first prenatal visit singapore

Questions to Ask During Your First Pregnancy Checkup

Congratulations on your pregnancy! Your first prenatal appointment is an exciting and important milestone in your journey towards motherhood. As a first-time mother in Singapore, you may have many pressing questions and concerns about what to expect during this initial visit. To help you prepare for this significant step, we’ve created a comprehensive guide covering eleven essential subtopics to discuss with your doctor during your first prenatal appointment. Along with these subtopics, we’ve included unique questions to ask for each section, ensuring you feel informed and confident throughout your pregnancy journey.

Entering motherhood can be an overwhelming experience, especially for first-time mothers. Being well-prepared for your first prenatal visit will not only help alleviate some of the stress and uncertainties but also set a strong foundation for a healthy pregnancy. By actively engaging with your healthcare provider and addressing various aspects of your pregnancy, from medical history and lifestyle recommendations to financial matters, you’ll be better equipped to make informed decisions for both you and your baby. So, let’s get started and set the stage for a smooth transition into motherhood!

1. Understanding the Basics of Pregnancy Care

Pregnancy care is crucial for ensuring the well-being of both you and your baby. During your first prenatal visit, your doctor will provide information on prenatal care, appointments, and general guidelines to follow throughout your pregnancy. It’s essential to understand these basics to ensure a healthy pregnancy and minimize complications.

Some important questions to ask during your first pregnancy checkup include:

• How often should I schedule prenatal appointments?
• What tests and screenings will be performed throughout my pregnancy?
• What are some warning signs or symptoms that warrant a medical emergency or immediate attention?
• How can I reach you or the care team after hours if needed?
• What resources or prenatal classes do you recommend for first-time mothers?

2. Estimating Your Due Date

One of the most exciting aspects of your first prenatal appointment is learning your estimated due date. This helps you and your doctor monitor your baby’s growth and development and plan for labour and delivery. Keep in mind that the due date is just an estimate, and many women deliver within two weeks before or after the expected date.

Questions related to estimating your due date:

• How is my due date calculated, and how accurate is it?
• What factors can affect my due dates, such as cycle length or irregular periods?
• How will you monitor my baby’s growth and development throughout pregnancy?
• If my baby is not born by the due date, when would you consider inducing labour?
• How will my prenatal appointments change as I approach my due date?

3. Discussing Your Medical and Family History

Your medical history and family background play a crucial role in determining any risk factors or potential complications during pregnancy. During your first prenatal visit, be prepared to discuss your pre-pregnancy health, medical conditions, and any genetic disorders or high-risk factors that may run in your family.

Questions about medical and family history include:

• Are there any specific concerns or risks based on my medical history and ethnic background?
• How might existing medical conditions, like diabetes or high blood pressure, affect my pregnancy?
• What steps can I take to minimize the risk of passing on genetic disorders to my baby?
• Should my partner and I undergo genetic testing or counselling?
• How can I obtain more information about my family’s health history if it is unknown or incomplete?

4. Nutrition and Lifestyle Recommendations

Maintaining a healthy lifestyle throughout pregnancy is vital for both you and your baby. Your doctor will discuss essential aspects such as diet, exercise, and other lifestyle changes to ensure a safe and healthy pregnancy. Prenatal vitamins, supplements, and weight gain recommendations will also be addressed during this discussion.

Nutrition and lifestyle-related questions to ask:

• What should my daily caloric intake be, and how much weight should I gain based on my pre-pregnancy weight?
• What foods should I avoid or limit, and what nutrients are particularly important for pregnant women?
• Are there any specific exercises or activities that are safe and beneficial during pregnancy?
• Can you provide guidance on managing stress and maintaining emotional well-being during pregnancy?
• Are there any over-the-counter medications, supplements, or beauty products that I should avoid?

5. Prenatal Screening and Diagnostic Tests

Prenatal screenings and diagnostic tests help identify any potential health issues or birth defects in your baby. During your first prenatal visit, your doctor will discuss the various tests available, their purpose, and the ideal timing for each test. It’s essential to understand these tests and make informed decisions based on your specific needs and circumstances. Questions related to prenatal screening and diagnostic tests:

• What are the standard prenatal screenings and tests, and when should they be performed?
• Are there any additional tests you recommend based on my risk factors or family history?
• What is the difference between a screening test and a diagnostic test?
• How accurate are these tests, and what are the potential risks or complications involved?
• If a test result indicates a potential issue, what are the next steps, and what support is available?

6. Managing Pregnancy Symptoms and Discomforts

Pregnancy can bring various symptoms and discomforts, such as morning sickness, fatigue, and body aches. During your first prenatal visit, your doctor will discuss ways to manage these common conditions and provide guidance on when to seek medical attention. Questions about managing pregnancy symptoms and discomforts:

• What are some effective remedies or strategies for coping with morning sickness?
• How can I alleviate common pregnancy-related discomforts, such as backaches and leg cramps?
• Are there any signs or symptoms that may indicate a more serious issue or complication?
• What over-the-counter medications or treatments are safe to use for pain relief during pregnancy?
• How can I ensure a good sleep routine and manage fatigue during pregnancy?

7. Medications and Vaccinations During Pregnancy

Certain medications and vaccinations are essential for a healthy pregnancy, while others may pose risks to you or your baby. During your first prenatal appointment, your doctor will review any current medications you’re taking and discuss any necessary adjustments or alternatives. Questions about medications and vaccinations during pregnancy:

• Are my current medication prescriptions safe to continue during pregnancy, or do I need to make changes?
• Are there any over-the-counter medications that are safe to take during pregnancy?
• Which vaccines are recommended or required during pregnancy, and when should I receive them?
• If I experience pain or discomfort, what pain medications are safe to take during pregnancy?
• Are there any specific medications or supplements that can help prevent or manage gestational diabetes or high blood pressure?

8. Monitoring Your Baby’s Growth and Development

Throughout your pregnancy, your doctor will closely monitor your baby’s growth and development. This includes regular prenatal appointments, ultrasounds, and additional tests as needed. Understanding the various milestones and stages of fetal development can help you feel more connected to your baby and better prepared for parenthood. Questions about monitoring your baby’s growth and development:

• What are the key milestones in my baby’s growth and development during pregnancy?
• How often will I have ultrasounds, and what information can they provide?
• When can I expect to hear my baby’s heartbeat for the first time?
• Are there any signs or symptoms I should watch for that may indicate a problem with my baby’s growth or development?
• Can you recommend any resources or tools for tracking my baby’s progress throughout pregnancy?

9. Preparing for Labor and Delivery

As your due date approaches, it’s essential to start preparing for labour and delivery. During your prenatal appointments, your doctor will discuss your birth plan, pain management options, and any potential complications or interventions that may arise. Questions about preparing for labour and delivery:

• When should I start creating a birth plan, and what factors should I consider?
• What are the different pain management options available during labor, such as epidurals or natural methods?
• Under what circumstances would a C-section be recommended or required?
• How can I prepare for the possibility of preterm labour or other unexpected complications?
• Can you recommend any childbirth classes or resources to help me feel more prepared?

