a list of 21 questions to ask at your first prenatal appointment. While some of these may not directly apply to you, it’s good to be prepared for your OB appointment. Reading these example questions will get your wheels turning. Then, you can always tailor your questions to your priorities.

21 Questions To Ask at Your First Prenatal Visit

With a new pregnancy, it can be overwhelming to know where to start with gathering information. Read through the questions below to get ideas and decide which questions you’d like to ask your OB-GYN at your first prenatal visit:

1. What Lifestyle Changes Should I Make Now That I’m Pregnant?

Some pregnancy lifestyle changes are well-known, such as avoiding alcohol . 11 But be sure to review with your provider any modifications you may need to make to your current medications , diet, and exercise routine. In addition, if you’re exposed to chemicals or toxins at work (such as in a nail or hair salon), or your job requires a lot of manual labor, consider asking about the safety of these settings and whether you need to modify your career exposures and responsibilities during pregnancy. 5

2. Is There a Specific Prenatal Vitamin You Recommend or Ingredients I Should Prioritize or Avoid?

Browsing the vitamin aisle can be overwhelming. During pregnancy, your body needs folic acid , iron , calcium , vitamin D, choline , omega-3 fatty acids, B vitamins, and vitamin C. Taking a prenatal vitamin with at least 400 mcg of folic acid is critical to prevent neural tube defects. You should start taking a prenatal vitamin while you’re trying to conceive. So, be sure to ask your provider for their recommendations. You may feel reassured to know that they’re up to date on the current market offerings. 9

3. Have You Reviewed My Medical, Gestational, and Family History? Based on This Information, Is There Anything Specific to My Situation I Should Be Aware of During Pregnancy?

You want to ensure your provider is well-versed in your medical history so they can provide adequate and comprehensive care for you during your pregnancy. A provider who reviews your chart prior to your appointment also demonstrates preparedness and forward thinking. Both of these are qualities that increase my trust in a provider. For instance, due to a family history of chromosomal conditions, I had additional genetic testing during my first pregnancy. I felt reassured knowing my provider had reviewed my records before my appointment and was well-versed in the additional care I may require.

4. How Can I Contact You When I Have Urgent Concerns?

This is another great question to ask at your first prenatal appointment so you can get an understanding of your provider’s availability to you. Pregnancy can be unpredictable, and strange symptoms can strike during off-hours. Be sure that your provider is reachable at any time and that you know how to contact them in case of urgent concerns.

5. What Pregnancy Symptoms Can I Expect, and How Will You Help Me Manage Them?

You want to know that your provider cares about your experience in pregnancy. At your first prenatal visit, you may be early in your first trimester and not yet know what lies ahead for you. Your provider should be able to warn you of potential symptoms (such as fatigue , joint pain, and morning sickness ) and how they would help you manage them. 6

6. What Resources Do You Recommend for Physical and Emotional Support During Pregnancy?

It’s easy to get lost in a world of pregnancy books , not to mention so many online courses available these days. Sometimes, word of mouth is the best recommendation you could ask for, so see if they suggest any particular readings. Your provider may also be able to connect you with support groups for pregnancy or groups with other women who are due around the same time. One of my favorite OB-GYNs at my practice referred me to a chiropractor she’d seen during pregnancy. I was so grateful for the personal recommendation!

7. Who (And How Many People) Can Attend My Appointments and Tests?

You may want or need to bring a partner, older children, or other guests to your prenatal appointments, scans, and tests. During my pregnancy with my second daughter, our toddler wasn’t allowed to attend. We had to get a babysitter for my husband to accompany me to ultrasounds—an added expense of pregnancy! Check with your provider about their policies, as they may make a big difference in your planning and comfort level.

8. How Long Are My Appointments, and Will I Have the Opportunity To Ask Questions at Each One?

A young pregnant woman sit up on an exam table in her doctors office during a routine prenatal check-up. She wearing a medical gown and her doctor is seated across from her as the two talk.

With each of my pregnancies, I saw a practice mixed with OB-GYNs and midwives. I never felt rushed at my prenatal appointments and always felt like I was receiving genuine care and attention. However, I’ve heard of many women switching to the care of midwives because their appointments are sometimes longer and they feel more attended to and cared for. With this question, try to get a sense of whether your provider seems rushed or patient and calm.

9. How Often Will I Be Seen During Pregnancy?

At your first prenatal visit, you can also ask how frequently you can expect to be seen. Asking this question may give you some insight into the office’s flexibility, hours, organization, and accommodation. Personally, I liked mapping out my appointments well in advance so I could anticipate working my prenatal appointment schedule around holidays and days off work.

10. What Will Happen at Each OB Appointment?

I liked knowing what to expect at each appointment, from the urine sample collection to the weight, blood pressure reading, and Doppler heartbeat. Familiarity with the process helped me feel comfortable and relaxed. Be sure to ask this at your first prenatal visit so you understand what to expect at your routine appointments!

11. What Prenatal Tests and Screenings Do You Recommend or Routinely Perform?

OB-GYNs vary in what’s considered “routine.” Throughout my first pregnancy, my provider checked my urine at every appointment. During my second pregnancy at the same practice, they’d discontinued this routine. In addition, genetic testing is standard in some practices and not others. It can also depend on your age. If these tests are something you’re interested in (or something you’d like to opt out of), make sure your provider is on board.

12. Do You Support Women Who’d Like To Use a Glucose Drink Alternative for the Gestational Diabetes Test?

One test typically performed during pregnancy is the glucose tolerance test for gestational diabetes . 7 Some women have concerns about questionably toxic ingredients and additives in the standard sugary beverage used for this test. 8,12 If this concerns you, be sure your provider will allow you to use an alternative , such as The Fresh Test.

13. What Symptoms of Pregnancy Complications Should I Look Out For?

Pregnancy complications such as gestational diabetes and preeclampsia have specific and unique signs that, if caught early, can spur intervention and better outcomes for mother and baby. 1,2 As a newly pregnant mother, make sure you know the warning signs of pregnancy concerns and when you should call your provider to be seen at an additional appointment or the hospital.

14. Will I See You Every Visit, or Will I Rotate Through Different Providers?

My OB-GYN practice was very large, and I saw many different doctors and midwives throughout my pregnancies. They hoped I would meet most of the providers by the time I delivered. However, every practice operates a bit differently, and you may like seeing different providers or getting very familiar and comfortable with just one.

15. Will You Be There When I Deliver?

Pregnant young woman pushes to give birth in hospital, obstetrician doctor assisting

Similar to the previous question, you’ll also want to know who’ll be there when you deliver. The reason my OB-GYN’s practice introduced me to many different providers was to make sure I’d be familiar with whoever was on call when I went into labor. Some smaller practices operate differently, though; maybe your doctor only has a few patients at a time and is on call for all deliveries. Be sure you understand which providers you’ll actually be working with during labor and birth.

16. Which Hospital(s) Do You Deliver At?

Most doctors only have privileges or contracts with certain hospitals. Make sure your chosen provider and practice deliver at the hospital you’d like to attend. Pay attention to their proximity to your home or work, too, as you never know if you’ll need to arrive at the hospital very quickly in labor!

17. Do You Accept My Insurance, and Can You Help Me Understand My Coverage for Prenatal Appointments, Testing, and Birth?

During my second pregnancy, my provider suddenly stopped accepting my health insurance. Fortunately, I was far enough along in my pregnancy that I was grandfathered into their coverage for birth. So, ensure that your chosen provider accepts your insurance. Take this opportunity to ask your provider any other questions about financial coverage. They may be able to answer questions such as, “What financial assistance resources might be available to me and my baby during the pregnancy and postpartum period, and can you help me qualify?” 10

18. What’s Your Philosophy or Approach to Birth?

If you have specific goals for your birth experience, ensure your OB-GYN will support those goals. If your aim is simply “healthy mom, healthy baby,” ensure that your provider and facility are equipped to handle any pregnancy and birth situations or complications that may arise. Meanwhile, if you’re trying to achieve an unmedicated, physiologic birth, try to get a sense of whether your doctor will push interventions you don’t want. You could ask if they have other patients who have wanted and achieved unmedicated births and how the provider has supported these goals. You could also ask what nonmedicinal coping tools will be available to you in the birth setting.

Similarly, be sure to ask what pain management options will be available to you during labor. Knowing your options will allow you to research which interventions you may or may not want.

