The most probable thing is that the woman knows by intuition the possibility of a pregnancy after the first delay of the menstruation. This places us in the first weeks. It is important that the gestation is controlled by specialists. The care of the pregnancy helps in big way to reduce the possible problems of the pregnancy, even the abortion.
In this consultation the gynecologist will rise many questions to you with of end of of preparing possible risks of your gestation in particular related to familiar precedents, bad habits etc. A continuation we detail these questions to you:
Name, surnames, domicile, place of birth, age, marital status, labor activity, information of your husband, couple or person of reference to you.
Personal health precedents. Precedents of your couple and relatives.
Medical precedents (German measles, hepatitis, chicken pox, measles... or cardiopatías, rheumatism, diabetes, hypertension and all the processes that are important)
Surgical precedents (type of intervention and it dates)
Gynecological precedents (age of the first menstruation, every all that takes place and all the days it lasts, if it hurts you...)
If you take medicines regularly. For example sleep-inducing, anovular.
If you take drugs or alcohol. If you smoke or have some slightly healthy habit.
Obstetric precedents (if you have had more children, all that they weighed, as it was the childbearing, if they had breast feeding...)
In this first consultation the medical specialist, a gynecologist, will do to you a finished physical examination and more exhaustive other of the bosoms and of the vagina. Some compound will prescribe you vitamínico and acidic fólico like prevention for the forked thorn in the fetus.
The tests to which you will be put in this first consultation will be the following ones:
Ultrasound scan to confirm pregnancy, number of fetuses and his morphology. The ultrasound scan, ultrasonography or ecosonografía is a procedure of imagenología who uses the echoes of an ultrasound emission directed on a body or object as data source to form an image of the organs or internal masses with diagnosis ends. A small instrument "similar to a microphone" called transducer expresses ultrasound waves. These sonorous waves of high frequency transmit towards the area of the low body study, and his echo is received. The transducer gathers the echo of the sonorous waves and a computer turns this echo into an image that appears on the screen of the computer. The ultrasound scan is a very easy procedure, in which radiation is not used, although it usually realize in the radiodiagnóstico service, and that's why it is used often to visualize fetuses that are forming. On having surrendered to an ultrasound scan examination, the patient simply goes to bed on a table and the doctor moves the transducer on the skin that is on the part of the body to be examined. Earlier it is necessary to place a gel on the skin for the correct transmission of the ultrasounds. It is not invasive test (not dangerous) across which you will see your son on a screen. Normally after 8th week is when it is possible to appreciate. Across this test there can be calculated the fetal age and his morphology (hands, feet, sexual organs...
Analysis of urine and blood: Conditions that might be harmful to the health of his baby (for example, hepatitis B, syphilis and other infections of sexual transmission). His doctor will ask him if a VIH test wants to be realized, about the virus that causes the AIDS.
Antibodies that show if it is immune or not to the German measles (German measles) and to the chicken pox, illnesses that can cause birth defects if the mother contracts them for the first time during the pregnancy
Anemia (under inventory of red globules), what might do that she feels particularly tired and, in some cases, to increase his risk of premature childbearing
His blood group, included the factor Rh of his red globules. The women who do not have the factor Rh are named negative Rh and, in general, they need to surrender to a treatment to protect his babies of a potentially dangerous problem in the blood
Bacteria in the urine. Up to 10 per cent of the pregnant women it has bacteria in the urine, which indicates an infection in the urinary tract. The majority does not present symptoms but even an asymptomatic infection can propagate and come to the kidneys, where it can represent a serious risk for the mother and the baby. The infections of the urinary tract talk each other with antibiotics that are sure both for the mother and for the baby
Sugar in the urine. This can be a diabetes sign. It is possible that his doctor asks him that additional tests should be realized if sugar is detected to him in the urine.
Protein in the urine. This can indicate an infection of the urinary tract or, in a later stage of the pregnancy, a condition related to the pregnancy that arterial high pressure includes. It is possible that his doctor asks him that additional tests should be realized if it detects protein in the urine.
Vaginal cytology: Also called Papanicolau, it is practised by a wooden spatula, brush or cotton sponge. The doctor scrapes gently the surface of the cervix to gather cells. These are sent to laboratory. If abnormal cells appear there would be that it proceeds to a more intense recognition like a biopsy since risks as the cancer would fit.
The doctor will want to see every 4 weeks to you up to the week 28 of gestation, from this one the visits will be every week until now of the childbearing. In every consultation, the doctor will realize a physical examination to control the weight, the extremities (in which it will detect the liquids retention), the blood pressure and the uterine height. Also he will observe the position of the fetus and the beats of his heart. In the consultation you will be weighed to be able to be observing the weight increase along the pregnancy.
INTRODUCTION 
