A positive pregnancy test can bring a rush of emotions – joy, nerves, excitement, and a whole lot of questions. Whether it’s a first pregnancy or a fourth, those first few days can feel overwhelming. Dr. Alicia Toncar, an OB/GYN at The Iowa Clinic West Des Moines campus, shares what steps to take next after seeing that positive test.
Book an appointment with an OB/GYN.
Once pregnancy is confirmed at home, it’s time to schedule an appointment with an OB/GYN provider to begin prenatal care. Your first visit ideally would be in about the first trimester between 7 and 9 weeks of pregnancy but could differ depending on when you find out you are pregnant and other factors.
“Your first visit is really about getting to know you,” says Dr. Toncar. “We talk through your medical history, answer any early questions, and set the stage for a healthy pregnancy.”
During your first two appointments, your provider will get an in-depth overview of your medical history and complete an exam and other necessary testing.
The power of prenatals.
If you haven’t already started taking prenatal vitamins, now is the time. Dr. Toncar recommends a daily vitamin that includes at least 400 micrograms of folic acid, along with iron, calcium, and DHA.
“Folic acid is especially important during those first few weeks, even before many people realize they’re pregnant,” Dr. Toncar explains. “It plays a key role in preventing neural tube defects, which develop very early on.”
Prenatals help support both mom and baby, and they can also help ease some early pregnancy symptoms like fatigue and low iron levels. For patients with nausea, Dr. Toncar encourages trying chewable or gummy formulations if standard pills are hard to tolerate.
Check your habits.
Pregnancy is a great time to evaluate daily routines. Simple changes can make a big difference for both the parent and developing baby.
Here are some key areas to consider:
- Limit caffeine to 200mg per day (about one 12oz coffee)
- Focus on whole foods, fruits and vegetables, lean proteins, and plenty of water.
- Gentle movement like walking, swimming, or prenatal yoga is encouraged.
- Avoid smoking, alcohol, recreational drugs, and unpasteurized foods.
Know what’s normal, and what’s not.
Mild cramping, bloating, breast tenderness, and morning sickness are all common symptoms in the early weeks. However, there are a few red flags to watch out for.
“It’s always better to reach out, even if you’re unsure,” Dr. Toncar explains. “If you’re experiencing heavy bleeding, severe pain, dizziness, or fever, contact your provider right away.”
Pregnancy is full of new sensations and changes, and no question is too small. One of the most important aspects of care during this time is open, honest communication between you and your provider.
Trusted care from the very beginning.
Early pregnancy brings both anticipation and uncertainty. Having a supportive care team by your side makes all the difference. From the first positive test to the final weeks of pregnancy, The Iowa Clinic OB/GYN team provides personalized, evidence-based care every step of the way. Call 515.875.9290 to schedule your appointment today.
AliciaToncar , DO
Alicia Toncar, DO joined The Iowa Clinic OB/GYN department in 2025, bringing a strong commitment to compassionate, patient-centered care. After completing her residency at Kern Medical, Dr. Toncar returned to central Iowa to serve the community where she was raised. She chose obstetrics and gynecology for its unique blend of clinic, surgery, and inpatient care, and for the opportunity to build lasting relationships with patients throughout every stage of life.
Outside of medicine, Dr. Toncar enjoys spending time with family and friends, cooking, weightlifting, and traveling. If she hadn’t pursued a career in healthcare, she might have become an engineer.