Pregnancy, the first visit to the gynecologist (or midwife)

You took the home pregnancy test and it came back positive. Now you have to make your first visit to the gynecologist (or midwife): an exciting appointment. Read here to find out what awaits you.

I am pregnant: what to do?

After a long wait, finally the pregnancy test is positive: you are pregnant! Even if the pregnancy was sought and wanted, when you see that dash appear on the test everything changes. Until that time, most moms-to-be don’t really realize what it will be like to carry on this pregnancy and have a baby .

Here’s what to do, who to contact and  when to make your first visit when you find out you are pregnant.

Gynecologist or midwife?

For the vast majority of women, the reference specialist to turn to as soon as you discover you are pregnant is the gynecologist . This at least in Italy, while in other countries the figure of the obstetrician is more present , the professional appointed to follow the woman during the physiological pregnancy, that is, without any complications.

Today this is starting to be possible also for us, so with a positive test you can decide whether to contact a gynecologist – whether it is your trusted specialist or a hospital professional, perhaps the one where you are already thinking of going to give birth , or of a clinic – or try to contact a midwife , privately or always through hospitals and counseling centers (although there are still few physiological pregnancy clinics managed entirely by midwives).

Whichever professional you choose, it is obviously important to contact someone you respect and trust . In the event that in the first instance you go to a midwife, she will be the one to refer to the doctor if she detects any deviation from normality (physiology).

Pregnancy: When to make the first visit to the doctor?

the first obstetric visit in pregnancy should be made between the sixth and eighth week 

Before the sixth week it would not be possible to identify with an ultrasound the presence of a pregnancy in utero and a fetal heartbeat present. After the eighth week, however, some specific situations could be missed, such as extrauterine pregnancy or molar pregnancy (more infrequent) .

Furthermore, it is advisable not to wait too long to have all the necessary information on prenatal diagnosis and prenatal screenings , and thus have the time to make a reasoned and informed choice. “Finally, we remind you that it is good to do certain blood tests at the beginning of pregnancy that could highlight some elements of risk. Tests that are precisely prescribed during the first visit

First visit in pregnancy: what does it consist of

During the first visit, the gynecologist or midwife:

  • reconstruct the patient’s medical history , i.e. her clinical history (and that of her family), collecting information on any hereditary diseases , lifestyles (diet, smoking, alcohol consumption), any exposure to toxic substances, for example for work;
  • they carry out a gynecological examination . The doctor can possibly also perform an ultrasound ;
  • they evaluate some aspects such as body weight (conditions of underweight or, conversely, overweight and obesity can be risk factors for some obstetric complications) and pressure ;
  • prescribe blood and urine tests ;
  • they check when the Pap test was last done and, if necessary, they perform one in order to have updated data;
  • they offer indications on what the expected date of delivery should be and on the subsequent visits and examinations to be done.