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Prenatal care

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					  MEDICAL CENTRE



Prenatal care

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                                                                                                 in the hospital, where you can stay one to five days after giving birth, unless medical
    Prenatal care                                                                                complications require a longer stay. If you opt for a private room, the hospital will
                                                                                                 charge a supplement which is not covered by public health insurance.
                                                                                                 • Gasthuisberg University Hospital, Obstetrics and Gynaecology Department,
The Medical Centre will gladly assist you in your prenatal care. In an uncomplicated                  Herestraat 49, 3000 Leuven, + 32 16 34 47 50
pregnancy we advise regular check-ups around 6, 12, 16, 20, 26, 32, 36 and                       • Heilig Hart Regional Hospital, Obstetrics and Gynaecology Department,
38 weeks, with ideally 1 preconceptional consultation. These can be performed                         Naamsestraat 105, 3000 Leuven, + 32 016 20 92 09
by your family doctor, a midwife or an obstetrician.                                             • MCH outpatient consultation centre, Maria-Theresiastraat 63A, 3000 Leuven,
                                                                                                      + 32 16 31 01 91

                                                                                             n   Social Service can help you with paperwork, health insurance, day care
                                                                                                 information, maternity leave, benefits etc. You can also consult them if you
    We work together with:
                                                                                                 have financial difficulties.
                                                                                                 • Social Service, Van Dalecollege, Naamsestraat 80 box 5415, 3000 Leuven,
                                                                                                     + 32 16 32 44 28, www.kuleuven.be/socialservices
n   The doctors at the Medical Centre are familiar with your medical history
    and social background. They can also easily consult with the Social Service,             n   Housing Service can help you find appropriate accommodation for you and
    the International Office and your university department. Furthermore,                        your family.
    the Medical Centre provides very flexible care: you are always welcome                       • Housing Service, Van Dalecollege, Naamsestraat 80 box 5415, 3000 Leuven,
    to visit us between routine consultations if you have any questions, concerns                   + 32 16 32 44 00, www.kuleuven.be/accommodation
    or complaints. If you have Belgian public health insurance, with GMD and
    Omnio, the consultation fees are very low.
    • Medical Centre, Van Dalecollege, Naamsestraat 80 box 5415, 3000 Leuven,
        + 32 16 32 44 20, www.kuleuven.be/studentservices/health/index.htm
        Mon - Fri 8:30 am - 6 pm (consultations by appointment only), after hours
                                                                                                 Prenatal consultation schedule for
        emergency stand-by                                                                       low-risk pregnancies
n   The midwives of “De Bakermat” offer pre- and postnatal medical follow-up.
    They organize workshops on different topics and have a large information centre.         During each consultation you will be asked questions on your general well-being,
    Most of their services are free of charge if you have Belgian public health insurance.   emotional experience of the pregnancy, specific symptoms and risks. Feel free to
    They can also inform you about postnatal care at home, which includes medical            ask or express whatever is on your mind. The doctor or midwife will also check
    assistance as well as household help during the first few days after the birth.          your weight, blood pressure and urine.
    • De Bakermat, Redingenstraat 27, 3000 Leuven, + 32 16 20 77 40,                         Some visits will consist of additional tests:
        Mon - Fri 9 am-12:30 pm (walk-in information centre),                                n   Pre-conception: Ideally you visit the doctor for a preventive consultation before
        consultations by appointment only                                                        getting pregnant for a thorough personal and family history, general physical
                                                                                                 examination, blood test (infections, anaemia, blood type), cervical smear, as
n   The obstetricians of the local hospitals provide high quality specialist care.               well as useful advice, recommendations and answers to any questions you
    If the pregnancy goes well, they will see you only occasionally for ultrasounds              might have. You will be advised to take folic acid supplements until the third
    (12, 20 and 30 weeks) and a brief medical check-up. However, if we suspect                   month of pregnancy.
    or discover any possible complications, most follow-up will be with them.                n   6 to 8 weeks: determining your due date, addressing any concerns or questions
    Most obstetricians can be consulted in the hospital, in the MCH outpatient clinic            you may have, discussing your emotional experience of the pregnancy,
    (by doctor referral only) or in their private practice. Some charge the official             assessing risk factors on the basis of an interview and physical examination,
    fees (“geconventioneerd”), whereas others charge more, so be aware of a                      blood and urine test, planning pregnancy follow-up. This usually requires two
    possible extra consultation cost in some facilities. The delivery takes place                consultations given the large amount of information that needs to be provided.
                                                                                         n   During your pregnancy you can continue moderate physical activities, including
n   11 to 14 weeks: first ultrasound (gestational age, multiple pregnancy,
                                                                                             sex and most sports. If you believe you have been exposed to any toxic agents
    Down syndrome screening if desired)
                                                                                             at home or at work, mention this to your doctor. Women in risk occupations