19. Who (And How Many People) Will You Allow To Be Present at My Birth?

Think about who you might want to be present while you’re giving birth. You probably want your partner, but you may also want a doula , a photographer , or other birth attendants as well. Some hospitals restrict the number of people in the room at a time or the number of times you can change out your approved visitor list. If you know who you may want at your side, make sure the hospital will permit this.

20. What Are Your Rates of C-Section and Episiotomy?

You want to ensure your provider makes safe and evidence-based decisions for their patients. These interventions shouldn’t be routine, and if their rates are high, you may feel pressured into these procedures during your own birth. The national C-section rate in the United States in 2022 was 32.1%, so you may want to look for a provider at or below that. 3 Similarly, you may want to prioritize a provider or hospital with an episiotomy rate below 5% to be below the national average and the standard set by The Leapfrog Group, a nonprofit patient safety organization. 4

21. Will You Allow My Pregnancy To Reach 42 Weeks’ Gestation if We Get to That Point?

If you’d rather avoid being induced for going past your due date , ask what your OB-GYN’s policy is on overdue babies . As desperate as you may be to meet your baby, you may also be eager to go into labor naturally. If this is important to you, make sure you’re working with a provider who will allow you to remain pregnant until your baby comes on its own (unless there’s a medical indication for delivery!).

When identifying questions for your first prenatal visit, consider your pregnancy and delivery priorities. You can filter through this list and determine which questions are important to you. You can also save some questions for later appointments, but that first prenatal visit is an opportunity to establish a strong foundation. Work with your OB-GYN to collaborate on your ideal prenatal experience. Coming prepared with questions will show your provider that you’re knowledgeable and give you confidence that they align with your values. You can download these questions below!

Questions to Ask Your OBGYN at Your First Prenatal Appointment

We consult and analyze information from reliable authorities in their respective fields to support our research and writing. These include peer-reviewed journals, government and advocacy organizations, and academic sources. We aim to inform and educate readers and provide them with up-to-date, factual information. For more details about our content standards, please review our editorial policy .

1. https://www.marchofdimes.org/18192

2. https://www.marchofdimes.org/55710

3. https://www.marchofdimes.org/46384

4. https://www.leapfroggroup.org/

5. Halliday-Bell JA, Gissler M, Jaakkola JJ. Work as a hairdresser and cosmetologist and adverse pregnancy outcomes. Occup Med (Lond). 2009 May;59(3):180-4. doi: 10.1093/occmed/kqp017 . Epub 2009 Mar 6. PMID: 19270042 .

6. https://my.clevelandclinic.org/

7. InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. In brief: What do glucose tolerance tests involve? [Updated 2023 Dec 18]. Available from: https://www.ncbi.nlm.nih.gov/NBK279331/

8. https://www.healthline.com/

9. https://www.acog.org/

10. https://americanpregnancy.org/

11. https://www.marchofdimes.org/63448

12. https://my.clevelandclinic.org/9696

Kirsten White earned her nursing degree from Villanova University. Since graduating, she has worked with various pediatric populations as a nurse at Johns Hopkins and is currently working in school… Read more

A woman with shoulder-length blonde hair is wearing a white lab coat over a pink medical outfit. She is seated against a light gray brick wall, looking at the camera with a slight smile.

Dr. Stephanie Sublett, MD, FACOG and IBCLC, has board certification in Obstetrics & Gynecology and specialized knowledge in Breastfeeding Medicine & Perinatal Mental Health. Following the completion of her residency… Read more

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How to Make the Most of Your First Prenatal Visit, and What to Ask!

What to Gather
What to Expect
What to Ask

Congratulations, you’re expecting! You’ll want to schedule your first prenatal visit right away.

Prenatal care overview.

Your first prenatal visit usually takes place when you are about 8-10 weeks pregnant. This appointment is often the longest, and will include a general physical and routine prenatal labs.

After your first appointment, prenatal appointments typically last as little as 15 minutes for uncomplicated pregnancies. Make sure that your provider answers any questions you have at these appointments, but don’t worry if your appointment feels short - a quick appointment is usually a good sign that your pregnancy is progressing normally.

For an uncomplicated pregnancy, women should plan to see their provider every 4 weeks through 28 weeks, every 2 weeks between 28 and 36 weeks, and weekly from 36 weeks to delivery. Every visit will include a weight check, blood pressure check, and a chance to listen to the fetal heart beat.

Plymouth_WomensCenter_Interior_DoctorOnPhone_Cropped

Your first prenatal appointment is one of the most important visits. Your doctor will take your medical history, and help you form a plan for your prenatal care. This is also a great time to ask any questions you have.

Here are three steps to help you make the most of your first prenatal visit.

1. Gather important medical information before you go.

Before you arrive at your appointment, you’ll want to educate yourself about your medical history. This medical history is more extensive than ones taken at check-ups, so make sure you have knowledge (and documentation, when possible) of the following details.

Your partner’s medical history will also affect the health of your baby, so he should attend this appointment if possible. If you or your partner were adopted, or if you used a donor egg or sperm, you may have less genetic information available to you, but your doctor will help you interpret the information you do have.

Make sure to include:

General Medical History: Include any medical problems you have or have had. List types, dates, and treatments if applicable. Your doctor may classify your pregnancy as high-risk if you suffer from health problems including diabetes, cancer, kidney disease, epilepsy, or high blood pressure.
Family Medical History: Your baby may be at higher risk for certain genetic disorders if they run in your family or your partner’s family. Ask family members about genetic disorders and birth defect history. Depending on your family medical history, your ethnic background, and other factors, your provider may recommend different screenings or tests. For example, people of Ashkenazi Jewish heritage have an increased risk of Cystic Fibrosis and Tay-Sachs Disease, and people of African descent have an increased risk of sickle cell disease.
Fertility History: List your menstrual history, including regular/ irregular periods, history of cramping or PMS, and any medication you use to bring on a period. Describe any fertility treatments you have had and their outcomes. Include your pap smear history, any abnormalities detected, and treatments if applicable (ie ie colposcopy, cryosurgery, laser treatment, conization, LEEP procedure).
Past Pregnancies: I nclude live births, stillbirths, premature deliveries (less than 37 weeks), miscarriages (less than 20 weeks), ectopic/ tubal pregnancies, and/or elective terminations (abortions).
Infection Exposure: Include chlamydia, gonorrhea, herpes, genital warts/ HPV, syphilis, HIV/AIDS, hepatitis.
Medications You’re Taking: Include prescription as well as over-the-counter medications in this list. Also make a list of any herbal medicines, vitamins, or health supplements you take. Note any allergies to medication.
Dietary Habits: Your doctor will ask about your caffeine, alcohol, and nicotine consumption. A moderate amount of coffee can be consumed during pregnancy, but no amount of nicotine, alcohol, or illicit drugs are considered safe. If you need help staying sober, reach out to your provider, and they will work with you to ensure a safe and healthy pregnancy.
Mental Health History: Let your doctor know if you have a history of anxiety, depression, or other mental health conditions. Your doctor will help you find a treatment plan that cares for you and your baby. In some cases, your doctor may recommend that you stop taking a certain medication. However, in other cases, the risks of stopping a medication outweigh the potential benefits. Talk to your doctor to find the plan that’s right for you.

2. Know what to expect at your first prenatal appointment.

Your first prenatal visit is usually the longest unless you experience complications with your pregnancy.

Routine Procedures

At this appointment, your provider will take your medical history, check your weight and blood pressure, and perform blood tests. These blood tests will test your blood type, Rh factor, exposure to hepatitis and syphilis, and immunity to German measles.

You may be able to hear your baby’s heartbeat at this appointment. However, if your prenatal appointment is on the earlierside, you may need to wait to hear your baby’s heartbeat. The fetal heartbeat is usually first detectable between 12 and 14 weeks.

HIV Testing

You may choose to take an HIV test during the early stages of your pregnancy. Any person who is sexually active is at least potentially at risk for HIV infection. Many people who are HIV positive do not belong to any particular high risk group, such as drug users.

HIV in pregnancy has potentially serious implications for mother and baby. We now have the capacity to offer medications in pregnancy to help prevent transmission of the virus to the baby. Obviously, we cannot offer medications unless we know your HIV status. Most women will have a normal or negative result and will be relieved by having this information. If you do test positive, we will help you in obtaining specialized care for both yourself and your baby.