10. Postpartum Care and Breastfeeding Support

After giving birth, proper postpartum care and breastfeeding support are crucial for both you and your baby. Your doctor will discuss postpartum care, recovery, and the benefits of breastfeeding during your prenatal appointments. It’s essential to understand what to expect during this period and how to access resources and support as needed.

Questions about postpartum care and breastfeeding support:

• What does postpartum care typically involve, and how long should I expect the recovery process to take?
• What are some common postpartum complications or concerns, and how can I recognize and address them?
• How can I ensure a successful breastfeeding experience, and when should I seek help if I’m having difficulties?
• Are there any specific postpartum exercises or activities that can aid my recovery and overall well-being?
• Can you recommend any local support groups or resources for new mothers and breastfeeding assistance?

11. Fees, Grants, and Insurance

Navigating the financial aspects of pregnancy and childbirth is an important consideration for first-time mothers in Singapore. Understanding the fees associated with prenatal care, delivery, and postpartum services, as well as the available grants and insurance options, can help alleviate financial stress and ensure you receive the best possible care.

Questions about fees, grants, and insurance:

• What are the estimated costs for prenatal appointments, tests, and ultrasounds throughout my pregnancy?
• Can you provide a breakdown of the expected fees for various delivery options, such as natural birth, C-section, or using pain management methods like epidurals?
• Are there any government grants, subsidies, or financial assistance programs available for expectant mothers in Singapore, and how can I apply for them?
• How do different insurance plans cover pregnancy-related expenses, and what factors should I consider when choosing a plan?
• Are there any additional or hidden fees that I should be aware of, such as hospital stays, postpartum care, or breastfeeding support services?

In Conclusion

In conclusion, your first prenatal visit is an essential step in ensuring a safe and healthy pregnancy. By asking these questions during your first pregnancy checkup, you’ll gain valuable knowledge and feel more confident throughout your pregnancy journey. Being well-informed about various aspects of your pregnancy, from prenatal care and medical history to financial considerations, helps you make the best decisions for both you and your baby. Remember, your doctor is there to support and guide you, so don’t hesitate to ask any additional questions or share any concerns you may have.

As you progress through your pregnancy, make sure to maintain open communication with your healthcare provider and continue to seek guidance on any new developments or concerns that may arise. Your prenatal appointments are not only essential for monitoring your baby’s growth and development but also for addressing your physical, emotional, and financial well-being. By actively engaging in these discussions, you’ll be better prepared for the exciting journey ahead and set the stage for a happy and healthy transition into motherhood.

I am an INTP-A Logician personality and a proud Melakan who has had the privilege of living in Singapore and Malaysia. I have been an avid fan of Manchester United and I'm now a parent to a daughter with Autism Spectrum Disorder (ASD). I love watching Asian movies and dramas from the sci-fi, time travel, comedy, detective and mystery genres. As a self-proclaimed tech geek with an equal passion for SEO, I help SMBs in IT support and SEO matters.

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How do I plan for my pregnancy?

If you are planning to get pregnant, it is recommended that you:

• Take folic acid supplements from the time you start trying to conceive until you are 12 weeks pregnant.
• Ensure that your overall lifestyle is healthy, to give yourself and your baby the best start.
• Give up smoking and alcohol – it is the best thing you can do for your and your baby’s health.
• Eat well to get the right balance of vitamins and mineral, whilst keeping your body weight in control.
• Stay physically active – aim to exercise for a minimum of 30 minutes every day. This can help reduce the risk of developing high blood pressure, gestational diabetes and excessive weight gain during your pregnancy.

If you have a pre-existing condition such as diabetes, high blood pressure, or on any regular medication, speak to your doctor for help and advice.

If you think you are pregnant, please contact your doctor at the polyclinic, family clinic or contact KKH to arrange for your first appointment.

What care do I need during pregnancy?

Antenatal clinic visits

Antenatal care is the care you receive from healthcare professionals during your pregnancy. You will be given a series of clinic appointments to check on your and your baby’s health. In a healthy woman, you will get around 8 to 10 clinic visits throughout your pregnancy. Your blood pressure will be taken and a urine specimen is required at every antenatal appointment. These tests help to detect problems such as pre-eclampsia (a high blood pressure condition that develops during pregnancy).

Scans and tests

During your pregnancy, you will be offered routine scans and tests to check for certain conditions or infections. Your doctor will explain the purpose of any tests you are offered. It is important to keep in mind that no test is 100% accurate.

Vaccinations in pregnancy

There are two important vaccinations that we strongly advise you to have during pregnancy, to protect your baby, as well as yourself:

• The flu (influenza) vaccine is the most effective way to get protected against flu, and it can be safely given at any point in your pregnancy. Flu is a serious illness that can lead to complications for mothers and babies and is more dangerous if you get it when you are pregnant.
• Having the whooping cough (pertussis) vaccine from 16 weeks to 32 weeks into your pregnancy, will help protect your baby. Whooping cough is a serious respiratory illness that can cause deaths in newborn babies.

Speak to your doctor about getting these vaccinations during your pregnancy.

Cord blood banking / donation

Cord blood is the blood that remains in the placenta and umbilical cord following the birth of your baby. It is rich in blood stem cells, that can be used to treat many different cancers such as leukemia and lymphoma, immune deficiencies and genetic disorders.

Following the birth of your baby, your placenta is normally thrown away along with the cord blood that is in it. You can opt to donate your cord blood to the Singapore Cord Blood Bank (SCBB) or store it for your family through the Community Banking at SCBB or at a private cord blood bank. For more information, click here .

Antenatal packages for private patients

Consider specially-designed antenatal packages to help you plan ahead and enjoy fuss-free visits throughout your pregnancy journey. For more information, click here .

KKH Antenatal Programme

This programme is designed to better prepare you and your partner as you complete your pregnancy and embark on your journey to parenthood. This programme highlights topics such as labour and delivery, breastfeeding, newborn care and "Nurturing your Child". To sign up for the next available session, please click here .

Complimentary breastfeeding class for KKH patients

KKH is an accredited baby-friendly hospital under the World Health Organisation’s Baby-Friendly Hospital Initiative (BFHI) and we are committed to protect, promote and support breastfeeding. All KKH patients are eligible to sign up for a complimentary breastfeeding class at our Patient Education Centre. Speak to your doctor or any clinic staff for more information.

What do I need to prepare for my delivery?

Gather information about admission and delivery

Delivery packages are available for private patients. Click here for more information.

Financial counselling and information about estimated delivery and hospitalisation bill can be obtained at the Admissions Office located at Level 1, Women’s Tower or online via the Admissions Buddy Portal at www.singhealth.com.sg/AB with your SingPass.

Information about Medisave Maternity Package (MMP) is available here .

Checklist of things to bring for your delivery and admission

The following will be provided for mothers and babies in the wards:

* Unused items may be brought home

You may wish to pack the following personal items in your hospital bag to prepare for your discharge:

• Room slippers
• Mobile phone and charger
• Personal toiletries, make-up, hair accessories, glasses/contact lens
• Nursing bras and breast pads
• Going-home outfit for you and baby (two sets in case baby spits up) – baby clothes, mittens, booties, beanie and swaddle / wrapping blanket
• Car seat for baby

Documents you will need to bring for your delivery:

• Appointment booklet
• Admissions folder (if package/room is selected)
• Identity card / passport

What are the signs of labour and when do I need to seek medical help?

