Tests and ultrasounds
All tests and scans are optional in pregnancy. The following are the ones that are routinely offered to all pregnant women. Please be aware that charges apply for most scans.
First antenatal bloods/urine: Done as soon as pregnancy is diagnosed: Blood group and rhesus factor; rhesus antibodies; full blood count; hepatitis status; rubella status; syphilis; HIV; iron stores; Mid-stream urine test
MSS1: Done around 12 weeks: includes a scan and blood test to screen for Down Syndrome
MSS2: Done only if the MSS1 was unable to be performed. Completed between 14 and 20 weeks
Anatomy Ultrasound: Done at 19 – 20 weeks: checks baby’s vital organs and the placenta
Second antenatal bloods: Done at 24-26 weeks: full blood count; rhesus antibodies; iron stores; diabetes screening/diagnostic test.
Final antenatal bloods: Done at 36 weeks: full blood count; rhesus antibodies; iron levels; mid-stream urine
Additional tests or scans may be necessary if issues arise or if your history indicates that it would be advisable.
Schedule of visits
After the booking visit just before 12 weeks, you can expect to see your midwife again at around 18 weeks gestation. From here you will see your midwife every 4 weeks until around thirty weeks, then fortnightly or three weekly till around 37 weeks, then weekly until you have birthed. If you have any complications during your pregnancy your midwife may arrange to see you more often.
You should understand the importance of and monitor your baby’s movement pattern.
BMI and Weight gain in pregnancy
Healthy weight gain in pregnancy depends on your booking BMI. Women with high booking BMI’s are advised to have a referral to specialist services in pregnancy which we can arrange.
Underweight <18.5 13-18kg
Healthy weight 18.5 – 24.9 11 – 16kg
Overweight 25 – 29.9 7 – 11kg
Obese 30+ 5 – 9kg
We have a professional obligation to assist the next generation of midwives. From time to time we will have a student alongside us. Our students are generally energetic and passionate; they are working towards a very specific vocation. Please advise us if you are not comfortable with the presence of a student midwife.
Antenatal Education (Childbirth Education Classes)
Antenatal classes give you diverse and in depth information. They are a great way to meet other women and form social networks. There are many options and some are free of charge.
If you are wanting to attend classes I advise booking in sooner rather than later. Hospital run classes can be booked through smartstart.services.govt.nz.
MAMA Maternity 815 8108 www.mamamaternity.co.nz
Waitakere Hospital 486 8920 extn 3048 (or smartstart)
Cathy McCormick 811 8600 www.holisticbaby.co.nz
Parents Centre 837 8481 www.westaucklandparents.org.nz
Other help in pregnancy
Positive Births Hypnobirth - Education for natural childbirth and parenting courses
Grow Babies Antenatal classes, parenting classes & postnatal support services
Pregnancy Help Pregnancy Help - Provisions for pregnancy. Support and practical assistance
Pelvic Instability Pelvic Instability support and information
Smiley Belt Pelvic support belts for relieving lower back and to give pelvic support
Pelvic Pain Facts about pelvic pain during pregnancy
Back Pain - Video Physio for back pain in pregnancy
Parents Centre Parent education and support - 51 centres throughout NZ
Kiwi Families Support for teenagers who are about to become parents
Plunket Parenting and support services for children up to five and their families