Empowered Mama: Navigating Prenatal Appointments in Your First Trimester with Confidence

prenatal care


Navigating Prenatal Appointments in Your First Trimester:

Congratulations! You just got a positive pregnancy test, and you’re bursting with excitement. 

But then reality hits: your doctor wants you to wait 6-12 weeks for your first prenatal visit. Ugh!

Hold on a sec, mama. Let’s reframe that wait time as an opportunity to get informed and create a plan for your pregnancy journey. 

Here, we’ll delve into the world of prenatal appointments, tests, and even some unexpected surprises you might encounter. 


Building a Strong Foundation: The Birth Vision


Before diving into tests, let’s talk about your vision for childbirth. As a pregnancy coach, I always recommend creating a Birth Vision – a guiding light for your prenatal care decisions. This helps you navigate medical advice and stay true to your preferences.

Feeling lost? Don’t worry, I would love to help you craft your Birth Vision.


Making Informed Choices, Not Following Orders Blindly


Prenatal care involves a lot of decisions. Here’s what you need to be an active participant:

  • Critical Thinking Framework: Mapping out your decision-making process helps you follow your intuition and stay true to your vision. I’ve developed a framework to help mothers analyze tests and procedures and make informed choices, not just follow orders.
  • Questioning the Status Quo: Knowledge is key. Knowing about the common tests and procedures is uber important. But you know what else? We’ve gotta question the status quo regularly. There are plenty of things that were once considered “normal,” and now we know better (like smoking and X-rays during pregnancy)!

Important Reminders:

  • Your Body, Your Choice: You have the right to decline any test or procedure, for any reason.
  • False Positives/Negatives: No test is perfect. We’ll discuss how to handle misdiagnosis and build confidence in processing information.

Demystifying the Tests: A Guide for Empowered Mamas

Let’s shed light on common prenatal tests and procedures, understanding their purpose, and making informed decisions.

The Basics: Keeping Tabs on Your Wellbeing

Every prenatal visit will likely involve some routine checks, like:

  • Urine Test: This simple test can reveal a lot:
    • Sugar: High levels might indicate gestational diabetes.
    • Protein: Excess protein could suggest preeclampsia.
    • Ketones: Finding these suggests you might not be eating enough or have high blood sugar.
    • Bacteria: Even without symptoms, bacteria could lead to a kidney infection.
  • Blood Tests: These might check for:
    • Anemia: Low iron, folate, or B-12 can lead to fatigue.
    • Infections: Testing for STIs helps prevent transmission to your baby.
    • Blood Type (Rh Factor): This checks for Rh incompatibility.
    • Antibodies: Testing for rubella antibodies helps determine if you’re immune.

Remember, a test is just one piece of the puzzle. Discuss any findings with your provider so you can continue to call the shots. 

Monitoring Your Growing Baby: Alternatives to Ultrasounds

Looking for ways to track your baby’s growth beyond ultrasounds? Here are two options:

  • Fundal Height Measurement: This simple method involves measuring the distance from your pubic bone to the top of your uterus (fundus). Here’s a timeline to keep in mind:
    • 12 weeks: The fundus should be just above your pubic bone.
    • 16 weeks and beyond: Expect the fundus to grow roughly 1 centimeter per week.
    • 20 weeks and beyond: The fundal height (in centimeters) should roughly match your week of pregnancy (give or take 2 centimeters).
    • Faster growth: Could indicate twins.
    • Slower growth: Might suggest high blood pressure or infection.

Not all doctors are familiar with fundal height measurement. Don’t hesitate to ask if it’s an option for you, especially if you’re looking for a more natural approach.

  • Fetoscope: Want to hear your baby’s heartbeat at home after 22 weeks? Consider a fetoscope! This safe and sound instrument amplifies your baby’s heartbeat and is a great alternative to a doppler. You can even purchase one online. A healthy baby’s heart rate typically falls between 120-160 beats per minute.

Ultrasound: A Closer Look at the Pros and Cons

Ultrasound technology uses sound waves to create images of your baby inside the womb. In pregnancy, it’s used for:

  • Dating: Early scans (around 7-8 weeks) can estimate your due date, but keep in mind this becomes less accurate later.
  • Abnormality Screening: A routine scan around 20 weeks (also known as the anatomy scan) checks for potential problems, but there’s a chance of false positives or missed issues.

The Big Debate:

There’s an ongoing discussion about the routine use of ultrasounds. Here’s why:

  • Limited Research: Long-term studies on the safety of frequent ultrasounds are lacking.
  • Potential for Anxiety: Uncertain results from scans can cause unnecessary worry.
  • Increased C-Sections: Some research suggests more ultrasounds might lead to more C-sections.
  • Financial Influence: The partnership between ultrasound companies and medical organizations raises questions about bias toward recommending them.

The Bottom Line:

While a single ultrasound might not be harmful, frequent or high-exposure scans warrant caution. The decision to have an ultrasound should involve weighing the potential benefits against any risks and discussing your specific situation and preferences with your provider.

Cervical Health During Pregnancy: Pap Smears and Checks

Pap Smears:

During early pregnancy, your doctor might recommend a Pap smear. This routine test checks for abnormal cell changes in your cervix.

Why It Matters: Pregnancy accelerates cell growth, so some women choose to monitor their cervical health with Pap smears during this time.

Cervical Checks:

Late-pregnancy cervical exams (checking dilation and effacement) are common in some areas but not in others. Here’s the key takeaway:

  • No Proven Benefits: These checks don’t predict labor timing or duration.
  • Increased Infection Risk: Cervical checks can introduce bacteria and increase infection risk.
  • Your Choice: You can decline cervical checks if you’re uncomfortable or unconvinced of their benefit.

P.S. You don’t have to explain yourself and your reasons for exercising informed refusal!

Taking Charge of Your Journey

Taking the driver’s seat early in pregnancy gives you the time and the space to collect the evidence and customize your birth experience. When I was pregnant I felt like I had to search high and low, across all disciplines, to piece together trusted resources and find the right support. It was exhausting..

This is why I’ve poured my heart into helping moms quiet the noise and zoom in on the priority preparations- the things that will actually help them take control of their decisions and their bodies. If you’re looking for 

  • Someone to guide you along this personal journey, 
  • Someone to point you in the right direction on your search for quality information,
  • Someone to significantly lower your chances of birth trauma,
  • Someone to hold you accountable for taking steps toward optimal health,
  • Someone to connect you to other radical, independent women 

Your search is over my friend!

Join my BOLD Birth Blueprint waitlist today and take the wheel of your pregnancy and birth experience. 


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