HI, I'm in Barcelona and am 27 weeks pregnant with no.2.
I had my first in London, so it's been interesting to see how the diifferent systems work.
I had a booking in appointment with a midwife at 8 weeks, and first scan at 12 weeks. It was internal, and was just fine. I also had an early internal scan in London so knew what to expect.
I think antenatal care here in Barcelona is better than in London... it's certainly more thorough.
I have appointments every 4 weeks, alternating with the gynaecologist and midwife. Here in Catalonia you get 3 scans.. 12 weeks (nuchal fold scan), 20 weeks and 36 weeks. I have detailed blood screenings every trimester.. only had one set of blood tests in London.
Re. Ear piercing. DD1 was born in London, she doesn't have her ears pierced, and it's just not an issue. Some people have commented, but that's it.
DD had most of her vaccinations in London, the only difference was the hep B, which wasn't given in London, so she had too have that when we moved here.
I'm not really looking forward to the birth as I had a waterbirth in London in a lovely birthing centre with soft lighting and chill out music. Here they are very much into shaving, enemas, epesiotomies, epidurals and the lark. A doula would be a good idea. There is one hospital in BCN that has a natural birth team, which is where I will be going.
If you speak Spanish, a good website is www.elpartoesnuestro.com - it has examples of birth plans.
I think standards of care vary between regions, but I'm sure you'll be fine!
Good luck with your pregnancy.