Patients Are Seen for the First Time Around 11/40

Antenatal Care

 Pregnant patients are normally referred to the midwife via the GP surgery but can refer themselves directly by calling their local team (6 teams across Bradford) or via the BRI. At Bowling Hall this is the Jade team (01274 365761)

 Patients are seen for the first time around 11/40

 A dating scan is arranged for 12/40. This is organised by the MW (USS request card - BRI)

 A scan after 7/40 counts as an accurate dating scan

 At the booking appointment the MW screen patients for risk factors to decide whether MW led care or consultant/shared care is most appropriate – there is a check list in the front of the maternity notes.

 The patient receives a booking/maternity pack at the initial appointment which will stay with them throughout the pregnancy

 Tests offered at booking are HIV, Hep B, Syphilis, Rubella and the Triple test (Down’s). Bloods is also taken for Hb, Group/Rhesus status and antibodies + sickle cell/thalasaemia if applicable

 Chlamydia screening offered routinely only to under 25s. Over 25s can be screened if required. Patients with high risk of STIs are referred to GUM or back to the GP

 Patients are routinely seen by the CMW at 12, 16, 20, 25, 28, 31, 34, 38, 40 and 41/40.

 Patients for shared care can choose their consultant if they want to. Multips normally go back under the same consultant as previously.

 There are a range of specialist ANC at BRI inc diabetic, endocrine, haematology, multiple pregnancy, epilepsy and the one stop clinic (drug/alcohol)

 Patient’s can contact their own CMW if there are any problems antenatally. They are also able to access: o Antenatal Day Unit (ANDU) – Tel. 364556 - Open Mon to Fri 8am – 4.30pm: typically see patients with hyperemesis, monitoring of raised BP, SFGA/LFGA, cholestasis, monitoring of patients with poor obstetric history etc. Used as a service to closely monitor patients without having to admit. o Delivery Suite Asessement Unit (DSAU) – Tel. 364531/364532 - Open daily 10am – 10pm: Patients more than 20/40 with acute antenatal problems and patients who think they are labouring/SROMs. Covers the ANDU patients at the weekend.

 Patient will have a scan at 20/40 to look for fetal anomalies.

 GTT offered around 26/40