What to expect at your first antenatal appointment β preparation, tests, and questions to ask
The booking appointment (also called the first antenatal visit) is your first official meeting with a midwife or obstetrician, usually around weeks 8β10 of pregnancy. It is one of the most important appointments of your pregnancy β longer than most subsequent visits and covers a huge amount of information. Allow 1β2 hours. It is ideally done before week 10 so you can be offered first trimester screening (the nuchal translucency scan at weeks 11β13).
Bring photo ID and any health insurance information. Your healthcare provider will need to set up your records.
This is essential for calculating your due date. If you tracked ovulation or used IVF, bring those dates too.
Include prescription medications, over-the-counter drugs, vitamins, and herbal supplements. Some need to be reviewed for safety in pregnancy.
Be prepared to discuss any significant medical conditions (diabetes, thyroid disorders, mental health history, blood clotting conditions), surgical history, and family history of genetic conditions.
Family history from both parents may be requested, as it influences screening recommendations.
A blood test checks your blood group and Rhesus (Rh) factor, full blood count (to detect anaemia), immunity to rubella, hepatitis B, HIV, syphilis, and sickle cell or thalassaemia screening (depending on your background).
A baseline blood pressure reading is established to monitor for pre-eclampsia later. Your BMI is calculated to identify any associated risks.
A urine sample is tested for protein (kidney problems or pre-eclampsia risk), glucose (gestational diabetes risk), and bacteria (UTI β common in pregnancy and can cause preterm labour if untreated).
You'll be offered the combined first trimester screening for chromosomal conditions like Down syndrome (trisomy 21), Edwards syndrome, and Patau syndrome. This involves a blood test plus the nuchal translucency ultrasound at weeks 11β13.
| Week | Appointment / Scan |
|---|---|
| 8β10 | Booking appointment (blood tests, urine, BP, medical history) |
| 11β13 | Dating scan + nuchal translucency (Down syndrome screening) |
| 16 | Antenatal check (blood pressure, urine, discuss screening results) |
| 18β22 | Anatomy scan (detailed baby check) |
| 24β28 | Gestational diabetes screening, anti-D injection (if Rh negative) |
| 28β36 | Fortnightly then weekly check-ups (BP, urine, fundal height, baby position) |
| 36β40 | Weekly visits, Group B Strep test, discussion of birth plan |
* Schedule varies by country, health system, and individual risk factors. Follow your midwife's or doctor's guidance.
Know your due date before your first appointment
Calculate your due date to prepare for your booking visit
Pregnancy Calculator βMedical notice: Antenatal care schedules vary by country and individual circumstances. Follow the guidance of your own healthcare team. This article is for general information only.