Hospital in Nairobi

What To Expect On Your First Antenatal Visit

If you found out you are pregnant today, would you know what to expect on your first antenatal visit?

At MedLux International Hospital, we care about your expectations.

In this article, we take you through what to expect on your first antenatal clinic.

Your first antenatal visit is both a time of celebration and trepidation. For many, it is uncharted waters with ships laden with worry, but it shouldn’t be. This simple article will walk you through what to expect at your first visit and how to prepare for it.

You have missed your monthly period and are feeling slightly under the weather with unfamiliar nausea, breast tenderness, and bloating. You may have vomited once or twice after brushing your teeth, you have had it! You dash to your nearest pharmacy and one (or frequently 4) more urine test kits, and the two lines signify the start of your journey into motherhood!

The first thing you need to do is to see your Ob/Gyn to ensure that all is well with you and your early pregnancy. When you get there, you will register at the reception and will be asked about the nature of your visit. Hopefully, you got there very early, and your doctor is a stickler for punctuality like the ones at Medlux International Hospital. Your vital signs, weight, height, and BMI will be taken as well as a brief medical history by the nurse. You may be asked for a little urine sample, too, as it gives a lot of information concerning the state of your kidneys, bladder, and urinary tubes. The doctor will now see you.

After regular pleasantries, he/she will systematically delve into what is the main reason for your visit, probe further into any symptoms you may be having, take a detailed past medical history (chronic illnesses, current medications, etc.), family history (twins, diabetes, hypertension, etc.), social history (use of alcohol or cigarettes, your domestic situation, etc.), surgical history (previous operations, blood transfusions, etc.), obstetric (previous pregnancies and their outcomes, IVF, etc.)and gynecologic history (Pap smears, recurrent infections, contraceptives, etc.)……basically a lot of history

After that, the doctor will do a general physical exam to check if you are pale, jaundiced, dehydrated, have swollen lymph nodes, and the like. Also, he/she will examine your tummy to see if there are any strange markings or colorations and to check if there are any growths or if there is tenderness anywhere. A vaginal exam is rarely needed at the first visit unless under exceptional circumstances like heavy bleeding or foul-smelling discharge.

Having taken the history and done a thorough physical exam, you will likely be sent for a few investigations: Hemoglobin test to detect anemia

– urine test to look for protein in the urine, glucose, blood, bacteria

– Screening for HIV, syphilis, Hepatitis B, blood sugar levels, and the blood group of the patient.

This is called the antenatal profile.

Any abnormalities picked at this stage are treated before they can detrimentally affect you or your baby.

You may also be sent for an early obstetric or pelvic scan to confirm the location and status of the pregnancy. This helps to rule out ectopic pregnancies and other types of nonviable pregnancies.

The cost of the process described depends mostly on the healthcare facility and can range anywhere from 5,000/- to 20,000/-.

If your insurance gives you a maternity cover, then it should cater for this visit and the investigations described.


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