n   14 to 16 weeks: history taking and brief physical examination, urine test
                                                                                             (e.g. day care centres, chemistry labs) should inform their employer about their
n   20 to 22 weeks: second ultrasound (thorough anatomical screening for
                                                                                             pregnancy ASAP.
    major birth defects), history taking, brief physical examination and urine test
                                                                                         n   Do not take any medication without consulting your doctor. Paracetamol is
n   24 to 28 weeks: history taking, physical examination, blood test (screening
                                                                                             safe for you and your baby. Ideally folic acid should be taken one month before
    for pregnancy diabetes, which will require you to drink a 50 g sugar solution
                                                                                             conception and until your 12th week of pregnancy. Any other supplements are
    1 hour prior to the blood test, toxoplasmosis and irregular antibodies)
                                                                                             not recommended. Flu vaccination is advisable in the second or third trimester.
n   28 weeks: a preventive injection with gamma globulins for rhesus negative women
                                                                                         n   First trimester Down screening, which consists of an ultrasound and blood
n   32 weeks: third ultrasound, history taking, brief physical check-up and urine test
                                                                                             test administered between 11,5 and 13 weeks, gives an estimation of the risk
n   36 weeks: history taking, brief physical check-up, urine test and GBS screening:
                                                                                             of carrying a baby with certain chromosomal defects. This test is not conclusive,
    screening for genital infections which might cause perinatal complications
                                                                                             so any sign of trisomy 21,needs to be confirmed by an amniocentesis, which
n   38 weeks: history taking, brief physical check-up and urine test
                                                                                             carries a 1% risk of miscarriage. The 12th week ultrasound alone offers useful
                                                                                             information on possible other conditions as well. These tests are optional.
                                                                                         n   Rhesus negative mothers can produce antibodies causing severe immune
                                                                                             reactions when their blood comes in direct contact with the baby’s blood.
    Postnatal care                                                                           This can happen during delivery (causing problems for future pregnancies) or
                                                                                             as a result of abdominal trauma (e.g. kick, fall, car accident; causing problems
                                                                                             for present and future pregnancies). This can be prevented with routine rhesus
After the delivery both mother and baby will need medical check-ups. These are               antibody injections at 28 weeks, upon delivery and within 48 hours after trauma.
performed during the hospital stay and upon discharge. Mothers who wish to take          n   Pregnancy diabetes can affect the baby’s growth and cause distress in the baby
their newborn home after only a short (less than five days) hospital stay can do so,         after delivery. Mothers with pregnancy diabetes also run the risk of developing
if there are no complications. They will, however, need daily follow-up by a midwife         type 2 diabetes at a later age. This condition should therefore be screened for,
who visits them at home. The baby needs a full physical examination on day 7,                monitored and possibly treated during pregnancy. The most accurate screening
which can be done by your family doctor (at home or at the Medical Centre) or                method is a glucose challenge test between 24 and 28 weeks, which requires
by a paediatrician at the hospital. The mother needs a final check-up with the               you to drink a 50 g sugar solution 1 hour prior to the blood test.
obstetrician 6 weeks after the delivery.                                                 n   Contact your doctor when you notice any symptoms of premature labour
                                                                                             (painful contractions), vaginal discharge, reduced foetal movements or when
Things to consider                                                                           you have been involved in an accident. If any of these conditions result in
                                                                                             complications, early diagnosis and treatment can often prevent further problems.
n   Toxoplasmosis is an infection which is harmless for the mother, but can              n   The Belgian Railways offer first class seats at second class rates to women
    cause problems for the baby when the mother is infected during pregnancy.                in their last four months of pregnancy. Ask your doctor for a certificate.
    If you have not developed immunity as a result of previous contact, you need             When travelling by car, pregnant women are required by law to wear
    to be careful with cats (avoid them and wash your hands after contact with               a seatbelt at all times. In case of an accident this is safer for you and
    them), meat (deep-frozen or well-cooked meat is safe) and all raw vegetables             for your child.
    (wash them thoroughly).                                                              n   You can find reliable information on
n   All pregnant women should avoid eating non-pasteurized dairy products, which             www.familydoctor.org/online/famdocen/home/women/pregnancy.html or
    can be contaminated with Listeria, causing miscarriages. A healthy diet consists         www.nhs.uk/livewell/pregnancy
    of plenty of dairy products, fibre and vitamins (fruit and vegetables). Limit your
    alcohol and caffeine intake and try to avoid nicotine and drugs.
   Personal information                                                                 Pregnancy-related information

