Care during your Pregnancy
The Midwife is the first point of contact for most women. The Midwife in the community will undertake a risk assessment and discuss the choices of place of birth that are available.
How do I make my first appointment with a midwife?
You can do this by:
- requesting an appointment with the midwife at your GP surgery
- asking in your local Children’s Centre
- If you have been unable to make an appointment via your GP or Children's Centre, please click here and compete a self-referral form. The midwife will discuss the care pathways that would be available to you at your first appointment. You will be cared for by a midwife or maternity team depending on your individual needs.
Midwife led antenatal care is usually offered to women with no identified risk factors on assessment.
Maternity team care is offered to women who require specialised consultant care in the pregnancy. Maternity team care may mean a combination of visits to the Consultant in the hospital antenatal clinic, and to the midwife in the community. A plan of care will be discussed and agreed with the woman depending on individual circumstances.
Some women may prefer to see their General Practitioner along with their midwifery led care.
The whole focus of care is on the women and her individual choices.
Our documentation for women planning to birth at home, or within Leeds Teaching Hospitals, has moved from paper to an electronic patient record. When you ‘book’ for pregnancy care in Leeds Teaching Hospitals you will be given a “My Maternity Journey” pack to keep forever, and your maternity care will be recorded electronically. We have already been recording births electronically since 2014 and postnatal care since May 2018, the final part of recording the pregnancy information means that there will be an electronic record for all of your pregnancy journey.
If you are concerned about bleeding in early pregnancy, contact your Midwife if you are booked, if you are awaiting your booking appointment please contact your GP.
Your baby's movements
At around 20 weeks of pregnancy you will start to feel your baby move. Your midwife will ask you about your baby's pattern of movements. A baby moving during pregnancy can be anything from a flutter, kick, swish or roll and these are a sign that baby is well. When a baby is unwell, they may conserve energy by slowing down their movements. This can be the first sign of a problem.
Between 20-26 weeks you will start to recognise your baby's pattern of movements, which will continue throughout the pregnancy. If your baby's pattern of movements changes or reduces in number, please call and speak to a Midwife promptly: LGI on 0113 3926731 or St James's on 0113 2065781
Specialist ante-natal screening services are offered to all women. Information on NHS screening can be found by clicking here.
A short animation about screening can be viewed here.
The developer of the IONA® test, the first CE-marked non-invasive prenatal screening (NIPT) product has partnered with Leeds Teaching Hospitals NHS Trust to provide a private NIPT screening service for pregnant women in the region. The IONA® test is a safer and highly accurate way to screen for Down’s syndrome (Trisomy 21), Edwards’ syndrome (Trisomy 18) and Patau’s syndrome (Trisomy 13) to help significantly reduce the need for invasive follow-up tests, such as amniocentesis, which carry a small risk of miscarriage. The IONA® test is available to women from 11 weeks’ gestation.
For further information and specialist counselling please contact: Alison Perry Screening Co-ordinator on 07900223419 or 0113 2065530; or Denise Barnes Screening midwife on 07765002554.
Whooping Cough Vaccination and Seasonal Flu Vaccination
Expectant mothers can help protect their babies by getting themselves vaccinated against whooping cough from 20 weeks of pregnancy.
The seasonal flu vaccination provides around 70-80% protection against flu. Having the seasonal flu vaccination will reduce the risk of you catching flu this winter, therefore reducing the risk of complications during pregnancy and protecting your baby.
For further information, you can speak with your GP or midwife.
Zika is a mosquito-borne infection caused by Zika virus. There is currently no vaccine or drug to prevent Zika virus infection.
Women who are planning to become pregnant should discuss their travel plans with their healthcare provider to assess their risk of infection with Zika virus and, where travel is unavoidable, receive advice on mosquito bite avoidance measures. Pregnant women who have recently travelled in an area reporting active Zika virus transmission in the last 9 months should seek advice from their GP or midwife on their return to the UK, even if they have not been unwell.
The UK defines areas with active Zika virus transmission as countries, overseas territories or specific areas within countries (where this is known) in which there is current active Zika virus transmission. A list of these countries and further advice is available by clicking here.
If you have recently returned or are planning to travel to one of the affected countries we advise you to speak to your midwife or GP.