Preparing for your first antenatal visit

Your first antenatal (ANC) visit is one of the most important appointments of your pregnancy. It sets the foundation for the care you and your baby will receive — so a little preparation goes a long way.

When should you book?

Ideally as soon as you have a positive pregnancy test, and no later than 12 weeks. Booking early lets us date the pregnancy accurately, start pregnancy supplements, and pick up conditions like anaemia, high blood pressure, diabetes or infections while there is still plenty of time to manage them well. If you are already past 12 weeks, please still come in — late booking is always better than no booking.

What to bring on your first ANC visit

Your ID document for file registration purposes. If using medical aid, bring accurate information from the main member (member number, ID, contact information and address). Wear comfortable clothes that will be easy to take off and back on. Any previous scans, blood results or medication you're currently taking. The date of the first day of your last menstrual period, if you know it. A list of questions — and a partner or support person if you'd like one.

What we'll do at the visit

Take a full history: previous pregnancies, deliveries, surgeries, chronic conditions and family history. A full head-to-toe physical examination. Draw blood to screen for infections and confirm your blood type and rhesus status. Measure blood pressure, weight, height and baseline observations, and test your urine. Confirm dating and viability with an ultrasound where indicated. Issue you a maternity record and pregnancy supplements. Discuss your birth preferences, lifestyle and any concerns.

The blood tests explained

Blood group and rhesus factor — you may need anti-D, your midwife will discuss that with you. Screening for anaemia, which is common and treatable. STI screening including Syphilis and hepatitis B — all treatable, and treating them protects your baby. HIV screening and testing to start and monitor treatment immediately and appropriately to manage the virus and protect your baby. Everything is confidential, discussed with you beforehand, and results are explained at your follow-up.

Your visit schedule from here

Monthly visits until 34 weeks. Biweekly visits from 34 weeks until your delivery date. High-risk pregnancies — twins, high blood pressure, diabetes, previous complications — are seen more often and may be co-managed with an obstetrician.

Questions to ask

Common questions include foods to avoid, safe exercise, travel, sex during pregnancy, safe medication for headaches or heartburn, work and maternity leave, and when to call the clinic urgently. No question is too small.

When to consult or seek medical attention urgently

Vaginal bleeding or fluid leaking. Severe or persistent headache, blurred vision or swelling of the face and hands. Severe abdominal pain, or regular painful contractions before 37 weeks. A noticeable reduction in your baby's movements after 24 weeks. Fever, burning on urination, or persistent vomiting.