Maternity Care

Updated on 5th May 2018 at 11:12 am

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Schedule
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Antenatal Clinics

Our Clinics are held by appointment at both sites.

Humshaugh  (Alternate Wednesdays)

Wark  (Alternate Wednesdays)

Once you have had a pregnancy confirmed you will need to make an appointment to see one of our GPs before being booked into the Antenatal Clinic.

 

The following information is a guide to the antenatal care you will receive

 Ultrasound Scans

Your partner can be present for routine scans. A dating scan will be done at 12 weeks. If you require a more specialist scan, the radiologist may request him to wait outside in order to ensure optimum conditions for the procedure.

Screening for Down’s Syndrome, Spina Bifida and other anomalies
Nuchal Translucency screening is available on request to all patients if presenting before 13 weeks and 6 days. Maternal serum screening (MSS) in the form of a blood test is offered at 16 weeks. An anomaly scan is available at 20 weeks.

Folic Acid
It is recommended that folic acid in a dose of 400 mcgms be taken before conception and for 12 weeks after conception. This has been found to be beneficial to the normal development of the foetus. A prescription can be obtained from your doctor but as you will be required to pay a prescription charge for it at the chemist, it may be cheaper to purchase over the counter. The important information is to take folic acid before conception rather than when you get a positive pregnancy test.

Our service
We offer shared antenatal care: shared between the midwife, doctor and hospital. Your pregnancy needs to be confirmed by your doctor who will then refer you to the midwife. The midwife will arrange to see you 2 to 3 weeks after this.

A note about weeks of pregnancy might be helpful. If your menstrual cycle is a regular 28 days then the pregnancy is counted from the first day of your last menstrual period. Obviously you could not be pregnant then but a pregnancy “lasts” 280 days from the LMP, unless the cycle is longer than 28 days then the additional days are added to 280 to give the expected date of delivery. Ultrasound scanning is now so accurate and routine that this is usually used to confirm the duration of the pregnancy.

Outlined below is the usual schedule for your antenatal care.This is for low risk pregnancies and may change depending upon circumstances.

 

Weeks
5-6 Pregnancy confirmed
8+ Appointment with midwife to include routine blood tests
12 Dating and or Nuchal Translucency scan at the Hospital of your choice
16 Antenatal clinic at surgery with blood results. Maternal serum screening if requested after counselling
20 Anomaly scan
25 Antenatal clinic for first pregnancy
28 Antenatal clinic including blood tests and infant feeding plan
31 Review care if first pregnancy and blood results
34 Antenatal clinic
36 Antenatal clinic
38 Antenatal clinic
40 Antenatal clinic
41 If you have not delivered, midwife will usually visit to discuss date for induction of labour and offer a membrane sweep

 

Please inform the surgery when you are discharged from hospital after the delivery of your baby.

After delivery the community midwife will visit regularly until she is satisfied that all is well. Our health visitor will contact you after this to discuss vaccinations and any other problems.

A postnatal check with your doctor is recommended between 6 and 8 weeks after delivery. This gives an opportunity to discuss any problems and future contraception.

For general advice on pregnancy see this page