We have confirmed that you are pregnant (usually with a urine pregnancy test). You will have a full physical exam. If your annual pap smear is due soon, that will be done as well. The doctor will provide general counseling and give you literature. We will discuss testing options for screening of genetic conditions such as Down's Syndrome, Trisomy 18 and Spina Bifida.
Visit #2 (8 weeks)
An ultrasound will document your baby's viability (see the heart beat) and confirm your due date. You will have routine lab tests done, including standard STD tests to protect the baby. You will also be offered a Cystic Fibrosis test (please let us know if you have not previously been given a handout on this disease) which is optional. If you have a problem or questions you will have the option to see a doctor at this visit but you are not automatically scheduled to see the doctor.
Visit # 3 (12 weeks)
An ultrasound and blood testing will be performed at this visit to determine the risk for your baby to have Down's Syndrome and Trisomy 18. (If you did not receive a pamphlet on this testing "first trimester screening" please let the staff know.) This test must be done between 12 and 14 weeks. Again you will not see a doctor this day unless you have problems. If you should chose to have definitive chromosome testing (CVS or amniocentesis) this visit will be done with the high risk doctors at the hospital.
Visit #4 (13 weeks)
This is your "first OB visit", even though it is not the first visit related to your pregnancy. This is the first ob visit because we are able to hear the baby's heartbeat without a special ultrasound and we are then able to reassure you that your risks for miscarriage are very low beyond this visit. We will begin your "prenatal record." We will review your history, lab results and FTS test results, provide information about hospital, pediatrician choice, prenatal classes and answer any questions you may have.