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Current knowledge in child psychiatry integrates both somatic (monitoring of pregnancy, birth conditions, genetic factors) and emotional (early separation, parental psychopathology, postpartum depression) conditions in the analysis of the child’s developmental trajectory.** During preconception or pregnancy follow-up consultations, professionals now have the tools to integrate the emotional dimension into their own field of action. The harmonious coexistence of the protocols governing in utero transfers alongside the guidelines for referral to psychological consultation since the last perinatal plan opens up the description of a new semiology of environmental risk to the fetus and the baby. The goal is for parents, helped by professionals, to anticipate their child’s future environment through the exchanges and information provided, and not vice versa, in order to facilitate subsequent follow-ups if necessary. Detailing the framework of the first child psychiatric consultation seemed obvious in this issue on continuity, as this orientation can expose the most vulnerable women to a risk of shocking discordance. Based on two situations, the conditions of the first meeting as well as its contents will be thoroughly analyzed. The rigorous outline of this interview, the meaning of which is explained for each question to patients and/or couples, allows them to express experiences that will facilitate their relationships with each other, with their baby, and with professionals. In a continuity of collective elaboration, by means of a metaphor borrowed from the prenatal diagnosis, the three phases of the “prenatal environmental diagnosis” have been described. Anticipating the reception conditions of the newborn, with parents becoming coactors in the development of their child, erases the resistance that too often induces a discontinuity and a lack of precocity in the follow-up of a child’s development.