Pregnancy: 1st Trimester
Questions to Discuss with Your Doctor:
- Your age and how it will affect your pregnancy.
- Have you been pregnant before? If so, what was the outcome of each pregnancy. Did you have a full-term pregnancy (your baby was born close to your due date)? Did you give birth via a vaginal delivery or a cesarean section ("C-section") surgery? If you had a C-section, what type of C-section was it? Did any of your pregnancies end in miscarriage, voluntary abortion, or an ectopic (tubal) pregnancy?
- Does this pregnancy come at a good time for you?
- When was the first day of your last menstrual period?
- What is the usual length of your menstrual cycle?
- Do you have any medical problems such as diabetes, high blood pressure, thyroid problems, asthma, tuberculosis, epilepsy, or heart disease?
- Have you ever had any sexually transmitted infections such as gonorrhea, herpes, syphilis, or human papilloma virus (HPV)?
- Do any medical problems tend to run in your family such as sickle cell anemia, cystic fibrosis, Down syndrome, or hemophilia?
- Are you taking any medications (including over-the-counter medications)? If so, what are they?
- Do you smoke? If so, how many packs per day?
- In an average week, how many alcoholic beverages do you consume?
- Do you use any recreational drugs?
- Did you have any problems getting pregnant?
- Do you eat a well-balanced diet? Are you taking any vitamins, including folic acid (folate)?
- Do you exercise regularly?
- What is your home situation like? Who do you live with? Is your partner supportive of this pregnancy? If not, has your partner hit or threatened you?
- Are you having any problems with morning sickness (that is, nausea and vomiting)?
- Are you having any bleeding from your vagina?
Your Doctor Might Examine the Following Body Structures or Functions:
- Temperature, blood pressure, pulse, weight
- Chest exam
- Heart exam
- Abdominal exam
- Pelvic exam with Pap smear and cervical cultures
- Leg exam
Your Doctor Might Order the Following Lab Tests or Studies:
- Confirm pregnancy with blood or urine test (see Beta HCG test p. 154)
- Complete blood count and blood type (see p. 154)
- Blood tests for syphilis, rubella antibodies, hepatitis B, HIV
- Portable Doppler instrument or stethoscope to measure fetal heart sounds
- Urine culture
- "Triple screen" (also known as "AFP-3" or "Enhanced AFP" (see p. 918)
- Genetic testing