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as possible so that you can start your antenatal (pregnancy) care. This will also help to
make sure you receive maternity healthcare that takes into account all your health
needs and preferences.
Antenatal care is the care you receive from healthcare professionals during your pregnancy.
Antenatal care is the care you receive from healthcare professionals during your pregnancy. This care
can be provided by a team that can include a doctor, a midwife, and usually with a doctor who specialises
in pregnancy and birth (an obstetrician). The person providing the care can depend on where you live e.g
in some rural areas all care including delivery is provided by the doctor.
Your doctor or midwife will check that you and your baby are well, give you useful information to help you
have a healthy pregnancy (including healthy eating and exerciseadvice) and answer any questions you
may have. You may also be offered antenatal classes, including breastfeeding education classes.
If you are planning to give birth at a birth centre, your appointments will probably be with a midwife at the
birth centre. If you are planning to give birth at a private hospital, you will probably see an obstetrician in
his or her private rooms.
Its recommended that you book into the hospital as soon as your pregnancy is confirmed usually by a
doctor. Most women who choose to have their babies in a public hospital or birth centre have their first
antenatal visit between week 10 and 16 but it is important to see the doctor as soon as pregnancy is
confirmed. The earlier a pregnancy is assessed is best for mother and baby. This is especially true if its
your first pregnancy or you have other health conditions.
The midwife or doctor will ask questions to build up a picture of you and your pregnancy. This is to make
sure youre given the support you need, and so that any risks are spotted early.
Youve had any complications or infections in a previous pregnancy or delivery, such as pre-
eclampsia or premature birth.
Youre being treated for a chronic disease, such as diabetes or high blood pressure.
You are on medications for any other condition or are taking regular over the counter therapies
from a pharmacy or other practitioner.
You or anyone in your family have previously had a baby with an abnormality, such as spina
bifida.
Theres a family history of an inherited disease, such as sickle cell or cystic fibrosis.
Your booking visit is an opportunity to tell your midwife or doctor if youre in a vulnerable situation or if you
need extra support. This could be due to domestic abuse or violence or sexual abuse.
Youll be offered some tests (to check for anything that may cause problems during pregnancy or after the
birth). These tests will be discussed with you and you can choose whether you have them or not. If you
havent already had a general health check- up, your midwife or doctor might recommend:
a check to make sure your heart, lungs and blood pressure are okay
a urine test, to make sure your kidneys are healthy and check for signs of infection
a blood test, to check for conditions like anaemia, infections such as hepatitis, to see what blood
group you are especially if its Rh positive or Rh negative
a Pap smear test
a breast check
an ultrasound, to confirm dates of pregnancy and general wellbeing of the fetus.
Later visits
From around 24 weeks, your antenatal appointments will usually become more frequent. However, if your
pregnancy is uncomplicated and you are in good health, you may not be seen as often as someone who
needs to be more closely monitored.
Later visits are usually quite short. Your midwife or doctor will:
It is now recommended that all pregnant women receive a pertussis (whooping cough) vaccination during
their third trimester (ideally at 28 weeks). A combination of antibodies being passed through the mothers
bloodstream and the reduced risk of the mother contracting the disease makes this an ideal time to
administer the vaccine. Most states now offer the pertussis vaccination for free. Speak to your doctor or
antenatal care provider to schedule an appointment.
Its up to you whether you answer any of these questions youre asked anything you say will be kept in
confidence. The information will only be given with your permission to any health worker who needs to
know as part of working with you.
You may be asked to pay a fee. Ask your midwife or doctor about antenatal education available in your
area and try to book your antenatal classes early as they tend to be very popular.
Sources: Child and Youth Health (Antenatal visits - check-ups during your pregnancy). Opens in a new
window.Department of Health (National Antenatal Guidelines 2015). Opens in a new window.Kidspot (What to expect at
your antenatal appointments). Opens in a new window.NSW Health (Having a Baby). Opens in a new window.