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Maternity Care

The Team

Maternity Care

We Provide a full range of maternity care from pre-conception (before pregnancy) to post natal (after birth)

The Team – Who’s Who

The Antenatal and Postnatal Care Team

Community Midwives

Community Midwives are employed by the Royal Surrey County Hospital and are attached to the surgery. The Community midwife will get to know you during your pregnancy and will see you in the antenatal clinic held at the surgery on Tuesday afternoons. A community midwife will also visit you at home in the early days after you have given birth

The GP

Your GP will look after all your general medical needs but will also see you throughout your pregnancy sharing ante-natal checks with the midwife as per the Antenatal Schedule

Health Visitor

Health Visitors are trained nurses who have specialised in the health of the whole family. Health visitors are attached to the GP surgery and will see you and your new born baby either at the surgery in the baby clinic or in your own home. Your Health Visitor will contact you shortly before or just after you have given birth and will give you support and advice.

Hospital Midwives

Hospital midwives work in the hospital providing antenatal care and post natal care and advice. They will be present at the time of delivery in hospital.

Obstetrician

Obstetricians are doctors who have specialised in the care of pregnant women. Most women will not see and obstetrician providing pregnancy and birth is without complications. If you develop a complication you will be seen by an obstetrician for specialist advice.

Physiotherapists

Physiotherapists are trained to assess, treat and prevent difficulties in movement. If you have a pre-existing problem or develop a joint /movement problem during your pregnancy you may be referred to a physiotherapist for advice/treatment. Physiotherapists are often involved in ante-natal and post-natal classes to give advice on coping with pregnancy and birth and getting fit ater delivery. They can also help with urinary/continence problems post delivery.

Ante-natal Care

Ante-natal Care

Your antenatal care will generally be given at the surgery and will be shared between the Midwife and your usual GP. Please let the receptionist know that you are booking an Antenatal check when you are booking a doctor appointment.

Weeks pregnant

Who with

Reason for appointment

Investigations/ actions

Before 12 weeks

Midwife

(45 mins)

Pre-scan appointment

Advice on lifestyle consideration (see sheet). Advice on pregnancy care service. Advice on screening tests, Blood tests and urine test

11-14 weeks

Hospital

1st trimester scan

Viability, dating, Downs syndrome screening

16 weeks

Midwife (15 mins)

Post scan appointment

Discuss the results of screening. Plan care if additional needs. BP and urine tests.

18-20 weeks

Hospital

2nd trimester scan

To check the physical development of your baby

25 weeks -

1st pregnancy

GP

Check up

BP and urine. Measure the size of your abdomen

28 weeks

Midwife

(15 mins)

Check up

Blood tests to check for anaemia, antibodies and blood glucose level.

BP and urine tested. Measure abdomen.

Anti D for Rh-ve women

31 weeks –

1st pregnancy

GP

Check up

BP and Urine tests

Measure abdomen

34 weeks

Midwife

(15 mins)

Check up

Blood tests for anaemia+/- antibodies

BP and urine tests

Measure abdomen.

Second dose anti D to rhesus neg women.

36 weeks

GP

Check up

BP and urine tests

Measure size of abdomen

Check position of baby. Refer those with breech(feet first) presentation.

38 weeks

Midwife

(15 mins)

Check up

BP and urine tests. Measure abdomen. Check position.

40 weeks – 1st pregnancy

GP

Check up

BP and urine tests. Measure abdomen. Check position.

41 weeks

Midwife

(15 mins)

Post-maturity

BP and urine tests. Measure abdomen. Check position.

Discuss option of membrane sweep.

Discuss induction of labour.

Post-natal Care

If you have had a home delivery your baby will need to be examined by a doctor within 24 hours. This is usually done as a home visit but at busy times you may be asked to bring your newborn to the surgery.

After delivery you will be sent an appointment to attend for a Post-natal check with your usual doctor. This check is done when your baby is between 6 and 8 weeks of age. This appointment is an opportunity to check your health and well being after delivery and to discuss contraceptive options. The health and well being of your baby will also be checked to make sure that he/she is developing normally. Please remember to bring your baby’s Red Book to the appointment.

In your Post natal letter you will also be given an appointment for your baby’s first immunisations which are given by the practice nurse when your baby is 8 weeks old. Immunisation Schedule.

http://www.nhs.uk/Planners/vaccinations/Pages/Whentogetvaccinated.aspx

  
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