The first antenatal visit is a valuable opportunity to influence the health and well‐being of the mother and child during pregnancy, birth and beyond. Our primary‐care‐based cross‐sectional study of urban Aboriginal and Torres Strait Islander women found that 81% presented for their first antenatal visit within the first 10 weeks. Consequently, there can be up to 30 weeks in which health professionals can provide lifestyle and parenting education and psychosocial support.