PATIENT INFORMATION – ANTENATAL
1) FOLIC ACID 400mcg a day from before conception or as soon as you discover you are pregnant to 12 weeks. This reduces the risk of spina bifida.
2) VITAMIN D 10mcg a day is recommended throughout pregnancy – have a chat with your chemist.
3) IMMUNISATIONS Influenza – recommended for all pregnant women from conception onwards during the flu season.
Whooping cough – recommended booster dose at 28 weeks to help reduce the chance of your newborn baby catching whooping cough before their first immunisation.
4) TIREDNESS A normal symptom of pregnancy, especially early on. Rest as you can. If you have a history of anaemia discuss this with your doctor.
5) NAUSEA Common. Have small meals/carbohydrate snacks.
Ginger can be helpful and also sea sick wrist bands.
6) FOODS Avoid: a) Multivitamins – if not pregnancy specific, as these can contain Vitamin A.
b) Liver, pates, uncooked eggs, soft-boiled eggs, soft cheeses or unpasteurised hard cheeses as they can cause Listeria.
Increase: Spinach, spring greens, broccoli, breads and cereals.
7) CATS Avoid gardening without gloves or changing the cat litter tray, as there is a risk of toxoplasmosis.
8) ALCOHOL Currently the Royal College of Obstetricians and Gynaecologists (2006 Guide) recommend that “the safest approach in pregnancy is to choose not to drink at all”. Small amounts of alcohol during pregnancy (not more than one to two units, not more than once or twice a week) have not been shown to be harmful.
9) SMOKING This is harmful during pregnancy and smokers should stop. If this is proving difficult, we have advice and help at the surgery. Please make an appointment with Angela, our Healthcare Assistant who can help you give up smoking.
10) PEANUTS The Department of Health advises all pregnant women who have a family history of, or whose partner has asthma, eczema or food allergies, to avoid peanuts in pregnancy and while breastfeeding. Eating any other kind of nut is fine.
11) LARGE OILY Although oily fish is a healthy food because it protects against heart disease, pregnant women
FISH, RAW FISH are advised against eating large oily fish, such as shark or swordfish. This is because they eat
& SHELLFISH other fish in the food chain and may contain high concentrations of mercury, which can damage your baby’s developing nervous system. Mackerel, herrings, pilchards and sardines are all OK, but limit tuna to no more than four 140g portions of tinned tuna a week or two 140g cooked fresh tuna steaks. Avoid raw fish, oysters and other shellfish such as prawns – unless the prawns have been thoroughly cooked – as they may be contaminated with harmful bacteria.
12) CAFFEINE An intake of more than 200mg a day (equivalent to two mugs of tea or two cups of instant coffee) may be associated with miscarriage according to the Food Standards Agency.
HOSPITALS: All local hospitals become fully booked quickly. Please book as soon as possible
when you are pregnant which will hopefully ensure that you get your first choice of hospital.
1) Kingston Hospital with antenatal care at Queen Mary’s Hospital, Roehampton.
- Local District General Hospital
- The midwife sees you here at Sheen Lane Health Centre
- Nuchal scan is available for all women, free of charge
2) Queen Charlotte’s & Chelsea Hospital
- Du Cane Road, Hammersmith W12 0HS
- Nuchal translucency scan (11 – 13 weeks) – only available to women over 37 years on NHS – others have to pay approximately £95 and arrange privately.
- Midwives see you there.
3) Chelsea & Westminster Hospital
- 369 Fulham Road, London SW10 9NH
- Nuchal translucency scan available all ages.
This is when the majority of the antenatal care takes place at the surgery, where you are cared for both by your GP and the Community Midwife, with hospital appointments being kept to a minimum. The Community Midwives come from Kingston Hospital and give a priority to patients booked at Kingston. If you are not booked at Kingston, you may have to go to your booking hospital for your midwifery appointments.
TOTAL HOSPITAL CARE
When all antenatal visits are conducted at the hospital. This is usually advised if complications are expected or at the mother’s request.
Your GP will discuss your suitability for this. Our practice is willing to support home confinements. Most of the hospitals are able to offer midwife led deliveries. At Kingston they have the Malden suite, which is midwife led throughout delivery.
THE MATERNITY TEAM
Community Midwife: contactable on 020 8546 7711
GPs: Dr M Jezierski, Dr C Grayson, Dr S Jukes, Dr D Tymens, Dr J Barnes, Dr J Samuel, Dr M Peters and Dr E Squire. Contactable at the Health Centre on 020 8876 3901
Health Visitors: Follow link below
You can book into the hospital of your choice and you will get an appointment for midwife booking and an ultrasound scan 11-13 weeks.
If there is bleeding +/- pain during the first 12 weeks then the Early Pregnancy Clinic at Kingston Hospital runs from 8am to 9.30am, Monday to Friday. See your GP to discuss.
- Nuchal translucency scan:
This is an ultrasound scan, which is done between 11 and 13 weeks gestation and involves the measurement of a pad of fat at the back of the baby’s neck. Every woman has a risk of carrying a Down’s syndrome baby. That risk is increased with the age of the woman. The nuchal translucency scan adjusts this risk depending on the measurement of the clear (translucent) space behind the baby’s neck. Research has established that fluid retention in this area during the 11-13 week window may be a marker for Down’s syndrome. This scan is available free of charge from Kingston Hospital. There is however a charge for this scan at Queen Charlotte’s.
- 20-week scan:
This is a detailed anatomy scan of the baby via ultrasound from top to toe. It is this scan that they are able to tell you, at your request, what the sex of the baby is.
- Chorion Villus Sampling (CVS):
This is a diagnostic test. A local anaesthetic is used and thin needle is passed through the abdomen to take a sample from the placenta. CVS is not performed before 11 weeks. The procedure takes three to four minutes and is performed under scan guidance. The results are available in about two weeks. The extra risk of miscarriage is approximately 1 %.
This is a diagnostic test. A fine needle is passed through the abdomen and amniotic fluid around the baby is taken
and tested for abnormalities. The procedure is very quick, taking less than two minutes. It is performed under
scan guidance and the results take three weeks. The extra risk of miscarriage is 0.1 to 1%.
RISK OF DOWN’S SYNDROME
AT 12 WEEKS
Although the risk of Down’s syndrome is much greater in women who conceive over the age of 40, because the majority of births are with women who are younger, the majority of Down’s babies are born to younger mothers, i.e., all pregnant women are at risk of having a baby with Down’s syndrome, this risk increases as the mother’s age increases.
- Free prescription certificate:
For the duration of the pregnancy and for the first year of your baby’s life you are eligible for free prescriptions. Ask you GP for a form.
This is a certificate that is given to your employer and can only be completed from 20 weeks of the pregnancy onwards. These can be obtained from either your GP or midwife. Please do not ask your GP or midwife to sign it prior to this.
Usually shared between the Midwife and the GP. You will be given regular appointments throughout your pregnancy (e.g. 12 weeks, 20 weeks, 24 weeks, 28 weeks, 30 weeks, 32 weeks, 34 weeks, 36 weeks, 38 weeks, 39 weeks & 40 weeks.)
Sheen local NCT Trained antenatal teacher email – firstname.lastname@example.org
telephone – 020 8878 0546
You will be eligible for antenatal classes here at Sheen Lane if you would like to attend.
Updated February 2016