//fpnotebook.com/
First Obstetric Visit
Aka: First Obstetric Visit, Initial Prenatal Care Visit
- See Also
- Routine Obstetric Visit
- First Trimester Education
- Nutrition in Pregnancy
- Timing
- Perform at 8 weeks gestation
- History: Obstetrics
- See Pregnancy Risk Assessment
- Establish firm due date early
- See Pregnancy Dating
- 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
- 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.
- Labs
- See Prenatal Labs
- Imaging
- Obstetric Ultrasound Indications
- Unsure Last Menstrual Period
- Confirm intrauterine pregnancy
- Irregular menstrual periods
- Uterine Size-date discrepancy
- Management
- See Preconception Counseling
- See First Trimester Education
- Start Prenatal Vitamins with Folic Acid if not already started
- References
- Zolotor (2014) Am Fam Physician 89(3): 199-208 [PubMed]