Signs of labour:

• Strong and regular contractions
• Blood-stained mucus discharge from the vagina / "show"
• Sudden gush or continuous trickle of clear fluid from the vagina (“waterbag” rupture)

Medical concerns:

• Your baby is moving less than usual
• Vaginal bleeding
• Severe headaches / changes in vision or abdominal pain

If you encounter any of the symptoms above, please proceed to:

• Delivery Suite (Level 2, Women’s Tower) if you are 22 weeks or more into your pregnancy, or
• Urgent O&G Centre (Basement 1, Women’s Tower) if you are less than 22 weeks into your pregnancy.

Useful links:

• Pregnancy Care During Pregnancy
• Pregnancy and Your Diet
• Pregnancy Prenatal Supplements
• Management of Gestational Diabetes
• Pregnancy Discomforts
• Pregnancy Count To Ten Fetal Movement Chart
• Pregnancy Week 1 – 40: A Complete Guide by KKH
• Cord Blood Donation

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A Guide to Prenatal Tests and Scans

Dr Quek Swee Chong

Obstetrician & Gynaecologist

Dr Quek Swee Chong, obstetrician & gynaecologist at Gleneagles Hospital, shares more on prenatal tests and scans you might need throughout your pregnancy.

Congratulations! Now that you have a bun in the oven, you will be seeing your doctor frequently – and even more so during the final trimester – to ensure your pregnancy is a healthy one.

There are a series of prenatal tests and scans available to check on the well-being of both mother and baby during pregnancy but not all tests are necessary. Your doctor will be able to advise you on the ones you need.

Apart from the routine tests that are carried out at every antenatal visit such as blood pressure, weight, and urine dipstick for sugar and protein, the following tests are also performed if your doctor considers them necessary.

1st Trimester

1 Month, 5 – 8 Weeks

• To confirm that pregnancy is developing normally
• To check for full blood count, blood groups, hepatitis, rubella, and sexually transmitted diseases

2 Months, 9 – 12 Weeks

• To calculate expected due date
• Blood tests that detects foetal DNA in mother’s blood sample
• Invasive diagnostic test that involves extraction and biopsy of a small sample of the placental tissue
• To calculate risk for common chromosomal disorders and other genetic disorders in the foetus
• To diagnose any chromosomal and other genetic disorders in the foetus
• Ultrasound scan to assess the thickness of the skin in the neck of the foetus, and blood test from mother
• Calculate risk for abnormalities or genetic diseases in the foetus

2nd Trimester

3 Months, 14 – 17 Weeks

• Invasive diagnostic test that involves extracting and testing of a small sample of amniotic fluid
• To diagnose chromosomal and other genetic disorders in the foetus

4 Months, 18 – 21 Weeks

• To check for any structural anomalies in foetus, and other details like placental position

5 Months, 22 – 25 Weeks

• 3 blood tests (Fasting, then drinking a 75g glucose drink, and 2 other blood tests 1 and 2 hours later)
• Screens for gestational diabetes in the mother

3rd Trimester

6 Months, 28 – 30 weeks

• Monitor the growth of the foetus and flow in blood vessels supplying blood to the foetus
• Continuous electronic foetal monitor to record foetal heartbeat, and track uterine contractions
• To assess the well-being of the foetus

8 Months, 35 – 38 Weeks

• A vaginal swab test for Group B Streptococcus bacteria

*Tests are not compulsory

First Trimester Tests

Blood tests.

• Full blood count to check for anaemia and thalasaemia, a common genetic blood disorder
• Blood group and Rhesus status – to check for rhesus compatibility between mother and foetus
• Hepatitis B
• Rubella or German Measles
• Syphilis and other venereal disease research laboratory (VDRL) tests
• Human Immunodeficiency Virus (HIV)

Other blood tests may also be done depending on the mother's ethnic background and medical history. These include screening for infections like toxoplasmosis, a parasitic disease, and cytomegalovirus, a common virus related to those that cause chickenpox and herpes simplex; and screening for carrier status of genetic disorders like cystic fibrosis, sickle cell disease and Tay-Sachs disease. Results for blood tests may take up to a week.

Viability and dating ultrasound scans

An early viability ultrasound scan from about 6 – 8 weeks of gestation can confirm that the pregnancy is developing normally and will identify the foetal heartbeat.

From about 8 – 10 weeks, dating the pregnancy can be performed by ultrasound and is accurate to within a week. This can ensure the most accurate calculation of the expected due date (EDD).

Screening tests for Down Syndrome (Trisomy 21) and other chromosomal problems

1. One-stop clinic for assessment of risk for foetal anomalies (OSCAR)

This consists of 2 tests. First, a certified operator will perform an ultrasound scan to assess the thickness of skin in the neck of the foetus. This is known as a nuchal translucency. Next a blood sample is taken from the mother. The combined results are analysed with a proprietary computer algorithm software and a resultant 'risk score' is calculated. The test is performed between 11 and 14 weeks, and is about 90% accurate. Test results are typically available within the same day.

2. Non-Invasive Prenatal Testing (NIPT)

This refers to a group of tests that detect foetal DNA (also known as cell free DNA) in a sample of blood taken from the mother. In actual fact, this DNA arises from the placenta and not actually from the foetus itself. There is therefore a small chance that the results may not be 100% accurate.

These tests can be done from 9 weeks onwards and they all screen for the common chromosomal disorders: Trisomy 21 for Down Syndrome, Trisomy 18 for Edwards Syndrome and Trisomy 13 for Patau Syndrome. In addition, they can also determine gender and other genetic disorders like triploidy and microdeletions. While they cannot detect every genetic disorder, they are highly accurate, between 97 – 99%, for the most common ones like Down Syndrome.

There are several companies that offer the test, and each one offers slightly different screening panels for the various genetic disorders. The companies include Harmony, MaterniT21 Plus, Panorama, EasyDNA and iGene.

Diagnostic tests for chromosomal or genetic disorder

• women who have had a previous baby with a chromosomal/genetic disorder and wish to have a test with 100% accuracy
• women who have a high-risk result from OSCAR or NIPT and wish to have a confirmatory test

1. Chorionic Villus Sampling (CVS)

CVS can be performed earlier, at 11 – 12 weeks, and involves inserting a biopsy needle through the mother’s abdomen under ultrasound guidance into the placenta to withdraw a small amount of placental tissue for testing. The whole procedure takes a few minutes and is relatively painless. Results typically take 2 – 3 weeks.

2. Amniocentesis

Amniocentesis is usually performed later, between 16 – 20 weeks and also involves inserting a hollow bore needle through the abdomen under ultrasound guidance. The needle is directed into a pool of amniotic fluid surrounding the foetus and a small amount of amniotic fluid is removed for testing. Results are available after 2 – 3 weeks.

Both CVS and Amniocentesis are invasive tests and carry a small risk of causing miscarriage (CVS 0.5 – 1%; Amniocentesis 0.25 – 0.5%).