Prenatal Care Plan

3. Have a list of questions to ask your doctor.

Depending on your unique situation, you may have many different questions for your doctor. Here are our top 10 questions all women should ask at their first prenatal visit:

Are there changes I should make to my diet? Throughout your pregnancy, try to consume a wide variety of foods, including lean meats, whole grains, fruits, vegetables and unsaturated fats. Many women also take prenatal vitamins. Talk to your doctor about specific dietary recommendations.
What foods should I avoid during pregnancy? Pregnant women should avoid raw or undercooked seafood such as sushi. Avoid unwashed fruits or vegetables to reduce your risk of congenital toxoplasmosis. Your doctor will look at your diet and help you avoid other foods that may harm your baby.
How much weight should I expect to gain during my pregnancy? Healthy weight gain ranges depend on your pre-pregnancy BMI. Your doctor will help you establish healthy weight gain goals.
How much should I be exercising? Regular exercise can reduce or prevent back pain, prevent excessive weight gain, and reduce the risk of gestational diabetes and high blood pressure. However, pregnant women should avoid activities with a high risk of falling or abdominal trauma, exercise at high altitudes, and scuba diving. Ask your doctor if you have questions about specific activities.
Can I travel during my pregnancy? Many pregnant women drive throughout their pregnancies. Many women also fly until late in their pregnancies, and most airlines allow travel up to 37 weeks gestation. Talk to your doctor about safety measures to take when traveling.
Will I be able to work throughout my pregnancy? Although you may need certain adjustments to your work style, in general, women can plan to work throughout a pregnancy. Talk to your doctor about strategies to stay comfortable at work, and what to do if you need special accommodations.
Can I continue taking my current medications? Few medications have been approved to be used during pregnancy. However, certain medications have not been shown to increase the risk of birth defects or adverse pregnancy outcomes when taken as directed. Before you take any medication during pregnancy, it’s important to weigh the severity of your symptoms against the possible risks to your baby. Ask your doctor for more information about specific medications.
When will my next appointment be? For an uncomplicated pregnancy, women should plan to see their provider every 4 weeks through 28 weeks, every 2 weeks between 28 and 36 weeks, and weekly from 36 weeks to delivery. Your doctor may wish to see you more frequently if you have a high-risk pregnancy. Talk to your doctor about a plan for your prenatal care during this first appointment.
Do you recommend any type of prenatal screening or testing? Depending on factors like your family medical history and your ethnic background, your doctor may recommend prenatal screening or testing. The decision to pursue prenatal screening or testing is personal, and there is no one right path. Your doctor will help you make an informed decision that is right for you.
Do you recommend any prenatal classes? To prepare for delivery, you may also want to take a prenatal class. There are many different options for delivery, so you’ll want to choose a class that fits your needs. Ask your doctor about finding the right class for you.

Use these recommendations to make the most of your first prenatal visit . And remember – don’t be afraid to reach out to your doctor with questions! Your health, and your baby’s health, is their priority.

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11 Questions To Ask Your Obstetrician/Gynaecologist At Your First Prenatal Visit

Congratulations, those two little lines mean you’re pregnant. You’re going to have a baby! It’s an exciting and scary time, particularly if this is an unplanned pregnancy. It’s not unusual to replay the past four weeks and wonder if you’ve done anything that could harm the baby.

That’s in the past. Now, you need to focus on what comes next: preparing for your first prenatal visit.

To set your mind at ease, we’ve compiled a list of the most popular questions asked by expecting moms. Your obstetrician will cover all of these and any other questions you may have, but until then, read on.

When do I need to book my first prenatal visit?
What to expect at my first prenatal visit?
How often should I visit my doctor?
Is my health history important?
Should I change my diet?
What medication can I take?
Can I exercise during pregnancy?
What changes can I expect during pregnancy?
Should I have genetic screening done?
How much weight should I gain?
Who do I contact if I have any concerns?

1. When do I need to book my first prenatal visit?

You should book your first prenatal appointment as soon as you discover you’re pregnant. If you don’t have a gynaecologist, ask your friends who’ve had babies if they’d recommend anyone or speak to your local GP. Mention the hospital you’d like to give birth at and if they know of a good obstetrician gynaecologist.

Ideally, you want to book your first prenatal appointment around 6-8 weeks. If you’re unsure, use the first day of your last period to calculate how far along you are in your pregnancy.

2. What to expect at my first prenatal visit?

At your first appointment, you’ll be asked to fill in a number of medical forms before seeing your gynaecologist. You’ll also be weighed and asked for a urine sample.

This first appointment will likely be your longest, as your OB/GYN will use the time to get to know you and your medical history, family history, health and any risks they need to be aware of.

They’ll ask if you’re taking any medication before performing a physical exam. This determines exactly how far along you are, if your baby has a strong heartbeat and your expected due date.

The ultrasound will also show if you’re expecting multiples. During your physical, your doctor will also assess your pelvis and uterus. This is to ensure they’re healthy.

After the examination, your doctor will book your next appointment and send you for blood tests.

3. How often should I visit my doctor?

This really depends on your birth plan. If you plan to have a home birth with a midwife, you’ll only see your gynaecologist for your first scan and one or two follow-ups. The rest of your pregnancy will be monitored by the midwife.

Once you’ve had your initial consult and you’re deemed healthy with no high-risk factors that need to be monitored more frequently, your OB/GYN will schedule check-ups once a month up until 36 weeks. After that, your doctor will arrange to see you once a week until you reach full term.

We recommend you see a gynaecologist regularly for check-ups and to address any concerns you have. Regular monitoring and blood work will help to detect and address issues early. For more information, reach out to a Welwitschia specialist. We’re here to help.

4. Is my health history important?

Absolutely. It’s vital you discuss your full medical history, including your immediate family medical history, with your doctor. This gives them a complete picture of any previous medication, complications or surgeries you’ve had prior to falling pregnant.

Certain health conditions place you at a higher risk during pregnancy, for example, diabetes, high blood pressure, heart problems and hyperthyroidism or hypothyroidism.

Your doctor also needs to know if you’ve previously miscarried or are on chronic medication for a physical or mental health condition. This is to ensure the safety of your unborn baby and you, the mother.

Please remember that most health conditions are manageable, so discussing them openly with your specialist is essential.

5. Should I change my diet?

It’s completely normal to gain a healthy amount of weight during pregnancy. But to give your baby the best start in life, you want to limit unhealthy foods and avoid certain items which could lead to complications.

While it may seem like a long list, there are a few beverages and foods you should avoid altogether.

Things to avoid when you are pregnant:

Shellfish, raw fish or any fish with a high mercury content – these are predatory fish, including Dorado, Sailfish, Swordfish or Tuna.
Sushi is a definite no-no – any undercooked meat or fish can lead to long-term harm and the potential to contract Listeria.
Alcohol and smoking during pregnancy are known to affect your baby’s development, so don’t do it.
Raw or undercooked meat or processed meat, like deli ham or hot dogs, are out.
Raw eggs or any meals made with raw eggs such as homemade mayonnaise and ice cream and unpasteurised milk and soft-ripened cheeses.
Raw sprouts in salad and unwashed fruit or vegetables.
Processed fast food and food with high sugar content like chocolate, sweets, and cakes must be limited.

Instead, add non-starchy vegetables and whole grains to your meal plan. Not only does this help to avoid birth complications, but it’s good for you and your baby to have a nutrient-rich diet consisting of fruit, vegetables, protein, healthy fats and fibre-rich carbohydrates.

If you’re a coffee-lover, you can still have caffeine, but limit it to less than 200mg a day. Consider swapping out your caffeine fix for decaffeinated coffee. It’s just as delicious. And switch to Rooibos tea as opposed to Earl Grey or Ceylon.

6. What medication can I take?

Give your gynaecologist a rundown of any chronic medication you’re currently on or have taken within the last few years. It’s also a good idea to mention any supplements and over-the-counter medications you’re taking.

Your doctor will advise you to supplement your diet with folic acid and a prenatal vitamin. Ideally, you want to start taking these a few months before you fall pregnant; one month before is good, three month is better.

Certain medications can have side effects or cause complications, so check with your obstetrician before popping a pill. In most cases, you’ll be able to find an alternative. Rarely will you have to stop taking your medication.

Avoid taking any herbal medication, non-essential supplements or natural remedies during pregnancy unless you’ve discussed it with your doctor and it’s safe to do so. You’ll also want to check which over-the-counter medicines are safe to take during pregnancy, particularly if there are any that you regularly use, such as headache tablets or pain tablets.

