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Congratulations on your pregnancy - But what happens now?

Whether your pregnancy was planned or a happy surprise, you’re about to begin a life-changing journey. It’s completely normal to have lots of thoughts and questions – what happens next?

While it may not be the first thing on your mind, the practical steps will soon become important. We’re here to guide you through them.

Step 1: Schedule your first prenatal appointment

Your first visit is usually called your initial prenatal appointment. It’s typically a longer visit where your healthcare provider reviews your medical history and helps plan your care during pregnancy.

In the U.S., this appointment usually takes place around 8–10 weeks of pregnancy, but you should contact a healthcare provider as soon as you find out you’re pregnant. This helps ensure timely care and allows your provider to identify if you need earlier support.

Depending on your provider, you may first have a phone or early visit with guidance on nutrition, lifestyle, and early pregnancy.

Can I choose my provider?

In the U.S., you can choose your prenatal care provider, such as:

  • An obstetrician (OB-GYN)
  • A certified nurse-midwife
  • A family physician (in some cases)

Your choice may depend on your preferences, insurance coverage, and whether your pregnancy is considered low-risk or high-risk. Most pregnant women have about 10–15 prenatal visits, with fewer appointments early in pregnancy and more frequent visits later on.

If you have a medical condition or develop complications, you may be referred to a maternal-fetal medicine specialist (high-risk pregnancy specialist).

Some practices offer continuity of care, where you see the same provider or a small team throughout your pregnancy and birth.

Tips when choosing a provider:

  • Location: Is it convenient for home or work?
  • Insurance coverage
  • Recommendations from friends or family

You can change providers if you feel your needs aren’t being met.

Step 2: Preparing for your first visit

Before your appointment, you may be asked to fill out a health history form, including:

  • Medical history
  • Previous pregnancies
  • Medications
  • Diet and exercise habits
  • Family health history

You’ll also be asked about smoking, alcohol, and drug use so your provider can offer the right support.

During the visit, your provider will talk to you about:

  • Nutrition and weight gain
  • Physical activity
  • Prenatal screening and testing
  • What to expect during pregnancy

You’ll have time to ask questions, so it can be helpful to think about what you’d like to know in advance.

Topics to explore:

  • Prenatal screening options
  • Nutrition during pregnancy

You’ll likely be asked whether you’re taking folic acid (folate), which is recommended before and during early pregnancy to help prevent neural tube defects.

If you don’t eat fish regularly, your provider may also discuss omega-3 fatty acids, which support fetal brain development. If you’ve already started taking these, you can feel confident that you’re well prepared.

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