Skip to main navigation
Skip to main content
Skip to footer
For
Medicare
For
Providers
For
Brokers
For
Employers
Español
For Individuals & Families:
For Individuals & Families
Medical
Dental
Other Supplemental
Explore coverage through work
How to Buy Health Insurance
Types of Dental Insurance
Open Enrollment vs. Special Enrollment
See all topics
Shop for Medicare plans
Member Guide
Find a Doctor
Log in to myCigna
Home
Knowledge Center
Wellness Library
Pregnancy: First Prenatal Visit
Pregnancy: First Prenatal Visit
Overview
Your first prenatal visit will probably be the longest visit you'll have. Your doctor or midwife will take your medical history and do a complete physical exam. You may also have some tests. This will provide information that can be used to check for any problems as your pregnancy progresses.
Medical history
Your doctor or midwife will ask about your medical history. This helps your care provider plan the best possible care for your pregnancy and childbirth. Things you'll be asked about include:
- Your menstrual history. This will include your age when you had your first period, whether your cycles are regular, and the date of your last period. Information about your last period is used to estimate your due date.
- Your reproductive history. This includes:
- Any previous pregnancies, abortions, miscarriages, or stillbirths.
- Problems with previous pregnancies.
- Any problems with your reproductive organs.
- Health problems in your family, such as heart disease or genetic conditions.
- Your general health. This includes vaccinations, surgeries, and serious illnesses you have had. It also includes any current or past mental health issues, such as depression.
- Any medicines you take regularly. This includes prescription and over-the-counter medicines, vitamins, and supplements.
- Any habits that could affect your pregnancy, such as tobacco, alcohol, or drug use.
Physical exam
A complete physical exam may include:
- Checking your weight and blood pressure.
- A pelvic exam.
- A Pap test (if you haven't had one recently).
- A breast exam.
Ultrasound
This may be used to confirm your pregnancy and to:
- Estimate the due date.
- Make sure the pregnancy is located in your uterus.
- Check the number of embryos in your uterus.
Urine test
A urine test may be done to check for:
- Sugar in your urine. This is a sign of gestational diabetes.
- Protein in your urine. This may be a sign of kidney disease.
- Bacteria in your urine. This is a sign of a urinary tract infection (UTI). UTIs are common during pregnancy, and they may not cause symptoms. If not treated, a UTI may lead to a kidney infection.
Blood tests
You may have blood tests to check for:
- Blood type. If your blood is Rh-negative and the father's blood is Rh-positive, the fetus may have Rh-positive blood. That can lead to problems with Rh sensitization.
- Iron deficiency anemia.
- Immunity to German measles (rubella).
- Syphilis.
- HIV infection.
- Hepatitis B infection. If you are infected, your baby will be treated within 12 hours of birth. You may also be tested for hepatitis C infection.
- Gestational diabetes.
Other tests
You may have other tests to look for some conditions, such as:
- Genetic conditions that can be passed down through families. These include cystic fibrosis, sickle cell disease, and Tay-Sachs disease.
- Sexually transmitted infections (STIs) such as gonorrhea and chlamydia. STIs during pregnancy have been linked to serious problems, including miscarriage and premature birth.
- Thyroid disease. You may have thyroid tests if you have a personal or family history of thyroid problems.
- Diabetes. You may have an early blood sugar test (glucose tolerance test) if you have risk factors for having gestational diabetes.
Current as of: April 30, 2024
Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
This information does not replace the advice of a doctor. Ignite Healthwise, LLC, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.
To learn more about Ignite Healthwise, LLC, visit webmdignite.com.
© 2024 Ignite Healthwise, LLC. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Ignite Healthwise, LLC.
Related Links
Pregnancy
<cipublic-spinner variant="large"><span>Loading…</span></cipublic-spinner>