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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

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Original poster

PRUH Doesn’t offer 36 week scan?

31 replies

Peonyblush1 · 19/10/2018 22:46

Hi all
I’ve chosen to have my baby at PRUH I have my 22 week scan in a months time and found out that they don’t offer a 36 week scan..
Has anybody else had their scans at this hospital?
Is it a problem if you don’t have a scan at 36 weeks?

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fuzzywuzzy · 19/10/2018 22:50

Oscar there a reason you need a scan at 36 weeks?

If your low risk and have no history of previous small babies the norm as far as my experience goes is scans at 12 weeks and 20 weeks and that’s it.

fuzzywuzzy · 19/10/2018 22:50

Is there not Oscar!

gamerchick · 19/10/2018 22:51

Most uneventful pregnancies just get 2 scans. Dating and around 20 weeks.

Has that changed?

Scans are not comfortable things in the third trimester I remember.

Mumtobe193 · 19/10/2018 22:51

Is this in the uk? NHS hospital or private? I've never heard of anyone being offered a routine 36 week scan? Only 12 weeks and 20 weeks.

welshweasel · 19/10/2018 22:52

Lots of trusts offer a third trimester growth scan now, which is great. If you like the unit and want the reassurance of a scan you could always book a private one. I do think they are a good idea as will pick up growth issues, placental insufficiency etc.

Original poster

Peonyblush1 · 19/10/2018 22:56

I know Kings college offer a 36 week scan but because I chose to have my scans at PRUH (closer to home) I won’t have it but my midwife told me I should ask.
It’s the UK and is a NHS Hospital.
I just thought they might of wanted to see where the baby was positioned etc as it’s so close to the end of pregnancy?

OP posts:

fuzzywuzzy · 19/10/2018 22:56

I thought you only get referred for growth scans if you have a history of small babies or if the fundal measurements jump between percentiles.

I had one in later pregnancy last pregnancy as my fundal height jumped massively between percentiles in a two week space. Baby was fine but rather big.

MissWimpyDimple · 19/10/2018 23:00

Totally normal as far as I know.

DrWhy · 19/10/2018 23:01

I’m 35+2 and have just had a scan, it was not fun trying to lie on my back and frankly I wouldn’t chose to do it again if there wasn’t a medical need. Growth scans are pretty inaccurate so unless the midwifes measurements suggest the bump size is way out I’m not sure how much they help. My midwife also seems to be able to tell me where baby is so again, unless she had concerns that they weren’t head down I’m not sure a scan would be needed.
You can always get one privately for reassurance if you would like to.

RememberWhenRibenaTastedNice · 19/10/2018 23:14

I've never heard of 36 week scans and I've had three pregnancies in 3 different hospitals in two trusts.

I've never known anyone to talk about 36 week scans.
I only know of extra scans if required.

DappledThings · 19/10/2018 23:20

PRUH is part of King's. They took it over 4 years ago. King's do 3 scans as standard with the third at 36 weeks and you should therefore definitely be getting the 36 week one. I'd call Midwives House at King's.

They do a third scan there as standard to check the blood flow and reckon if it was standardised across the NHS the stillbirth rate in the UK would come down by a third.

RememberWhenRibenaTastedNice · 19/10/2018 23:27

Oh that's interesting. I expect they might bang that out across more trusts then if they believe its beneficial.

Like the whole "no glove" rule they are now implementing in GOSH.

Liz3891 · 19/10/2018 23:28

Oxford do routine 36 week growth scans.

Original poster

Peonyblush1 · 19/10/2018 23:30

They told me I won’t be getting one because I chose to have my scans at PRUH but maybe if I ask they can send my to Kings to have it? (Fingers crossed) I had my 12 week scan at Kings then they asked me where I wanted to have my next scan and I chose PRUH because it’s closer to home.
It’s my first pregnancy that’s why I didn’t know the midwives could tell where baby was positioned without having to scan that was my biggest worry but my Midwife does advise me to have the 36 week scan if I can.

OP posts:

chloechloe · 20/10/2018 07:08

That’s really interesting dappled. I’m not in the UK but my local hospital does a 34/36w scan including a Doppler when you register for the birth.

In my case it was really important as I had placental insufficiency in both pregnancies. It turned out DD1 had IUGR as a result but was born perfectly healthy but largely because they intervened with induction and then CS.

Lauren83 · 20/10/2018 07:14

I just had a 12 and 20 in Manchester although was offered a growth scan around 32 weeks as they were worried he was getting too big so they induced 2 weeks early, I wouldn't of had that scan otherwise

TwittleBee · 20/10/2018 07:19

Literally first time I've ever had a 36 week scan being a thing for every women being seen at a trust.

Always thought it was just 12 week and 20 week and further scans if required due to risks (as stated on NHS website...?)

NicoAndTheNiners · 20/10/2018 07:22

Nice guidelines are for a dating scan and then 20 week approx anomaly scan only so most hospitals won’t do an extra 36 week scan.

However there is increasing evidence that in countries such as France which do a 36 week scan routinely the stillbirth rate is lowered as cases of growth restriction, Doppler issues are picked up and then these women get an early induction. So yes, there is a benefit to it.

welshweasel · 20/10/2018 07:25

It’s being brought in by some trusts to decrease the stillbirth rate. The only reason it’s not standard is due to cost. DS1 had problems picked up on a third trimester scan that I was offered due to him being ivf, it led to him being delivered at 35 weeks and he was absolutely fine. Without the scan it’s unlikley he’d have made it. All my fundal measurements etc were normal despite him not growing. You can get a private scan for under £100 which is money well spent in my opinion.

DappledThings · 20/10/2018 07:27

East Kent are bringing it in now as well. It's becoming more common, slowly.

SoyDora · 20/10/2018 07:30

In my third pregnancy in 5 years and never had a 36 week scan, and won’t be with this one either. The midwives have generally been pretty good at feeling the position of the baby later on in pregnancy.

scrivette · 20/10/2018 07:31

The PRU doesn't offer the scans as standard, I didn't have them with any of mine, although had one at 38 weeks to check for breech position. Therefore if the midwife feels you need one you can e referred.

AutoFillUsername · 20/10/2018 07:32

There is quite a bit of evidence that a 36 week scan saves lives by decreasing still birth. In countries that offer 36 week scans the still broth rate has dropped.

Kings is at the forefront of feral medicine. They were first to introduce the nuchal scam and then the Harmony test. The fact they are now doing 36 week scans, and campaigning for roll out, means it’s very NICE will change all NHS guidance soon.

costacoffeecup · 20/10/2018 07:32

I was at kings with my first and have moved to Kent since - and was surprised they don't do 36 week scans everywhere. I think it reduces the stillbirth rate (unsurprisingly.) But yes, it's normal not to have one. I was planning to have one privately but now I've got to have extra growth scans anyway as high risk for various reasons.

Oct18mummy · 20/10/2018 07:32

I only had a 36 week scan as they were worried about growth think it’s pretty normal not to have them. Glad I did though as found out baby is transverse and it’s opened up a lot of other stuff we now need to think about 😬

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