Weeks 1–13+6

First trimester: confirmation, dating and screening

This is a rapidly changing stage. Follow-up combines maternal health, pregnancy location and viability, dating and estimation of selected risks.

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  • Obstetric consultation
  • Advanced ultrasound
  • Laboratory and screening
  • Late-pregnancy monitoring
  • Nutrition
First trimester: confirmation, dating and screening
Complementary follow-upAskabide + Osakidetza · birth at the reference hospital

Consultation and maternal checks

  • Medical and obstetric history.
  • Blood pressure, weight and clinical review.
  • Medication, habits and supplements.
  • Planning blood tests and ultrasound.
  • Identification of risk factors and referral needs.

Initial laboratory tests

These may include full blood count, blood group and Rh, antibody screen, glucose, urine, serology and additional tests according to history and protocol. The same fixed list does not apply to every patient.

Pregnancy blood tests

What is tested and how results are interpreted in context.

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Ultrasound and screening

The 11–13+6 week scan supports dating, fetal number, early anatomy and markers used in screening programmes. Screening estimates risk; it does not by itself establish a diagnosis.

First-trimester ultrasound

Dating, nuchal translucency and early assessment.

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What may change the plan

  • Bleeding or pain.
  • Hyperemesis or inability to maintain hydration.
  • Hypertension or maternal disease.
  • Multiple pregnancy.
  • Ultrasound or laboratory findings.
  • Relevant obstetric history.

Clinical sources

General information only. It does not replace an individual medical assessment or recommendation.

Reviewed 19 August 2026

Would you like to organise your follow-up?

Choose Donostia, Vitoria-Gasteiz or Bilbao. We will explain which checks we provide and how to combine them with public care.