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Information for your Pregnancy |
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Written by Head of Maternity Services
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Pregnancy is a time of excitement and change. We want you to enjoy your pregnancy and feel prepared to become a parent. There a huge number of pregnancy available to you, both on the internet and in books and magazines. Along with things you hear from friends, family and TV you will probably experience information overload!
NHS Choices
One very useful website that we recommend you access is called NHS Choices www.nhs.uk/mypregnancy. It contains all you need to know to have a healthy and happy pregnancy, and will help you to get the care that is right for you. Every pregnancy is different therefore it is important that you become involved in the decisions that affect you and your baby. This website will provide you with a pregnancy planning toolkit.
First Steps
As soon as you know you are pregnant you should get it touch with your local midwife or your family GP who will organize your antenatal care. If you wish to see your midwife first you can ask to make an appointment at your local GP surgery or contact the St Peter’s Hospital antenatal clinic on 01932 722388 who will be able to pass on your details to your community midwife. This first contact should occur should occur no later than 6-8 weeks gestation.
The majority of women who are fit and healthy before they become pregnant will continue to be so in their pregnancies. These pregnancies are sometimes described as ‘low risk’ and will be cared for by midwives. Midwives are specialists who are trained to give total care, advice and support to mothers and babies from the time of a positive pregnancy test, through birth, to the time the newborn baby is one month old. Midwives can also arrange for any tests they feel are necessary to monitor the well being of your pregnancy, for example blood tests, and ultrasound scans.
How often will I see a health professional in my pregnancy?
Soon after you discover that you are pregnant you are advised to either see you midwife or your GP to organize your antenatal care. Antenatal care is the care that you receive from health care professionals such as midwives, GP’s, and obstetricians during your pregnancy. You will be given useful information about being pregnant and this information will enable you to make informed choices about your pregnancy. You will also be given useful written information as well. This will include information about antenatal classes and infant feeding workshops.
At your first appointment the GP or midwife will help you to decide which unit you wish to book for your maternity care. (If you are considering a home birth then you will need to book your care with your geographical local unit). Once you have decided which unit you wish to be booked with, the GP or midwife inform you how to organize the booking appointment.
This booking appointment will be at around 8-10 weeks of pregnancy and is usually carried out by the community midwife. This appointment will last for about 1 hour and usually takes place in the local health centre; the midwife will discuss antenatal screening tests and scans, and can refer you to an obstetrician if appropriate. If the information gleaned at this meeting suggests that your pregnancy is ‘low risk’ of complications then you will be cared for by a team of community midwives that cover your local area. If you wish you can share this care with your GP. You will be given your handheld maternity record at this appointment.
If you are low risk and expecting your first child you will have up to 10 antenatal appointments. If you are low risk and have had a baby before you will have up to 7 antenatal appointments. You will also sent your appointment for your first scan appointment between 12-13 weeks of pregnancy. This may be carried out at either St Peter’s Hospital ‘Abbey Wing’ or Ashford Hospital ‘Topaz Suite’.
Under certain circumstances you may require more antenatal appointments. These women will be offered a consultation with an obstetrician. Obstetricians are registered medical doctors who specialise in pregnancies and births which have become complicated. If the medical condition is not likely to affect the pregnancy the obstetrician may suggest that the midwife provides most of the pregnancy.
- Schedule of NICE antenatal appts.
When Pregnancy isn’t so straightforward
Midwives work along side obstetricians to provide supportive care for women whose pregnancies and/or births have become complicated. Even where pregnancies are complicated most care will be on an ‘outpatient basis’ with as few stays in hospital as possible. When pregnancies are not so straightforward, your timetable of pregnancy care will be agreed between yourself and the Consultant Obstetrician planning your care. When complications arise they do not always cause problems for the baby or for yourself but they do need the specialist input of an obstetrician; your midwife will arrange a referral for you as necessary.
Antenatal Care continued
At each antenatal appointment the midwife or GP will check your blood pressure and test your urine and on certain occasions they may record your height and weight. They feel your abdomen to your baby’s growth and position. From 21 weeks onwards they may listen to the baby’s heart beat if you want them to.
During each appointment you will be able to ask questions or talk about anything that is worrying you. Talking about your feelings is as important as all of the antenatal tests and examinations. You will be given written information on:
- infant feeding
- preparing for labour and birth
- how to recognize when you are in labour
- looking after yourself and your new baby
- screening tests for yourself and your baby
- Induction of labour
- Postnatal care
- Download the post natal care leaflet
Statutory Supervision of Midwives within the Maternity Unit
| Supervision of midwives is a statutory requirement for all midwives practicing in England. This ensures that mothers and babies receive safe care. Supervisors of midwives are experienced midwives who have received further training to apply and check standards. They talk to the users of maternity services to further develop guidelines and standards and review the services offered to ensure they meet local needs. User's views are sought through the Maternity Services Liaison Committee and other groups e.g. National Child Birth Trust. |
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In each region a responsible midwifery officer (LSAMO) is appointed by the Health Authority to whom every midwife must notify her intention to practice midwifery. The person in post for our region is Helen O'Dell.
The Health Authority ensures that a local framework exists to provide equitable, effective supervision of all midwives working within the area. Ashford and St Peter's Maternity Services have a supervisor of midwives available at all times to provide advice, support and guidance for midwives and women using the service.
The Local Supervisory Authority Midwifery Officer checks that your supervisors of midwives and Maternity Services comply with standards and guidance for supervisor midwives every year.
You can contact a Supervisor of Midwives at Ashford and St Peter's Hospital by ringing 01932 872000 and asking to speak to the on call supervisor. Further information is available by following the links below:
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Last Updated ( Thursday, 19 November 2009 12:59 )
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Pregnancy Care