The first obstetric visit in pregnancy

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Philippe Gloaguen
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Complete obstetric visit

Once pregnancy is discovered, the question that arises to expectant mothers very often is: "what should I do now?". First of all, take a deep breath, and then rely on a midwife or gynecologist to perform what is called "first obstetric visit". Let's see together what it consists of.





What is it about?

The first thing you will do at the first meeting is to get to know each other, and to do this the obstetric record and collected the medical history data. You will be asked about your personal details, your personal history and the illnesses present in the family on both your side and your partner's. Having this information serves to understand which one genetic heritage the child may have inherited and which diseases they may be predisposed to.



In addition to these questions, a large part will concern your previous menstrual and obstetric history, any pregnancy or breastfeeding, in order to get an idea of ​​the evolution of the pregnancy.

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If you have done some blood and urine tests bring them with you, the results will be recorded in the folder and kept as comparison values ​​for the following ones. If, on the other hand, you do not have any problems, they will be prescribed to you at the time of your visit.

After this a bit more boring part you can start with the visit real, what a warning, it will not only concern the pelvic area but the whole body. A well-done physical exam involves asking you questions about all parts of the body from head to toe. You will be weighed, measured in height, your blood pressure measured and asked about any problems with your skeleton, muscles, intestines and urinary tract.

Read also: Calendar of exams to do in pregnancy

The physical examination then proceeds with the breast evaluation (do not be alarmed so if they ask you to lift your shirt, it is part of a good examination) and abdomen where they will probably carry out a palpation which will be slightly annoying.
This phase of the visit will end with the evaluation of the column, you will be asked to walk and lean forward in order to detect any asymmetries that are useful to know for the purpose of childbirth.

And finally we arrive at the last phase (even if mothers are the one they expect most anxiously) that is the phase ofInternal inspection and palpation. You will touch the first of a series of vaginal visits, a visit that will evaluate the tone of the tissues, the position and the uterine situation, any leaks. Often this internal visit is accompanied by thrusts on the belly, just above the pubic bone. Quiet does not hurt the baby, they are just maneuvers to understand how the uterus is positioned.

Probably only by observing you and without doing other maneuvers will they be able to understand the measurements of your pelvis, that is, to understand which are the spaces that the child has to grow and be born. All this to get a first idea of ​​what maximum size the child can reach to be born spontaneously. You can rest assured, the babies are usually perfectly proportioned to the mothers, there are few cases in which the disproportion is such as to prevent a spontaneous birth and in any case they will not let you go to labor and then tell you that it does not pass.

Read also: I'm pregnant: what now?

Ultrasound 

And finally the much desired ultrasound, if it is very early, if the pregnancy is very early, it will probably be done with the internal probe in order to be able to see something. Here a world opens up, I mean, you weren't expecting to see the baby right away and hear the little heart beating. If the first visit happens before the 6th week of pregnancy it will even be impossible to see anything. Between the 7th and 8th week you will be able to see the presence of the gestational chamber (a sign that a pregnancy is in progress) and only after the 8th week (therefore two months after the last menstruation) the small embryo will be visible and measurable. The heartbeat may not be very visible, do not be alarmed, the baby may be too small and therefore they will ask you to repeat theechography a few weeks later, when you can finally feel your heart beating.

As you can see the first obstetric visit is very complex and long, it could last up to an hour, but it is important that it is done with accuracy, so any ailment, discomfort, pain, anything that happens to you that you do not know, refer to yours obstetrician or gynecologist. This way you can have all the answers you are missing and the practitioners get the full picture. Sometimes even small things that may seem stupid turn out to be fundamental for a correct and complete assistance to pregnancy.

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