Disprin lovers will need to switch to Panado as it doesn’t have aspirin which isn’t good for your baby.

7. Can I exercise during pregnancy?

If you were physically active before falling pregnant, most gynaecologists will recommend you continue doing your exercises, provided those activities aren’t too strenuous for you or your baby.

Exercising at least 2 hours a week can help you maintain a healthy weight during pregnancy and ease back pain, swelling or constipation.

Ease up on your work-outs as your pregnancy progresses because your growing belly will start to put pressure on your diaphragm. It’ll become more uncomfortable to run, and you’ll notice that your breathing becomes laboured more easily. You may also have less energy.

Sports to avoid during pregnancy:

It’s best to avoid high-impact sports such as horseback riding, water-skiing and off-road cycling. We also advise that you stop close-contact sports such as hockey or netball, scuba diving, roller skating, surfing, rock-climbing or any racket sports.

A fall or racket in your abdomen can be fatal to your unborn baby.

Exercises safe for pregnancy:

Swimming, yoga (except hot yoga), walking, jogging, Pilates, lightweight training and stationary bike riding are perfectly safe.

8. What changes can I expect during pregnancy?

During pregnancy, your hormones are constantly changing, and this can affect your mood and energy levels. Morning sickness is a common symptom that usually begins around week six and stops at the end of the first trimester.

Some women are lucky and don’t experience it. Others may suffer from hyperemesis gravidarum, which is severe morning sickness. In this case, your doctor will closely monitor your health to ensure you don’t lose too much weight or become dehydrated.

Another common change is swelling in the legs and feet and varicose veins. Speak to your doctor about exercises you can do while pregnant to limit swelling and back pain.

Some women experience heartburn or constipation, but this can be managed simply by avoiding eating certain foods or changing your diet.

Haemorrhoids, lack of sleep and low energy are also common. Drink plenty of water, rest well, exercise and maintain a healthy weight and diet to minimise any changes you may experience.

Some women develop gestational diabetes during pregnancy. This is when hormones in the placenta affect insulin levels resulting in high blood sugar. Your doctor will want to monitor you closely as you may need to be medicated.

Preeclampsia is another complication that causes high blood pressure and swelling in the feet, hands or face. This can be incredibly dangerous to you and your unborn baby. In most cases, your obstetrician will recommend control of your blood pressure and earlier delivery, such as a Caesar.

This is why it’s vital to keep your appointments with your doctor so they can monitor any changes and take action if need be.

9. Should I have genetic screening done?

Depending on your age, health and whether you fall into a high-risk category, you may have genetic screening done at different stages of your pregnancy. There are various tests available, including prenatal testing for abnormalities.

During your first trimester, your doctor will perform an ultrasound scan and test for Down syndrome. At 15-20 weeks, blood can be taken from Mom to screen for spina bifida. At 20 weeks, you can have a detailed foetal anomaly scan. At 28 weeks, a glucose tolerance test can be done to help detect gestational diabetes.

Discuss the various types of screening you can have done with your doctor, and remember to mention any critical family medical history that may be relevant.

10. How much weight should I gain?

What is a healthy weight gain in pregnancy? Most women gain between 12,5kg and 15kg during pregnancy.

Someone with a high body mass index (BMI) should expect to gain between 7kg and 11kg, whereas if you’re overweight, you should gain about 5kg to 9kg.

Your doctor will weigh you at each scheduled appointment, check your blood pressure, and take a urine sample to check glucose levels. If need be, they’ll advise you on the proper food plan to keep your target weight throughout your pregnancy. Keeping fit and healthy will help you to bounce back after giving birth.

11. Who do I contact if I have any concerns?

When in doubt, call your obstetrician. Don’t Google.

Ask your doctor for their after-hours or emergency contact details. Otherwise, call or email their practice anytime during the day. Contact the hospital immediately if you have any concerns or think you’re going into labour.

Even if you are considering a home birth, your midwife should have a doctor present in case you need an emergency C-section. Discuss with your gynaecologist the options available to you earlier rather than later.

If you have any questions or concerns, don’t hesitate to contact Welwitschia Hospital on ( +264) 64 218 911 or have a look at our great selection of Gynaecologists and Obstetricians here .

Is this your first pregnancy? It’s a joyful time. But we want to make it memorable in all the right ways. So consider joining Welwitschia Hospital’s Dear Baby Programme .We offer parents-to-be prenatal and antenatal classes. Interested in our Dear Baby Programme? Learn More Download our Brochure We can’t wait to meet you.

You might also find these articles useful:

If you enjoyed this post, why not take a look at our other parenting-related articles :

Pregnancy Do’s and Don’ts, the Facts
Essential Items To Include In Your Hospital Maternity Bag
Preparing for birth during COVID-19
Postpartum Depression: What Is It And How To Manage It?

Author: Staff Writer

10 Questions to Ask Your OB/GYN at a Prenatal Visit

Preparing for your first prenatal appointment can be exciting, and chances are good you have a lot of questions. That’s great! Asking questions can help you feel confident and prepared as you embark on your journey to motherhood.

However, the excitement of your first appointment may make it hard to remember all of your questions. Our team at OBGYN Westside, PLLC , on the Upper West Side of New York City, encourages you to make a list of all your questions and bring it with you.

Because each woman is unique, there’s not one specific set of questions to ask, but the list below can get you started.

1. What is my due date?

There are plenty of apps and due date calculators available for free, but not all of them are 100% accurate. Due dates calculators online can be based on your last menstrual period (LMP), your ovulation date, or your conception date.

Our team provides an estimated due date based on your LMP as well as a dating ultrasound. Less than 5% of women actually deliver on their due date, but knowing your estimated due date can help track pregnancy milestones and time appointments and tests.

2. What supplements do I need?

Maybe you’ve already been taking a prenatal vitamin, or maybe your pregnancy took you by surprise. In either case, our team can recommend the supplements you need. All women benefit from prenatal vitamins and DHA, while some may need additional supplements, including iron tablets, etc.

3. What symptoms should I expect?

When you arrive for your first prenatal appointment, you may not have many symptoms yet. On the other hand, if you’re already experiencing morning sickness, let us know. Our team can give you a brief overview of common symptoms for your gestational age and tips for managing them.

4. How much weight should I gain this trimester?

Overall recommended weight gain is an average of 25-35lbs with pregnancy, but how much you gain can vary from woman to woman. Your targeted weight gain depends on your pre-pregnancy body mass index (BMI), how many babies you’re carrying, and any underlying symptoms or health conditions you may have.

5. Am I considered high-risk?

There are many reasons yours might be considered a high-risk pregnancy . Here are a few factors that may contribute to high-risk status:

Being over 35 with your first pregnancy
Being a teen
Having diabetes or gestational diabetes
Being pregnant with multiples

Rest assured, our team is experienced and ready to support you whether you have a low-risk or high-risk pregnancy.

6. What tests do I need?

Throughout your pregnancy, you can count on receiving many different types of tests and ultrasounds, including blood work, diabetes screenings, genetic screening, and more. We will review the whole schedule with you. Our team is always available to explain the results of a test or ultrasound.

7. What physical limitations do I have?

Staying active and mild to moderate exercise is highly recommended during pregnancy. Exercising during pregnancy boosts your mood and energy levels, tones your muscles, and helps reduce your risk of developing varicose veins. Certain high risk activities, such as horseback riding, are always off-limits during pregnancy, but you may have specific limitations too. For example, if you have placenta previa, you may need to go on pelvic rest.

8. What lifestyle changes do I need to make?

Examples of lifestyle changes that can benefit you include:

Avoiding smoking and consuming alcohol, reducing caffeine intake
Removing certain beauty products
Changing medications that are contraindicated during pregnancy (only under the direction of a provider!)

Tip: Bring a list of all of your medications and beauty products (if applicable) to your appointment.

9. When is my next appointment?

We will see a lot of you! In general, first-trimester appointments are monthly, but the cadence increases as you progress through your pregnancy. We will review with you your schedule your prenatal visits, which may alter depending on what is happening.

10. What is my plan for delivery?

There are many details involved in planning for your delivery. Our team can help shape some of these decisions, including if you’re planning for a vaginal birth, if you need a scheduled C-section, which hospital to visit, when to schedule your hospital tour, and so on.

Ready to schedule your next prenatal appointment? Give us a call today or book your appointment online .