Second Trimester Tests

Detailed foetal anomaly scan.

Oral glucose tolerance test

This test, which screens for gestational diabetes, is usually performed between 24 – 28 weeks. Gestational diabetes is a type of diabetes that affects some women during pregnancy. While most cases will resolve after delivery, women with gestational diabetes are at higher risk of developing Type 2 diabetes later in life.

It involves 3 blood tests. You will begin the test in a fasting state, and drink a 75g glucose drink. This is followed by 2 more blood tests 1 and 2 hours later. Results are usually available within 1 – 3 days.

Third Trimester Tests

Regular and doppler ultrasound scans.

Group B Streptococcus (GBS) test

This is a group of bacteria that is normally present in the genital area of around 30% of women. GBS generally does not cause any problems, but can affect the baby as it passes through the birth canal during delivery. A vaginal swab is taken, usually around 35 weeks, and if it is positive for GBS, antibiotics are usually prescribed.

Cardiotocograph (CTG)

This is a routine test performed during labour to continuously monitor baby's heartbeat as well as the frequency and intensity of any uterine contractions. In the third trimester, a CTG may also be ordered by the doctor to monitor the well-being of the baby.

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Antenatal Care

Antenatal care during your pregnancy.

I just found out that I am pregnant. When should I visit a gynae?

Your first visit will ideally take place when you are about six to eight weeks pregnant. Our team of experienced obstetricians will carry out a thorough assessment including a physical examination and understanding more about your medical and family history.

How many antenatal visits will I require before I deliver my baby?

Your antenatal visits will depend on your individual needs. In general, most women will require between eight to ten visits until they deliver their baby, while others may require additional visits and tests to monitor the well-being of mother and baby.

Routine Antenatal Tests

• Blood tests

Fetal Screening Tests

Fetal screening tests are available for parents, especially those in the high-risk group such as increased age and an extensive family medical history. The majority of structural or chromosomal abnormalities may be detected by fetal screening tests, including chromosomal abnormality, genetic diseases, infections, major structural abnormalities especially those involving the brain and the heart, and growth disorders.

• First Trimester Prenatal Tests

Second Trimester Prenatal Tests

Third trimester prenatal tests, antenatal classes.

We conduct antenatal classes at Raffles Hospital. These antenatal classes include topics on labour and delivery, maternal nutrition, exercise, as well as provide practical advice on how to care for your baby in your journey to parenthood.

Antenatal Class Topics

First Trimester Prenatal Tests

First trimester screening (fts) at 11-13 weeks of pregnancy.

Also known as the One-Stop-Clinic-For-Assessment-of-Risk (OSCAR), this screening is a prenatal test that offers early information about the baby's risk of certain conditions. This include a blood test to measure levels of two pregnancy-specific substances in the mother's blood and an ultrasound exam to measure the size of the clear space in the tissue at the back of the baby's neck (nuchal translucency).

• Common chromosomal abnormalities
• Early structural abnormalities
• Severe pre-eclampsia

There are alternatives to FTS. However, both do not screen for early structural abnormalities pre-eclampsia or intrauterine growth restriction.

Triple Test at 15 to 20 Weeks of Pregnancy

This blood test allows the detection of 60 to 70 per cent risk of Down syndrome.

Non-Invasive Prenatal Testing (NIPT) from 10 Weeks of Pregnancy

This uses modern technology to detect fetal DNA in the mother’s blood. It is highly accurate for the screening of Down syndrome, Edward syndrome and Patau Syndrome (to a lesser degree), and the sex chromosomes.

Fetal Anomaly (FA) Scan at 18 to 22 Weeks of Pregnancy

This screening helps to assess your baby's chances of having certain genetic diseases and birth defects, and helps you determine if you require advanced fetal diagnostic tests and care such as chronic villus sampling (CVS), amniocentesis, fetal surveillance and fetal therapy.

• Major fetal structural anomalies.
• Soft tissue markers
• Low-lying placenta
• Uterine artery waveforms
• Cervical length

Growth Scan at 30 to 34 Weeks of Pregnancy

This test is normally performed to determine if the growth parameters of the fetus are appropriate. Fetal weight may be estimated within 15 per cent of the actual birth weight. Waveforms of the uterine arteries are performed to assess circulation adequacy in the feto-placental unit. Waveforms of some fetal blood vessels would be assessed to determine the well-being of the fetus. A survey of some structural abnormalities will be performed, which may allow the detection of some late-onset structural abnormalities.

3D / 4D Scans at 26 to 30 Weeks of Pregnancy

Some parents may request to view 3D / 4D images of their fetus. This is an optional scan that may help to promote bonding between parents and fetus. The quality of such scan is very dependent on the fetus position and the amount of amniotic fluid in front of the targeted area.

• Routine antenatal screening blood tests
• Screening for chromosomal abnormalities including Down syndrome
• FTS / OSCAR

Make an Appointment

Make an appointment online or contact a  women's clinic near you  to consult a  gynaecologist . To make an appointment, select "Specialist Appointment". Under  Specialist Appointment Details , select  "Obstetrics & Gynaecology" .

Make an enquiry . We will get back to you within 2 working days. You can reach us at  6311 ​​1230 .

Contact Raffles Women's Centre

Make an enquiry if you require more information.

Our staff will get back to you within 2 working days.

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Here’s how to pick the right doctor to ensure you and baby will be well cared for when you are expecting

If you’ve just found out that you’re pregnant , you’ll know there’s loads to be done before the arrival of your little one. One of the most important things to consider is a good obstetrician-gynaecologist to support you during pregnancy and delivery. 

If you’re having your first child, you may also be unfamiliar with what exactly an obstetrician-gynaecologist (or OBGYN for short) does. How different are they from your regular doctor? And what’s the difference between a gynaecologist and obstetrician?

Well, an obstetrician-gynaecologist is a doctor who specialises in female reproductive health. This encompasses both obstetrics and gynaecology. Obstetrics involves care of a woman during pre-conception , pregnancy, childbirth and immediately after delivery.

A gynaecologist looks after medical issues affecting a woman’s general reproductive organs, like the ovaries, fallopian tubes, cervix , vagina and uterus. They don’t typically deliver babies or treat pregnant women, but do screenings like pap smears and pelvic exams. 

Many doctors chose to practice both obstetrics and gynaecology, so they can provide holistic care to patients in all areas. 

Now that we’ve clued you in on what an O&G doctor does, it’s time to find one that’ll fit your needs during pregnancy , labour and delivery .

Here are tips to help you make the right decision.

1. Get recommendations

A good start in your search for an O&G doctor would be to ask for recommendations. Your best pals, a sister, or a colleague may be able to share with you why they picked their own doctors.

Find out what they like about him or her, and why they’d recommend them. Perhaps they like the doctor’s demeanour, or maybe the doctor has a tremendous amount of experience.

And think about your own criteria for your ideal OBGYN ― is he or she soft spoken or chatty? Is he or she forthcoming with information, or more reserved with comments? 

