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Pregnancy Booking-In Clinic

Congratulations on your pregnancy!  Whether this is your first baby or the next one, every woman needs to decide if she will have public care or private care.

Access to the Women's Health Clinic for prenatal care is available to all women residing in the Parramatta, Cumberland and Baulkham Hills Local Government Area's (LGAs). Please be aware that boundaries for these LGAs can cross streets and suburbs. You will need to send us a referral for prenatal care from your Local Doctor (also called your GP – General Practitioner).

Booking into the hospital

As soon as possible, you need to go to your GP to have your pregnancy confirmed. Your GP can submit an online referral for your pregnancy care through this website. See our Antenatal Referral form
Alternatively, your GP can fax / email a written referral to one of the specialist doctors at this hospital to: Women’s Health Clinic Fax 02 8890-5198 

The clerical staff at Westmead will write to you or phone you to book an appointment. Most women make their pregnancy booking-in appointment when they are around 12 weeks of pregnant. Your partner / support person is welcome to attend the appointment with you, however in the first part of the appointment, we will ask to speak with you without your partner / support person.

We do not have child-minding facilities in the Women’s Health Clinic, so you may like to have someone mind your other children while you attend this 90-minute appointment.

 

Prenatal tests required for your pregnancy appointment booking

    If you are planning a pregnancy, you can visit your GP to have blood tests done that will identify any diseases or health problems which are best treated before pregnancy.

    Once you have your pregnancy confirmed, your GP will give you forms to fill out for blood tests and a urine sample. Blood tests are a routine part of pregnancy care and provide your health care team with information to plan the best care for you and your baby.

    You may also have an ultrasound to assist with confirming your gestation (stage of pregnancy), called a Dating Ultrasound, done between 6-12 weeks gestation.

    There is an optional ultrasound known as a Nuchal Translucency that screens for your risk of Down’s Syndrome (Trisomy 21, 18 & 13, a chromosomal anomaly) and is done between 11-13 weeks. There is a cost for this ultrasound.

    There is a new screening test called the Non–Invasive Prenatal Testing (NIPT) that detects the baby’s DNA in a sample of your blood. This test can identify Trisomy 21, 18 & 13 and the major sex chromosome abnormalities in your unborn baby. This test is done from 10 weeks of gestation and there is a cost for this blood test.

    You can access more information on genetic testing here.

Interpreters

Your GP needs to write on the referral form if you require an Interpreter, stating the language you speak.

 

Attending the pregnancy booking-in appointment

Pregnancy booking-in appointments are conducted Monday to Saturday from 7:00am until 7:00pm at the Women's Health Clinic and at the Outreach Clinics.

The pregnancy booking-in appointment takes about 90 minutes. It is important that you bring:

  • proof of address (e.g. council rates notice)
  • Medicare card
  • your blood test results
  • ultrasound films/reports

 

Prenatal care appointments

The timetable of appointments for pregnancy care will depend on your individual needs. Some women may need more visits and other women less visits. These visits allow your health team to monitor you and your baby's wellbeing, provide education & support and develop a trusting relationship with your midwives and doctors.

At each visit you need to bring your:

  • Medicare card
  • Yellow Antenatal card

 

Schedule of visits

The pregnancy booking-in appointment is for discussing and recording your previous health history, family health history, choices for pregnancy care and blood and ultrasound results.
For first time pregnancies, the schedule of visits are 12 weeks (booking-in), +/- 16 weeks, 20 weeks, 25 weeks, 28 weeks, 31 weeks, 34 weeks, 36 weeks, 38 weeks, 39 weeks, 40 weeks and 41 weeks.
For second or more pregnancies, and if you are progressing well, you will not need to attend the 25 week, 31 week and 39 week appointments.

 

 

Weeks of pregnancy

 

 

Antenatal visits

 

Confirmation of pregnancy

Visit your GP for:

s  referral letter for Women’s health clinic by mail or fax

s  initial antenatal tests, e.g blood tests, early dating scan or Nuchal translucency ultrasound

 10-13 weeks

 You will having your booking in appointment at Westmead hospital. This usually takes about 1 ½ hours.

You will see a midwife who will take a detailed medical history and you can discuss options for antenatal care.

You will need to bring all your blood test and ultrasound results to your booking in appointment

 20-22 weeks

 Bring your ultrasound (morphology scan) results.

