Q&A: I don't know what to expect on my first OB visit.
Why don't I see the doctor at my first pregnancy appointment? How does the nurse figure out my due date? And why do I need to take so many blood tests?
The first appointment you have will most likely be devoted to confirming that you are in fact pregnant. The nurse may ask you for a urine sample to do a quick test. If it is positive, she’ll then order a prenatal blood test, calculate your due date, and get you started with a prescription for prenatal vitamins (or discuss good, over-the-counter options).
How does your nurse figure out your due date? Most practices use the help of a pregnancy wheel and ovulation calendar.
Here’s how you can calculate your due date: The average pregnancy is 280 days or 40 weeks. This 280-day cycle begins from the first day of your last menstrual period (LMP). If you know that date, add nine months plus seven days and that is your due date. (This is one bit of information you want to know; your due date will be indelibly etched into your brain, as this is the most common question people will ask you when they learn of your pregnancy!)
The blood your nurse collects at your first or second office visit will help determine:
- hCG levels (the confirmation pregnancy test)
- Hemoglobin (to test for anemia)
- Blood type and Rh factor
- Hepatitis B screening
- HIV testing
- Rubella titer
- Syphilis screening
- General blood chemistry
Prenatal testing is important so that your pregnancy can be monitored carefully to insure a healthy and safe pregnancy for you and your baby. It may seem like a lot of blood work, but keep in mind, this is a good way to make sure you and baby are off to a good start.
After this initial appointment, you’ll schedule a meeting in a few weeks with your doctor or midwife to review results of your blood tests and to do further screening.
(If you have any questions about any of the tests they are doing make sure to ask for clarification. No doubt, there will be lots of poking and prodding … but it’s all for a good cause.)