Salisbury Foundation Trust

Antenatal Care

Antenatal care is the care you receive during your pregnancy. You will be assigned a community midwife team based on your location and they will see you from the start of your pregnancy until after your baby is born.

 Employers must give pregnant women time off for antenatal care and pay their normal rate for this time off – please see the government website for further advice https://www.gov.uk/working-when-pregnant-your-rights.

Before you see your midwife at your first booking appointment, please take a look at the following website for more information on screening. It will give you a chance to discuss any questions you might have with your community midwife. www.nhs.uk/conditions/pregnancy-and-baby/screening-tests-abnormality-pregnant

Referral and community care:

Below is a generalised schedule of antenatal care events – the timings of these appointments may vary and more appointments may be deemed necessary if you are considered high risk. Every pregnancy is different and we use this as a guide.

Gestation

Aim of consultation

Making contact with maternity services

Congratulations – you’re pregnant! Please fill in the online booking form found on the maternity home page when you are 6-8 weeks pregnant. Alternatively, call DAU on 01722 425185 if you are unable to use the online form. We will put you in touch with a midwife who covers your local area and she will arrange your booking appointment

8-10 weeks

Your booking appointment can be done either over the phone or face-to-face, usually in a GP surgery, a hub or your home. We will take a detailed medical, obstetric and social history and from this information determine whether you may need to see an obstetrician in your pregnancy i.e. you are classed as ‘high risk’.

We will discuss your screening options and offer you some blood tests. We will also check your blood pressure and send off a urine sample for analysis. In the next couple of weeks you should expect to get a date in the post for your dating scan.

10-14 weeks

The dating scan is used to see how far along in your pregnancy you are and check your baby’s development. This is done at the hospital.

16 weeks

This is an opportunity to discuss your screening results with your midwife and your midwife will also document your initial blood test results. Your blood pressure and urine will be checked again.

18-21 weeks

This is also referred to as the ‘fetal anomaly scan’. This is a much longer and more detailed scan – the main purpose of this scan is to check for any physical abnormalities of your baby. It is at this scan you can request to find out the sex of your baby – if the baby is in the right position to show the sonographer!

25 weeks

(1st pregnancies only)

If this is your first baby, you will be offered a midwife check up at 25 weeks. Your midwife will discuss the importance of fetal movements and who to call if you have any concerns. You will also be given your Mat B1 form.

28 weeks

The midwife will check your blood pressure and urine.

If your blood group is rhesus negative, you will be offered an Anti-D injection.

We will offer further blood tests – mainly to check your iron level and to see if you have developed any antibodies.

Your midwife will measure your bump using a tape measure (unless you are on a plan or regular antenatal scans).

31  weeks

(1st pregnancies only)

Your midwife will review and record your blood test results.

Your blood pressure and urine will be check and your bump will be measured.

34 weeks

Regular antenatal appointment.

36 weeks

Regular antenatal appointment plus a chance to discuss your birth preferences. Your weight will also be recorded again.

38 weeks

Regular antenatal appointment

40 weeks

Regular antenatal appointment and you will be offered a membrane sweep. A membrane sweep involves having a vaginal examination that stimulating the cervix to produce hormones that may trigger natural labour.

 

Between 40-41 weeks pregnant your midwife will discuss induction of labour. National guidance recommends induction of labour to avoid the risks of a prolonged pregnancy (pregnancy lasting beyond 42 weeks). It is not possible to reliably predict which babies are at increased risk, so the Department of Health recommends induction of labour to all women between 41 and 42 weeks of pregnancy (usually when you are 12 days over your due date)

41 weeks

Regular antenatal appointment and you will be offered a membrane sweep. If not done so, a date for induction of labour will be booked. You can choose not to be induced – please discuss this with your midwife. Increased monitoring of your baby will be offered if you choose not to be induced.

Antenatal clinic and scanning
Vaccinations
Day Assessment Unit (DAU)
Positive Birth Service
Local antenatal classes and Apps
Choosing where to have your baby

Our staff at Salisbury District Hospital have long been well regarded for the quality of care and treatment they provide for our patients and for their innovation, commitment and professionalism. This has been recognised in a wide range of achievements and it is reflected in our award of NHS Foundation Trust status. This is afforded to hospitals that provide the highest standards of care.

Salisbury NHS Foundation Trust, Salisbury District Hospital, Salisbury, Wiltshire, SP2 8BJ
T: 01722 336262 E: sft.pals@nhs.net
© 2021 Salisbury NHS Foundation Trust
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