First and last name: _____________________________________________________         G      P    A        LP: _________     EDD: _________ corrected EDD: ________
Address: ______________________________________________________________
                                                                                   conception: spontaneous / assisted      multiple pregnancy: ___________________
Telephone: ____________________ Mobile phone: ____________________
                                                                                   risk factors: ___________________________________________________________
E-mail: _______________________
Date of birth: __________________        Place of birth: _______________________   Laboratory tests
Nationality: _____________                                                         Routine test (date: _____________ ):
Partner’s name and telephone: ___________________________________________          Blood type: _____     Irregular AB: _____   Hep B:_____    HIV:_____
______________________________________________ (married: yes n         / no n )    Syphilis: _____   Rubella: _____   Toxoplasmosis: _____   Glucose challenge: _____
Other relevant contacts: _________________________________________________
                                                                                   Follow-up
Family doctor: _________________________________________
                                                                                   Hb
Midwife: ______________________________________________
                                                                                   Toxo
Obstetrician: __________________________________________
                                                                                   ferritine
Health Insurance:
                                                                                   Irr. AB
                                                                                   GBS
                                                                                   other
Personal and family medical history:
______________________________________________________________________             Ultrasounds
______________________________________________________________________             1. date: _____________     week: ___________     features: _____________________
Obstetric/gynaecological history:                                                  2. date: _____________     week: ___________     features: _____________________
______________________________________________________________________             3. date: _____________     week: ___________     features: _____________________
______________________________________________________________________             4. date: _____________     week: ___________     features: _____________________
Profession: ___________________________________
Medication: ___________________________________                                    Incidents, hospital referrals, complications, etc
Alcohol: none n     / occasional n     / frequent n                                ______________________________________________________________________

Cigarettes/drugs: none n     / occasional n   / frequent n                         ______________________________________________________________________

Length: ____________       Weight: ____________   BMI: ____________                ______________________________________________________________________

Cervical smear: _____________________________________                              ______________________________________________________________________

Possible risk factors: ________________________________________________
Date   Weeks   Fundus   Heartbeat/   Blood      Weight   Urine           History, clinical examination   Comments, recommendations, treatments   Doctor/
                        movements    pressure            protein/sugar                                                                           midwife
  Appointment schedule

(MC= Medical Centre, GHB = Gasthuisberg hospital, HHH = Heilig Hart hospital, BM = De Bakermat, MCH = GP Medical Centre)

Date: _______ Time: _______ Location: _________________ Who with: ____________________        Reason: ____________________ Comments, questions: _________________________________

Date: _______ Time: _______ Location: _________________ Who with: ____________________        Reason: ____________________ Comments, questions: _________________________________

Date: _______ Time: _______ Location: _________________ Who with: ____________________        Reason: ____________________ Comments, questions: _________________________________

Date: _______ Time: _______ Location: _________________ Who with: ____________________        Reason: ____________________ Comments, questions: _________________________________

Date: _______ Time: _______ Location: _________________ Who with: ____________________        Reason: ____________________ Comments, questions: _________________________________

Date: _______ Time: _______ Location: _________________ Who with: ____________________        Reason: ____________________ Comments, questions: _________________________________

Date: _______ Time: _______ Location: _________________ Who with: ____________________        Reason: ____________________ Comments, questions: _________________________________

Date: _______ Time: _______ Location: _________________ Who with: ____________________        Reason: ____________________ Comments, questions: _________________________________

Date: _______ Time: _______ Location: _________________ Who with: ____________________        Reason: ____________________ Comments, questions: _________________________________

Date: _______ Time: _______ Location: _________________ Who with: ____________________        Reason: ____________________ Comments, questions: _________________________________

Date: _______ Time: _______ Location: _________________ Who with: ____________________        Reason: ____________________ Comments, questions: _________________________________

Date: _______ Time: _______ Location: _________________ Who with: ____________________        Reason: ____________________ Comments, questions: _________________________________

Date: _______ Time: _______ Location: _________________ Who with: ____________________        Reason: ____________________ Comments, questions: _________________________________

Date: _______ Time: _______ Location: _________________ Who with: ____________________        Reason: ____________________ Comments, questions: _________________________________

Date: _______ Time: _______ Location: _________________ Who with: ____________________        Reason: ____________________ Comments, questions: _________________________________

Date: _______ Time: _______ Location: _________________ Who with: ____________________        Reason: ____________________ Comments, questions: _________________________________

Date: _______ Time: _______ Location: _________________ Who with: ____________________        Reason: ____________________ Comments, questions: _________________________________
                                                                                               Student Services
                                                                                             Medical centre MPTC
                                                             Naamsestraat 80 box 5415, BE-3000 LEUVEN, Belgium
                                                                     tel. + 32 16 32 44 20 • fax + 32 16 32 44 14
                                                                                            mcs@dsv.kuleuven.be
                                                                           www.kuleuven.be/studentservices/health




Student Services K.U.Leuven works for the Medical and Psychotherapeutic Centre together with
the Social service associations for the students of Groep T (Inter s), the Lemmens Institute (SoVoW&K)
and Vlerick Leuven Gent Management School.

				
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posted:9/8/2012
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