Whatever the case, their recommendations should give you a good feeling. Otherwise, move on. If you’ve visited a doctor and found that he or she isn’t suitable, don’t be afraid to make a change. 

2. Do your research

There are plenty of online resources these days. Besides searching for individual doctor reviews, check out local parenting forums and websites . Blogs are another resource ― parents often write about their O&G doctor visits on their social media pages.

Many O&G doctors also have their profile, qualifications, experience and accolades listed on the website of their practicing hospital. For example, Thomson Medical’s Find a Doctor page lets you search for doctors based on their specialty. Simply set the search filter to ‘Obstetrics and Gynaecology’ and scroll through the list. 

Learn more about the doctors’ policies too. Are they readily accessible? Is there a 24-hour hotline you can call in case of emergencies ? What happens if the doctor’s out of town when you’re about to give birth ?

Don’t hesitate to call the clinic if you need someone to clarify pressing questions. It’s a good idea to see how friendly and forthcoming the clinic staff are too, as you’ll be interacting with them frequently when making appointments. 

3. Factor in the cost

Having a baby doesn’t come cheap . Each OBGYN visit will set you back around $30 to $200 , depending on whether you choose private or public prenatal clinics.  You’ll need to see the doctor at least once a month. 

Don’t forget to factor in the cost of your prenatal supplements too. On average, this would cost around $63 for 3 packs. 

There’s also delivery costs to consider. Fees for a normal delivery start at around $1,200 for a C Ward, and can go up to $8,000 and beyond for a private hospital. There’ll be additional costs if an assisted delivery (using forceps, for instance) or a C-section is needed.

Making several phone calls should help you determine the fees that your potential O&G doctor will charge.

4. Think about the distance

Where your OBGYN’s clinic is located is important. For example, if you live in the east, you may want to think twice about seeing a doctor who is situated all the way in the west. 

Location is especially important if you experience pregnancy complications . This may include symptoms like regular spotting during your first trimester, severe vomiting or even going into early labour. 

Having a prenatal clinic close to your home is beneficial in such situations, where a doctor may be able to save your baby before it’s too late. 

5. Decide on the gender

Not of your baby ― but your doctor! Some women (or their husbands) find it awkward to have a male O&G doctor, or you may feel that a female doctor may be able to understand your needs better. 

Many women feel more at ease talking about reproductive health with another woman rather than a man. Obviously, many are also far more comfortable with a woman conducting medical screenings, such as a pelvic ultrasound.

Of course, this doesn’t mean that a male doctor won’t be as competent and professional. Many are outstanding medical professionals in their field too. It’s a good idea to discuss the gender of your potential doctor as a couple, before deciding which direction to take.

6. Factor in you and your baby’s health

If you have certain medical conditions ― like diabetes or thyroid issues ― you may need special care during your pregnancy. If so, you may want to consider seeing a doctor who has treated expectant mums with that particular health condition.

Women with a high-risk pregnancy may also want to pick an OBGYN who specialises in these conditions. For example, you may be an older mum , are carrying multiples or a special needs baby , or you may have had previous miscarriages . 

7. Choose the hospital you want to deliver at

There are some doctors who only deliver at a particular hospital. Otherwise, you may have “top up” doctor fees to deliver at the hospital of your choice.

You’ll need to decide if you want to deliver at a private or public hospital . Factors to consider include waiting times and the ease of securing appointments, costs and the availability of government subsidies.

As you might know, the costs of delivery at public hospitals are definitely lower, especially if you go in as a subsidised patient. Most public hospitals also offer excellent prenatal care and delivery facilities. However, you won’t get to choose your OBGYN, and will end up seeing a different doctor each time. 

Whilst private hospitals are more expensive, you can still utilise your MediSave savings under the MediSave Maternity Package . Administration and waiting times tend to be shorter in private hospitals too. Some hospitals like Thomson Medical Centre also offer luxurious delivery room amenities, as well as ParentCraft services to support you in your journey to becoming a new mum. 

8. Ask about the preferred birthing method

You may have your ideal birth plan in mind, but, well, things don’t always go according to plan. For instance, your baby might be really big , or you may have a breech baby . In such situations, some doctors may recommend a C-section .

If you’re determined to deliver naturally, you’ll need to go to a doctor who is confident, willing and adequately experienced in this area. Some doctors are willing to do VBACs , but others aren’t.

If you prefer a water birth , take note that not all hospitals in Singapore offer this. Not all doctors have experience with water births too, so it’s important to find one that does. Thomson Medical Centre is the only private hospital that offers water birthing facilities. The National University Hospital is another option if you'll like a restructured hospital environment.

A good O&G doctor will also ask about your preferred delivery method, whilst giving advice about what is safest for you and your baby. 

9. Assess how comfortable you are

From your first visit, you should be able to tell whether you can “click” with your OBGYN. You’ll need to be able to consult someone you are comfortable with and not be afraid to ask embarrassing questions . You should also settle for someone whom you can understand clearly.

Don’t fret, just because you aren’t comfortable with your initial choice or doctor, it doesn’t mean you’ll have to stick with it! You can always make the switch, so that you’ll get that amazing birthing experience you’d always dreamed of.

Find a O&G doctor

Looking for a hospital and an experienced obstetrician-gynaecologist to deliver your baby? Consider Thomson Medical Centre and its maternity offerings . Singapore’s first private hospital for women and children, Thomson Medical has decades of experience in delivering babies. Find out more about their doctors  here .

Photos: iStock

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The prospect of your first antenatal visit may make you feel excited and anxious in equal measure. Here's what to expect so that you can enjoy the experience. Go prepared Make an appointment with your doctor as soon as you know you're pregnant. Antenatal care is important to keep you and your baby healthy throughout the pregnancy. You'll likely see your doctor for the first time in week 5. Most people will have about 10 appointments before baby is due. Ideally you should visit your doctor with your partner and go armed with both your medical histories. Your doctor will be interested to know about any family medical history that may have an impact on your pregnancy. These include genetic conditions or diseases like diabetes. If you've had previous pregnancies, miscarriages or problems with fertility, your doctor will need to know about these too. Keep track of your periods Most people are keen to know their due date as soon as they're pregnant — particularly if the new arrival is likely to be born on an auspicious date, or share a relative's birthday. If you've been planning to get pregnant, you'll probably be used to keeping track of your dates. You can calculate your estimated due date (EDD) from the first day of your last menstrual period (LMP) if you have a regular 28-day cycle. Look at your lifestyle Your conversation with your doctor is confidential. It's important that you inform them of any issues that may affect your pregnancy. These include smoking, alcohol, drug use or any medication you may be on. Take notes There is a lot to take in at the first visit so it's useful to take notes as everything is likely to be new to you. Your doctor will offer you routine screening tests. By Associate Professor TAN Thiam Chye Head & Senior Consultant, Dr TAN Shu Qi Senior O&G Resident, Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital Sources: The New Art and Science of Pregnancy and Childbirth 2008, World Scientific Healthy Start for your Pregnancy 2012, Health Promotion Board Singapore Copyright © 2016 HealthHub.sg. All rights reserved.

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​Pregnancy Week 7: Symptoms and Preparing for Your First Doctor Visit

, ​pregnancy symptoms that were present in week 6 might intensify and worsen over the next few weeks.

