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Approach

Pregnancy

During your pregnancy you will get to know our midwives. In the schedule below you can see in which week of your pregnancy you will have check-ups at the practice, what information we will provide, when we will request blood tests, and how long each consultation will take.
It is always possible to come for an earlier check-up in case of problems or doubts. If you feel the need for an extra check-up, please give us a call. This way, we will be able to determine whether we need to come to your home or if you can come to the practice.

First telephone contact

Once you found out that you are pregnant we would like you to contact us straightaway. On the phone we will ask you a number of things, including your personal details, the first day of your last period, the course of your menstrual cycle, and the date when you tested positive on a pregnancy test for the first time. Based on this, we will schedule the first two appointments, the first ultrasound scan at 7 to 8 weeks and the intake session around 10 weeks.

After registration we will send you an email with instructions on what to bring along on your first visit and a number of important brochures of which we recommend you read ahead of this visit.

If you have questions before your first appointment, feel free to call us. You can always reach us on: 040-2553975.

7 to 8 weeks Vitality ultrasound scan

You are pregnant, so now what?

The thing you want most after a positive pregnancy test is reassurance that everything is ok. Having a baby is a unique and special event.

We understand that insecurity and this is why we offer everyone the possibility to have a look with the ultrasound at 7 to 8 weeks.
This ultrasound scan is carries out to check if the pregnancy is intact and if the baby is situated in the womb. In most cases this is an internal (vaginal) ultrasound, because the baby is too small to get a clear picture externally. If we observe good vitality this is a positive sign. However, it is good to realise that this is not a guarantee that you will not miscarry.

For this ultrasound scan we schedule 15 minutes.

It is helpful if you contact us timely to schedule the first appointments.
Have you miscarried in the past or are you worried for other reasons then we can always schedule an ultrasound scan at an earlier stage.
Please note: your health insurer does not always cover the ultrasound scan at 8 weeks.

7 to 8 weeks – Counselling Prenatal Screening

During your pregnancy you may choose to have prenatal screening. This covers tests, which screen for potential chromosomal abnormalities in your unborn baby. If you want to, counselling for prenatal screening can take place during the first appointment. This counselling takes 30 minutes.

10 weeks – Intake

The intake is more extensive than the following check-ups. This consultation takes approximately 60 minutes.

What information is important to us at the intake?

We will ask questions about your health, lifestyle, medical history, possible previous pregnancies, and hereditary diseases in each of the families. If you are taking medication at the time of your pregnancy, please bring it along or write down the name and dosage of the medicine(s).

If you did not come our practice for a previous pregnancy and you have information about its course, we would like you to bring this along to the intake session.

During the intake you will receive information about living habits and nutrition. In the email you receive after registration you will find a brochure about the combination test. We will provide comprehensive additional information. If you wish have this examination carried out, you will get a registration form to take home. The combination test is the only examination that we do not do ourselves. You can go to “Diagnostiek voor U” for this. The reason for this is that they send the blood test to an external laboratory where the probability calculation is performed. For each pregnancy a standard blood test is conducted in the first trimester. Your blood will be screened for:

  • Blood type
  • Rhesus D factor
  • Rhesus C factor
  • Haemoglobin (iron)
  • Glucose (sugar)
  • Irregular antibodies
  • Hepatitis B
  • Lues
  • HIV
  • Antibodies for Rubella

The results of the blood examination will be discussed during the second regular check-up. In case of abnormal findings you will be informed sooner.

If there are no anomalies we will inform you through email. Your health insurer will cover most of the blood tests above.
Finally, we will do a number of checks, including measurement of blood pressure and bodyweight.

Of course there will be time to ask questions.

10 weeks – Term ultrasound scan

We combine this ultrasound scan with the intake. This ultrasound is in principle external (through the belly) and is intended to determine how far along you are, so we can accurately calculate the de expected due date. We do this using the CRL (measurement from crown to tailbone).

In addition, we assess a number of important structures (arms, legs, belly, scull) of your baby. We also examine your womb and ovaries to see if there are myomas (fibroids) or cysts.

Immediately after this ultrasound scan you will receive a pregnancy declaration. Your employer will ask for this so your maternity leave can be requested.

Subsequent check-ups

During the subsequent check-ups we will discuss how you are doing and if you are experiencing any problems or have complaints with regards to your pregnancy. The further along in your pregnancy you are the shorter the time between check-ups. For a regular check-up we schedule 15 minutes.

We feel it is important to take our time for you. If you think you may need some extra time to discuss a certain matter, please let us know when you are making the appointment. We would like to take this into account!

The check-up schedule is usually as follows:

0 to 24 weeks: every 3-4 weeks (13 – 16 – 19 – 22 weeks)
24 to 30 weeks: every 2-3 weeks (25 – 28 weeks)
30 to 36 weeks: every 2 weeks (30 – 32 – 34 – 36 weeks)
36 to 41 weeks: every week (37 – 38 – 39 – 40 – 41 weeks)
Of course it is possible to have more frequent check-ups if you wish so.

During each check-up we will carry out a number of checks. We always measure blood pressure and bodyweight and we examine the tummy, including the growth of the womb and later in the pregnancy also the development and situation of the child. We also listen to the baby’s heartbeat during every check-up.

During the next appointments we will always schedule some extra time:

19 to 20 weeks– SEO

At approximately 20 weeks we offer everyone a Structural Ultrasound Examination (SEO). This ultrasound scan is also known as the ’20 weeks ultrasound scan’. It is a thorough screening ultrasound scan where we examine the predisposition of all the baby’s organs.

In our practice Monique carries out this ultrasound scan. The major advantage of this is the fact you do not need to go anywhere else for this ultrasound scan.

However, if a congenital anomaly exists within the family, a gynaecologist will carry out the 20 weeks ultrasound scan.
For the SEO we work closely with the Màxima Medisch Centrum.
In case further examination is required after the ultrasound scan, we will refer you to the above-mentioned hospital.

Moreover, we are affiliated with the MUMC (Maastricht Universitair Medisch Centrum) to safeguard the quality of our ultrasound scans.

27 weeks – Growth ultrasound scan

At this time we plan a growth ultrasound scan. We use this to determine how your baby is growing, using a number of standard measurements:

DBP – Measurement from ear to ear
HC – Head circumference
AC – Abdominal circumference
FL – Length of the upper leg bone
We schedule 30 minutes for this ultrasound scan and combine this with a regular check-up. We also have more blood tests carried out during this term to check the iron- and sugar level.

30 weeks – Discuss delivery

In addition to the standard check-ups, this consultation revolves around the delivery. It is possible to discuss the delivery using a birth plan. Of course this is not mandatory. We will provide you with information about the delivery; call instructions, what you may expect of us, the course of the delivery, pain relief options. We schedule 30 minutes for this appointment so we have enough time to discuss your wishes and needs with regards to the delivery.

34 to 35 weeks – Positioning ultrasound scan

At 34 to 35 weeks we will carry out a standard positioning ultrasound scan. In preparation for the delivery it is important to be certain that the baby is lying with the head downward. We will confirm this with this ultrasound scan. Besides that we measure the baby again using a number of standard measurements. Based on this we can estimate the birth weight.

41 weeks – Seniority check-up

You are now one week overdue and you probably cannot wait to admire your baby. Approximately 80% of women give broth 3 to 10 days after the due date.

After the 41st week we find it important to check the condition of your baby a little more often. An appointment with the gynaecologist is planned for this.  During this check-up your fitness is reviewed using blood tests and the baby’s condition using a CTG (cardiogram). The gynaecologist will discuss the induction with you. This is usually scheduled between 41 and 42 weeks at the latest.