The pregnancy test is positive – your heart skips a beat! But then comes that mix of excitement and uncertainty: What happens now at the first doctor's visit? Don't worry, you're not alone in these thoughts. This guide will walk you step by step through your first check-up.

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When is the Right Time for the First Appointment?

Many newly pregnant women wonder: Should I call right away or wait? The good news: The first check-up usually takes place between the 6th and 9th week of pregnancy. By this time, something can already be seen on the ultrasound, and with a bit of luck, you might even be able to see your baby's heartbeat.

Of course, there are exceptions: If you have pre-existing conditions, a high-risk pregnancy, or severe symptoms, you should make an appointment earlier. Listen to your gut – if you're unsure, a call to the practice is never a bad idea.

How to Make Your First Appointment

  • Call your gynecologist and mention that you are pregnant
  • Provide the first day of your last period – it helps with scheduling
  • Allocate enough time (the first examination usually lasts 30-45 minutes)
  • Ask if you should bring anything with you (insurance card, vaccination record, possibly maternal record from previous pregnancies)
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What to Expect at Your First Check-Up?

The first examination is more comprehensive than the subsequent ones. It includes a detailed discussion about your well-being, your living and working environment, as well as your family medical history. Your doctor wants to get to know you and your situation in order to support you optimally.

The Detailed Medical History Interview

Prepare for questions on the following topics:

  • Medical history: Pre-existing conditions, allergies, previous surgeries, chronic complaints
  • Family history: Hereditary diseases, multiple pregnancies in the family, genetic peculiarities
  • Previous pregnancies: Births, miscarriages, complications
  • Medications: All medications you're currently taking (including herbal preparations)
  • Lifestyle habits: Occupation, physical activity, diet, exercise
  • Vaccination status: Particularly important are rubella, measles, and chickenpox
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The Physical Examination

After the interview, the physical examination follows. It is thorough but completely painless:

  • Weight and blood pressure: Your baseline values will be documented
  • Urine sample: Checking for protein, sugar, and bacteria
  • Blood draw: Determination of blood type, Rh factor, hemoglobin, antibodies, and infectious diseases (rubella, hepatitis B, HIV, syphilis)
  • Gynecological examination: Palpation of the uterus, smear from the cervix
  • Ultrasound: The magical moment – the first image of your baby!

During the ultrasound, your doctor will be able to calculate your baby's due date. This date is based on the size of the embryo and is more precise than calculating from the last period.

Your Maternal Record – Your Most Important Companion

At the first examination, you will receive your maternal record – a small blue booklet that will accompany you throughout your pregnancy. It contains all important information about you and your baby and should always be with you.

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What is in the Maternal Record?

  • Personal data and blood type
  • Results of all check-ups
  • Ultrasound findings and development of the baby
  • Laboratory values and test results
  • Special findings or risks
  • Information for emergencies

Tip: Take notes or photos of important pages – this way you have the information available digitally in case you forget the record.

Questions You Should Ask

The first appointment can be overwhelming – so much information at once! Prepare by writing down important questions. Here are some suggestions:

  • Which vitamins and supplements should I take? (Folic acid is particularly important!)
  • Which foods should I avoid?
  • How much exercise is allowed and recommended?
  • What can I do against nausea?
  • When are the next appointments and examinations?
  • Which check-ups are covered by the health insurance?
  • Who can I contact with questions or emergencies outside of office hours?
  • Are there risk factors that I should be aware of?
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After the First Appointment – Now What?

Congratulations – you have taken the first big step! Many women feel relieved yet overwhelmed by all the new information after the first appointment.

What's Next?

  • Regular check-ups: Every four weeks until week 32, then every two weeks
  • Three major ultrasound examinations: In weeks 9-12, 19-22, and 29-32
  • Additional tests: As needed and desired (e.g., nuchal translucency measurement, Harmony test)
  • Birth preparation course: Now is a good time to sign up (the courses fill up quickly)

Important Tips for the Coming Weeks

Allow yourself to rest. The first weeks are exhausting for your body, even if nothing shows on the outside. Fatigue is completely normal – your body is doing incredible things!

Start taking folic acid if you haven't already (400-800 µg daily). It is crucial for your baby's healthy development, especially in the first weeks.

Inform your employer – but only if you feel ready. Legally, you only have to inform them after the 12th week, but earlier notification can be wise if you have a physically demanding job.

Frequently Asked Questions

Do I have to stick with my current gynecologist, or can I switch?

You can choose freely! What matters is that you feel comfortable and well taken care of. A switch is possible at any time, even during pregnancy.

What if nothing is visible during the first ultrasound?

That can happen, especially if you're very early or if your ovulation was later than assumed. Usually, they will just take another look a week later. Don't panic – that's more common than you think!

Can my partner come along?

Absolutely! Most practices welcome it when your partner is present. Especially at the first ultrasound, it’s a wonderful moment to share together. Just mention it when scheduling the appointment.

What do check-ups cost?

The regular check-ups are covered by health insurance. Additional examinations (IGeL services) like nuchal translucency measurements or extra ultrasounds usually have to be paid for by you. Make sure to clarify what is medically necessary and what is optional.

How can I best prepare?

Write down questions, bring your vaccination record, remember the first day of your last period, and be open. There are no stupid questions – your doctor is there for you!

The first check-up marks the official start of your pregnancy journey. It may seem exciting or maybe a bit intimidating, but above all, it is: the first step into a wonderful adventure. Trust your body, ask all the questions weighing on your heart, and enjoy this special moment. You’re doing great!