1. Your First Appointment
Usually your midwife will book in with you around 8-12 weeks. If you have difficulties with finding a midwife, please ask your GP for an referral, or check with “Find Your Midwife” website, or you can Google search with key words like “midwives” “health point” as soon as possible.
At your first appointment with your midwife, she will explain to you how often you will come to see her and how she will look after you. Your midwife will also discuss with you what kind of tests or ultrasounds are available as part of your early pregnancy screening. You will be advised how to take care of yourself during pregnancy by your midwife as well.
You may also make decision to get engaged with a private obstetrician at this point if you are having some medical conditions or if you wish and happy to pay for the obstetrician while you have a midwife look after you.
2. Main Tests and Ultrasounds During Pregnancy
- Early Dating Scan
- Nuchal Translucency (NT) Scan and Maternal Serum Screening (MSS)
- Anatomy Scan
- Screening for Gestational Diabetes Mellitus (GDM)
This is generally not that necessary unless you have very irregular menstrual period, it aims to confirm your expected delivery date (EDD). If you have regular period each month, your EDD is usually calculated by the first day of your last menstrual period (LMP).
This screening is usually done any time between 11 weeks plus 2 days and 13 weeks plus 6 days.
NT thickness is the thickness of the black space (fluid) in the neck area of the fetus. If there is more than the normal amount, the risk of chromosomal abnormality is increased.
The MSS is a blood test for you to find out how much risk there is of possible problems with custom essay the fetus. A computer programme will analysis your NT scan result and your MSS result to calculate an estimate of the chance of a chromosomal abnormality or neural tube defect in your baby. This is where how Down syndrome is picked up.
If you are over 36, you might be advised to take a couple of other testes, such as amniocentesis. It can be done any time after week 14, and involves a sample of amniotic fluid, lowering the miscarriage risk to less than 1%.
The anatomy scan is can be done between 18-20 weeks gestation and will look at how the baby’s internal structures are developing. A systematic examination of the baby’s at all limbs, organs such as the heart, brain and kidneys, to check for abnormalities. It may be possible to find out the sex of the baby if you wish to.
Between 2 – 10% of pregnant women test positive for GDM.
You will be asked to drink a cup of fluid which containing a type of sugar, and then a custom essay specimen of your blood will be taken to see how your body has metabolized that sugar. If there is an abnormal result, you will be at risk of developing the GDM or diagnosed as having GDM. Then your midwife will refer you the diabetic midwife team to look after you during pregnancy.
Please start taking at least half an hour mild exercise a day from 24 weeks if essay to buy you are not already doing it. Then your body and your baby will be thankful for it when you are at labour and birth.
4. Food Safety and Nutrition
Food safety and nutrition intake are important during pregnancy.
- You should avoid eating the following foods:
- You are safe to eat the following foods:
- During pregnancy, do not eating for two as you thick you are pregnant! It is better to listen to your body and eat proteins such as fish, eggs, and meat twice daily, along with 3 portions of fresh fruit and 2 of vegetables. Also 3 serving of milk or dairy products to keep your calcium intake.
> Chilled pre-cooked seafood and meat.
> Uncooked food and raw
> Stored or prepared salads, especially from supermarket.
> Sushi and Sashimi
> Custard, soft cheese and Mayonnanise
> Soft serve ice cream
> Well cooked food product
> Well washed fruits and vegetables
> Dried foods like nuts, beans and fruits.
> Milk, yoghurts, breads, cereals and hard cheese
5. Antenatal classes
We recommend all first time parents to take prenatal parenting class.
Birthcare Parnell has free mandarin antenatal classes if you are eligible to free maternity service in NZ. Please feel free to call Birthcare reception on 09 3740800 to make enquire on enrolling with the classes.