by Kristina Trenter

Created on: May 01, 2008

First off, expect to be at the appointment for at least one hour. It takes this long to get an accurate history, have a head to toe exam ( yes this includes a pap smear) and to get the needed blood work done.

I work with a nurse mid-wife, so I can explain the First OB process in great detail. First of all I will get a height and weight from my patient. I also will collect a urine sample to check for glucose and protein. These are flags that allow us to catch early onset gestational diabetes and pre-eclapsia symptoms. I will also check your temp, blood pressure and pulse.

Then the questions begin, it is important to be as complete and honest as possible. I will ask you about your last period, your menstrual history, drug and alcohol use, and get an idea of your current living situation. I will ask about your past medical history and the medical history of those in your family. If you know about the the histories of the fathers family that too is very helpful.

Then the Medical provider will review your answers and ask many questions of there own. They will also do a head to toe exam, including a pelvic exam ( to see that your uterus is long thick and closed) and to feel for any abnormalities. They will also collect a pap smear from you.

Sometimes ( on thinner patients) a fetal hear beat can be heard as early as nine weeks, however, don't worry about hearing one before your thirtieth week. You may also have an ultra sound to determine a more accurate due date, and to ensure that your pregnancy is in the uterus. However not all providers will do an ultra sound this early unless you are having pain and or spotting.

Before you leave your blood will be drawn. We will determine your blood type and check your beta hcg level ( this provides us a better understanding of how far along you are) also with your permission we will check for HIV and other ST-D's. We will also check your complete blood count and check many other levels.

We will also lay out a visit schedule and go over further testing. Most providers will also provide a list of things to avoid during pregnancy, such as certain foods and medications. We will also provide you with a list of things that are safe to take during your pregnancy. If you are not provided with reading materials, I suggest "What to expect, when your expecting, its a great book with lots of valuable information.

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