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Obstetrics guide

Prenatal Care and the First Visit

What to expect at an early pregnancy consultation and how antenatal care is tailored to individual risk.

Early and regular prenatal care supports the health of the pregnant patient and developing baby. The schedule and tests should be tailored to medical history, pregnancy risk and individual needs.

Book an appointment after a positive pregnancy test or missed period.
Bring the date of the last menstrual period and a complete health history.
Visit frequency and testing vary according to pregnancy risk.

The first consultation

The first visit usually reviews the date of the last menstrual period, past pregnancies, medical and surgical history, medicines, allergies, vaccinations, family history and current symptoms.

Depending on gestation and clinical needs, the visit may include examination, blood pressure, laboratory tests, screening discussions and ultrasound planning.

Tailored prenatal care

Not every pregnancy needs the same visit schedule. Additional monitoring may be advised for hypertension, diabetes, thyroid disease, multiple pregnancy, previous pregnancy complications, age-related risk or concerns about fetal growth.

Some counselling can be delivered remotely, but examinations, blood tests, ultrasound and specific assessments require in-person care.

Questions worth asking

Ask about supplements, safe exercise, nutrition, travel, vaccination, medicines, genetic screening, ultrasound timing, warning signs and how to contact the clinical team between visits.

Preparing for each visit

Keep reports together, note symptoms and questions, and bring glucose or blood-pressure records if requested. Tell the clinician promptly about new medicines, emergency visits or significant symptoms.

When to seek urgent careSeek urgent care for heavy bleeding, severe abdominal pain, fluid leakage, seizures, chest pain, difficulty breathing, severe headache with visual symptoms, or reduced fetal movement after movements have become established.
Medical note: This page is educational. Diagnosis, tests and treatment must be individualised after a clinical consultation. Do not delay emergency care because of information on this website.