Morning all!! pass the Monstermunch please, can't face anything else today :S
The good old booking appointment
Very unlikely to take 1hr 30 in the actual room, unfortunately they're probably just advising that incase they get behind and you're sat in the waiting room. I do my bookings in 40mins and I don't skimp on advice either!
Tbh it depends on individuals - if first baby with no significant medical history, nice quick and straightforward.
If it's the 5th baby and/orseveral medical conditions then that takes longer!! Due to getting histories of past pregnancies, arranging appts with specialists etc
Most has already been said but I'll outline anyway:
*introduction to midwife
*asked re:choice of hospital
*details ie partner, telephone number, ethnicity, occupation
*dates of LMP to confirm edd
past obstetric history ie births, miscarriages and terminations (therefore be careful re:partner being present if there are things you'd rather he didn't know*
*medical history inc current medications, previous operations, conditions like diabetes. Then appropriate referrals will be made ie diabetic midwife/consultant
*any significant family medical history
- provide wee sample for checking of protein and infection (tho this usually done at first hospital visit)
*check blood pressure, as this will be determined as your "base line" for rest of pregnancy to compare against it going high or low for YOUR averages
*height and weight for BMI, dietary advice, lecture about folic acid and vitamin d
*taking of 'booking bloods' - this May be done at GP surgery OR first hospital visit depending on the hospital you choose.
Bloods are for : blood group, check for unusual antibodies, sickle cell and thalassaemia, and screen for syphilis, HIV, hepatitis b and check immunity to rubella.
*asking how much you smoke/drink/ any recreational drugs and advice based on your answers
*working out your risk for thromboembolism (blood clots) ie based on weight, medical history. Given things like compression stockings or aspirin if deemed necessary
*you will be asked if you want baby to be screened for Down's syndrome - (google this on NHS choices for detailed explanation) based on answer, you will then be booked for an NT scan or regular dating scan - only difference is the measuring of nuchal fold in NT (nuchal translucency) scan
*scan appt arranged
*given hand held maternity notes (KEEP SAFE AND BRING EVERYWHERE! lol)
*emergency contact numbers
*depending on time - advice or leaflets re: breast feeding, seatbelt safety, money, sex and exercise in pregnancy etc
Hope that helps!!
Re: postnatal depression - breast feeding (going well) reduces chance of PND as it increases oxytocin and bond with baby and overall helps mediate the great hormone crash post birth.
everyone please read the womanly art of breast feeding, can get for a fiver on Amazon. It's excellent at explaining benefits of BF, gives you a brilliant outline of theory so you're not wholly relying on busy NHS midwives when your establishing feeding in those crucial early days.
I am NOT the breast feeding police and entirely respect people's choices, HOWEVER I will go blue in the face to make sure people are making an informed choice - so many people can be misinformed, just like I was before my training. Once I had been given ALL the information it was a real eye opener and I vowed I would give BF my best darned shot!!
Anyway! I need some monster munch after all that!!