You’re Pregnant. Where Do You Even Start?

So… You’ve found out you’re pregnant. Maybe you’ve been waiting for this moment. Maybe you weren’t expecting it. Maybe you’re excited. Maybe you’re nervous. Maybe you’re not quite sure how you feel yet.

And somewhere between looking at that positive test and thinking about the months ahead, another thought might arrive:

“Okay… what do I actually do now?”

Who do I contact?

Where do I go?

What do I say?

When is my first appointment?

What am I supposed to know?

And how am I meant to know what to ask when I’ve never been through this before?

If you've found yourself asking any of those questions, start here.

Where do I start?

·

What happens next?

·

What do I need to know?

·

What can I ask?

·

What matters to me?

·

Will I be heard?

Where do I start? · What happens next? · What do I need to know? · What can I ask? · What matters to me? · Will I be heard?

First things first: you don't need to know everything.



And here's something you might not realise you're allowed to do…

You can ask why.

You can ask for an explanation.

You can tell someone when you're worried.

You can say that something doesn't feel right.

You can ask what your options are.

You can ask what something means for you.

You can take time to think about information you've been given.

And where choices are involved, you can ask questions before making a decision.

Being involved in your maternity care doesn't mean challenging everything.

It means understanding what is happening and having the opportunity to take part in conversations about your care.

What if I don't agree?

You might not have thought about this yet.

And you may not need to.

But as your pregnancy progresses, there may be moments when you hear something you weren't expecting.

You might have questions.

You might feel unsure.

You might want to understand why something has been recommended.

You can ask:

“Can you explain why?”

“What are my options?”

“What are the benefits and risks?”

“Is there anything else I should consider?”

“Can I have some time to think about it?”

Knowing that you can ask doesn't mean that every request can be accommodated or that every option will be appropriate for you.

It means you don't have to switch off your questions simply because you're in a healthcare setting.


And what about the things that matter to you?

Before you've even had your first appointment, you may already know that there are things you want your maternity team to understand.

Perhaps you've had a previous pregnancy or birth.

Perhaps there are health concerns you want to talk about.

Perhaps there are things you're anxious about.

Perhaps your family, culture, faith, language or personal circumstances shape the way you experience pregnancy and care.

You don't have to wait until birth to think about these things.

You can start asking yourself:

What matters to me?

What do I want my care team to know about me?

What helps me feel comfortable and listened to?

What questions do I already have?

You may not have all the answers.

That's okay.

Sometimes knowing what you don't know is a useful place to begin.

There can be a lot to take in at the beginning.

You may also enter maternity care carrying questions that aren't always visible on a standard pregnancy checklist.

You may wonder:

Will I be listened to?

Will my concerns be taken seriously?

Will I feel comfortable speaking openly?

Can I talk about my culture and what matters to me?

What happens if I feel that something isn't right?

These questions are part of your experience too.

Your identity doesn't disappear when you enter a maternity setting.

Your culture doesn't disappear.

Your previous experiences don't disappear.

You are still you.

And understanding your maternity care includes understanding where you fit within it.

What if I'm overwhelmed?

You don't need to solve everything today.

For now, you can simply:

1. Find your local maternity service.

2. Make contact and begin your maternity care.

3. Find out what happens next.

4. Keep a note of questions as they come to you.

5. Ask when you don't understand something.

6. Notice what matters to you.

And give yourself permission to learn as you go.



Your pregnancy doesn't begin with knowing everything.

It begins with finding out that you're pregnant.

Then comes the first question.

“What happens now?”

There will be appointments.

There will be information.

There will be tests and decisions.

There may be moments when everything feels clear — and moments when it doesn't.

You don't have to know the entire journey before you've taken the first step.

But you can understand what's happening.

You can ask questions.

You can say when you don't understand.

You can tell your maternity team what matters to you.

And you can begin to find your place within your care.

You don't have to know everything to begin.

You just need to know where to start.

Getting ready for your first maternity appointment?

We’ve put together a simple checklist to help you feel prepared, know what to ask and remember the things you want your midwife to know.

First Maternity Appointment Checklist