Pregnancy Guide
NHS Choices

Antenatal appointments

You'll have a number of antenatal appointments during your pregnancy, and you'll see a midwife or sometimes an obstetrician (doctor specialising in pregnancy). They will check the health of you and your baby, give you useful information – for example, about a healthy pregnancy diet or antenatal screening – and answer any questions.

This page lists the appointments you'll be offered, and when you should have them. If you're pregnant with your first baby, you'll have more appointments than women who already have children. You can read this whole page or click on the links to go straight to the relevant information.

First contact with midwife or doctor

Ideally by 10 weeks: booking appointment

Eight to 14 weeks: dating scan

16 weeks

18-20 weeks: anomaly scan

25 weeks

28 weeks

31 weeks

34 weeks

36 weeks

38 weeks

40 weeks

41 weeks

42 weeks

First contact with midwife or doctor

This is the appointment when you tell your midwife or doctor that you’re pregnant. They should give you information about:

  • folic acid and vitamin D supplements
  • nutrition, diet and food hygiene
  • lifestyle factors, such as smoking, drinking and recreational drug use
  • antenatal screening tests, including the early pregnancy dating scan and anomaly scan and blood tests to screen for  blood group and antibodies, sickle cell  and thalassaemia, HIV, syphilis, hepatitis B, and Down's syndrome as well as risks, benefits and limits of these tests

It’s important to tell your midwife or doctor if:

  • there were any complications or infections in a previous pregnancy or delivery, such as pre-eclampsia or premature birth or syphilis
  • you're being treated for a chronic disease such as diabetes or high blood pressure
  • you or anyone in your family has previously had a baby with an abnormality, for example, spina bifida
  • there is a family history of an inherited disease, for example, sickle cell or cystic fibrosis

 Ideally by 10 weeks: booking appointment

Your midwife or doctor should give you information about:

  • how the baby develops during pregnancy
  • nutrition and diet
  • exercise and pelvic floor exercises
  • antenatal screening tests
  • your antenatal care
  • breastfeeding, including workshops
  • antenatal education
  • maternity benefits
  • planning your labour
  • your options for where to have your baby

Your midwife or doctor should:

  • give you your all Wales hand-held maternity records and plan of care
  • see if you may need additional care or support
  • plan the care you will get throughout your pregnancy
  • identify any potential risks associated with any work you may do
  • measure your height and weight and calculate your body mass index (BMI)
  • measure your blood pressure and test your urine for protein
  • find out whether you are at increased risk of gestational diabetes or pre-eclampsia
  • offer you screening tests and make sure you understand what is involved before you decide to have any of them
  • offer you an ultrasound scan at around 12 weeks to estimate when your baby is due
  • offer you an ultrasound scan at 18-20 weeks to check the physical development of your baby and screen for possible abnormalities

Around 12 weeks: early pregnancy dating scan

This is the ultrasound scan to estimate when your baby is due, check the physical development of your baby and screen for possible abnormalities.

16 weeks pregnant

Your midwife or doctor will give you information about the ultrasound scan you will be offered at 18-20 weeks. They will also help with any concerns or questions you have. Your midwife or doctor should:

  • review, discuss and record the results of your screening tests
  • measure your blood pressure and test your urine for protein
  • consider an iron supplement if you're anaemic

18-20 weeks: anomaly scan

This is the ultrasound scan to check the physical development of your baby. Remember, the main purpose of this scan is to check that there are no physical abnormalities.

25 weeks pregnant

You will have an appointment at 25 weeks if this is your first baby.

Your midwife or doctor should:

  • use a tape measure to check the size of your uterus
  • measure your blood pressure and test your urine for protein

28 weeks

Your midwife or doctor should:

  • use a tape measure to measure the size of your uterus
  • measure your blood pressure and test your urine for protein
  • offer more screening tests for blood group and antibodies. Re offer HIV, Hepatitis B and syphilis if you previously declined
  • offer your anti-D treatment if you are Rhesus negative

31 weeks

You will have an appointment at 31 weeks if this is your first baby.

Your midwife or doctor should:

  • review, discuss and record the results of any screening tests from the last appointment
  • use a tape measure to measure the size of your uterus
  • measure your blood pressure and test your urine for protein

34 weeks

Your midwife or doctor should give you information about preparing for labour and birth, including how to recognise active labour, ways of coping with pain in labour and your birth plan. Your midwife or doctor should:

  • review, discuss and record the results of any screening tests from the last appointment
  • use a tape measure to measure the size of your uterus
  • measure your blood pressure and test your urine for protein

Your midwife or doctor should give you information about caesarean section, because around one in four women will have a caesarean. This discussion may take place at the 34 week appointment, or at another time during your pregnancy. They will discuss with you the reasons why a caesarean might be offered, what the procedure involves, risks and benefits, and implications for future pregnancies and births.

36 weeks

Your midwife or doctor should give you information about:

  • feeding your baby
  • caring for your newborn baby
  • vitamin K and screening tests for your newborn baby
  • your own health after your baby is born
  • the ‘baby blues’ and postnatal depression

Your midwife or doctor will also:

  • use a tape measure to measure the size of your uterus
  • check the position of your baby
  • measure your blood pressure and test your urine for protein

38 weeks

Your midwife or doctor will discuss the options and choices about what happens if your pregnancy lasts longer than 41 weeks. Your midwife or doctor should:

  • use a tape measure to measure the size of your uterus
  • measure your blood pressure and test your urine for protein

40 weeks

You will have an appointment at 40 weeks if this is your first baby.

Your midwife or doctor should give you more information about what happens if your pregnancy lasts longer than 41 weeks. Your midwife or doctor should:

  • use a tape measure to measure the size of your uterus
  • measure your blood pressure and test your urine for protein

41 weeks

Your midwife or doctor should:

  • use a tape measure to measure the size of your uterus
  • measure your blood pressure and test your urine for protein
  • offer a membrane sweep
  • induction of labour discuss the options and choices for

42 weeks

If you have not had your baby by 42 weeks and have chosen not to have an induction, you should be offered monitoring of the baby.

 


Last Updated: 08/11/2017 09:57:50