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What to Expect at Your First OB Appointment

  • Writer: Brianna Oliver
    Brianna Oliver
  • Feb 5
  • 3 min read

Updated: Feb 8


What to expect at your first OB Appointment from certified doula and st. louis childbirth educator

Congratulations on your pregnancy! As you navigate this exciting journey, it’s normal to have questions and uncertainties, especially when it comes to knowing when to reach out to your OB or midwife and what to expect during your first appointment. Here’s a guide to help you feel prepared and empowered during your early pregnancy.


What to Expect at Your First OB or Midwife Appointment

Your first appointment is an exciting milestone, and you’ll likely have a mix of emotions—nervousness, excitement, and maybe even a little overwhelm.


Here’s what you can expect:

  • Medical History Review: The doctor or midwife will ask questions about your health history, including any past pregnancies, existing medical conditions, and lifestyle factors that may affect your pregnancy (e.g., medications, exercise, diet).

  • Physical Exam: You’ll likely undergo a physical exam, including a pelvic exam and a pap smear (if it's due). They'll also measure your weight and check your blood pressure.

  • Blood Tests: Blood tests may be ordered to check for things like blood type, anemia, infections, and vitamin deficiencies. You’ll also be tested for sexually transmitted infections (STIs) and other conditions like gestational diabetes, if necessary.

  • Ultrasound: Depending on how far along you are, your provider might do an ultrasound to confirm your pregnancy and check for the heartbeat. You may also get a more detailed ultrasound later on for fetal growth monitoring or anatomy screening.

  • Pregnancy Timeline: Your provider will discuss your due date, provide information about pregnancy stages, and offer advice for the coming weeks. This is a great time to ask any questions you might have about what’s to come.

  • Prenatal Vitamins and Supplements: Your OB or midwife will likely recommend prenatal vitamins with folic acid to support your baby’s development. They’ll discuss any other supplements you might need based on your health and pregnancy.


Checklist of Questions to Ask at Your First Appointment

Having a list of questions on hand can help you feel more organized and confident about your pregnancy. Here are some questions to consider asking:

  1. What is my due date?

  2. What prenatal vitamins or supplements should I be taking?

  3. Are there any lifestyle changes I should make to support a healthy pregnancy?

  4. What symptoms are normal, and when should I be concerned?

  5. What should I expect during the next few weeks and months of pregnancy?

  6. Are there any specific tests or screenings I need to be aware of?

  7. What can I do to manage common pregnancy discomforts (nausea, fatigue, etc.)?

  8. What is the hospital or birthing center’s policy on visitors, classes, and tours?

  9. What are your preferences for prenatal care (e.g., routine appointments, tests, and interventions)?

  10. Should I avoid certain activities, foods, or medications during pregnancy?

  11. When should I start thinking about childbirth classes, and what options are available?

  12. What is your approach to pain management during labor and delivery?

  13. How can I best prepare for labor and delivery?

  14. Are there any signs I should watch for that would require immediate attention?


Preparing for Your Next Steps

Your first OB or midwife appointment will lay the groundwork for a healthy pregnancy. Keep track of your questions, take notes, and be open with your provider about any concerns you have. Remember, no question is too small when it comes to the health and well-being of you and your baby.


We’re Here for You: Virtual Doula Services

Navigating pregnancy can feel overwhelming, but you don't have to do it alone. With our virtual doula services, we’re here to guide, support, and empower you every step of the way. From preparing for your first OB appointment to navigating pregnancy discomforts, we’re here to offer personalized care and advice.


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