Congratulations!

Expecting a baby is a special time in your life and we hope this brochure will answer some of your questions about what to expect and some of the extra services available at this surgery

GP Care

Dr Green has a Dip. Obstetrics and has obstetric rights to both hospitals in Bunbury. If you are under specialist care then he can share this care with your obstetrician who will then deliver you.

Visits

Every 4 weeks until 30 weeks, then Fortnightly until 36 weeks, then Weekly until delivery.
At each visit the following will be checked Urine sample ( please do on arrival for check-up) Blood pressure and weight Baby’s heartbeat

Booking an Obstetric visit

Start attending at about 8 weeks. Please let reception know it will be an obstetric visit because it helps the GP to know ahead.

Tests

The following tests are routinely performed:

• blood group
• rubella immunity
• Hep B & C and other infectious diseases that would affect the developing foetus
• Ultrasound:
  12 weeks for Downs Syndrome Screen
  18 weeks. Gives first glimpse of your baby and assures of normal development.
• Glucose Tolerance Test Done at 28 weeks to screen for diabetes of pregnancy.

Down’s Syndrome Screen

You can choose to have a test which gives you risk ratio for Down’s Syndrome. This is calculated combination of blood test at 10 weeks and ultrasound at 12 weeks. It is not a definitive test but will alert of need for more testing.

Hospital Booking:

Around 20 weeks at Hospital of your choice. BRH patients can be booked here by Elaine which is sent on to the hospital. Make an hour appointment with the receptionist. You can make an appointment at BRH if you would prefer. SJOG patients need to make an appointment to book in there.

Postnatal Check

Remember to book an appointment for 6 weeks after the birth. Make an appointment for you and one for the baby. This is to ensure you are recvovering and the baby is developing normally.

Post Natal Depression

A screening test called the EPDS is filled out at booking in to ensure women are helped early on, and repeated after the birth by your child health nurse to ensure you remain well after birth.
Support and help is offered early by identifying those at risk of PND

Postnatal Services

We offer:

• help with breastfeeding problems or if an infection occurs
• help with any concerns at all about you or your baby
• help with postnatal sadness or depression
• all childhood immunisations

If you have any concerns at all please ask your doctor or see Elaine

Practice Nurse

Elaine is a qualified midwife and child health nurse who co-ordinates activities in the surgery, including the practice prevention questionnaire.

• Support and discussion about health problems
• Any pregnancy questions
• Any help wtith post-natal care
• Breastfeeding problems
• Postnatal depression
• Follow-up help if required
• Antenatal booking in
• Immunisations for all ages