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Not to be a downer, but probably not much will happen. You will pee in a cup, possible have some blood drawn or get a script to have it done elsewhere, maybe have an internal. Your doc may or may not try to hear the hb on doppler - mine wouldn't even try until 12 weeks.
I was very nervous for my first appointment. My BP was higher than normal too because of it lol. At 10w 6d I don't think there is any reason you will be disappointed. It is far enough along that if for some reason they don't do an ultrasound (which IMO would be weird, because you'd think they would want to date pregnancy for their records) they may check for a heartbeat.I had my first OB appointment and ultrasound at 7w 1d. My Doctor recommends early ultrasounds for dating purposes and to ensure the pregnancy is not ectopic. So he met all my expectations and spent a good deal of time going over everything I can expect and possible tests I could choose to have done if I wished.
I hope your appointment goes well!!!!
MY FET MIRACLE
I had a great first appointment. My doctor sat with me for at least 20 minutes, telling me about the practice, the hospital I'd be delivering at and even got into talking about her kids (I know more about her daughters immature boyfriend than I want to). She asked me lots of family history stuff about myself and husband, and repeatedly told me how great of an age I am at to be a first time mum (I mentioned feeling sorta on the young side).
After our chit chat, she did an exam (I would assume it was a regular pap, she was too busy chatting to me about what movies accurately represent pregnancy). I did the pee in a cup, and filled up SEVEN freaking vials of blood.
THEN I sat with the office administrator who told me all about the future u/s's I'd be getting, how often I'd be coming back to the office, gave me the list of stuff to avoid and a pre-registration packet for the hospital I'll deliver at. She instructed me to call for my dating/size ultrasound ASAP (sonos are not done in my OBs office, but at the hospital).
All in all, the appointment was about an hour.
I was so nervous, too! I am sure all docs are different, but this is how mine went.
I peed in the cup, had about 4 vials of blood taken, had the pap, and general "down there" exams. My uterus is tipped back so when they tried to listen to the heartbeat with the doppler, they couldn't find it at 9 weeks. My heartbeat was overpowering the babies, so no luck there. To make me smile, (I let a trainee come in with the nurse) they pulled out an ultrasound machine to hear the heartbeat.
I got about 20 magazines, a diaper bag that is manly enough for my hubby, some formula samples that will most likely be expired by June/ July, some bottles and nipples, samples of prenatal vitamins because mine were making me nautious, and some B-Nate suckers to help hold off nausea.
I did have about 20 questions that I had written down previously, which I thought was insane, but apparently a lot of women do it! I also wrote down family medical history that I knew of. They pretty much needed to know my parents/ grandparents/ immediate family history. I was there for almost 2 hours, but I felt so much better after this darn appt! Best of luck!