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During pregnancy, it is possible to feel lost between all the administrative and medical procedures to be carried out. In order to help you see more clearly, here is a summary of all the medical examinations and consultations that are compulsory or recommended (depending on your situation) to be carried out in France, between the time you notice the pregnancy and childbirth.
You have just had a pregnancy test (urine or blood) and it is positive. The first step to take is to make an appointment with a health professional to :
When should this examination be carried out? If possible before 10 AS, i.e. a maximum of 10 weeks after the date on which menstruation was due to start. It is best to make an appointment as soon as you know that you are pregnant. This appointment can take place with several health professionals. It is up to you to choose the one you prefer from among the following professionals:
At the end of this consultation, you will be given various prescriptions in order to carry out a number of tests before your next consultation and before the end of the first trimester of pregnancy (12 SA).
Before 10 SA: consultation with your GP, gynaecologist or midwife.
After this first pregnancy examination before 10 SA and before 13 SA, you will have different examinations to perform. Some are compulsory, others are optional: they are simply offered to all women or to some with particular risks.
Finally, some women at higher risk are offered the option of having a sample taken during the compulsory blood test to detect anaemia. Urine tests are also performed to detect possible urinary tract infections.
Ultrasound dating performed by a gynaecologist or midwife is also to be carried out during this period of pregnancy. This ultrasound is highly recommended and is covered by the social security system. This first ultrasound allows us to see if the beginning of the pregnancy is going well, to date the beginning of the pregnancy accurately, and to know how many embryos are present. This ultrasound must take place between 11 and 13 times a year, as it also allows us to measure the baby's nuchal translucency, which is important for parents who want to know if their baby is at risk of being a carrier of a chromosomal abnormality;
Compulsory examinations, before 15 SA :
Optional examinations :
From the second trimester of pregnancy onwards, it is often easier to find your way between the various examinations and consultations to be carried out, as they are more regular. Every month until the end of the pregnancy, you will need to have a consultation with the person who is monitoring your pregnancy (doctor, gynaecologist or midwife). This consultation will always take place in more or less the same way.
The health professional :
Finally, it is also during the second trimester that, still on an optional basis, you can benefit from the pre-natal interview of the 4th month. This interview is often carried out with a gynaecologist or a midwife, and with both parents present. It allows us to take stock of our knowledge and expectations regarding pregnancy and childbirth, and to plan or not plan sessions of preparation for the birth.
Compulsory examinations every month :
Optional exams :
During the third trimester of pregnancy, you will continue your small routine of examinations and consultations that you have been carrying out since the beginning of the second trimester. Especially at the end of the trimester, you will have a few more consultations and examinations, although many are optional. In the 7th month of pregnancy, the same optional or compulsory examinations as in the previous trimester are offered: blood tests, urine tests, medical consultation, and ultrasound between 30 and 35 SA.In the 8th month, the same examinations are to be carried out, with the addition of :
At the 9th month, the usual appointments resume. Sometimes, the maternity hospital where you wish to give birth requires another appointment with a midwife or gynaecologist on the ward. Throughout the trimester, you may also have a number of consultations with a midwife to prepare for the birth and the first weeks of life with your baby. These sessions are optional. They are sometimes carried out in groups and sometimes individually. Often, both parents are invited to attend. Depending on your midwife's type of exercise, from 1 to 7 sessions (sometimes even more) are proposed. They generally take place during the last two months of pregnancy, but here again, everything is decided with the midwife who is the midwife of choice for the pregnancy.
Examinations every month :
Optional exams :
Depending on your state of health, your history, the number of foetuses, additional compulsory or optional examinations may be added. For example, in the case of twin pregnancies, ultrasound scans are often offered every month.In these particular situations, the health professional who is monitoring your pregnancy will be able to provide you with a personalised calendar of appointments. Do not hesitate to refer again to this summary article in case of doubt. You can also already copy into your diary the compulsory and optional pregnancy examinations as presented in our memos, for example, so that you always have a record of them with you.