Soft watercolor painting in warm peach, cream and gentle sage tones showing an intimate medical consultation scene from a side angle, pregnant woman in casual summer dress sitting relaxed on examination chair, kind female doctor with stethoscope explaining something on a clipboard, morning sunlight streaming through sheer curtains creating soft shadows, potted fern on windowsill, atmosphere of trust and calm anticipation, shallow depth of field focusing on their connected hands, 35mm perspective capturing genuine human connection, delicate brushstrokes suggesting movement and warmth

You sit in the waiting room, the maternity record application in hand, and feel that flutter in your stomach – half excitement, half nervousness. The first major prenatal examination is a milestone that suddenly makes your pregnancy very real. You might be wondering: What can I expect? Which tests are really important? And do I need to prepare in any way?

The good news is: You are not alone with these questions. Prenatal care may seem overwhelming at first, but it is intended to support you and your baby in the best possible way. Let’s take a look together at what awaits you in week 9 – step by step, completely relaxed.

The First Prenatal Examination: Your Comprehensive Check between Week 9 and 12

The first major prenatal examination usually takes place between the 9th and 12th week of pregnancy. This is the moment when you see your baby for the first time on the ultrasound screen – an indescribable moment that many moms describe as magical.

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A lot happens during this appointment. Your doctor will:

  • Discuss your medical history in detail – previous pregnancies, pre-existing conditions, medications, family risks
  • Perform a gynecological examination to check the uterus and cervix
  • Conduct the first ultrasound, during which the size of the embryo is measured and the due date is verified
  • Issue the maternity record – your most important document for the coming months

The estimated due date, which you may have calculated yourself, will now be checked and possibly corrected based on your baby’s crown-rump length during the ultrasound. This is completely normal and gives you a more accurate reference point.

The Maternity Record: Your Constant Companion from Now On

From the 9th week of pregnancy, you should always carry your maternity record with you. It contains all important information about the course of your pregnancy – from blood type to ultrasound results and special considerations.

In case of an emergency, doctors or rescue personnel can immediately see how far along you are and whether there are risks. Many moms keep it in their handbag or place it in the glove compartment – the main thing is that it is readily accessible.

The Standard Tests: What Is Checked at Every Prenatal Appointment

Some examinations are part of the routine at every prenatal appointment – even the first time. They may seem simple, but they provide important insights into your health and your baby’s development.

Minimalist watercolor infographic in soft lavender, mint and blush tones showing four simple illustrated panels in a 2x2 grid layout: top left shows a vintage bathroom scale with gentle shadows, top right depicts a blood pressure cuff around an arm with soft color gradients, bottom left illustrates a urine sample cup with delicate label, bottom right shows a test tube with blood sample and small heart symbol, clean white background, 24mm wide-angle feel giving overview perspective, hand-lettered labels in elegant script reading Weight Check, Blood Pressure, Urine Test, Blood Work, cohesive pastel palette suggesting calm routine care

Weight Check

At every appointment, it's time to step on the scale. This is not meant to stress you, but to identify unusual weight gain early on – which can indicate water retention or other complications.

Blood Pressure Measurement

Your blood pressure is regularly monitored. High blood pressure can be a warning signal for preeclampsia (pregnancy poisoning) – a serious but treatable complication when detected early.

Urine Test

During each visit, you will provide a small urine sample. It will be tested for:

  • Protein – which can indicate kidney problems or preeclampsia
  • Sugar – a possible sign of gestational diabetes
  • Bacteria – if there is a suspicion of urinary tract infections, which occur more frequently during pregnancy

Blood Tests at the First Appointment

During the first major appointment, you will have blood drawn – don’t worry, it’s a bit more extensive this time. The tests will include:

  • Blood type and Rh factor – important for possible Rh incompatibilities
  • Hemoglobin (iron level) – to rule out anemia
  • Antibody screening – detects antibodies that may harm the baby
  • Infection screening: Rubella, Hepatitis B, Syphilis, HIV (voluntary but recommended)

These tests may sound intimidating, but they are routine examinations designed to protect you and your baby.

prenatal diagnostics: What Additional Tests Are Available from Week 10?

At week 9, you are still a bit early for the special prenatal chromosome tests – these are usually offered from the 10th week of pregnancy. Nevertheless, it’s good to know what to expect.

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First Trimester Test (Weeks 10 to 14)

This test combines a special ultrasound (nuchal translucency measurement) with a blood test. It provides a risk assessment for chromosomal disorders such as trisomy 21 (Down syndrome), but it is not a diagnosis, rather a probability calculation.

NIPT – Non-Invasive Prenatal Test (from Week 10)

With NIPT, the baby's DNA is analyzed from your blood. It is very reliable in detecting trisomies but is not covered by health insurance (except in cases of increased risk). The costs range from 200 to 500 francs.

Important: All these tests are voluntary. You decide if and which examinations you want. Get thorough advice and take your time with your decision – there is no right or wrong, only what feels right for you.

How to Best Prepare for Your Prenatal Appointment

A little preparation can help you feel more secure during the appointment and ensure you don’t forget anything important.

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Checklist for Your First Prenatal Appointment:

  • Bring your insurance card and identification document
  • List of medications you take (including supplements)
  • Vaccination card, if available – especially important for rubella titer
  • Note the date of your last period (for due date calculation)
  • Write down questions that are on your mind – it's easy to forget half of them during the appointment
  • Consider taking a partner or trusted person with you – four ears hear more than two

Typical Questions You Might Ask:

  • What vitamins or supplements do you recommend?
  • Are there foods or activities I should avoid?
  • How often will the prenatal appointments take place?
  • What should I do in case of bleeding or severe pain?
  • What childbirth preparation courses do you recommend?
  • What about exercise and travel?

Don’t hesitate to ask any questions that seem important to you – even if they feel trivial. Your doctor is here to support and reassure you.

Frequently Asked Questions about Prenatal Care in Week 9

Do I need to come fasting to the first prenatal appointment?
No, usually not. Only if special blood sugar tests are planned, you will be informed beforehand. Fasting is not necessary for the standard blood draw.

How often do prenatal appointments occur?
Until the 32nd week of pregnancy, approximately every four weeks, then every two weeks. In case of high-risk pregnancies, the intervals may be shorter.

Can I switch between midwives and doctors?
Yes, prenatal care can be alternated between a midwife and a doctor. Many women appreciate this combination – the midwife often takes more time for personal questions.

What if I miss an appointment?
No need to panic. Just quickly schedule a new appointment. The intervals are guidelines – a few days make no difference.

Are all tests covered by health insurance?
The basic care yes. Additional prenatal tests like NIPT or the first trimester test are only covered if there is a medical indication – ask beforehand.

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You’ve Got This – Step by Step

The first major prenatal examination may be exciting, but it is also the beginning of a wonderful journey through your pregnancy. Every test, every measurement is aimed at protecting you and your baby – and giving you the reassurance that everything is going well.

Remember: It’s completely okay to be nervous. It’s okay to have questions. And it’s more than okay to take your time with decisions that affect you. You are the expert for your body and your baby.

Enjoy this special moment when you see your baby for the first time – and trust that you are doing just the right thing by taking good care of yourself and your little miracle.