Where will I have my antenatal appointments?

Your appointments can take place at:

• YOUR HOME
• A CHILDREN’S CENTRE
• A GP SURGERY
• A HOSPITAL

You’ll usually go to the hospital for your pregnancy scans.

Antenatal appointments should take place in a setting where you feel able to discuss sensitive issues, such as domestic abuse, sexual abuse, mental health problems or drugs.

To make sure you get the best pregnancy care, your midwife will ask you many questions about your and your family’s health, and your preferences.

Your midwife will carry out some antenatal checks and tests, some of which will be done throughout your pregnancy, such as urine tests and blood pressure checks.

The results may affect your choices later in pregnancy, so it’s important not to miss them.

Your midwife will also ask about any other social care support you may have or need, such as support from social workers or family liaison officers.

Questions you might be asked

 The midwife or doctor might ask about:

• The date of the first day of your last period
• Your health
• Any previous illnesses and operations you have had
• Any previous pregnancies and miscarriages
• The ethnic origins of you and your partner to find out whether your baby may be at risk of certain inherited conditions.
• Whether your family has a history of twins.
• Your job, your partner’s job and what kind of accommodation you live in to see whether your circumstances might affect your pregnancy.
• How you’re feeling and whether you have been depressed.

Your antenatal appointments are an opportunity to tell your midwife or doctor if you’re in a vulnerable situation or if you need extra support.

This could be because of domestic abuse or violence, sexual abuse or female genital mutilation.

ANTENATAL APPOINTMENTS AFTER 24 WEEKS

You can also ask questions or talk about anything that’s worrying you.

 From around 24 weeks of your pregnancy, your antenatal appointments will usually become more frequent.

But if your pregnancy is uncomplicated and you’re in good health, you may not be seen as often as someone who needs to be more closely monitored.

Later visits are usually quite short and may last 20 to 30 minutes.

Your midwife or doctor will: 

• Check your urine and blood pressure
• Feel your tummy (abdomen) to check the baby’s position
• Measure your womb (uterus) to check your baby’s growth
• Listen to your baby’s heartbeat, if you want them to

 Find out about your schedule of antenatal appointments and what to expect at each one.

At each antenatal appointment from 24 weeks of pregnancy, your midwife or doctor will check your baby’s growth.

To do this, they’ll measure the distance from the top of your womb to your pubic bone. The measurement will be recorded in your notes.

 You should be given information about:

• Making your birth plan
• Preparing for labour and birth
• How to tell if you’re in active labour
• induction of labourif your baby is overdue (after your expected date of delivery)
• feeling depressed after childbirth– such as the “baby blues” and postnatal depression
• Feeding your baby
• Vitamin k (given to prevent vitamin k deficiency bleeding in your baby)
• Screening tests for newborn babies
• Looking after yourself and your new baby

YOUR BABY’S MOVEMENTS (Antenatal care with Nurse Gold)

Keep track of your baby’s movements.

If you have not felt any movement by the time you are 24 weeks pregnant, contact your midwife who will check your baby’s heartbeat.

After 24 weeks, if your baby’s movements become less frequent, slow down or stop (called reduced foetal movement), contact your midwife or doctor immediately – do not wait until the next day. Your midwife or doctor will check you and your baby and measure your bump.

You’ll be offered an ultrasound scan if they have any concerns about how your baby is growing and developing.

Find out more about your baby’s movements in pregnancy.

Your maternity notes

At your booking appointment, your midwife will record your details and add to them at each appointment. These are your maternity notes.

Your maternity notes may be in a record book, sometimes called handheld notes. You’ll take your maternity notes home and be asked to bring them to all your antenatal appointments. Take your notes with you wherever you go in case you need medical attention while you’re away from home.

Your maternity notes may be electronic, which you will be able to access digitally.

You can ask your maternity team to explain anything in your notes that you do not understand.

Planning ahead for your appointments

Waiting times in clinics can vary and having to wait a long time for an appointment can be particularly difficult if you have young children with you.

Planning ahead can make your visits easier.

Here are some suggestions: 

• write a list of any questions you want to ask and take it with you
• make sure you get answers to your questions or the chance to discuss any worries
• if your partner is free, they may be able to go with you – this can help them feel more involved in the pregnancy
• you can buy refreshments in some clinics – take a snack with you if you cannot buy one at the clinic

The National Institute for Health and Care Excellence (NICE) antenatal care guidelines give useful information on the timing of visits during pregnancy and a description of what will happen each time.

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Ask your question now let’s talk:
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info@dorenspecialisthospital.com

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