Your visits

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Your visits


Visits, tests and baby development

At 12 weeks the fetus is fully formed, from now on it has to grow and mature.

Please bring your blue book with you to your appointments and pack in your hospital bag.

Please note the schedule of visits outlined is in line with Australian standards but may vary depending on your assessed needs during your pregnancy.

Between 7 and 10 weeks

Usually attended by GP

GP to provide referral to THS for pregnancy care.

Recommended tests for discussion:

  • Blood Group, antibody screen;
  • Full Blood Examination (FBE);
  • Ferritin levels
  • Rubella;
  • HIV;
  • Syphilis;
  • Hep B and C;
  • Vitamin D;
  • early POGTT or blood test to check for diabetes in pregnancy if indicated; and
  • Urine test (MSU) for asymptomatic bacteriuria.

Tests to be offered/discussed at this Visit:

  • Serum screening (Down Syndrome Test) and scan;
  • Dating scan and discuss 18 20 ultrasound scan that looks at fetal development and wellness;
  • Height, weight to determine BMI.

Between 10 and 14 weeks

Attend first Midwife appointment

  • Discuss ultrasound and blood results Chlamydia Screening – 25 yrs & under. Early Glucose Test if indicated. Complete any unfniished tests.
  • Book 18 20 week ultra sound to look at fetal development and wellness.
  • Measure blood pressure (B/P), weight, check uterine size.
  • Given a copy of the Maternity Information Package (this book) of which it is important to start reading as education  is a continual process throughout your pregnancy.
  • Orange folder provided to hold information obtained from visits and forms for all tests required in pregnancy including ultrasounds and blood tests.
  • Offer to complete Edinburgh Perinatal
  • Depression Screening (EPDS).
  • Models of care and antenatal education options discussed.
  • Screening assessment done for Venous
  • Thromboembolism (VTE) risk category
  • Discuss Fluvax and Pertussis booster.

Baby development

At 12 weeks the fetus is fully formed, from now  on it has to grow and mature. The baby is already moving about but the movements cannot be felt yet. By 20 weeks the face is beginning to look more human and hair is starting to grow as well as eyebrows and eyelashes. Between 16 20 weeks you will feel your baby move for the first time, it will feel like fluttering or bubbling.

Between 16 and 20 weeks

  • Discuss ultrasound and blood results. Attend ultrasound appointment. Measure B/P, weight, check uterine size.
  • Listen for fetal heart and check for fetal movements.
  • Discuss fetal movements (pattern, strength,frequency & intuition)
  • Discuss the Glucose screening test, used to detect diabetes of pregnancy.
  • If not already done book Glucose Tolerance Test for around 26 weeks.
  • Ensure you have blood forms for pathology for FBE, antibodies, Glucose Tolerence Test (POGTT), due before 28 week visit.
  • Discuss Anti D for Rh Negative mothers for next visit.
  • Book birth and parenting, and breastfeeding classes.
  • Discuss dental care, please see Healthy Smiles for two for further information.

Baby development

At about 22 weeks the baby becomes covered in a fine hair called ‘lanugo’, which usually disappears before birth.

Between 24 and 32 weeks

  • Check  and discuss any results. Measure B/P, weight, check fetal heart beat, fetal movements, size and position of baby via abdominal palpation.
  • Discuss healthy lifestyle, emotional and social well being
  • If 28 weeks and Rh Negative review the antibody screening blood  test results and give Anti D injection.
  • Safe Sleeping and active third  stage (delivery of placenta) to be discussed.
  • Commence breastfeeding education
  • Reminder  about seasonal fluvax and getting Pertussis vaccination/booster between 28 and 32 weeks.
  • Discuss Mum settling to sleep on her side from 28 weeks.  "Side to sleep for Mum and back to sleep for baby".
  • Reminder of importance of fetal movements and contacting Maternity Services in your area.

Baby development

Sometimes the baby may get hiccups, and you may feel the jerk of each hiccup. The baby may also begin to follow a pattern for waking and sleeping. At 24 weeks your baby is about 33cms long and is covered in a substance called vernix.

The baby is now moving about vigorously and responds to touch and to sound.  A loud noise may make it jump and kick.  It also swallows small amounts of the amniotic fluid and passes tiny amounts of urine back into the fluid.

At 26 weeks the eyelids open for the first time.  Your midwife/Dr can hear the baby's heartbeat through a sonicade.

Your Baby's Pattern of Movements

There is no set number of normal movements.  Your baby will have their own pattern of movements that you should get to know.  From 16-24 week on you should feel the baby move more and more up until 32 weeks then stay roughly the same until you give birth.  It is NOT TRUE that babies move less towards the end of pregnancy.

A reduction in a baby's movements can sometimes be an important sign that a baby is unwell.

If there is something different or irregular about your baby's normal pattern of movements you should call your primary midwife or Maternity Unit 24 hours, 7 days a week.

DO NOT put off calling until the next day.

For further information go to www.stillaware.org  or www.stillbirthalliance.org.au

34 weeks

  • Measure B/P, weight, check fetal heart beat, fetal movements, size and position of baby via abdominal palpation.
  • Discuss healthy lifestyle, emotional and social well being.
  • Discuss Group B Streptococus (GBS) screening.
  • If Rh negative discuss and give Anti D injection.
  • Consider options for birth and coping with pain.
  • Continue breastfeeding education.

Baby development

Your baby is gaining weight so the skin that was quite wrinkled before is now smoother.

Both the lanugo and the vernix begin to disappear. By 32 weeks your baby is usually lying head down.

36 weeks

  • Group B Streptococus (GBS) screening swab collected, mid stream urine (MSU) collection and you will be weighed & have a blood test for Hb and Ferritin.
  • Discuss healthy lifestyle, emotional and social well  being, & have a blood test for Hb and Ferritin.
  • Active management of the 3rd stage of labour should be discussed and your preference documented.
  • Importance of Safe Sleeping discussed. Measure B/P, check fetal heart beat, fetal movements,  size and position of baby via abdominal palpation.
  • Discuss consent for Hepatitis B and Vitamin K immunisation.
  • Continue breastfeeding education.

Baby development

At 36 weeks your baby may start to move down  into the pelvis and may be in the ‘engaged’ position.

38 weeks

  • Check Group B Streptococus (GBS) result and discuss possibility of having intravenous (IV) antibiotics in labour if the result is positive.
  • Discuss healthy lifestyle, emotional and social well being.
  • Measure B/P, weight, check fetal heart beat, fetal movements, size and position of baby via abdominal palpation.
  • Discuss signs of labour.
  • Continue breastfeeding education.

40 weeks

  • Measure B/P, weight, check fetal heart beat, fetal movements size and position of baby via abdominal palpation.
  • Discuss healthy lifestyle, emotional and social well being,
  • Possible vaginal examination and cervical sweep.
  • Discuss fetal monitoring, baby movements and CTG (monitoring baby’s heart beat) requirement at next appointment.
  • Discuss induction of labour.
  • Continue breastfeeding education.

Post Term

Some women do not go into labour by themselves. It is safe to go over your due date providing you and your baby’s health are fine. You may be required to have more hospital visits to ensure this and be offered an induction of labour.

41 weeks

  • Measure B/P, weight, check fetal heart beat, fetal movements, size and position of baby via abdominal palpation.
  • Discuss healthy lifestyle, emotional and social well-being.
  • Offer  a vaginal examination, cervical sweep and gain indication of requirements for induction of labour.
  • CTG attended.
  • Induction of labour booking made and discussed (usually for around 41 weeks plus 2 days).