Antenatal care Antenatal visits Recent research has shown that a reduced number of antenatal checks is safe. It enables staff to spend more time with women who are having Antenatal care is flexible to suit your needs. The options of care during problems. Your midwife, GP or obstetrician may ask you to visit more pregnancy and labour are: often. Please make extra appointments to see your GP or community midwife if you are concerned about your pregnancy at all. Before 20 weeks Community-led care you should contact your GP for advice. You can choose to have all your antenatal care with your general practitioner (GP) and community midwife. However, it is not advised if you Please contact your GP/midwife as soon as possible about the have a medical condition, e.g. diabetes or epilepsy, or you had problems following: in previous pregnancies or labours. Transfer to consultant-led care may be advised if problems arise at any time. • Headaches. • Visual disturbances (flashing lights). Consultant-led care • Feeling unwell. Consultant-led care is advised if you have a medical condition, e.g. diabetes or epilepsy or you had problems in previous pregnancies or • If you have contact with German measles or chickenpox. labours. Even if not, you can still ask to see a consultant at any stage of your pregnancy. You would normally be asked to see the consultant at • Excessive ankle swelling. least twice during your pregnancy. • Discomfort passing urine. GP only care After 20 weeks please ring Delivery Suite about any of the following: This is only offered by a few health centres or surgeries. Changes in GPs’ on-call arrangements mean that your own GP would be unlikely to be • Unexpected pain. available when you were in labour. Please ask your GP. • Vaginal bleeding. Midwifery-led care • Fluid from the vagina. An option of care provided by your midwife when GPs do not provide antenatal care or when a woman has booked for a home birth without the • If you are in labour. support of a GP. • A reduction in the number of baby’s movements. Home birth If you would like to have your baby at home, please speak to your Please contact the Antenatal Day Assessment Unit (ANDAU) if you community midwife or GP. If your midwife or GP feels that a home birth is are worried about your baby’s movements. Tel: 01535 292120. not the safest option for you and your baby, you can ask to speak to a Supervisor of Midwives. Please ring switchboard and ask for the Please remember: Supervisor on call. • Your midwife, GP or obstetrician may ask you to visit more often. If you choose a home birth you still have use of the ambulance and • You can make extra appointments to see your community midwife or paramedic services, your GP and hospital facilities, if needed. GP if you are concerned at all. The booking visit Please report to the reception desk in the Antenatal Clinic. An appointment system operates and you will be seen according to appointment time and This is usually the first antenatal visit you will have. You have a choice not in order of arrival at clinic. It is important, therefore, that you try to keep where this visit takes place. It is normally at your GP’s surgery or health as close as possible to your appointment time. centre. A home visit can be arranged if a need arises. The booking visit may take up to an hour. A midwife will take time discussing and planning It is also important that you bring with you the notes that your midwife has antenatal care. given you. All your care will be recorded in these notes. Please make your next appointment at the reception desk before you The midwife will explain the tests that will be offered to you in your leave the clinic. pregnancy, why they are done and how to get the results. If you need any special tests (see page 6) they will also be explained and your permission You will continue to have regular check-ups throughout the course of your will be requested. These are some of the tests offered to all women: pregnancy. These will occur either in the health centre/surgery or in your home. Your GP or midwife or both will provide this care. • blood group, rhesus factor, antibodies and syphilis test; Future visits • full blood count (to check iron levels); Please attend for antenatal visits as advised by your obstetrician, GP or • rubella antibodies (German measles); midwife. If you cannot attend, please make another appointment and • fasting blood sugar level; inform the clinic, so that your appointment can be used and the staff know • hepatitis B; how you are. • HIV; • haemoglobinopathies; Health advice for pregnancy • ultrasound scan at about 18-20 weeks. Taking folic acid before pregnancy and during the first three months of pregnancy helps reduce the risks of spina bifida. Please obtain a prescription for folic acid 0.4mgs if you are not already taking it. A detailed fetal anatomy scan is also offered and is best done at 18—20 weeks. It is a careful look at your baby’s head, spine, ribs and other Detailed advice on food safety and a healthy diet will be given to you by organs and is an estimation of the gestation (age) of your baby. your midwife. Sometimes the scan may need repeating because of the way your baby is lying or moving. You would be informed immediately of any problems Do not take tablets or medicines in pregnancy before checking with your detected. GP, midwife, obstetrician or a pharmacist. If you are healthy, moderate exercise in pregnancy is beneficial. Please If you want more information about any tests, please speak to your discuss this with your midwife, GP or obstetrician. midwife, GP or obstetrician. After the booking visit you will be asked to make your next appointment if you are under community-led care. An To reduce the risk of toxoplasmosis in pregnancy use gloves to empty litter appointment at the hospital or at a satellite antenatal clinic will be sent to trays, avoid handling cat faeces, use gloves for gardening and do not assist with lambing. you if you are under consultant-led care. Smoking in pregnancy Consultant visits Smoking is harmful to you and your baby. If you or your partner need Consultant clinics are held either in the antenatal clinic at Airedale or in support to stop smoking, ask your midwife about the smoking cessation satellite clinics at Keighley, Bingley, Ilkley, Skipton, Settle and Colne. service.