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Antenatal Care at the Surgery

Antenatal Care at the Coach House Surgery

Now that your pregnancy has been confirmed, you will need regular appointments for antenatal care.  The following notes are aimed to help you know who to see, when to see them and what will be done at each appointment. You should receive routine appointments according to the antenatal care schedule. The stages of pregnancy are measured in weeks, starting from the first day of your last period.

As soon as you have seen a doctor to confirm that you are pregnant you will need to make a BOOKING APPOINTMENT .  This should ideally be between 6 and 10 weeks. Your first (booking appointment will either be at Westfield Children’s Centre or at Watford General Hospital.  The midwife will give you information regarding your health, diet, medication, dental care, exercise, antenatal classes and screening tests, as well as asking about your general health and any previous pregnancies.  You will be given information about appropriate blood tests, some of which may be taken during this appointment. She will also arrange your next appointment and complete a PREGNANCY HEALTH RECORD, which contains all the details needed for your antenatal care.  This will be given to you later by the hospital and should be brought with you to all future appointments.

To make this appointment, you may use the following link:

http://www.westhertshospitals.nhs.uk/ourservices/womens_services/maternity/selfreferralform.asp

If you do not have access to the internet, your doctor will complete a referral form for you and fax it to the Midwifery Service, who will then send you an appointment.

The Midwifery Service will arrange all follow up appointments for you.  Their telephone number, if required, is 01923 217347.  All follow up appointments will be held at Coach House Surgery.

11-14 WEEKS A dating scan, which will be arranged from the booking appointment

11-18 WEEKS Antenatal screening appointment for chromosome abnormalities- either the triple test or combined screening, performed with informed consent at the hospital. Includes a dating scan.

16 WEEKS Antenatal check –please make an appointment to see the midwife either on a Wednesday or alternate Friday mornings, at the Coach House surgery. Blood pressure and urine testing will be performed, please bring a urine sample.

18-21 WEEKS Hospital- you will receive an appointment for an ultrasound scan. This is an anomaly scan. This scan looks at your baby to check for any obvious abnormalities/problems. Your pregnancy health record will be ready to pick up from Watford General Hospital maternity reception at this appointment.

24 WEEKS Antenatal check- Please make an appointment to see the GP you have chosen to look after you during the pregnancy.  If possible, this appointment should be in the morning and can be either at the Coach House surgery, Park Avenue or at North Approach. Collect your MAT B1 form.

28 WEEKS Antenatal check with the midwife.  You will have a routine blood test to check for anaemia, sugar levels and antibodies.  If you are rhesus negative you will also require an injection of anti-D. This is a separate appointment at the midwifery day assessment unit (MDAU), at Watford hospital.

30 WEEKS Antenatal check-Please make an appointment to see the GP.

32 WEEKS First time mums to see the midwife, women with subsequent pregnancies to see the GP.

34 WEEKS Antenatal check-Please make an appointment to see the GP. 2nd anti- D injection performed at MDAU

36 WEEKS Antenatal check up-Appointment with the midwife, please book a half hour appointment so that your birth plan can be discussed.

37 WEEKS Antenatal check up, please make an appointment to see the GP.

38 WEEKS Antenatal check up with your midwife or GP.

39 WEEKS Antenatal check up, please make an appointment to see the GP

40 WEEKS First time mums to see the midwife, women with subsequent pregnancies to see the GP.

41 WEEKS Antenatal check up- for routine antenatal assessment with the midwife. Providing your pregnancy remains normal your midwife can arrange a date for your labour to be induced (usually 12 days after your due date)

If you are asked to attend the hospital antenatal clinic for additional visits, you will not need to make an antenatal appointment at the surgery in the same week.

Whenever you visit the surgery or hospital during your pregnancy please remember to bring your pregnancy health record with you and a urine specimen.

 

 



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