You will be given a referral form for a blood glucose tolerance test to check for gestational diabetes at 24 weeks of pregnancy.

 25 weeks

 Primiparous women (First pregnancy) will have an appointment to review the glucose tolerance test results and have routine check up.

 28 weeks

 Routine check – blood pressure, weight, baby’s heart beat and pattern of baby movements, abdominal palpation.

Collection of bloods (FBC)

If Rh negative blood type, Anti-D injection will be given.

 31 weeks

 Routine check for primiparous women (first pregnancy)

 34 weeks

 Routine check. You may like to discuss your birth plan with the midwife. (For birth plan template see labour and birth fact sheets on W&NH website)

If Rh negative blood type, Anti-D injection will be given.

 36 weeks

 Routine check, as above

 38 weeks

 Routine check, as above

 39 weeks

 Routine check for primiparous women (first pregnancy)

 40 weeks

 Routine check.

You will be offered a vaginal examination to assess the cervix (strip and stretch)

41 weeks (post dates clinic)

Visit done in Day Assessment Unit. (May be different day than usual clinic visit)

You will also have a Cardiotocograph (CTG), bedside ultrasound and a vaginal examination to assess cervix.

Prenatal care options at Westmead Hospital

Midwife lead care – this care is for women who have low risk pregnancies and do not need to see a Doctor for their visits. There are midwife clinics from Monday – Saturday and together with the midwife at your Booking –In appointment, you will select a midwife clinic to attend. This is generally the same day each week for all your visits. For more information, see Midwives Clinics

Midwives clinics – Held in the Women’s Health Clinic Level 2. Appointment Monday to Saturday Tuesdays / Thursdays are from 7.00 am until 7.00 pm, all other days from 8.00 am until 4.00pm.

Outreach Clinics – these Midwife clinics are located in the Community Health Centres of Castle Hill, Wentworthville and Greystanes. Appointments for routine visits are in the morning and Booking – in appointments are in the afternoon.

Location Monday Tuesday Wednesday Thursday
Wentworthville 8.00am -3.30pm 9.00am -3.30pm
Greystanes 9.00am -3.30pm
Castle Hill 9.00am -12.00pm

Group pregnancy care – this prenatal care takes place in a group setting on a Tuesday night 6pm – 8pm for each of your scheduled visits. During this time, the midwife will attend to your prenatal check and provide you with childbirth and parenting education. Partners are encouraged to attend.

Caseload – provides continuity of care with a midwife known to you. This midwife attends to your care prenatally, during labour and after the baby is born. See Caseload Midwives for more information.

Doctor lead care - this care is for women identified as having medical or obstetric problems that require an Obstetrician to monitor their pregnancy. Some women will chose to see a private Obstetrician for pregnancy and childbirth care or want to continue pregnancy care with their family doctor.

Doctor’s clinic –These clinics are Monday – Friday from 8.00am – 12.30pm and 1.30pm – 4.00pm in the Women’s Health Clinic on level 2. You will have care from an Obstetrician who specialises in your medical or obstetric problem. For more information on our Doctor’s clinics.

GP Shared Care– This is shared antenatal care with the hospital and your GP. Your GP needs to be accredited by the hospital to care for women during pregnancy. You attend the hospital for booking in, 18-20 week, 34-week visits and again at 40 weeks if you have not delivered the baby. All other visits will be with your GP who will refer you back to the hospital to see the Obstetrician if any problems arise. For more information on GP Shared care.

Private Obstetrician

As a private patient, you will need to book into the hospital so we know you will be delivering your baby with us. You will need to bring your blood tests and ultrasounds to the Booking- In appointment. If you do not bring copies of blood tests with you or the midwife cannot obtain a copy, you will be asked to have the blood tests again while at the hospital. Additional fees above health care insurance premiums may be applicable to this service. Please contact the Patient Finance Department for advice on costs as a private patient. To see a list of the Obstetricians available at Westmead, go to Specialist Profiles on this website.

Childbirth and Parenting Education classes

It is highly recommended that you attend some childbirth and parenting education during your pregnancy to prepare you for birth, breastfeeding and parenting. There is a range of classes to choose from, for more information see Childbirth & parenting Education Classes or you can email WSLHD Parenting Classes