Justien, Ifound this on baby center. My doc didn't do all of these, but this should cover most of what could happen at your first visit....
As soon as you suspect you're pregnant, schedule an appointment with your doctor or midwife. (If you haven't chosen a pract_tioner yet, this is the time to find one!) Even if you've confirmed your suspicion with a home pregnancy test, it's wise to follow up with a professional physical examination so you can begin getting good prenatal care.
Most pract_tioners won't want to see you until you're about 8 weeks pregnant, unless you have a medical condition, have had problems with a pregnancy in the past, or are having problems now such as v____al bleeding, abdominal pain, or severe nausea and vomiting. Also, if you're taking any medications or think you may have been exposed to hazardous substances, ask to speak to the doctor or midwife as soon as possible.
Your first visit will probably be the longest one you have with your caregiver, unless you encounter problems along the way. For all your prenatal checkups, come prepared with questions regarding anything you might be wondering about. Here's what you can expect your doctor or midwife to do this time:
Take your health history
She'll want to know the day your last period started on, so she can determine your due date; any symptoms or problems you've had since then; whether your menstrual cycles are regular and how long they usually last; details about any gynecological problems (including s_xually transmitted infections) you or your partner has now or had in the past. She'll also want details about any previous pregnancies.
She'll review the rest of your medical history as well, including chronic conditions and medications used to treat them, drug allergies, psychiatric problems, and any past surgeries or hospitalizations. And she'll ask you about activities such as smoking, drinking, and drug use that could affect your pregnancy.
Take your family health history
Your pract_tioner will ask if any of your relatives or your baby's father or his relatives have had any chronic or serious diseases. Many health problems are at least partly hereditary, so knowing your family's medical history helps your healthcare provider watch for potential problems.
Do a genetic and birth defect history
She'll ask if you, the baby's father, or anyone else in the family has a chromosomal or genetic disorder or was born with a structural birth defect. She'll want to know about all the medications and nutritional supplements you've taken since your last period, about any exposures to potential toxins (bring a list of possible "suspects," especially if you live or work near toxic materials), and whether you've recently had any rashes, or viruses or other infections. If you're going to be 35 or older on your due date or you have other risk factors for genetic problems, your pract_tioner will talk to you about genetic counseling and genetic testing.
Check you out and run some tests
Your pract_tioner will give you a thorough physical, including a pelvic exam. She'll do a Pap smear (unless you've had one recently) to check for abnormal cells, including cervical cancer. She may also do a culture to check for chlamydia and gonorrhea.
Next, she'll order routine blood tests to identify your blood type and Rh status, and a blood count to check for anemia. She'll also have the lab test your blood for syphilis, hepat_tis B, and immunity to German measles (rubella), and offer to test for HIV. (If your pract_tioner doesn't offer you an HIV test, be sure to ask about it. Being treated for HIV during pregnancy can dramatically reduce your chances of pa__sing the infection to your baby.) In addition to taking blood, she'll ask for a urine sample to test for urinary tract infections and other conditions.
If you're at high risk for gestational diabetes, a glucose challenge test might be done at your first visit. In some cases, your provider will also do a skin test to see if you've been exposed to tuberculosis. And if you're not sure whether you've even had chicken pox (or been vaccinated against the virus), she'll order a blood test to check for immunity.
Counsel you and let you know what's coming
Before you leave, your caregiver should give you advice about eating well, foods to avoid, and what kind of weight gain to expect; describe the common discomforts of early pregnancy; talk about the benefits of getting a flu shot (if it's flu season); and warn you about symptoms that require immediate attention.
She'll also talk to you about the dangers of smoking, toxoplasmosis. She should ask you about domestic violence — whether you are or have ever been a victim of abuse.
Tell you about your options for prenatal testing.
Your pract_tioner may offer you genetic screening tests that can give you some information about your baby's risk of having certain chromosomal problems and other birth defects. During your first trimester, you may be offered a nuchal translucency screening (an ultrasound done at 10 to 12 weeks) or a first-trimester combined screening (an ultrasound and a blood test). Or you may decide to wait and have a multiple marker screening (a blood test done between 15 and 20 weeks).
If you'll be 35 or older on your due date or are otherwise at high risk for having a baby with genetic problems, you may be offered genetic diagnostic tests that can tell you for sure if your baby has Down syndrome and other problems. These include CVS, done between 10 and 13 weeks, and amniocentesis, done between 15 and 20 weeks.
Finally, depending on your ethnic background and medical history, you may have a blood test to see if your baby is at risk for sickle cell disease, Tay-Sachs disease, cystic fibrosis, thala__semia, and certain other genetic disorders.