For those who have been planning a pregnancy and trying to conceive, that first positive pregnancy test can bring joy, as well as some anxiety.

Questions and unsolicited advice start the moment you find out you’re pregnant. You’ll gain confidence in your parenting skills and decision-making over time–and, hopefully, a circle of people who will support you and your decisions. The certified nurse-midwives and OBGYN physicians at WHA would love to be part of that circle!

But for now, you’re probably Googling what comes next…

When to schedule your first prenatal appointment

After deciding on the type of pregnancy care provider is best for you, the next question might be, “When should I schedule my first prenatal appointment?” Call now. Your provider’s office will guide you on the timing, but there’s no harm in calling as soon as you have a positive pregnancy test.

At WHA, we typically schedule a series of three initial prenatal visits:

1. Prenatal intake visit

This telehealth appointment with our medical staff will be scheduled as soon as possible. We’ll collect information about your medical history and answer any questions you have about WHA’s prenatal education video, preparing you for your first OB visit.

2. First OB visit

Around 8 weeks of pregnancy, you’ll meet with your provider to learn how they collaborate with other obstetric care providers at your WHA location and the hospital where you plan to deliver. We’ll review your medical history, discuss genetic screening and counseling, determine your estimated due date, and, if needed, perform an informal bedside ultrasound.

3. OB workup

Around 12 weeks of pregnancy, this in-person visit includes a physical exam and may include pelvic and breast exams. We’ll also collect recommended labs and review formal ultrasound results if one has been done.

Shared decision making during prenatal care

Speaking of tests and exams, we want to make sure you understand you have the right to say “no.” At WHA, we believe in shared decision-making to help you make the best choices during your pregnancy. This means we talk together about the risks, benefits and what matters most to you. We’re here to support and advocate for your choices, encourage you to ask questions and respect your right to decline any treatments or care you don’t want.

How often will you have prenatal appointments?

Pregnancy is divided into three trimesters, each lasting about 12 weeks–with the total gestation period averaging 40 weeks from the start of your last period. After your first visit or series of visits, plan on having appointments with your provider as follows:

  • Monthly until your 28th week
  • Twice a month until your 36th week
  • Weekly from 36 weeks until delivery

Some visits may be via telehealth, and others in person, particularly when tests are due. We may also offer appointments with other providers so you can meet more members of the obstetric team who may be on duty when you go into labor.

At each stage of your pregnancy, expect screenings and education tailored to your needs, with time to answer your questions and address any concerns. As your pregnancy progresses, we’ll listen to your baby’s heartbeat and monitor growth with a belly measurement. For normal visits, you won’t need to fully undress. If a physical exam is needed, we will proceed only with your consent and ensure your comfort and respect for any special requests.

Understanding common prenatal lab tests

Early pregnancy lab tests

Standard lab tests in early pregnancy include blood tests to check your blood type, anemia, and screen for infections like hepatitis B and C, rubella, HIV, syphilis, and varicella. We recommend urine tests for asymptomatic urinary tract infections and screening for STIs like chlamydia and gonorrhea. We’ll also offer a Pap test if you are due for one.

=> Why your blood type matters during pregnancy. If your blood type is Rh-negative, and your baby’s is Rh-positive, it can cause complications. To prevent this, we may recommend an Rh immunoglobulin injection during pregnancy and again after delivery.

Genetic screenings and tests

Optional genetic screening and counseling are available to all pregnant patients at WHA. You can choose any combination of these options or none at all. Here’s a quick rundown:

  • NIPT screening: A blood test after 10 weeks to check for certain chromosomal abnormalities and predict fetal sex.
  • Carrier screening: A blood test done before or during pregnancy to check you and your partner/genetic donor (depending on your results) for inherited genes that can lead to cystic fibrosis and spinal muscular atrophy.
  • Genetic counseling: Provides answers about your screening options, results, and recommendations for any additional tests based on your background or family history.

When you schedule your first prenatal visit, you’ll receive a link to learn more about these genetic screening options. Our team is always available for questions.

Glucose screening test

Around 24-28 weeks, we offer a glucose screening test to check for gestational diabetes. If levels are high, a follow-up test is recommended.

Group B Strep test

Between 35-37 weeks, testing for Group B streptococcus (GBS) is offered. If positive, antibiotics during labor reduce the risk of passing the infection to your baby.

Urine testing later in pregnancy

We may recommend urine tests at any point in your pregnancy to test for infection, as needed. After 20-28 weeks we may also use urine testing to monitor for signs of preeclampsia.

Ultrasounds

Ultrasounds confirm your due date, check the baby’s anatomy, and assess amniotic fluid and the placenta. Typically, one ultrasound is done early in pregnancy, and another around 20 weeks. Additional ultrasounds may be recommended for specific medical or genetic concerns.

Managing pregnancy complications

If you have pre-existing conditions like diabetes or hypertension, your provider may recommend more frequent visits or additional screenings. WHA’s maternal-fetal medicine specialists (MFMs) can offer additional support and expertise for serious pregnancy complications.

Preparing for labor and delivery

Your prenatal care will include discussions about your birth plan, including pain relief options, vaginal birth after cesarean (VBAC), and preparing for breastfeeding. Childbirth and breastfeeding classes can be helpful as you prepare for labor and caring for your newborn.

Final thoughts

Pregnancy is filled with anticipation, joy, and sometimes anxiety. Understanding what to expect during prenatal care can ease some of the uncertainty. Don’t hesitate to ask questions and share your concerns along the way. Contact an office to get started >