At pregnancy week 7, the symptoms of pregnancy we talked about in week 6 will still be present. These symptoms are:

• Light-headedness

• Food cravings

Some of these pregnancy symptoms might even intensify, and take a turn for the worse over the next few weeks. However, some of you might be fortunate enough to escape this experience.

Feeling bloated at pregnancy week 7?

You may find yourself feeling more bloated than usual. This is because gastric emptying slows down in pregnancy.

Tip: To ease the bloatedness, you may smaller meals many times a day instead of big meals a few times a day. You may also wear breathable, loose clothing for comfort.

3 Things to think about for your first visit to the obstetrician

If you have not already had your first visit to the obstetrician, here are some things to think about and prepare for:

• The type of care you would like to receive (either at a private or public hospital )
• Getting your partner to take note of the date of your first consultation and ensure you are both present at the meeting
• Write down a list of questions you may want to discuss with your doctor about your pregnancy

Your baby has been growing furiously. There comes a point where counting somites to determine developmental progress becomes difficult. For the next few weeks, the age of your baby can be measured by Crown Rump Length (CRL). CRL measures your child's length from the tip of it's skull to midpoint of buttocks . You will probably hear this term used when you go for your very first ultrasound scan.

Crown Rump Length (CRL) at pregnancy week 7

This week, it is about 0.8cm long. That's about the length of a grain of rice! Not to worry, that does not mean it's as thin as a grain of rice.

In the next few weeks, your baby's external appearance will start to change more drastically. The head will be growing faster than the rest of the body.

Ears, eyes and nose at pregnancy week 7 

Your baby's ears, nose and eyes will begin to form. The eyes will start off on the edges of the face and move towards the midline. Soon, eyelids will start to form too and be sealed shut until the 20th week. Your baby's nose is also beginning to form but it's nostrils will be plugged with keratin until about week 20.

Limbs at pregnancy week 7 

Limb buds will now appear as longer paddle shaped buds rather than mere dots. They become your child's arms and legs. Generally, arms tend to grow slightly faster than legs.

Digestive system at pregnancy week 7

Your child's digestive system is continually growing. The tiny abdominal cavity would have run out of space to contain the enlarging intestines which would have passed through the belly button. Not to worry, in several weeks time when it has finished growing, the gut rotates back into the abdominal cavity.

Ref: L20

Click the link for the complete listing of articles for Pregnancy Week 1 - Week 40 .

​KKH Obstetrics ＆ Gynaecology Department

​ ​​Terms of Use / Disclaimer All information provided within this web and mobile application is intended for general information and is provided on the understanding that no surgical and medical advice or recommendation is being rendered. Please do not disregard the professional advice of your physician.​

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Home > Our Services > Pregnancy > 1st Trimester

• 1st Trimester
• Introduction

The Beginning of Your Pregnancy Journey

Congratulations! Your obstetrician has confirmed you are expecting a little bundle of joy. Your first trimester is calculated from the first day of your last period and lasts till the end of Week 12. Most women will  discover their pregnancy  around 5 -6 weeks into the first trimester.

What’s Happening in the First Trimester?

• The fertilised egg implants in your uterine lining, which may cause some spotting known as implantation bleeding.
• Development takes place most rapidly during these 3 months, as the cell layers continue developing into an embryo, then into a foetus.
• By 11 weeks, your little one has developed 90 percent of his or her anatomical structure.

Starting On Antenatal Care

Antenatal care  refers to the care pregnant mothers receive from an obstetrician throughout the course of their pregnancy.

Once your pregnancy is confirmed, see an obstetrician as soon as you can. One of the first tests in your first trimester is a dating and viability ultrasound scan  to:

• Ensure that your baby is in the right place and position i.e. not an ectopic pregnancy, which can be life-threatening
• Determine your estimated due date (EDD)
• Check for number of babies
• Baby’s growth and development

At this stage, you will be able to hear your baby’s very first sign of life – their heartbeat.

In addition, your obstetrician will counsel you on the risk of genetic problems such as Down’s syndrome, Edwards syndrome or Patau syndrome, all of which increases dramatically if the mother’s age is above 35. These genetic conditions can be screened for using some non-invasive tests.

What are Some of the Non-Invasive Blood Tests that can be Performed During Pregnancy?

• OSCAR test –  taking the mother’s blood to assess the baby’s enzymes or hormones to calculate the risk of getting Down’s Syndrome
• Non-Invasive Prenatal Test (NIPT) , which detects placental cells from the mother’s blood to assess the baby’s DNA to check for chromosomal abnormalities and even the gender of the baby. The blood samples will then be sent to laboratories in the US and results will be available in approximately 7- 10 days
• If the above screening test results are positive, a  Chorionic Villus Sampling  (an invasive test to sample the placenta) or  amniocentesis  (sampling of the amniotic fluid) will be performed to analyse and determine the baby’s chromosomes in detail

What Can I Expect in My First Trimester?

As your body releases pregnancy hormones, you may notice several physical changes and symptoms in your first trimester, such as:

• Constant tiredness
• Nausea, with or without vomiting, either throughout the day or when triggered by certain smells
• Swollen and tender breasts
• Constipation
• Unpredictable mood swings

These symptoms vary between individuals; some women experience severe forms of sickness while others do not get any at all.

What Can I Do in My First Trimester?

These changes may seem overwhelming, especially if you are a first-time mother. To overcome morning sickness, eat slowly and in small amounts throughout the day, and avoid going on an empty stomach. Pinpoint and avoid the foods and smells which trigger your sickness. Drink plenty of fluids and consume fiber in your diet to manage constipation. It is important to avoid exerting yourself and get plenty of rest during this period to boost your energy levels.

What is Antenatal Care?

Antenatal care refers to the care pregnant mothers receive from an obstetrician throughout the course of their pregnancy.

When is the First Trimester?

Your first trimester is calculated from the first day of your last period and lasts till the end of Week 12.

Pre-conception Health Screening

Antenatal scans & tests, postpartum check-up.

• Mommy Makeover (Post-pregnancy)
• Detailed Consultation and Review of Medical History
• Basic Gynaecological Examination (Ultrasound Scan)
• Blood Grouping
• Diabetes Screening
• Full Blood Count
• Hepatitis B Screening
• Rubella IgG Antibody
• HIV & STD Screening
• Medical Report

Understand why  pre-pregnancy care  is important for a healthy pregnancy.

• Amniocentesis
• Chronic Villus Sampling
• Dating Scan
• Doppler Ultrasound Scan for Foetal Surveillance
• Foetal Anomaly Screening Scan
• Growth Scan
• Viability Scan
• 3D & 4D Ultrasound Scans
• OSCAR (First Trimester Screening for Down’s Syndrome)
• Non-invasive Prenatal Tests (NIPT)
• Pre-eclampsia Assessment in Mothers
• Routine Antenatal Blood Tests
• Screening for Gestational Diabetes

Find out about the different antenatal checks in your  first trimester ,  second trimester  and  third trimester .

