This may be your First Prenatal visit or your second if, like me, your first Prenatal visit was at six weeks pregnant, which is considered too early to see the baby.
In my previous post, I discuss my first prenatal appointment at six weeks pregnant (go check it out if you haven’t).
In that post, I discuss why I had to come back for a follow-up appointment at eight weeks pregnant (Valentine’s day 2019!).
As a disclaimer, I am not a doctor or a trained professional in this field. I am simply a first-time mom who had so many questions during my pregnancy, and so now I want to share everything I have learned with other first-time moms so that they have an idea of what to expect every step of the way.
Getting to Your Appointment
Arrive at your appointment at least 15-20 minutes because you have a lot of paperwork to fill out (Fun Fun, lol)
If you have any medications, you regularly take them with you or write down the names because your doctor will ask you for them. You will also need to know any health conditions that run in both yours and the father’s family, like cancer, diabetes, high blood pressure, preeclampsia, gestational diabetes, autism, and many other.
They will ask you to pee in a cup.
When you finish your paperwork, they will ask you to pee in a cup. You will have to pee in a cup at the beginning of every appointment for your entire pregnancy. The reason for this is to test for
- Bladder infections
- Kidney Infections
- Sugar and protein levels (to detect possible Preeclampsia or Gestational Diabetes. The protein levels can change throughout pregnancy; therefore, they track it at every visit. So try not to miss any prenatal appointments.)
What will the physician assistant go over?
The physician assistant will then check your blood pressure and weight.
They will also go over:
- Your medical History
- First day of your last period
- Any miscarriages, abortions in the past? If yes, how many and when?
- How many pregnancies have you had?
- What medications are you taking?
- Is the baby’s father in the picture?
- Does the baby’s father have any medical conditions?
- Any recent cramping, bleeding, vomiting, dizziness?
They will ask you these questions to ensure you get the best medical care for yourself and your baby. The information is then given to your doctor to go over with you later in the visit.
Transvaginal Ultra Sound
(FYI: not all doctors office has a sonographer on-site, sometimes you have to schedule a separate appointment and then come back to go over the results with your OB doctor another date. Thankfully, my OB doctor had a sonographer on-site.)
The physician assistant gave me one of those hospital gowns to put on and asked me to get undressed from the waist down. She told me the sonographer would come to get me to do the ultrasound.
The sonographer knocked on my door and asked me to go with her to perform the transvaginal ultrasound.
I was so nervous! I was worried it would hurt.
The sonographer asked me to lay back, informed me she would insert the transvaginal wand into my vagina to get a better view of the embryo (baby) and that I will feel some pressure.
She repeatedly told me to relax my legs; I couldn’t help it. I was nervous. The wand was uncomfortable, especially when she moved it around to see different things like the uterus, ovaries, embryo, heartbeat, check for any abnormalities, and take many measurements.
The sonographer saw the embryo implanted in the uterus, and I heard my baby’s heartbeat for the first time! (my sweet little valentine!)
I cried. I couldn’t believe I was growing a baby inside of me!
What the sonographer looks for in the transvaginal ultrasound?
- Size of the embryo(s) to determine expected Due date.
- The number of embryos seen.
- The embryo’s heartbeat
- The embryo’s positioning (to make sure it’s not an ectopic pregnancy. This is when the fetus grows in the fallopian tube instead of the uterus.
- Check your ovaries and uterus for any abnormalities.
OB/GYN Doctor discuss ultrasound results with me …
- Size of Baby(aka embryo) confirmed I was eight weeks pregnant, and the Expected Due Date was September 2019.
- The number of babies: One! Thank God! (lol)
- Baby’s Heartbeat: Strong! About 160 something beats per minute. (The range from a strong heartbeat is from 140-170)
- Baby’s Positioning: In uterus.
- My Ovaries: small cyst( goes away on its own)
- Check for abnormalities: on the top part of my uterus, they found a Fibroid!
During the transvaginal ultrasound, they found a fibroid on the top part of my uterus. This is risky because it’s where my pregnancy occurs. The increase of hormone levels in pregnancy could cause the fibroid to grow, which increases the risk of the fibroid crushing the embryo (baby).
What can we do to prevent that from happening?!
My doctor said she would continue to watch the fibroid and hope it doesn’t increase too much in size throughout the pregnancy because, at this moment, they couldn’t do anything for the fibroid. She told me to stay positive because most times, the fibroid doesn’t grow too much, and once the baby gets bigger, the baby will have a greater chance of survival.
As you can imagine, I had a lot of thought running through my mind! I glad Charlie was there because, after that news, I don’t think I heard anything else.
Things you should know about your OB:
One, my OB informed me of the hospital she was affiliated with.
This is very important because you want to do research on that hospital and make sure they will do the best they can to help you achieve the birth experience you want.
Two, she also informed me that the doctors in that office rotate, meaning I will get the doctor on call the day of my birth.
She recommended I see different doctors throughout my pregnancy so that I can get to know them all. This did help. The doctors in this office were all women, and they were so sweet and very knowledgeable.
It’s important to know from the beginning of your pregnancy if your doctor will be the one delivering your baby, or if it’s the doctor on call or maybe, your GYN doctor is not an OB, and you have to find a new doctor.
Your OB will go over the questions the physician assistant asked you at the beginning.
The doctor went over everything I discussed with the physician assistant at the beginning of the appointment. She advised me to drink more water and start taking Prenatal Vitamins.
My OB had the nurse draw blood to test me for a few things like my liver, vitamin D, Hepatitis B, HIV, Anemia, and many other things. These results will be discussed on the next visit.
A lot of New Information
You will have a lot of new information thrown at you! If you don’t understand something, ask your doctor to explain, and don’t feel stupid for not knowing. This is your first time!
If your doctor explains something to you, you still find yourself confused, then write it down so you could research it later in the comfort of your own home.
Don’t make any decisions without understanding what is being discussed.
Thank you for reading!
See you in the next post.
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