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Questions to Ask at Your First OB Appointment

Now that you’re pregnant you probably have a million questions. You’ll have an opportunity to get a lot of them answered at your first OB appointment, which will likely be one of your longest. Call your doctor when you get that pink plus sign to let her know and she’ll let you know when to come in—but keep in mind that first checkup may not be scheduled until you’re eight or nine weeks along, and that’s totally normal. Before the big day arrives, get in the habit of keeping a pen and paper handy and writing down your questions as they come up. (You’ll be surprised how many questions you think of between visits…and even more surprised at how much pregnancy will wreak havoc on your memory.) These questions should get you started for the first visit.

• How much weight should I gain, and at what rate?

• Do I have an increased risk of any specific complications or conditions?

• What screenings do I need?

• What kind of diet should I follow? What should I eat and drink a lot of, and what should I avoid?

• Should I be doing any particular kind of exercise? What kind and amount is safe?

• Are there any restrictions on sex throughout my pregnancy?

• Are there any restrictions I need to know about traveling while pregnant?

• Can I… Dye my hair? Get a massage? Paint my nails? Go to the spa? Use sunless tanner? Are there any changes to my beauty routine I need to make?

• What over-the-counter medications are safe, and in what amount? Are there any I should avoid?

• Are the prescription medications I’m currently taking safe? If not, what can I take or do instead?

• Which prenatal vitamin do you recommend?

• Which prenatal classes do you recommend?

• What position should I sleep in?

• What symptoms should I expect, and how can I manage them? What’s normal, and what should I call you about?

• What should I do if I…Don’t feel well? Have cramping? Spotting? Run a fever?

• What is your position on… Inductions? Scheduled c-sections? Epidurals and other pain medications? Episiotomies? Vacuum and forceps usage? IVs and EFMs? Delayed cord clamping? What are my options?

• When is a good time to call you with questions? Who should I call if you aren’t available? Can I email you if I have questions?

Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such. You should always consult with a qualified physician or health professional about your specific circumstances.

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8 Things You Must Ask at Your First Prenatal Visit

Your first prenatal doctor visit is an important time for us to evaluate your pregnancy so we can start a care plan tailored just for you.

We understand that you may have many questions when it comes to prenatal care, and often pregnancy can feel overwhelming. You may not even realize what questions you should ask.

We’re glad to answer any concerns you have, and for your convenience, we’ve compiled a list of what questions to ask your doctor at your first prenatal visit.

What Questions to Ask Your Doctor on First Prenatal Visit?

1. what adjustments should i make to my diet.

First, you should eliminate any alcohol immediately. You’ll also need to take caffeine in moderation—we recommend no more than one cup per day—and you should eliminate deli meat and certain fish.

We’ll also give you tips on what you can add to your diet to enhance both your health and the health of your baby.

2. Are My Current Medications Safe to Take?

We always want to have a complete medical record of all the medications that you’re taking, especially any herbal ones. This is important because herbal remedies can sometimes have interactions with your other medications, and others may not be safe for your baby.

Don’t worry; we can give you the answers you need.

3. Does My Medical History Put Me at Risk for Certain Conditions?

Some conditions, such as gestational diabetes, may have a genetic component. We’ll want to know all about your medical history to get an overall view of your health risks. This will help us serve you better.

4. How Much Sleep Do I Need?

It’s no secret that most Americans are sleep deprived. As your baby grows, it will be even more important for your body to get adequate sleep. If you are having trouble sleeping, we can recommend some techniques that can help you.

5. What Will My Appointment Schedules Be Like?

We understand. The busy array of appointments can be overwhelming. We’ll make a clear schedule for you so you can plan and know what to expect. You can explore this topic in greater detail in a previous post where we follow your pregnancy month-to-month.

6. What Kind of Exercise is Safe During Pregnancy?

We encourage all of our patients to have a regular exercise routine in order to keep them healthy. However, you should avoid high-impact exercises or full-contact exercises. We can discuss what your current exercise regimen was prior to pregnancy and tailor it as needed for pregnancy. We can provide an exercise plan for you.

7. What Vitamins Should I Take?

If you’ve been trying to conceive, you should have been taking a prenatal vitamin. But if you haven’t been, don’t worry, we’ll recommend which ones you should take. Folic acid is extremely important, and we recommend that pregnant women take 800 micrograms every day. We will also review your current calcium intake and calculate if any additional calcium sources should be added to your daily routine.

We also suggest:

Prenatal vitamins

8. When Should I Have Ultrasounds?

There are generally two ultrasounds that we schedule during your pregnancy. One is during the first trimester, once during the second.

During the third trimester, our patients At Associates in Women’s Healthcare, have the option of having a 3D/4D ultrasound where you can see your baby’s face for the first time! Contact us to learn more.

What Happens at the First Prenatal Visit?

Our goal of the first prenatal visit is to get a snapshot of your health and run a few basic tests to help us tailor your care to fit the individual needs of you and your baby.

Some of the things you can expect at a first prenatal checkup include:

A general checkup, where we take your height and weight, measure your blood pressure, and take other vital signs.
A confirmation of pregnancy
A urine test
If you are due for any routine screening tests, they will likely be done at this time to make sure there are not any undiagnosed health problems.

We Want You And Baby to Get the Healthiest Start Possible

At Associates in Women’s Healthcare, we’re more than health care professionals—many of us are moms as well. We have helped thousands of women throughout the Triangle area have healthy babies. If you’re pregnant—or if you’re thinking of becoming pregnant, we encourage you to contact us and schedule an appointment today.

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9 essential questions to ask during your first prenatal visit

prenatal visit: pregnant woman holding her belly

Aleksandar Nakic/Getty Images

From 'Who will deliver me?' to 'Can I keep exercising?', write these down.

By Dr. Sarah Bjorkman Updated March 3, 2022

You’re pregnant! You confirmed it with a ridiculous number of home pregnancy tests, started dreaming of baby names… and are wondering what to do next.

The first few weeks of your pregnancy can be one of the most exciting and overwhelming of your life, filled with a seemingly infinite number of questions . Take a deep breath, grab a pencil and write down some of those pressing questions, because you’ll want to have them with you at your first prenatal visit with your obstetrician or midwife .

The first prenatal visit usually happens between weeks 8 and 10, but it’s a good idea to let your provider know as soon as you find out you’re pregnant.

Here are the questions you should ask during your first prenatal appointment

1. Who will deliver me?

At your first visit, it’s a good idea to meet the doctors and midwives in the practice and to get a feel for their birth philosophy. The hospital they deliver at , the number of providers in the group and the options you have for your birth are important details you’ll want to know to help you decide whether the group is a good fit for you.

2. How much weight should I gain?

This depends on your pre-pregnancy weight. Your provider will calculate your BMI to help guide the discussion about healthy weight gain during pregnancy, though remember that these are just guidelines—not prescriptive parameters. As a general rule, women at a healthy weight should gain between 25 and 30 pounds, women who are underweight should gain nearly 40 pounds and women who are overweight or obese should gain 11 to 20 pounds during their pregnancy.

3. Can I continue exercising?

If you have a pre-pregnancy regimen you enjoy, your doctor will likely advise you to continue. If you do not yet have an exercise regimen , they will probably encourage you to start one! Exercise helps maintain appropriate weight gain during pregnancy, and some studies have shown that it may decrease your risk for gestational diabetes, preeclampsia and cesarean delivery.

4. What should I do about my history with certain health conditions?

One of the most important things to talk with your provider about during your first prenatal visit is your health history. Pregnancy is generally a state of wellness, but can put great stress on your body, exacerbating certain health conditions. Some common conditions that affect pregnancy include diabetes, high blood pressure, seizures, hypo- and hyperthyroidism and depression, but be sure to tell your OB about any health issues you’ve had, as special medical adjustments may be necessary. Also let them know about any surgeries you’ve had or any problems with antibiotics or anesthesia.

5. Are all my medications safe for pregnancy?

Take a list of all the medications, herbs and supplements you are currently taking to your appointment. Some medications can cause birth defects or could negatively affect your pregnancy, so your provider may have you stop or change what you’re taking.

6. Should I be taking a prenatal vitamin ?

Yes! While it’s best to start taking prenatal vitamins prior to conception, it’s never too late to start. Ask your doctor whether there is a prenatal vitamin they recommend or whether they know of one that’s covered by your insurance.

7. What type of genetic screening should I get?

There are many different options for genetic screening that your doctor can offer you. These are based on how far along you are in your pregnancy and what risk factors you have. Your doctor should be able to outline all the tests available to you—just be sure to clarify which ones are covered by your insurance.

