Pregnant what next?

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nhs. 2 .uk or telephone 0131 536 5500. Published by NHS Health Scotland Edinburgh Office Woodburn House Canaan Lane Edinburgh EH10 4SG Glasgow Office Elphinstone House 65 West Regent Street Glasgow G2 2AF © NHS Health Scotland. Please contact our publications team at alternative. 2009 ISBN: 978-1-84485-470-7 NHS Health Scotland is a WHO Collaborating Centre for Health Promotion and Public Health Development.formats@health.scot.We are happy to consider requests for translations in alternative languages and formats.

You can also phone 0800 224488 for your local contact. you will need to phone your GP surgery. 1 . local health centre or maternity hospital.Your pregnancy test is positive – what next? • • Now that you are pregnant. and ask for a booking appointment with a midwife. To do this. you should make an appointment to see a midwife as soon as possible from seven weeks onwards.

Your first appointment You will usually have one or two early appointments with your midwife. These tests are to protect you and your baby’s health.uk 2 . including details of any previous pregnancies. how much alcohol you drink.readysteadybaby. or look in ‘Tests and checks you may have during pregnancy’ under the ‘Your pregnancy’ section of Ready Steady Baby. What about tests and checks? Your midwife will offer you some tests and screening checks as part of your routine care. These are called booking appointments. and if you are taking any medication or drugs.org. At these appointments you will also be given the opportunity to discuss your relationship with your partner. Your midwife will discuss these further with you. and your partner’s health and lifestyle. Your midwife will also communicate with your GP to ensure she has your full medical history. You will also be asked about your diet. whether you smoke or someone in your house smokes. your midwife will need to ask a few questions about you and your family history. In order to plan the best care for you and your baby. You can also go online and check www.

during childbirth and after the birth. If you and your midwife feel you require additional support or investigation during your pregnancy. Midwives are highly-skilled.Who will I see? For most healthy women. A paediatrician or midwife will also examine your baby after they are born. Neonatologists and paediatricians are doctors who specialise in caring for newborn babies and children. your care will be jointly managed by your midwife and the maternity team. the majority of your care will be provided in the community by a midwife. and until your baby is roughly 10 days old. This is known as maternity team care. Maternity team care Obstetricians are doctors who will help support you if you have complications during your pregnancy. In addition. 3 . some may also see you as part of your routine care before your baby is born. qualified professionals who care for women throughout their pregnancy. Your midwife will plan the care that is best for you using national guidelines so that you and your baby obtain the best care throughout your pregnancy. GPs will continue to provide you with your routine healthcare throughout your pregnancy. and may be present at the birth of your baby.

and will give you your baby’s Personal Child Health Record (or ‘Red Book’). Ultrasonographers perform ultrasound scans to check for abnormalities and to measure your baby’s growth and due date. and also help to prepare you for labour by offering relaxation. They will provide you with information about the routine health checks and vaccinations your baby will be offered. spinals or general anaesthetics.Anaesthetists are doctors who specialise in giving anaesthetics. Health visitors or public health nurses will support you and your baby at home when your baby is around 10 days old. they will also give advice on pelvic floor exercises. They may also carry out some of the checks your baby may require daily. pelvic floor education. They may also visit you before your baby is born. for example. After you have had your baby. Physiotherapists help women adjust to the physical changes during pregnancy by giving advice on safe exercise. Maternity care assistants provide a supporting role to midwives and can support you with breastfeeding and parenting skills. if you have diabetes or would like support with weight management during and after pregnancy. breathing and positioning exercises. particularly if you have specific dietary requirements. They can also help where there are worries for the welfare of the child. 4 . Dieticians can give advice on food and nutrition. such as epidurals. Social workers can help support you if you are finding things difficult at home. Nursery nurses can offer you support and advice on caring for your baby and developing parenting skills.

The pregnancy journey overleaf shows your visits. idwife Your m to is there ou. it’s typical to have around 10 appointments with your midwife.How often will I see my midwife? During a first pregnancy. with visits becoming more frequent towards the end of your pregnancy. You might like to discuss: • • • • • • any worries you have or symptoms that are causing you concern the types of tests you will be offered the facilities and birth options available to you what preparation for parenthood classes are available the type of exercise you can take how to care for your teeth and gums. The exact number will vary depending on you and your baby’s health throughout the pregnancy. you will see the midwife around eight times. If you have had a baby before. ty suppor 5 . Your opportunity to ask questions – big or small You will probably have lots of questions throughout your pregnancy and your midwife and maternity team are there to support you.

it’s important to think about other changes you need to make such as giving up smoking. drinking. and eating a healthy diet. drug use. providing information on your baby’s growth as well as some routine blood tests. either in your home or at your midwife’s clinic. You are producing large amounts of pregnancy hormones and all your baby’s essential organs are forming.Your pregnancy journey Weeks 1–12 (1st trimester) At this time your body is changing and adjusting to pregnancy. Weeks 10–12 At this time you may be offered a booking or dating scan. To give your baby the best start. Weeks 7–9 Your first appointment with your midwife will take place now. In some areas you will have two appointments with the second one lasting about an hour. 6 .