• Vaginal Delivery
• Assisted Vaginal Delivery (Forceps or Vacuum)
• Caesarean Section
• Vaginal Birth After Caesarean (VBAC)

Find out more about the various  Delivery Methods.

• Review of Mother’s Physical and Mental Well-being
• Pelvic Examination
• Wound Inspection
• Laboratory Tests
• Health Education (Breastfeeding, Birth Control, Weight Reduction)

Learn more about  Postpartum Recovery.

Mommy Makeover (Post-pregnancy)*

• Treatments for stretch-marks, loose skin and excess body fat
• Managing post-partum hair loss and facial skin changes
• Improving sagging and deflated breasts
• Post-pregnancy tummy concerns

Need to consult an O&G specialist?

The male and female O&G specialists in our clinic network are located at multiple locations in Singapore for easy and quick access.

Reach out now

We are the Women’s Health arm of Singapore Medical Group (SMG), with a network of 12 Obstetrics & Gynaecology clinics and 1 Breast Care Centre, helmed by 12 specialists dedicated to women’s health and wellness.

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Your First Prenatal Appointment

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• Pregnancy week by week

Prenatal care: 1st trimester visits

Pregnancy and prenatal care go hand in hand. During the first trimester, prenatal care includes blood tests, a physical exam, conversations about lifestyle and more.

Prenatal care is an important part of a healthy pregnancy. Whether you choose a family physician, obstetrician, midwife or group prenatal care, here's what to expect during the first few prenatal appointments.

The 1st visit

When you find out you're pregnant, make your first prenatal appointment. Set aside time for the first visit to go over your medical history and talk about any risk factors for pregnancy problems that you may have.

Medical history

Your health care provider might ask about:

• Your menstrual cycle, gynecological history and any past pregnancies
• Your personal and family medical history
• Exposure to anything that could be toxic
• Medications you take, including prescription and over-the-counter medications, vitamins or supplements
• Your lifestyle, including your use of tobacco, alcohol, caffeine and recreational drugs
• Travel to areas where malaria, tuberculosis, Zika virus, mpox — also called monkeypox — or other infectious diseases are common

Share information about sensitive issues, such as domestic abuse or past drug use, too. This will help your health care provider take the best care of you — and your baby.

Your due date is not a prediction of when you will have your baby. It's simply the date that you will be 40 weeks pregnant. Few people give birth on their due dates. Still, establishing your due date — or estimated date of delivery — is important. It allows your health care provider to monitor your baby's growth and the progress of your pregnancy. Your due date also helps with scheduling tests and procedures, so they are done at the right time.

To estimate your due date, your health care provider will use the date your last period started, add seven days and count back three months. The due date will be about 40 weeks from the first day of your last period. Your health care provider can use a fetal ultrasound to help confirm the date. Typically, if the due date calculated with your last period and the due date calculated with an early ultrasound differ by more than seven days, the ultrasound is used to set the due date.

Physical exam

To find out how much weight you need to gain for a healthy pregnancy, your health care provider will measure your weight and height and calculate your body mass index.

Your health care provider might do a physical exam, including a breast exam and a pelvic exam. You might need a Pap test, depending on how long it's been since your last Pap test. Depending on your situation, you may need exams of your heart, lungs and thyroid.

At your first prenatal visit, blood tests might be done to:

• Check your blood type. This includes your Rh status. Rh factor is an inherited trait that refers to a protein found on the surface of red blood cells. Your pregnancy might need special care if you're Rh negative and your baby's father is Rh positive.
• Measure your hemoglobin. Hemoglobin is an iron-rich protein found in red blood cells that allows the cells to carry oxygen from your lungs to other parts of your body. Hemoglobin also carries carbon dioxide from other parts of your body to your lungs so that it can be exhaled. Low hemoglobin or a low level of red blood cells is a sign of anemia. Anemia can make you feel very tired, and it may affect your pregnancy.
• Check immunity to certain infections. This typically includes rubella and chickenpox (varicella) — unless proof of vaccination or natural immunity is documented in your medical history.
• Detect exposure to other infections. Your health care provider will suggest blood tests to detect infections such as hepatitis B, syphilis, gonorrhea, chlamydia and HIV , the virus that causes AIDS . A urine sample might also be tested for signs of a bladder or urinary tract infection.

Tests for fetal concerns

Prenatal tests can provide valuable information about your baby's health. Your health care provider will typically offer a variety of prenatal genetic screening tests. They may include ultrasound or blood tests to check for certain fetal genetic problems, such as Down syndrome.

Lifestyle issues

Your health care provider might discuss the importance of nutrition and prenatal vitamins. Ask about exercise, sex, dental care, vaccinations and travel during pregnancy, as well as other lifestyle issues. You might also talk about your work environment and the use of medications during pregnancy. If you smoke, ask your health care provider for suggestions to help you quit.

Discomforts of pregnancy

You might notice changes in your body early in your pregnancy. Your breasts might be tender and swollen. Nausea with or without vomiting (morning sickness) is also common. Talk to your health care provider if your morning sickness is severe.

Other 1st trimester visits

Your next prenatal visits — often scheduled about every four weeks during the first trimester — might be shorter than the first. Near the end of the first trimester — by about 12 to 14 weeks of pregnancy — you might be able to hear your baby's heartbeat with a small device, called a Doppler, that bounces sound waves off your baby's heart. Your health care provider may offer a first trimester ultrasound, too.

Your prenatal appointments are an ideal time to discuss questions you have. During your first visit, find out how to reach your health care team between appointments in case concerns come up. Knowing help is available can offer peace of mind.

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• Lockwood CJ, et al. Prenatal care: Initial assessment. https://www.uptodate.com/contents/search. Accessed July 9, 2018.
• Prenatal care and tests. Office on Women's Health. https://www.womenshealth.gov/pregnancy/youre-pregnant-now-what/prenatal-care-and-tests. Accessed July 9, 2018.
• Cunningham FG, et al., eds. Prenatal care. In: Williams Obstetrics. 25th ed. New York, N.Y.: McGraw-Hill Education; 2018. https://www.accessmedicine.mhmedical.com. Accessed July 9, 2018.
• Lockwood CJ, et al. Prenatal care: Second and third trimesters. https://www.uptodate.com/contents/search. Accessed July 9, 2018.
• WHO recommendations on antenatal care for a positive pregnancy experience. World Health Organization. http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/anc-positive-pregnancy-experience/en/. Accessed July 9, 2018.
• Bastian LA, et al. Clinical manifestations and early diagnosis of pregnancy. https://www.uptodate.com/contents/search. Accessed July 9, 2018.

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What to expect at your first prenatal visit

When you find out you’re pregnant, your to-do list instantly becomes much longer. There are people to tell, nurseries to decorate and names to consider. You also need to establish where you’ll receive your prenatal care.

Your first prenatal appointment should be scheduled seven to nine weeks after your last menstrual period.

“Early prenatal care is important because it gives your provider an opportunity to review your health history and identify risk factors we need to be proactive about,” says UNC Health certified nurse-midwife Rebeca Moretto. “It’s also an opportunity for you to ask questions about the process of pregnancy so that we address your concerns.”

