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As soon as you know you are pregnant you should ask at your GP surgery for a booking appointment. This will either be booked with a midwife at the surgery or you will be given details of how to make this appointment with a midwife at the children’s centre. Some GP practices will see you first for a short appointment before you have your booking with the midwife.

The Rosie community midwives work in eight teams and are based at children’s centres in Bassingbourn, Bottisham, Ely, Histon, and Linton as well as three in Cambridge. Appointments are held either in GP surgeries or at children’s centres. If you live out of area, you may be asked to come to the hospital to see a midwife here.

At your booking appointment the midwife will discuss with you:

  • Supplementation with folic acid. 400 micrograms (mcg) each day is recommended until you are 12 weeks pregnant. This is very important for the development of a healthy fetus, as it can significantly reduce the risk of neural tube defects (NTDs), such as spina bifida
  • Lifestyle, exercise, stopping smoking, alcohol and drugs
  • Nutrition and diet, including 10mcg Vitamin D supplement to help the growth of your baby’s bone and brain development
  • Your medical and personal history
  • Your personal pathway of care
  • Any additional care you may need
  • Travel
  • Place of birth options
  • Your occupation and maternity benefits
  • Early ultrasound scan to determine when your baby is due
  • Antenatal Screening, including first and second trimester options for Down’s, Edward’s and Patau’s syndrome
  • Arrangements for blood tests
  • Chlamydia screening
  • The health and benefits of breastfeeding
  • You should receive the national booklets ‘Screening tests for you and your baby’ and ‘Off to the best start’, and the hospital’s own ‘Rosie hospital pregnancy guide’
  • You will be given your antenatal care record (hand held notes) which you should keep with you for the rest of your pregnancy
  • She/he will ask to measure your height and weight, calculate your body mass index (BMI), read your blood pressure and test your urine for protein
  • It is recommended that all women are offered a test to measure carbon monoxide levels. Women who smoke have higher levels and will be offered smoking cessation referral

If any pre-existing risk factors are identified at your booking appointment, which require you to have consultant led care, the midwife will refer you to have a further appointment with an obstetric doctor at the Rosie hospital. These appointments are usually held in clinic 21 on level one.

You could also be referred at any other time during your pregnancy, should any complications arise.

You will be offered a dating scan or combined screening for Down’s syndrome at any time between 11 weeks and two days to 14 weeks and one day. This scan is performed in the Rosie ultrasound scan department on level one. Being screened is entirely your choice. Please ask if there is anything about it that you do not understand.

You may be asked to come in to the hospital to the phlebotomy department on level one (within clinic 21 – Rosie outpatients) for antenatal screening tests for haemoglobin (iron levels), atypical red cell allo-antibodies and blood glucose (Lucozade® challenge). Sometimes these tests are taken in the community.

A midwife will discuss with you:

  • The findings of your routine anomaly scan
  • The results of 27-28 week antenatal screening and blood tests
  • Iron supplements, if required
  • Your baby’s movements
  • Place of birth
  • You will be asked to have your blood pressure taken and for your urine to be tested
  • The midwife will ask to measure the symphysis-fundal height
  • Anti-D prophylaxis will be offered to RhD negative women

A midwife will discuss with you:

  • The results of blood tests taken at 27-28 weeks, if required
  • Iron supplements, if required
  • Your baby’s movements
  • Place of birth
  • You will be asked to have your blood pressure taken and for your urine to be tested
  • The midwife will ask to measure the symphysis-fundal height

 

A midwife will discuss with you:

  • The results of blood tests taken at 27-28 weeks, if required
  • Iron supplements, if required
  • Your baby’s movements
  • Place of birth
  • You will be asked to have your blood pressure taken and for your urine to be tested
  • The midwife will ask to measure the symphysis-fundal height

 

Download patient information leaflets

A midwife will discuss with you:

  • Place of birth and information on home birth if chosen
  • Preparation for labour and birth, recognising active labour and coping with pain
  • The third stage of labour and Vitamin K for your baby
  • Postnatal self-care, awareness of the ‘baby blues’ and postnatal depression
  • The care of your newborn baby and newborn screening tests
  • Your baby’s movements
  • You will be asked to have your blood pressure taken and for your urine to be tested
  • The midwife will ask to measure the symphysis-fundal height
  • You may be referred for a growth scan if the symphysis-fundal height is greater than 3cm more or less than the number of weeks pregnant you are
  • The midwife will ask to feel for the position your baby is lying and you may be referred for a scan if breech presentation is suspected (if your baby is ‘bottom-down’)

A midwife will discuss with you:

  • The options if your pregnancy goes beyond your due date
  • Your baby’s movements
  • You will be asked to have your blood pressure taken and for your urine to be tested
  • The midwife will ask to measure the symphysis-fundal height
  • The midwife will ask to feel for the position your baby is lying and you may be referred for a scan if breech presentation is suspected

 

Download patient information leaflets

A midwife will discuss with you:

  • The options if your pregnancy goes beyond your due date
  • Your baby’s movements
  • You will be asked to have your blood pressure taken and for your urine to be tested
  • The midwife will ask to measure the symphysis-fundal height
Download patient information leaflets

A membrane sweep may be offered to you. This involves you having a vaginal examination and your midwife or an obstetrician placing a finger inside your cervix and by making a circular movement gently sweeping the membranes away from the cervix. This procedure can be done either in your own home or in hospital. It aims to stimulate the natural production of prostaglandins which might speed up the opening of the cervix and in time trigger active labour.

Download patient information leaflets

A midwife will discuss with you:

  • Your plan of care
  • You will be offered referral to the obstetric team which will include an appointment in clinic 22
  • You will be offered at least twice weekly cardiotocography (CTG) and an ultrasound scan to assess the volume of amniotic fluid

 

Download patient information leaflets
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