You will be seen regularly by your midwife for checks at weeks 28.Weeks 13–28 (2nd trimester) Throughout this period your baby will be able to hear and move around. 39 and 41. you will also be offered a midwife check at weeks 31 and 38. 36. the ‘bump to breastfeeding’ DVD will give you lots of information. 34. Weeks 13–16 Some further routine blood tests and checks will be carried out to help protect you and your baby’s health. Your midwife will discuss any tests offered and whether you wish to have them. If this is a first-time pregnancy. if you’re thinking about how to feed your baby. Weeks 29–40 (3rd trimester) Your baby is fully formed now and putting on weight. 7 . Weeks 20–22 You will be offered a detailed scan and. and you may feel like you have more energy as your hormone levels stabilise.

Folic acid tablets are widely available from pharmacies and supermarkets or can be prescribed by your GP. Good sources of folate include oranges.000 mcg (5 mg) of folic acid is recommended for women who have previously had a baby with spina bifida. and for the first 12 weeks of your pregnancy. bananas. peas. It will also help prevent pregnancy-related tooth decay and gum infections. 8 . sprouts. as it’s difficult to get enough from your diet alone. broccoli. such as spina bifida. chickpeas. It is recommended that you take 400 micrograms (mcg) of folic acid daily before you become pregnant. This is to help reduce birth defects.Keeping healthy during your pregnancy Healthy eating A healthy diet will benefit you and ensure your baby has the best possible start. A higher dose of 5. and fortified breakfast cereals.

or you are a teenager. are on a low income. althy S He Should I be taking other vitamins and minerals too? During pregnancy. If you or your family receive income support. Speak to your midwife about how to get these. Caution – very high levels of vitamin A in the first few weeks of pregnancy have been shown to harm the development of some babies. For vitamin D. you will be eligible for free vitamins through Healthy Start. When you’re pregnant. income-based job seekers allowance. it’s also important to make sure that you get enough vitamin D and iron for strong bone growth in babies. 9 . Therefore avoid liver or cod liver oil and general multi-vitamins unless you are advised to do so by a health professional. For more information on foods to avoid.to Speak ife idw your m ut o ab tart. check any supplements you take carefully. child tax credit. look in ‘Eating well while you’re pregnant’ in Ready Steady Baby. this is best achieved by taking a daily 10 mcg vitamin D supplement.

drinking alcohol or taking drugs. It’s important to talk to your midwife about all of these issues so she can support you with any changes you want to make.com or call 0800 84 84 84 or talk to your midwife. and into childhood stopping smoking will reduce your risk of miscarriage. From the evidence we know that: • • • • if you or someone in your household smokes.canstopsmoking.Smoking. including thinking about stopping smoking. drinking and drug use Often. after your baby is born. and most areas will provide specialist support to make the process easier. stillbirth and your baby being born prematurely any alcohol you drink will reach your baby and may cause harm any recreational or street drugs you take may affect your baby’s development. 10 . For further information about stop smoking services visit www. gives you the chance to think about your health. this will affect your baby’s health and development during pregnancy. being pregnant.

contact your dental team. it is important to keep brushing twice a day and. phone the NHS Helpline on 0800 224488. rinse your mouth with alcohol-free fluoride mouthwash afterwards. swollen and bleed more easily. Remember. avoid brushing your teeth immediately after being sick as this can wear away the top surface of enamel. However. ntal NHS de while free care is pregnant you are one year and for he birth after t baby. If your gums bleed. What will help? • • • Continue to brush your teeth twice a day for two minutes using a toothpaste containing 1500 parts per million (ppm) fluoride. Instead. this should disappear after the birth of your baby.Caring for your teeth and gums During pregnancy. of your 11 . your hormone balance changes and your gums may become red. NHS dental care For more information on how to register with a dentist. only spit out excess toothpaste – don’t rinse. if it continues. If you experience pregnancy sickness. or speak to your midwife.

How to contact your midwife Your midwife will give you a contact number that you can call at any time so. there’s no need to wait until your next appointment. if something is worrying you. Your midwife’s number Your local maternity unit 12 .

13 . at each appointment you will be asked to bring your hand-held notes with you to record any information about your health and that of your baby.Remember.

Notes/things to ask 14 .

Notes/things to ask 16 .

18 www.healthscotland.com 2954 9/2009 .

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