Medical Care during Pregnancy

Your Early Pregnancy Visits

Your Health History

Your health care provider can help you have a healthy pregnancy and healthy baby. At the beginning of your pregnancy you should visit your health care provider every four to six weeks.

For more information about medical care during pregnancy, click here.

Your health care provider will ask you some questions during your first prenatal visit, such as:

  • When did your last regular menstrual period begin?
  • When was your last Pap test done?
  • What is your blood group?
  • Have you had a miscarriage? How many?
  • Have you had a stillbirth? How many?
  • Have you had a live birth? How many?
  • Have you had forceps, breech, caesarean section births? How many?
  • What are you and your partners’ lifestyle risk factors?
  • Do you have any medical conditions that may affect pregnancy? What are they?
  • Are you taking any medications? What are they?
  • Are you using any herbal remedies? What are they?
  • Have you or your partner had or do you have any sexually transmitted infections?
  • Have you had German measles (Rubella)?
  • Have you had Chicken pox (Varicella)?
  • What would you like from your health care provider?
  • What questions do you have for your health care provider?

Your Early Pregnancy Visits

Your early pregnancy visits are usually the longest because your health care provider will take a detailed physical history and do a physical examination. Below are some examples of what might happen during your early pregnancy visits:

Discussion/Procedures
Why?

pregnancy test

  • to confirm your pregnancy

detailed medical history

  • to find any risk factors you may have

lifestyle factors (use of alcohol, drugs and tobacco, physical activity and nutrition)

  • to keep you and your fetus as healthy as possible

prenatal supplements

  • 0.4 mg of folic acid daily reduces the risk of open neural tube defect in the fetus. For more information about folic acid, see the HealthLink BC file Pregnancy and Nutrition: Spina Bifida and Folic Acid
  • do not take high‑dose vitamin A supplements in pregnancy
  • some natural herbal remedies are not safe in pregnancy

complete checkup that includes:

  • listening to your heart
 
  • taking your blood pressure
 
  • measuring your height and weight
  • to check and monitor healthy weight gain. (For more information about healthy weight gain during 1st trimester, click here)
  • having an abdominal examination
 
  • having a pelvic exam that includes a Pap test or vaginal swab (if not had one in the last 12 months)
  • to check your cervix and to check for infections

blood tests

  • to check complete blood count (includes hemoglobin and iron levels)
  • to confirm blood group, Rh type, and antibody screen
  • to test exposure to syphilis
  • to screen for HIV (recommended)
  • to test for hepatitis
  • to test for rubella (German measles) antibody

prenatal genetic screening blood tests and/or special ultrasounds (optional)
(blood test #1 done between 10‑14 weeks)

  • to tell you the chance of your developing baby having a genetic abnormality (For more information about genetic screening, click here)

urine tests

  • to check for any sugar, protein, and urinary tract infections
POINT TO REMEMBER

Tests that are usually done at all prenatal visits include:

  • blood pressure and pulse
  • urine test
  • fetal heart rate
  • measuring your abdomen to check the growth of your baby