Antenatal and Obstetric Care

Congratulations on your pregnancy. The excitement and joy that is felt on this journey can also be overwhelming. Being well informed is an important aspect of your care and will alleviate some of your worries.

I have outlined a checklist to assist with the planning of your pregnancy and give you some guidance to the care I provide together with the investigations that you will have throughout your antenatal period.

First Obstetric Visit (6-10 weeks) 30mins

In Preparation for your first Antenatal visit

You should bring with you:

  • GP Referral
  • Your antenatal screening bloods and Urine test

These are usually done by your GP and include :

Blood group & Antibodies, Full blood count, Iron studies, Vitamin D, Vitamin B12, Hepatitis B, Hepatitis C, HIV and Rubella

  • Ultrasound results if already performed

At this visit we will:

  • Confirm your Estimated Date of Confinement or Due date
  • Review your previous obstetric / gynaecological / medical / surgical history
  • Discuss any current Early pregnancy problems
  • Perform an Examination and look at the developing fetus
  • Review your antenatal screening bloods and tests
  • Request the completion of an Antenatal Risk Questionnaire, ANRQ
  • Arrange for First trimester screening if appropriate

(Non Invasive Prenatal Testing, NIPT, or Nuchal Translucency, NT scan)

  • Plan your antenatal care and management

14-16 Week Antenatal Visit 15mins

At this visit we will:

  • Review the results of any investigations including the NIPT or NT scan if undertaken
  • Score and discuss your ANRQ
  • Arrange for a Morphology Ultrasound

(A comprehensive anatomical assessment of your baby’s development)

  • Review your antenatal exercise program
  • Discuss potential travel whilst pregnant
  • Discuss Booking into Hurstville Private Hospital
  • Examine your blood pressure and assess the fetal heart rate

20 Week Antenatal Visit 15mins

  • Review the results of the Morphology ultrasound scan
  • Discuss Antenatal Classes
  • Begin the discussion regarding your choice on mode of delivery
  • Discuss pelvic floor preparation for childbirth and referral to a specialised pelvic floor physiotherapist
  • Examine your blood pressure and assess the fetal heart rate

24 Week Antenatal Visit 15mins

  • Discuss Fetal Movements
  • Discuss common musculoskeletal changes and modifications to exercise, sleeping positions and activity.
  • Arrange for your 28 screening tests for gestational diabetes, anaemia and iron deficiency and vitamin D levels.
  • Examine your blood pressure and assess the fetal heart rate

28-36 Week Antenatal Visit 15mins

Visits during this period are fortnightly. We cover a multitude of topics to assist in the preparation for childbirth for both you and your baby which will include:

  • Your preference regarding labour and mode of birthing
  • Ensure you have attended antenatal classes
  • Immunisation
  • Preparing your pelvic floor for birth
  • Immunisation
  • Cord blood donation / collection
  • Third trimester ultrasound if necessary
  • Examine at each visit your blood pressure and assess the fetal heart rate

36-41 Week Antenatal Visit 15mins

Visits in the last month of your pregnancy will be weekly. Much can happen between one week to the next in this time as your baby continues to grow and prepares for its first breath. During these visits we will:

  • At 36 weeks recommend testing for Group B streptococcus (GBS) testing

This is not an infection but can be present in 40% of pregnant women and can cause severe infection of the newborn. If present antibiotics in labour significantly improves outcome.

  • Discuss signs of labour
  • Explain the importance of Vitamin K in the newborn
  • From 38 weeks offer examinations to assess cervical ripening, the stretch and sweep, which may assist in the onset of spontaneous labour
  • Discuss induction of labour if required
  • Examine at each visit your blood pressure and assess the fetal heart rate

6-8 Week Postnatal Visit 30mins

These weeks can be chaotic as you adjust to your new little person and they adjust to you. At this visit we have much to talk about and will discuss:

  • Your birth
  • Make recommendations for future pregnancies and births
  • Perform an examination

(This may include a cervical screening test, a pelvic floor examination, review of any potential abdominal separation and assessment of any wound healing)

  • Contraception
  • Breastfeeding concerns
  • Your coping skills and the completed Edinburgh Postnatal Depression Scoring test that will be given to you prior to your visit with the obstetrician
  • Return to exercise and appropriate precautions
  • Recommend a follow up visit with the physiotherapist