II. Timing
- Perform at 8 weeks gestation
III. History: Obstetrics
- See Pregnancy Risk Assessment
- Establish firm due date early
- See Pregnancy Dating
IV. Exam: General
- See Pregnancy Dating
- See Pregnancy Signs
- Complete physical examination with pelvic exam
- Breast Exam is optional (but may predict later Lactation Problems for the Mother)
- Pap Smear
V. Exam: Specific components that are no longer recommended (but were performed historically)
- First trimester Cervical Length
- Does not predict Preterm Labor risk
-
Pelvimetry
- Pelvimetry is a poor predictor of who will deliver vaginally
- Not routinely performed nor recommended in the U.S.
VI. Labs
- See Prenatal Labs
VII. Imaging
-
Obstetric Ultrasound Indications
- Unsure Last Menstrual Period
- Confirm intrauterine pregnancy
- Irregular menstrual periods
- Uterine Size-date discrepancy
VIII. Management
- See Preconception Counseling
- See First Trimester Education
- Start Prenatal Vitamins with Folic Acid if not already started