8. Should I get a Covid vaccine?

Yes. A growing body of research shows that pregnant women with Covid symptoms are 40% more likely to deliver their babies prematurely and are at least two to three times more likely to be admitted to the ICU with severe symptoms than non-pregnant people. All major U.S. health organizations and maternal-fetal associations strongly urge pregnant women or those thinking about becoming pregnant to get vaccinated against Covid. Studies also show that getting the Covid vaccine in pregnancy can provide your newborn with protection against the virus . Be sure to talk to your doctor about this, too.

9. Who should I call if I have questions or concerns?

Most practices have a phone number where a nurse or provider can be reached 24 hours a day if you have questions or concerns, or if you think you’re in labor. This is important, because babies tend to not respect business hours, so make sure you have the after-hours emergency number before you leave.

If your first prenatal visit flies by and you happen to forget a question or two, don’t worry. You’ll see your provider many more times before your due date and should have lots of opportunities to ask more questions.

The Initial Consultation – What to Expect?

At your first prenatal visit, typically scheduled around the eighth week of pregnancy, your healthcare provider will gather a thorough medical history, conduct a physical examination, and perform necessary laboratory tests. This first consultation serves as an essential opportunity to discuss any concerns, clarify doubts, and receive crucial advice on maintaining a healthy pregnancy .

Understanding Your Estimated Due Date

The first question that pops up in most expectant mothers’ minds is, “ When is my baby due? “. While there are numerous apps and online calculators that can estimate your due date based on your last menstrual period, ovulation date, or conception date, these tools may not be 100% accurate. Your healthcare provider can provide a more precise estimated due date based on your last menstrual period and a dating ultrasound. Although only a small percentage of women deliver on their actual due date, knowing it can help track milestones and schedule necessary tests and appointments.

Navigating Dietary Changes and Supplements

During pregnancy, your body undergoes significant changes, and your dietary needs adjust accordingly. One crucial query to raise during your first prenatal visit pertains to food – “ What should I be eating more of, and what should I avoid? “. Your healthcare provider will provide personalized advice based on your current health status, dietary habits, and specific needs during pregnancy.

Moreover, you should also discuss the necessary supplements required during pregnancy. Prenatal vitamins, DHA, and sometimes additional supplements like iron tablets are commonly recommended.

Gaining Insight into Pregnancy Symptoms

Each pregnancy is unique, and so are the symptoms that accompany it. While some women may experience prominent signs right from the early weeks, others might go through their first trimester with minimal discomfort. It is beneficial to ask your healthcare provider about what symptoms you can expect during your pregnancy and how to manage them effectively.

Monitoring Weight Gain

A healthy weight gain is integral to a healthy pregnancy. However, the amount and rate of weight gain can vary greatly among women. It is influenced by factors such as your pre-pregnancy body mass index (BMI), number of babies you’re carrying, and any underlying health conditions. Therefore, asking about the recommended weight gain for your specific situation is a crucial question to pose at your first prenatal visit.

Frequently Asked Questions

What questions do they ask at your first prenatal appointment.

Expect questions about your health history, your menstrual cycle, and any past pregnancies. Your provider wants to understand your health and any risks to your pregnancy. They’ll ask about medications, lifestyle, and family health history too.

How do I prepare for my first prenatal appointment?

Gather any health records, write down all your medications, and think about questions you have. Note down the first day of your last period. Bring any previous pregnancy records. Feeling prepared will help you make the most of your visit.

What questions will a woman be asked during her prenatal visits?

Questions will vary but often include how you’re feeling, any symptoms you’re experiencing, and questions about your lifestyle. Be honest to help your provider support you best.

Should my husband come to my first prenatal visit?

If possible, yes! It’s a great way for your partner to be involved and understand the pregnancy journey. Plus, they can provide support and remember information.

What happens at your first OB appointment?

Your first OB appointment may include a physical exam, blood tests, and discussing your health history. It’s a time to ask questions and understand your pregnancy better.

Is 12 weeks too late for the first prenatal visit?

While earlier visits are ideal, a first visit at 12 weeks can still provide essential care. Inform your healthcare provider as soon as possible and schedule an appointment.

Will I see my baby on an ultrasound at my first prenatal visit?

Sometimes, but not always. Ultrasounds are often part of the initial appointment but can vary based on your healthcare provider’s practice and your pregnancy’s specifics.

How long should your first prenatal visit be?

First visits are usually longer than later ones, often lasting an hour. This gives you and your provider enough time to cover all necessary ground.

Does the first prenatal visit include an ultrasound?

It can, but this varies. Some providers perform an ultrasound to confirm the pregnancy and estimate the due date. Ask your provider what to expect.

Haven’t taken a birth class yet, mama? We created the perfect one for you—and we’ll guide you through everything you need to know. Sign up for Motherly’s birth class here .

A version of this story was originally published on April 18, 2020. It has been updated.

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9 Questions You Must Ask At Your First Prenatal Visit

By: Author Doug Penta MD OB/GYN

Categories PREGNANCY , 9 Must-Ask Questions At Your First Prenatal Visit

Updated October 25, 2023

“Your first prenatal visit is a blend of understanding and celebration. It’s where we gather insights about your health, establish a foundation for the journey ahead, and most importantly, ensure that both you and your baby are on a path to wellness. Remember, every question is valid, every emotion is understood, and you’re never alone in this journey. We’re here to support, guide, and cherish these moments with you.” – Dr. Doug Penta, MD, OB/GYN

These 9 questions are based on our 25 years of clinical experience managing prenatal patients from their first prenatal visit until delivery.

The following list is simply a list of the questions from this article and is only a few of the many questions you may have for your healthcare provider.

Write the questions down as you will surely have questions specific to your medical history.

Who will deliver my baby when I go into labor?
If I require urgent care, where will I be seen, and who will evaluate me if my provider is not available?
Do the providers in your practice manage labor from home or is there always one provider present at the hospital?
How is anesthesia coverage managed at the hospital affiliated with your medical practice?
At my prenatal visit, can I book more than one appointment at a time so I can see my personal prenatal care provider?
How do you manage patients with an overdue pregnancy?
What is the level of nursery at the hospital affiliated with your practice?
How do the providers in your practice feel about pain control during labor and delivery?
What childbirth preparation classes do you recommend to your patients?

The questions are intended to be topics that will help educate and initiate a conversation with your prenatal care provider and are not all-inclusive.

There are many other very important questions you will have, based on your particular desires and expectations.

Asking these questions at the start of your prenatal care is very important.

You want to know if your prenatal care provider has any fundamental differences in beliefs or expectations about your prenatal care, labor, and delivery.

It will be comforting to know the answers to these questions as your pregnancy advances.

(Couple at a prenatal visit.)

Table of Contents

1. Who will deliver my baby when I go into labor?

Every women’s health medical practice caring for prenatal patients has a labor and delivery schedule arranged months in advance.

This schedule indicates what medical group provider, will be managing labor patients in labor and delivery 24/7/365.

This schedule is usually made 3 to 6 months in advance, to avoid any scheduling conflicts.

There are also medical practices that have doctors who only cover patients in labor and delivery.

These physicians are called laborists .

This role was created to improve the continuity of care for patients in the hospital.

When you go into labor, you will be managed by the doctor covering labor and delivery based on the call schedule discussed above.

It is not physically possible nor safe for one doctor to cover labor and delivery 24 hours a day, every day.

There are a few clinical situations where you would be more likely to be delivered by your doctor:

If you are having an induction, your doctor may schedule it when on cal l at the hospital.
Scheduled repeat cesarean section. (If you know at your first prenatal appointment that you are going to want a repeat cesarean section, discuss this at your first visit.)

2. If I require urgent care during my pregnancy, where will I be seen, and who will evaluate me if my provider is not available?

The answer to this question differs a great deal from one medical practice to another.

Before you choose a provider, you will want to find out how the medical practice cares for patients when the office is closed and what facilities (if any) are available when it comes to managing problems after office hours.

Questions that will help determine who will manage your care after hours are the following:

What is the size of the medical practice? How many doctors in the medical group?
Do the group of physicians in the medical practice manage labor and delivery at one hospital?
Is the practice part of a larger network of physicians who manage patients at more than one hospital?
Does the medical practice have an urgent-care facility to evaluate labor patients before sending patients to the hospital? A medical practice such as Kaiser Permanente has urgent care facilities to evaluate patients after office hours.
How many doctors in the medical practice manage labor patients in the hospital?

