Gentle, Evidence-Based Care From the Start
Confirm pregnancy, estimate due date, ease first-trimester symptoms, and plan next steps with clarity.
Early visits set the tone for a healthy pregnancy. We confirm the pregnancy, estimate your due date, review medications, discuss genetic screening options, and map out your first-trimester labs and ultrasounds. You'll leave with practical guidance for nausea, sleep, nutrition, and safe activity.
Fast Facts
Start a prenatal vitamin with 400–800 mcg folic acid now
First ultrasound is often around 7–9 weeks to confirm dating and heartbeat
Initial labs include blood type/Rh, CBC, infections screening, and immunity
Nausea typically peaks at 8–10 weeks and improves in the second trimester
What We Cover at Your First Visit
- Pregnancy confirmation and due date estimate
- Medication & supplement review for safety
- Baseline labs and vaccinations planning
- Genetic screening options and timing (NIPT/first-trimester screen)
- Nutrition, nausea care, and weight-gain goals
- Exercise, work travel, and lifestyle questions
Ultrasound & Dating
A first-trimester ultrasound confirms an intrauterine pregnancy, measures crown-rump length for accurate dating, and assesses heartbeat. If cycles are irregular or you conceived with assistance, we tailor timing for clarity.
Labs & Vaccines
Initial labs often include blood type/Rh and antibody screen, complete blood count, rubella/varicella immunity, and screening for infections as indicated. Flu and updated vaccines are recommended on a schedule aligned with current guidelines; we'll review what fits your timeline.
Genetic Screening Options
NIPT (Cell-Free DNA)
- Blood test from ~10 weeks
- Screens for common chromosomal conditions
- High sensitivity; still a screen (not diagnostic)
- Optional fetal sex information
First-Trimester Screen
- Combines blood tests with nuchal translucency ultrasound
- Available earlier than some alternatives
- Screen only; may lead to diagnostic testing if high risk
- Useful when ultrasound detail is desired early
Managing Nausea & Fatigue
Small, frequent meals; protein at breakfast; ginger or vitamin B6; and staying hydrated can help. We review safe over-the-counter options and prescribe medication when symptoms limit daily life. Rest, light movement, and flexible routines support energy.
Lifestyle Foundations
Aim for balanced nutrition with adequate protein, iron, fiber, and omega-3s; regular walking or prenatal-safe exercise; and 7–9 hours of sleep. Avoid nicotine/vaping, limit alcohol (best avoided), and discuss any exposures or travel plans with us. Continue or adapt strength training as appropriate.
What to Bring to Your Visit
- ✓List or photos of all medications and supplements
- ✓First day of your last menstrual period (LMP) and cycle length
- ✓Prior pregnancy or surgery records if applicable
- ✓Questions about symptoms, work, travel, or exercise
- ✓Insurance details and preferred pharmacy
Frequently Asked Questions
1When will I hear a heartbeat?
A heartbeat is often seen on ultrasound by 6–7 weeks and heard via Doppler later. Timing varies with cycle length and ovulation date.
2Which medications are safe?
Many common medications have pregnancy-safe options. Bring your list; we will confirm what to continue, adjust, or avoid and suggest alternatives.
3What symptoms are normal vs. concerning?
Nausea, fatigue, breast tenderness, and mild cramping can be normal. Call us urgently for heavy bleeding, severe one-sided pain, fainting, fever, or inability to keep fluids down.
4Do I need to change my exercise routine?
Most people can continue moderate activity and strength training with adjustments for comfort and safety. We tailor guidance to your baseline fitness and any medical considerations.
5How often are early visits?
Typically every 4 weeks in the first trimester, with extra check-ins as needed for symptoms, labs, or ultrasound follow-up.
Start Strong With a Clear Plan
From confirming your pregnancy to easing first-trimester symptoms and planning screening, we're here with calm, compassionate guidance.
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