When You Visit Your Doctor - Pregnancy: 1st Trimester

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
  • Complete blood count and blood type
  • Blood tests for syphilis, rubella antibodies, hepatitis B, HIV
  • Urinalysis
  • Portable Doppler instrument or stethoscope to measure fetal heart sounds
  • Urine culture
  • "Triple screen" (also known as "AFP-3" or "Enhanced AFP"
  • Genetic testing

Disclaimer:
As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.