Once you know the answers to the questions above, you will have a far better idea of how you will be managed for non-scheduled medical visits.

Since you may be managed by another doctor in your medical group, it is a good idea to schedule a prenatal visit with each of the doctors in the practice that may cover your labor and delivery. This will ensure that you will have at least meet the doctor delivering your baby before the onset of labor. -Dr. Doug Penta, MD

3. Do the providers in your practice manage labor from home or is there always one provider present at the hospital?

There are very few medical practices that cover labor and delivery from home. This was not uncommon years ago.

However, now that most medical practices have three or more doctors, more patients are managed by one medical practice. This means there will be more patients in labor at any given time.

Some medical practices and hospitals now employ laborists.

These doctors only cover patients in labor and delivery.

4. How is anesthesia coverage managed at the hospital affiliated with your medical practice?

It is important to know how the anesthesia department covers patients in labor at the facility where you plan to deliver.
This is important to know even if you are not planning on using pain medication during labor.
Should you need urgent intervention during your labor, anesthesia will be necessary
Anesthesiologists are employed by the hospital. The way the anesthesia staff cover labor and delivery will vary depending on the hospital where you plan to deliver.
A level one hospital will have a different coverage arrangement compared to a tertiary care hospital that has 24/7 in-house anesthesia coverage at all times. Tertiary care hospitals are most often teaching hospitals and trauma centers. Most often they have to have a full complement of medical staff in the hospital at all times.
This means from medical students to residents to attending physicians to fellows, these hospitals have a full obstetric anesthesia staff as illustrated in our article on 20 hospital questions.

5. At my prenatal visit, can I book more than one appointment at a time so I can see my personal prenatal care provider?

Many women want to schedule more than one prenatal visit at a time to get an appointment time that fits into their work schedule and is with their personal provider.

Though many offices will book appointments far out, some will not.

Take the time to ask this question if you feel this will impact your daily routine.

Especially since there are many routine prenatal visits during your pregnancy.

6. How do you manage patients with an overdue pregnancy?

Doctors and patients often have a difference in opinion about how to manage a pregnancy that goes past the due date.

First, it is important to mention the terms that are used to describe this situation.

Most people will use the terms “overdue pregnancy” or a “pregnancy that has gone past the due date”.

In the medical field, the term used to describe a past-due pregnancy depends on how many days over the due date.

Making this distinction is important because it will determine what management is necessary:

Late-term pregnancy : 41 – 41 6/7 weeks

Post-term pregnancy : 42 weeks and beyond

There are basically two approaches to the management of pregnancies that do not deliver by 41 weeks:

1. Induction:

Inducing labor is based on a number of clinical criteria.

This intervention can be done electively to prevent complications associated with a late-term or post-term pregnancy.

Inducing labor is also done immediately (non-electively) if delivery is necessary because of a pregnancy complication or abnormal fetal testing during expectant management (#2)

2. Expectant management:

Expectant management involves the clinical observation and monitoring of a late-term pregnancy until the onset of spontaneous labor.

Monitoring includes antenatal testing (fetal testing) to monitor fetal well-being. (The problem with this approach is that antenatal testing is not 100% reliable when it comes to assessing fetal well-being.)

In either situation, the decision to proceed with the induction of labor is done if there are concerns about infant morbidity and mortality or maternal concerns of morbidity and mortality.

Assuming a pregnancy is uncomplicated there is no disagreement about allowing a pregnancy to go one week past its due date or to 41 weeks gestation.

In fact, the majority of pregnancies will deliver within one week before or after the scheduled due date.

At 41 completed weeks of pregnancy is when decisions about delivery are made.

Balancing the risk of induction versus the risk of fetal morbidity or mortality.

It has been well established that the function of the placenta starts to deteriorate during the weeks following delivery. A term used to describe this process is uteroplacental insufficiency . When this happens there can be decreased blood flow and oxygen delivery to the fetus.

Induction of labor will be decided upon by your provider based on a number of factors and options that are within the standard of medical care:

Inducibility of cervix: A cervix that is inducible based on a cervical exam can lead to more successful induction of labor.
Maternal health conditions : high blood pressure (toxemia, etc.)
Completed weeks of pregnancy
Fetal testing findings
Provider’s preferred management approach (assuming there are options).

Management decisions cannot be generalized as there are a number of factors (above) that need to be considered to determine the best treatment option.

*Complying with the accepted standards of medical care is the one factor that must be part of any plan of management.

7. What is the level of nursery at the hospital affiliated with your practice?

Knowing the level of nursery at the hospital where you plan to deliver is extremely important.

The care can range from a Level I (Well Baby Nursery) to a Level II (Special Care Nursery) to a Level III or Neonatal intensive care unit (NICU).

The NICU was first established in the 1960s by the American Academy of Pediatrics to manage babies with critical medical problems requiring prolonged life support.

The level of the nursery essentially correlates with the level of the hospital. Hospitals range from primary to secondary to tertiary care facilities.

Typically, tertiary care hospitals are teaching hospitals and are equipped to handle trauma and advanced medical care.

If you have a medical illness or a pregnancy-related complication that could affect the health of your baby, it is important to know what level of neonatal care is available at the hospital where you deliver.

8. How do the providers in your practice feel about pain control during labor and delivery?

Many women choose a doctor for their pregnancy based on a mutual understanding and agreement on pain management during labor.

The choices for pain control during labor cover a broad spectrum:

Strongly desiring to go through natural childbirth without the use of medication during labor.
Want an epidural for pain management as soon as it can be administered? When an epidural can be administered is based on criteria that have been defined and comply with the standards of medical care.
For women who are not sure if they will want IV pain medication or an epidural, the decision can be managed during labor. It is not a problem to change your mind about pain management, as long as there is adequate time to administer alternative therapies. You do not want to delay your decision too long. Epidurals take time to administer, so it is important to decide well before you are fully dilated and imminently going to deliver.

When deciding on pain control during labor, it is very important to plan ahead as best you can.

Most importantly, be prepared to accept the possibility that your pain management during labor might deviate from your birth plan.

The two most common reasons are a personal desire for pain control and the need for regional anesthesia (spinal or epidural) if a cesarean section is necessary.

Some of the clinical guidelines that have to be met before epidural placement include:

Confirmation that you are in labor , best defined as contractions with cervical change.
Cervical dilatation … which you will want to discuss with your provider. Some medical practitioners and medical facilities are fine with giving an epidural as long as you are in labor, even if you are in early (latent) labor. Other doctors may want to wait until cervical dilatation has reached 3 cm.
No history of medical conditions that could interfere with the safe placement of an epidural catheter . Two such conditions include bleeding disorders or a history of severe back injuries.

The doctors in a medical group share hospital coverage to manage patients in labor.

Try to arrange prenatal visits with the other doctors so you can ask questions and know that they are in agreement with your labor plan.

Solo practitioners who managed everything during your prenatal care and delivery (with rare exceptions) no longer exist.

This is a result of the advances that have been made in the management of pregnancy, the costly overhead of running a practice, and the number of patients that have been determined to be safe for one practitioner to care for.

This is why it is crucial to know the questions you must ask at the first prenatal visit.

So you will want to discuss your philosophy and wishes about pain control.

Be sure to ask questions. There is a lot of misinformation that circulates online.

woman with epidural pushing button to give herself a dose

(Woman with an epidural self-administering a dose of pain medication.)

While you certainly don’t need to have any type of birth plan thought out at your first prenatal visit, it isn’t a bad idea to at least consider how you see your future labor and delivery experience unfolding.

You can check out our post on developing a stress-free birth plan for some questions you might want to consider about the birth process.

9. What childbirth preparation classes do you recommend to your patients?

Many couples have specific requests when it comes to their pregnancy and birth plans.

It is not unusual for expectant parents and their prenatal care providers to disagree on management options.

This is often the result of a difference in philosophies or expectations about the childbirth experience. What is most important is that the management that is agreed upon is within the standards of medical care.

This question is addressed in detail in our post Are Childbirth Classes Necessary?

FAQ’s

1. should my husband come to my first prenatal visit.

Dr. Doug Penta, MD, OB/GYN with over 38 years of experience and a father of two: “Absolutely, if he can and if you both feel comfortable with it. The first prenatal visit is a milestone, and having your partner there can be a great support. Not only will he get firsthand information about the pregnancy, but it also provides an opportunity for him to ask questions, understand the process, and be an active participant from the get-go. It can foster a feeling of shared responsibility and excitement about the journey ahead.”

