Antenatal care is the care you receive from healthcare professionals during your pregnancy. You'll be offered a series of appointments with a doctor who specialises in pregnancy and birth (an obstetrician).
The rationale for antenatal care is that it is essential to screen a predominantly healthy population to detect early signs of, or risk factors for disease, followed by timely intervention, thus complications are minimised.
How often do you see a doctor ?
Appointments are on average 30-45 minutes long.
Low risk pregnancy follow up is as follow;
First booking visits take place around 10 weeks of pregnancy.
A pregnancy test should be positive after a period of amenorrhoea of about 6 weeks.
At the booking visit, confirming the pregnancy date is important, thus
the expected date of delivery is known through the last menstrual period.
A thorough history taking and a full examination of the pregnant lady is mandatory.
Blood investigations of blood group and rhesus status, infection screening and urine culture for organisms.
Pelvic ultrasound is asked to confirm the expected date of delivery, location of pregnancy, viability and the number of pregnancy.
At 18 weeks
Reviewing the blood tests results, obstetrics ultrasound to rule out congenital anomalies and placental localisation.
At 24-28 weeks
The blood pressure and blood sugar level is checked with 50g glucose challenge test or 75g glucose tolerance test. Clinical assessment is done as well for mother and fetus.
At 32-36 weeks
in addition to the clinical assessment specially fetal presentation, obstetrics ultrasound is done to assess placental localisation, liquor amount and if needed fetal growth.
At 38 and 40 weeks
Are two visits before the delivery, during which clinical assessment for the mother and baby is done with education care is giving for the symptoms and signs of the labour pain.
If mother did not delivered by the expected date of delivery plus 8days, induction of labour should be offered.
Appointments scheduling for the high-risk pregnant women(diseased pregnancy or its complications) usually more than often and according to the treating physician suitable for the mother and fetus.