Antenatal Appointments

What to expect in your Antenatal appointments

For a first pregnancy, you’ll have around 10 antenatal appointments, for subsequent pregnancies, it will be around 7 appointments. If your pregnancy is uncomplicated, all your antenatal care will be with the midwife. If there are any concerns, you will be seen by an obstetrician for some or all of your appointments.

0-8 weeks

You can visit your GP to let them know you are pregnant and be referred to your midwife.  Alternatively, if you have carried out a home pregnancy test and it has confirmed you are pregnant, you will not require a further pregnancy test with the GP or Midwife and can make an appointment to see the Midwife through your GP surgery or by visiting a Midwife drop in clinic.
The Midwife will give will give you information on Folic acid, Vitamin d, safe foods to eat in pregnancy, food hygiene, healthy lifestyles, ante-natal screening tests and scans including Nuchal Translucency screening (for Downs syndrome).
Your Midwife may see you face to face or may just give advice over the phone at this point. It’s important that you contact your midwife by 9 weeks so that she can refer you for your first ultrasound scan, which help identify any early issues and give you any advice you need.

9-12 weeks

You will have your first appointment with the Midwife between 9-12 weeks. She will ask you about your medical history and that of your partner and about any previous pregnancies which will help to identify any additional support you may need. The Midwife will check your height and weight. You will have a blood test to check your type, immunity against rubella, anaemia and infections such as hepatitis or HIV, and a urine test to check if any protein is present.
Between September and January you’ll be offered a Flu Vaccination you will be advised to have the vaccine as early in pregnancy as possible.
You will be offered a dating scan between 11 and 13 weeks and 6 days if you wish to have the Nuchal translucency screening for Downs syndrome, this is also carried out at this scan and a blood test is taken.
During this time your Midwife will discuss with you your wishes of where to have your baby i.e. Home, Midwife led unit or hospital.
You will also be given information on pregnancy benefits and  Healthy Start information.

16 weeks

Your Midwife, will offer you a physical examination, urine and blood pressure test and talk to you about your blood and screening results.

20 weeks

You will be offered an Ultra Sound Scan which checks for fetal anomalies

25 weeks (first time mums only)

Midwife or Doctor will check size of your baby, check blood pressure and urine. MatB1 given. The midwife may take this opportunity to discuss Antenatal classes and give you available dates for your area.

31 weeks (first time mum’s only)

Midwife or Doctor will check size of your baby, check blood pressure and urine and talk to you about results from any tests you have had.
You will be offered a whooping cough vaccination at this time. Antenatal classes or as sometimes they are known as parent craft classes can be attended from this point. The Midwife will also discuss feeding your baby with you.

34 weeks

Midwife or Doctor will check size of your baby, check blood pressure and urine. She will discuss and record blood tests. Midwife will have a discussion with you around labour and birth and place of birth choices will be revisited and an appointment offered to visit the Midwife-led Unit between 34-36 weeks. Pinderfields Hospital offers the Stalk Walk which is a virtual tour around the labour suite and maternity facilities. Around this time, your Midwife or doctor will talk to you about feeding your baby, and Your Newborn baby’s health, ‘baby blues’ and post natal depression.

36 weeks

Midwife or Doctor will check the size and position of your baby check blood and urine. Your Midwife will discuss care of the newborn and early postnatal days including baby blues and postnatal depression. If your pregnancy is complicated, your Doctor  will discuss and may arrange a date for an elective lower segment Caesarean Section.

38 weeks

Midwife or Doctor will check the size of your baby, check blood pressure and urine. Your Doctor or Midwife will talk to you about what might happen if your pregnancy lasts longer than 41 weeks.

40 Weeks

Midwife or Doctor will check the size of your baby, check blood pressure and urine. The Midwife or Doctor may offer you a membrane sweep this involves a vaginal (internal) examination which helps to stimulate the cervix so that it produces hormones that cause your body to go in to labour. It is your choice if you want to have this procedure or not. Speak to your Midwife for more information.


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