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Prenatal care - staying healthy during pregnancy

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​One of the most important things you can do for your baby is to seek prenatal care as soon as you learn you are pregnant. Prenatal care is the health care you receive before your baby is born.

Women who have regular prenatal care tend to have fewer problems and deliver healthier babies than women who delay or have no prenatal care.

It is important to see a women's health provider or visit a clinic because your baby’s body develops rapidly, and all the major organs are formed during the first 12 weeks of pregnancy.

Prenatal care includes advice about your pregnancy and a plan of care developed just for you. This plan covers:

  • Health care visits
  • Exercise
  • Diet
  • Work limitations
  • Special things you should do to assure a healthy baby and a comfortable pregnancy

Even if this is not your first baby, remember that every pregnancy is different. Visit your women's health provider early in the pregnancy and always return for your scheduled visits. Early care is the best way to prevent, discover, and treat potential problems.

Your First Visit

​Your first visit will probably take more time than later appointments. In addition to a physical examination, you will need to give information about yourself and your pregnancy.

Questions you will likely need to answer:

  • Previous pregnancies, miscarriages, or abortions.
  • Menstrual history – when your periods started, what they are like, and when your last normal period occurred.
  • Medical history – any medical problems you, the baby’s father, or members of either family may have had; particularly such chronic conditions as diabetes, kidney disorders, thyroid problems, heart conditions, and respiratory illnesses; also important are any genetic or congenital disorders.
  • Diet and lifestyle

Your physical exam will include:

  • Measurement of your height, weight, and blood pressure.
  • Internal examination (pelvic examination) of the growth of your uterus.

In addition, laboratory tests may be performed

If you have any questions about your pregnancy, general health or physical examination, do not be afraid to ask your women's health provider. It may be helpful to write questions down prior to your visit. 

Tell your provider if you have any physical problems, if you are under stress, or if you have any other special concerns. It is important for your provider to understand how your pregnancy is affecting you and your family.

Follow-up Visits

Your follow-up visits should occur once a month during the first 6 months of your pregnancy.

During these visits, your weight, blood pressure, and possibly your urine will be checked. Your abdomen will be measured to see how the baby is growing and the baby’s heart tones will be checked.

During later pregnancy, you should have more frequent follow-up visits. These examinations help ensure that your pregnancy is progressing normally. Pelvic examinations and blood tests are done when indicated.

If you have questions or concerns between visits, write them down and bring them to your next appointment.

Baby Movement

During your prenatal visits you will be asked if you are feeling the baby move.

Fetal movement is first felt by most mothers sometime after 16 weeks of pregnancy. The time when you first feel fetal movement is dependent upon the number of babies that you have had, as well as the location of the placenta.

Even though you cannot feel the baby’s movements, the baby is known to be very active early in the pregnancy. The movement of the baby increases during the early and middle portions of pregnancy, with most movement occurring in the seventh or eighth month. After that there is a gradual decline in the frequency of the baby’s movement as well as a change in the type of movement that the baby makes. This is primarily because of less space available for vigorous kicking or motion.

Contact your women's health provider if you notice a sudden decrease in the baby’s movements. This may indicate a potential problem and further fetal evaluation may be necessary.