First Midwife Appointment & Antenatal Care | C&G baby club
When you first learn that you're pregnant, get in touch with a midwife or GP as soon as possible. Ideally this should be by 10 weeks of your. How many midwives or obstetricians are on the team? Who are your assistants? Will I get to meet all of them? What is their experience? Can I be sure that you. We had an info session prior to our first midwife appointment, so they gave us a tour of the . Just a sort of meet and greet and get to know you.
How does your practice work? Find out what your care would look like with a particular practice: Would you see just one midwife throughout your pregnancy?
Or would you be with a team of two or three? Who would be there with you? What does prenatal care with a midwife look like? How many appointments will I have? What does a typical appointment look like? An average appointment lasts 30 to 45 minutes.
This is also a good time to ask the clinic what tests and screenings are offered during the prenatal period. Decisions regarding these are based on informed choice, meaning your midwife will talk to you about what the tests offered look for, how they are performed, possible advantages and disadvantages, and any risks involved. Midwives offer the same routine tests as obstetricians and physicians. Will a student midwife be involved in my care? Lauren Kouba, a mom from Oakville, Ont.
Most clinics that are located near midwifery schools have student programs, and student involvement varies from practice to practice, says Kilroy. Midwifery colleges, which regulate the profession and exist in provinces where midwifery is regulated, have guidelines for the kinds of situations that would warrant consultations with a physician, and the kinds of things that would require transfer of care.
Nicola Hives, who had a midwife throughout her pregnancy, learned at her week ultrasound that she had a condition called complete placenta previawhere the placenta lies very low in the uterus and completely covers the cervix.
As a result, she had more frequent ultrasounds, some consultations with an OB and had to deliver early via Caesarian birth because spontaneous labour would have put her and her baby at risk. Despite the complication, she was able to keep her midwife as her primary care provider throughout her pregnancy and in the postpartum period, though the OB performed the surgery. Practices have different protocols when it comes to going past duebut all offer an informed choice approach to decision making regarding timing of induction.
In some areas, midwife practices may face community pressure to follow hospital policies, so induction at a specific time might be encouraged for example, at 41 weeks and three days. In general, midwives are expected to support the approach to care that uses the fewest interventions, as supported by evidence, and this will impact when induction is recommended.
They will also make sure you understand risks and benefits associated with each option. And what exactly goes on during the first prenatal visit? When is my first prenatal visit?
If you are seeing a midwife they may suggest you wait until 10 — 12 weeks for your first appointment. An ultrasound can pick up a heartbeat as early as weeks, and some women are led to believe that an early ultrasound is necessary for a healthy pregnancy. This analysis shows that routine ultrasound does not improve perinatal outcomes while this analysis shows no improvement in maternal outcomes.
Another reason that some doctors want you to schedule an earlier appointment is for a full pelvic exam.
The reasoning is that, for some women, prenatal care is their first or only chance to see a doctor and undiagnosed STDs can be dangerous for the baby. What should I expect at my first prenatal visit? Build a relationship One of the advantages to using midwives is that you have continuity of care, meaning that the midwife you see at each or most appointments will be the one who attends your birth.
Even in a larger office with multiple midwives, at least each appointment was nice and long with plenty of time to talk and bond with these awesome ladies. By the end of my pregnancy, I knew I was in good hands no matter which midwife was on call and this is a very good feeling!
9 questions to ask before choosing a midwife
At the first prenatal visit you can get to know your midwife or doctor, learn about her background, and begin to build a relationship of trust. You can ask questions and get information on good books to read or specialists you may want to see during your pregnancy, such as a chiropractor or lactation consultant.
If you are using a family doctor, then you may have a similar continuity of care. Assess your health Your midwife will ask about your health history, family health history, and present health to get a baseline for what is normal for you.
She will address common pregnancy complaints and offer holistic, natural remedies. She will also ask if you are having unusual symptoms that may be a sign of something serious. Headaches are common in early pregnancy, but can also be a very early sign of preeclampsia. Your midwife will want to know if you are having headaches or other symptoms and will keep a record of them.
List of 47 Questions to Ask a Midwife During an Interview (with printable)
Routine tests Your midwife will order a different blood tests that will tell her your blood type, red and white blood cell counts, hematocrit, hemoglobin, and platelet count. Your midwife needs to know your blood type for your safety, but the other tests should be optional.
These blood tests will also tell your midwife if you are Rh positive or negative. She will rule out any medical problems that may affect your pregnancy and assess whether a homebirth or birth center birth is safe for you it usually is.