Your partner can be present for routine scans. A nuchal translucency scan is usually undertaken from 10 weeks pregnant (remember the convention is that the weeks are counted from the 1st day of your last period, not from the actual fertilisation date, which for most women will be sometime around day 14, day 1 being the 1st day of the period). A further dating scan may also be done at 12 weeks or more. If you require a more specialist scan, the radiologist may request your partner to wait outside in order to ensure optimum conditions for the procedure.
Screening for Down's Syndrome, Spina Bifida and other anomalies. Maternal serum screening (MSS) in the form of a blood test is offered at 16 weeks. An anomaly scan is available at 20 weeks.
It is recommended that folic acid in a dose of 400 mcgms be taken before conception and for 12 weeks after conception. This has been found to be beneficial to the normal development of the foetus. A prescription can be obtained from your doctor but as you will be required to pay a prescription charge for it at the chemist, it may be cheaper to purchase over the counter. The important information is to take folic acid before conception rather than when you get a positive pregnancy test. If you are on treatment for epilepsy, you will be advised to take a higher dose.
We offer shared antenatal care: shared between the midwife, doctor and hospital. The current system is that your "booking" (letting a health care professional know you are expecting and planning your pregnancy care and likely delivery date), is now done directly with the midwife, rather than the Dr. Please contact our receptionists to arrange this appointment, unless this is an unwanted pregnancy in which case you need to see a Dr. You may also seek advice from the website: www.sheffield.nhs.uk/maternity where you will also see a number 0114 2756699 open Mon-Fri 9am-4pm, thae "Maternity Hotline". Because nuchal translucency scans are now offerred through NHS Sheffield, it is important that you "book" earlier than has been the case in the past; ideally by 8 weeks, so your nuchal translucency scan can be arranged woithin the next 2-4 weeks.
A note about weeks of pregnancy might be helpful. If your menstrual cycle is a regular 28 days then the pregnancy is counted from the first day of your last menstrual period. Obviously you could not be pregnant then, (usually release of the egg takes place half way through the 28 days cycle) but a pregnancy "lasts" 280 days from the LMP, unless the cycle is longer than 28 days then the additional days are added to 280 to give the expected date of delivery. Ultrasound scanning is now so accurate and routine that this is usually used to confirm the duration of the pregnancy. Any gestation between 37 and 42 weeks is considered within the normal range.
Outlined below is the usual schedule for your antenatal care.This is for low risk pregnancies and may change depending upon circumstances.
Home visit from midwife to include routine blood tests
Dating and or Nuchal Translucency scan at RVI
Antenatal clinic at surgery with blood results. Maternal serum screening if requested after counselling
Antenatal clinic for first pregnancy
Antenatal clinic including blood tests and infant feeding plan
Review care if first pregnancy and blood results
If you have not delivered, midwife will usually visit to discuss date for induction of labour and offer a membrane sweep
Please inform the surgery when you are discharged from hospital after the delivery of your baby.
After delivery the community midwife will visit regularly until she is satisfied that all is well. Our health visitor will contact you after this to discuss vaccinations and any other problems.
A postnatal check with your doctor is recommended between 6 and 8 weeks after delivery. This gives an opportunity to discuss any problems and future contraception.