Sue Winters, RN, and mom who had her husband attend her first prenatal visit: “For us, having my husband there was a game-changer. It made the experience feel even more real and shared. He was able to ask questions that I hadn’t thought of, and it was reassuring for both of us to hear the answers together. Plus, there’s something so special about experiencing those initial moments as a team. It truly set the tone for our pregnancy.”

2. What blood tests were done at my first prenatal appointment?

The initial panel of blood work, done at your first prenatal has been evolving over many years.

Testing will continue to evolve, as tests are identified that can help to screen for medical and developmental concerns during pregnancy.

As of this moment, a typical blood work screen at your initial prenatal visit will include the following:

Blood Type and Rh Factor (ABO blood group and if Rh + or -). Even if you know your blood type you will still be checked for a number of medical reasons.
Hepatitis B Screening
Rubella Screening
VDRL (Syphyllis screening)
Thyroid Screening (This is a newer addition to the bloodwork panel because of the impact undiagnosed under or over-thyroid activity can have on fetal development.
HIV screening if consented to.
Genetic testing depends on a risk profile such as an inherited condition or ethnic-related genetic disorder.
Blood count
Metabolic panel
Urine test for routine urinalysis

What happens at your first prenatal visit?

According to Dr. Douglas Penta, MD, your first prenatal visit is a significant step in your pregnancy journey. It’s an opportunity to establish a health baseline, get answers to any questions, and set the tone for your prenatal care.

Here’s a breakdown of what typically happens:

Medical History Review : Your healthcare provider will ask about your personal and family medical history, including previous pregnancies, surgeries, medications, and any chronic conditions. This helps identify potential risk factors or concerns.
Physical Examination : This includes checking your weight, blood pressure, heart, lungs, and sometimes a breast and pelvic exam. The pelvic exam allows the doctor to determine the size of your uterus and may also include a Pap smear if you’re due for one.
Calculation of Due Date : Based on the first day of your last menstrual period (LMP) and sometimes supplemented by ultrasound, your provider will estimate your due date.
Determine your blood type and Rh factor.
Check for anemia.
Screen for infections such as rubella, syphilis, hepatitis B, HIV, and others.
Check for immunity to certain diseases.
Screen for urinary tract infections or kidney problems.
Discussion of Lifestyle Habits : Expect to discuss topics like nutrition, exercise, medications, and any potential harmful habits like smoking, alcohol, or drug use.
Ultrasound : Some healthcare providers might conduct an ultrasound during the first visit, especially if there are uncertainties about the pregnancy timeline or concerns about the pregnancy.
Prenatal Vitamins : If you’re not already on prenatal vitamins, your provider will likely recommend starting them. These vitamins contain essential nutrients, including folic acid, which is crucial during early pregnancy.
Questions and Concerns : Your provider should allocate time to answer any questions or concerns you might have, whether they’re about symptoms, what’s to come, birthing plans, or anything else on your mind.
Scheduling Future Appointments : Your next prenatal visits will be discussed, and you’ll likely leave with a schedule or an idea of how often you should be seen.
Counseling : Depending on your medical history, age, or other factors, you might be offered genetic counseling or screening tests to assess the risk of genetic disorders

Make sure you address any questions or concerns you have about COVID-19.

The information about coronavirus testing and how it is managed during pregnancy is constantly being updated as data becomes available from the CDC .

Dr. Doug Penta, MD - Co-Founder of Maternity Comfort Solutions Dr. Doug Penta, is a seasoned Obstetrician and Gynecologist with over 38 years of practice, co-founded Maternity Comfort Solutions to provide evidence-based pregnancy and parenting information. A Boston University alum and former Clinical Professor at Harvard, his articles on Maternity Comfort Solutions offer expectant mothers invaluable nutritional insights.

View all posts

Sue Winters, RN - Co-Founder of Maternity Comfort Solutions Sue combines 20 years of nursing with a rich background in early childhood education. Co-founder of Maternity Comfort Solutions, her articles provide creative toddler activities and practical tips on pregnancy nutrition and baby shower planning, embodying her commitment to supporting families through early parenthood.

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COMMENTS

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Bring along these questions to ask about your pregnancy and prenatal health. Pregnancy. Pregnancy Week by Week. First Trimester. ... These questions should get you started for the first visit. • How much weight should I gain, and at what rate? ... Doctor Suggests 3 Questions to Ask Your Ob-Gyn When You Feel Unheard.
8 Things You Must Ask at Your First Prenatal Visit
Some of the things you can expect at a first prenatal checkup include: A general checkup, where we take your height and weight, measure your blood pressure, and take other vital signs. A confirmation of pregnancy. A urine test. If you are due for any routine screening tests, they will likely be done at this time to make sure there are not any ...
18 Questions to ask at your first Prenantal Appointment
If you can, just bring the bottle along to your first appointment so they can go over them with you. 6. What over-the-counter medications are safe during pregnancy? Always check with your doctor but, generally, these ones are considered safe for pregnancy: Acetaminophen (Tylenol) for headache, pain or fever.
9 Questions to Ask at Your First Prenatal Visit
Here are the questions you should ask during your first prenatal appointment. 1. Who will deliver me? At your first visit, it's a good idea to meet the doctors and midwives in the practice and to get a feel for their birth philosophy. The hospital they deliver at, the number of providers in the group and the options you have for your birth ...
9 Questions You Must Ask At Your First Prenatal Visit
This is why it is crucial to know the questions you must ask at the first prenatal visit. So you will want to discuss your philosophy and wishes about pain control. Be sure to ask questions. There is a lot of misinformation that circulates online. (Woman with an epidural self-administering a dose of pain medication.)
Questions to Ask Your Doctor When Pregnant: First Prenatal Visit
Your doctor will ask questions regarding your current lifestyle as well. These can include your smoking and drug history, alcohol history, and your eating and exercise history. This is the best time to ask questions about diet, physical activity levels, and any other important topics related to your overall lifestyle during pregnancy. Exercise ...

32 MUST ASK Questions for Doctor During Your First Prenatal Visit

32 of the Most Important Questions to Ask Your Doctor at Your First Prenatal Visit

Basic Questions To Ask

Questions About Medications

1. What Foods SHOULD/SHOULDN’T I be eating?

2. How much weight should I gain?

3. What should exercise look like for me?

4. How often do I come in for appointments?

5. How many ultrasounds do I have? And at what weeks?

6. When can I find out the gender?

7. What are some normal pregnancy symptoms and what should I call you about?

8. What number should I call for basic questions?

9. Where do I go + who do I call in an Emergency?

10. Who will deliver my baby?

Questions about Food + Vitamins

In Conclusion….

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What to expect at your first prenatal appointment

When to schedule your first prenatal visit

What is the NT scan (nuchal translucency test)?

NIPT (Noninvasive prenatal testing)

Prenatal visits: What to expect and how to prepare

Chorionic villus sampling (CVS)

Where to go next

Your First Prenatal Appointment

When should I schedule my first prenatal visit?

Your First Prenatal Visit

What to Expect at Your First Pregnancy Appointment

Your healthcare provider will probably want to discuss:

Possible questions to ask your provider during your prenatal appointment:

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Prepping for Your First Prenatal Visit? Ask Your Doc These Questions

Table of Contents

How should I think about my exercise routine during my pregnancy?

What should I know about sex during pregnancy?

Based on my medical history, does it appear that I’m at risk for any complications?

How long can I travel? And can I go on an international trip?

What symptoms are not considered normal and warrant an immediate call to your office?

What medicine can I take?

What foods do I really need to avoid? What is okay in moderation?

What beauty products should I steer clear of?

Can I clean a litter box? Garden? Dye my hair?

What is your stance on the occasional drink?

What are weight gain expectations for this pregnancy? Does it change if I didn’t shed all the weight from the first pregnancy?

What can I do for constipation and hemorrhoids?

What do you recommend I do to prepare for birth?

What is the best way for me to contact you with non-urgent questions?

Does your doctor have any travel planned?

Who will deliver my baby if you are not on call?

How much past 40 weeks will you allow me to go?

What is your policy on _______?

What is the cadence of my appointments?

Want evidence-based health & wellness advice for fertility, pregnancy, and postpartum delivered to your inbox?

Grace Gallagher, MFA, Hunter College

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