First Check

Made by Felipe Bustillo

First step in the journey of pregnancy, after you have called or emailed us, we usually make an appointment between the 8th and 11th week of your pregnancy. Your first visit will last 30-45 minutes, during this time we will gather information about you and your family's medical history, it will also give you a chance to meet our team. More info (intake information)

So most people wonder when they get to hear the heartbeat of the baby. Now with new technology we are able to see your baby and you can also see the heart beating. Listening for the heartbeat with the ultrasound machine from 10 weeks . During your pregnancy you will have different scans. 

We offer information about:

- Prenatal screening
– Uitgerekende datum scan ( de worden gedaan rond de 10-14 weken)
– Pret scan; bepalen van de geslacht van het kind. Kan alle vanaf 16 weken
– 20 weken scan

 

Follow-up appointments

After the first appointment, the following will be around 16 weeks. We can listen for the heart of the baby and will explain the results of the tests. Then Structural Ultrasound examination (SEO) or the 20-week ultrasound will take place between 18-21 weeks. The SEO looks at structural (physical) abnormalities of the unborn child. Between 18-36 weeks there are different antenatal sessions you can make with our assistant.
Vanaf 34 weken zal er een huisbezoek komen waarbij je case manager langs zal komen, samen met jullie het hebben over de bevalling en je verwachting er over. 

Follow-up checks

Schematic course of checks:
12-24 weeks: every 4 weeks
24-30 weeks: every 3 weeks
30-36 weeks: every 2 weeks
from 36 weeks: every week.
At 16 weeks you come to us for the second check. If you are worried in the meantime, you can always drop by we can to listen the heart beat of your baby. You can hear your hear the heart from the 12th week of your pregnancy.

The more your pregnancy progresses, the often you will be checked. During these contoles we will inform about a number of further investiagtions that can be done during pregnancy. For example, a blood test that looks at your blood type and Rhesus factor and looks at a number of infectious diseases (Lues, HIV and Hepatitis B).
We regularly have antenatal classes about the pregnancy and delivery. Ask the assistant for the more information

At 27 weeks we test your blood if you are Rhesus D or C negative.
For more information about the blood test click here.

Around that time (between 24 and 28 weeks) a Glucose Tolerance Test (GTT) is also done. Glucose (sugar) is present in many nutrients. The GTT has been developed to investigate whether you have pregnancy induced diabetes. The investigation requires you drink concentrated sugar drink, but the first blood sugar levels will be done, when you have been fasting from the night before, followed by you drinking the sugar drink and two hours later your blood sugar levels taken again.

With both blood tests we answer your questions and reflect on your experiences. We advise on the complaints that you experience as a result of the pregnancy.

Between 34 and 36 weeks we will discuss the delivery with you by means of a home visit that is agreed with your case manager.
Als wij reden zien voor extra onderzoek of mochten er complicaties optreden kunnen we je verwijzen naar de gynaecoloog van het Ikazia of het Maasstad ziekenhuis. Zolang je zwangerschap normaal verloopt zul je bij ons onder controle blijven en heb je de keuze om thuis of in het ziekenhuis te bevallen of in het Geboorte or moeder en kind centrum

Miscarriage

If you like, the first ultrasound can be made around 7-8 weeks. It is good to realize that the pregnancy is still early in this period. A good ultrasound is good news, but unfortunately it often happens that a pregnancy ends in a miscarriage. About one in ten pregnancies goes wrong between the fourth and eleventh pregnancy week. The growth of a child is very vulnerable during this period. The chance of two miscarriages in succession is fortunately very small; but that does not make a miscarriage any less sad.

If you have a miscarriage, we will contact you very soon after you've had the ultrasound scan. There are various options for treatment. Everything we discuss with you also comes in writing so that you can read it in peace. We keep in touch frequently with you; tailored to what you need.

After a miscarriage it is good to take the time to process it. The pregnancy may not have lasted long, but the parents have often had many dreams, plans and expectations. Medically, there is no reason to postpone a new pregnancy, but take the time you need mentally to recover.

If a new pregnancy is desired, continue to use folic acid.
For other advice we refer you to our brochure or to our on call midwife.