9 essential questions to ask during your first prenatal visit

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. 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.

3. 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.

4. 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.

5. 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.

6. 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.

7. Should I get a Covid vaccine?

Yes. 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.

8. What should I know about pregnancy 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. That’s why asking your birth provider about the generally recommended guidelines for your specific situation is a good question to pose at your first prenatal visit.

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 first prenatal visit: 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 baby’s 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 pregnancy dietary changes and prenatal 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 pregnancy nutrition 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 pregnancy symptoms you can expect and how to manage them effectively.

FAQs about the first prenatal appointment

Q. 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.

Q. 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.

Q. 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.

Q. 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 take notes to help you remember information.

Q. 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.

Q. 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.

Q. 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.

Q. 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.

Q. 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.