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Counties Manukau Health Community Midwifery Service

Midwifery Service

Antenatal Care (Pregnancy)

Pregnancy Care

Because pregnancy care is so important for your health and the health of your baby, it is free for all NZ citizens, residents and many other visa holders. Your midwife will give you advice on keeping yourself healthy in pregnancy and you will be offered regular appointments so your midwife can monitor your progress. Your midwife will be looking out for any signs that you or your baby are becoming unwell. Some conditions in pregnancy may not be obvious to the untrained eye, so attending appointments is vital. Your midwife will order blood tests and ultrasound scans as required. Please make sure you undertake these tests promptly so that any problems can be detected early. If any problems are indentified you will be referred to a hospital specialist, who will make a plan of care with you and your midwife.

Your midwife will talk to you about what you want for your pregnancy and will plan your care with you. You will be asked to think about the kind of labour and birth you would like and your preferences will be recorded. It is a good idea to attend a childbirth education course, especially if this is your first baby. 

Pregnancy Confirmation

Your pregnancy may be confirmed with a urine pregnancy test.

You can purchase home pregnancy tests from supermarkets, chemists or free of charge from a self employed midwife, Primary Birthing Unit or the drop in clinic at 124 Dawson Road, Otara.

You can also visit your GP who may do a urine or a blood test.  You may be charged for this visit.

 

 

What to expect at your antenatal visits

WEEK

 

9 -12

 

A welcome and introduction to Counties Manukau Health Maternity services.

Your options of care will be discussed - who can care for you during your pregnancy, birth and postnatal period. The midwife will support you in finding a self employed midwife if you choose this model of care and you are anticipating a normal pregnancy and birth.

Information will be given about birth preparation classes as you need to book early.

A written history of your medical and past pregnancies history is recorded.

The midwife will:

  • discuss antenatal screening/1st antenatal bloods/vaginal swabs/urine sample. For more information on antenatal screening visit the National Screening Unit website www.nsu.govt.nz
  • share information about food safety and foods to avoid due to risk of food poisoning during pregnancy
  • share information about maintaining a healthy weight range/weight gain during pregnancy
  • share information about warning signs in pregnancy and who to report those to
  • The midwife will record your blood pressure, baby’s heartbeat, record your weight and dipstick test your urine at every visit.

15

The midwife will:

  • discuss results of 1st antenatal bloods/vaginal swabs and urine*
  • discuss and give a request form for baby’s anatomy scan at 19-20 weeks
  • discuss results from antenatal screening test (if taken).

20

The midwife will review the ultrasound scan.

24

The midwife will:

  • arrange 2nd antenatal blood tests including a screen for diabetes (Polycose or GTT)
  • monitor baby’s growth by measuring the size of your womb/uterus with a tape measure at every visit now
  • ask you about your baby’s movement patterns and discuss when to report any concerns
  • discuss Parental Leave entitlement.

28

Review 2nd antenatal blood results*.

The midwife will share information about infant feeding and support you in making a choice.

31

The midwife will share information about preparing for baby:

  • car seat information/education
  • Well Child provider e.g. Plunket, South Seas, Mokopuna Ora, Tamariki Ora-Papakura Marae
  • Immunisation Programme/National Immunisation Register.

34

The midwife will:

  • start writing your birth plan with you and discussing information to enable you to make choices about what you want during your labour/birth (birth planning)
  • arrange 3rd antenatal blood tests (at 35-36 weeks)
  • postnatal stay/discharge planning/contraception choices.

 

36

The midwife will review 3rd antenatal blood results.
Birth planning.

38

You may be seen at 37 & 39 weeks if you and the midwife decide it is needed.

40

The midwife will start to discuss a plan if you go 8-14 days after your due date.

41

The midwife may request liquor volume & growth scan to assess baby’s wellbeing and offer an internal examination to stimulate labour to start.

41 +3

You may be seen by a specialist at Manukau SuperClinic to discuss your pregnancy and induction of labour. Your midwife would have advised you and you would receive a letter.

* Test results may be telephoned to you or a letter sent informing you of the results. This occurs in situations where you may need treatment or a further test.

Contact Details

Papakura Primary Birthing Unit

South Auckland

More details…

Pukekohe Hospital

South Auckland

More details…

This page was last updated at 1:22PM on March 16, 2017. This information is reviewed and edited by Counties Manukau Health Community Midwifery Service.