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Antenatal Care

Congratulations - starting a family is a major decision in anyone’s life. It is our intention to provide you with the best possible care and support before, during and after your pregnancy.

We would like you to be fully informed on matters relating to your pregnancy and birth of your baby and fully involved when decisions are made about your care.

 The purpose of this section is to give some information on how and where your care will be provided.

The majority of antenatal care is provided by our teams of Community Midwives in GP practices, Community Hospitals, Children’s and Sure Start Centres or at home by the Leicestershire Home Birth team.  

Scans are performed in the Antenatal Clinics at both Leicester Royal Infirmary (LRI) and Leicester General Hospital (LGH).

 Women requiring care from an Obstetrician will attend Antenatal Clinics at LRI and LGH.

Antenatal care and schedule of visits

 The following schedule is a guide to the antenatal care appointments for women who are healthy and whose pregnancies remain uncomplicated.

For women who are identified as requiring additional care, an individual schedule of visits will be arranged.

 Women expecting their first baby should attend all the weeks identified.

 Women who have had normal pregnancies and births previously need only attend on the weeks that are ticked. √ 

8+ - 10 week’s √ Booking appointment with midwife

·        Full medical and social history, individualised plan of care made.

·        Programme of antenatal care explained

·        Blood pressure, height, weight, Body Mass Index (BMI) recorded.

·        Test urine for protein and glucose, send “mid-stream specimen of urine” (MSU) for infection screening.

·        Blood tests and scans discussed, offered and taken.

·        Information given on diet, lifestyle changes, pregnancy care services, maternity benefits and screening tests.

 Approximately 4 weeks after booking appointment or as soon as an appointment is available.√

         Dating scan / first trimester screening scan and screening blood test

        (at hospital)

        Explain purpose of detailed scan at 20-22 weeks 

15 weeks √ Monitoring visit with the midwife * description below

·        Blood for screening test taken if not already done

·        Review results of screening tests

17-19 weeks (only for women where first trimester screening has not been possible)

·        Explain purpose of detailed scan at 20-22 weeks

·        If rhesus negative, give form to present at the detailed scan to book an appointment around 28 weeks for Anti-D injection.

20-22 weeks√

        Detailed scan to check for abnormalities (at hospital)

25 or 28 √ weeks Monitoring visit with midwife / GP

·        Blood test for anaemia (FBC)

·        Blood test for antibodies

·        If rhesus negative blood test for antibodies and Anti D injection given  in hospital if accepted ( if 28 week visit )

31 weeks Monitoring visit with midwife / GP·      

         Discuss feeding options.

·        Review 28 week blood test results

34 weeks √ Monitoring visit with midwife / GP

  Review birth plan and feeding options

36 weeks √ Monitoring visit with midwife / GP

      Position of baby checked

38 weeks √ Monitoring visit with midwife / GP

      Discuss options for prolonged pregnancy (first baby)

40 weeksMonitoring visit with midwife

41 weeks √ Monitoring visit with midwife

      Membrane sweep offered / induction of labour discussed and arranged

*Monitoring visit with midwife / GP

·        Record blood pressure

·        Test urine for protein

·        Measure and plot height of fundus (after 26 weeks). This is to assess your baby’s growth.

         If you are on a pathway of regular growth scans this will not be required

 

·        Review movements (after 28 weeks )

 

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