Moretto and UNC Health obstetrician-gynecologist Kimberly Malloy, MD, talk about what to expect at the first prenatal visit.

Selecting prenatal care

“I always encourage patients to have established OB-GYN care and to have a preconception counseling appointment,” Dr. Malloy says. “We discuss your medical history and any medications you’re taking so you can prepare for a healthy pregnancy.”

You may already have a relationship with a practice that delivers babies, and your provider might know that you were preparing for pregnancy. If you don’t have a provider, Dr. Malloy recommends starting by identifying where you want to deliver.

“Patients typically choose the facility that’s closest to them, but if you have a complicated medical or obstetric history, you may want to travel farther if it means you can have access to more accommodations of care, such as a NICU [neonatal intensive care unit] or a maternal-fetal medicine department,” Dr. Malloy says.

Also, think about the people you want to be involved in your prenatal care and delivery, considering these factors:

• You may be able to see a family medicine provider for part of your prenatal care.
• Maybe you prefer a practice with nurse-midwives.
• You might not be able to identify specific providers to be in the room for your delivery, as they rotate hospital shifts.
• At an academic institution, medical students, residents and fellows could be part of your care team.

“With a team-based approach, you’ll be able to see a variety of wonderful providers, and a team ensures there are multiple eyes identifying issues,” Dr. Malloy says.

Be sure to confirm with your insurance provider that your selected healthcare practice is included in your coverage.

Preparing for your first prenatal visit

Once you’ve scheduled your first appointment, there are a few things you can do to prepare and help your provider. If you are a new patient to the practice or health system, arrange to have your prior records sent to your new team or obtain copies so you can bring them to the first appointment.

“If you have a record of your most recent Pap test, or any information about prior pregnancies or complications, bring that to the appointment,” Moretto says. “If you’ve had a cesarean section , an operative report is important, especially if you want to pursue a vaginal birth after cesarean.”

Also, bring a list of any medications you take — better yet, bring the packaging or pictures of the prescription labels — so your provider can review them and make adjustments as necessary.

Start a written list of questions you have about your pregnancy, so you don’t forget to ask them when you see your provider. Talk to your family and your partner’s family about hereditary medical issues that could affect your baby so that you can share those details with your doctor.

While you’re waiting for your initial appointment date, know that you can reach out to your care team with questions or concerns.

“Vaginal bleeding and spotting are common in pregnancy,” Dr. Malloy says. “If it’s a persistent problem, call the provider so they can assess whether you need to be seen sooner.”

Testing at the first prenatal visit

The first prenatal visit probably will be the longest of your pregnancy. It will include a complete physical exam, including pelvic and breast exams. Your blood pressure and weight will be recorded at this and future visits.

A urine sample will be taken so that your provider can check for signs of infection and dehydration and levels of protein and glucose.

You’ll also have your blood drawn for a variety of labs, including anemia, immunity to certain infections, blood type and  Rh factor.

At this appointment you might have your first ultrasound, depending on the practice. Some providers schedule the first one beforehand so that the images can be reviewed at this visit. You may also be able to see or hear fetal heart tones.

All of this testing helps your provider identify and monitor potential risk factors and issues that could arise during pregnancy, such as hypertension, diabetes and preeclampsia .

In addition to this testing, you’ll have a consultation with your provider, who will review your entire health history, including medications, surgeries and prior pregnancies. If you have concerns about genetic issues, your provider can identify additional screenings or tests you might wish to pursue.

The care team will also give you guidance on how to make your pregnancy as healthy as possible and to prepare for the rest of pregnancy , childbirth and lactation.

“We’ll go over nutrition issues , such as anticipated weight gain and additional caloric intake,” Dr. Malloy says. “We’ll review vaccines that may be necessary during pregnancy, make recommendations for any medications you may need and discuss precautions you may need to take.”

Moretto adds, “It’s also a time to talk about mental health resources. Pregnancy is impactful on mental health , so we can help make connections for therapy and other relevant resources if needed.”

Your due date will be set at your first prenatal visit, but you won’t find out the sex until the second trimester. Finally, your provider will review the schedule for the rest of your prenatal care, dependent on your individual needs and risks.

This story originally appeared on UNC Health Talk. Click here for more

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DPM Lawrence Wong visits Germany and France from April 8 to 13

SINGAPORE - Deputy Prime Minister Lawrence Wong is making an official visit to Germany from April 8 to 10 and France from April 10 to 13, and he will call on senior government and industry leaders of both countries.

The visits build on Singapore’s warm, longstanding and multifaceted ties with the two countries, said a statement from the Prime Minister’s Office on April 7. This is DPM Wong’s first visit to Europe in his current capacity.

In Berlin, DPM Wong, who is also Finance Minister, will call on German President Frank-Walter Steinmeier and Chancellor Olaf Scholz. He will also meet Vice-Chancellor and Economy Minister Robert Habeck as well as Finance Minister Christian Lindner.

DPM Wong will also meet German industry leaders and attend a reception with overseas Singaporeans in Germany.

In Paris, DPM Wong will call on French President Emmanuel Macron and meet Minister of Economy, Finance, Industrial and Digital Sovereignty Bruno Le Maire.

He will attend the opening of Singapore-headquartered global investment company Temasek’s office in Paris on April 10 and meet French industry leaders and overseas Singaporeans in France.

Germany is Singapore’s largest European Union trading partner, and total bilateral trade in goods and services exceeded $37 billion in 2023.  

Germany is also Singapore’s third-largest investment destination in the EU and among the largest EU investors in Singapore. As at end-2023, there were over 2,300 German companies in Singapore, including household names like Bosch, Deutsche Post DHL, Infineon Technologies, Siemens and industrial engineering conglomerate ThyssenKrupp.

France is Singapore’s second-largest trading partner in the EU, while Singapore is France’s top trading partner in Asean. Total bilateral trade in goods and services exceeded $30 billion in 2023.

France is the Republic’s fourth-largest EU investor, with almost 2,600 French enterprises operating here. They include Airbus, LVMH and Schneider Electric.

Singapore maintains strong and multi-sectoral ties with both European countries.

Besides close economic and defence cooperation with Germany, the Republic is also deepening its partnership with Berlin in emerging areas such as green economy, renewable energy and cyber security.

Both sides inked the Germany-Singapore Framework for Sustainability and Innovation in November 2022 to deepen bilateral economic collaboration and promote initiatives in digital economy and green technologies.

With France, Singapore has likewise deepened cooperation in these fields. Singapore and France signed a Digital and Green Partnership in March 2022 that focuses on bilateral projects in areas such as joint research and development by each other’s companies, artificial intelligence and heritage conservation.

Singapore and France will commemorate the 60th anniversary of diplomatic relations in 2025.  

Officials from the ministries of foreign affairs and finance will accompany DPM Wong for both visits. He will also be accompanied by Foreign Minister Vivian Balakrishnan while in France.

Onwards for a visit to Berlin 🇩🇪 and Paris 🇫🇷. Looking forward to fruitful and productive discussions over the next few days, as we build upon the warm and longstanding relations that Singapore has with both countries. Posted by Lawrence Wong on Sunday, April 7, 2024

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