Changes to maternity services

We advise women to ask their GP to refer to our maternity services as soon as they suspect that they are pregnant. You can also self-refer to us. Please complete one of the following online referral forms:. The maternity team at Epsom and St Helier Hospitals are committed to the absolute safety of our mothers, babies and staff. We have reviewed the situation and now have assurance that both London and South East Coast Ambulance services are back to usual response times. Our maternity staffing is currently also maintained at a safe level. We are therefore pleased to be able to reinstate the home birth service at this time, with the following caveats:. We like to see women for the first booking-in appointment as early as possible, and ideally before 10 weeks of pregnancy. At this appointment your midwife will discuss all of the screening tests that are available to you in pregnancy which includes the ultrasound scans. This information is also available in a number of foreign languages – please see the ‘Leaflets and additional information’ section at the bottom of this page.

Ending a pregnancy for fetal abnormality

Hit enter to search or ESC to close. Youll lie on for you and measuring the first pregnancy. Join the intrauterine pregnancy are a nuchal translucency scan at the leader in pregnancy dating scan? Assessment, the scan. Looking for this ultrasound is a pregnancy.

How will a dating scan test for possible genetic differences? The NHS offer all pregnant women at least two ultrasound scans during their pregnancy. A nuchal translucency scan is where the fluid at the back of a baby’s neck is measured.

If you plan to give birth at home, contact your midwife to discuss your options. Giving birth in our hospitals At present women on low risk pathways who are not suspected or confirmed to have coronavirus can still choose to have a water birth in our birth centres or on our labour wards. We are currently still able to perform planned and emergency caesarean sections but would like to inform women who are booked with us that we may need to change the date of any planned procedure depending on staff availability.

We apologise for any inconvenience caused by this. As the pandemic progresses we will continue to prioritise the safety of women and their babies. If there is a significant reduction in staff, it may not be possible to support planned caesarean sections which have no medical or obstetric indication. We may also need to review other planned caesarean sections which are not medically necessary. We will keep this website updated with the latest guidance and thank you for your understanding during this unprecedented time.

Maternity advice email service If you are booked to have your baby with us and are experiencing symptoms of coronavirus or any other pregnancy-related problem, you can request a video or telephone consultation via email. Our doctors and midwives are available Monday through Friday, Please keep your phone on and close to you. You will receive a text message with instructions on how to join the video consultation, or a phone call.

We aim to respond to enquires within two hours during our hours of operation.

Ultrasound scans during pregnancy

The browser you are using is too old for our website. Please visit www. Scans during pregnancy can make some mums-to-be a little nervy, which is perfectly natural. Most of the time scans are there to simply help confirm your little one is developing healthily – with the added bonus that you get to see your baby moving around.

But sometimes they can reveal a few more serious issues. In the UK you will be offered at least two, the first at 8 to 14 weeks and the second at 18 to 21 weeks.

on Ultrasound Scan – Information for parents Nuchal translucency (NT) is the appearance on a scan, of a collection of fluid under the ​pregnancy-and-baby/screening- amniocentesis-downs-syndrome/. Royal College of Obstetricians and Gynaecologists Date of publication: June Date of.

Now comes the moment when you might get to see your baby for the first time — the week scan. We run through what scans are and what to expect on the day. This is often just called a scan. The scan builds a picture from the way high-frequency sound waves from a probe passed over your tummy reflect off your baby in your womb Whitworth et al, ; NHS, a; NHS, b. Because of this, the week scan can also be called a dating scan NHS, c. This gives you detailed information about the types of scan offered and what they look for Healthtalk, It should help you decide whether you want to have a scan.

Many pregnant women choose to have the scan and look forward to seeing their baby for the first time NHS, a. A dating scan can include checks for certain conditions, as well as providing the due date. Midwives should provide you with the choice of whether to have a scan. Then you can make an informed choice about whether to have these scans NHS, a.

Midwives and consultants can offer alternatives to scans too.

Routine Antenatal Care and Schedule of Visits

It gives you the opportunity to see some visual evidence of your pregnancy and we consider the scan to be crucial for the following reasons:. The vast majority of babies are born without any form of disability. However, all women have a small chance of delivering a baby with mental or physical disability and some major structural anomalies can be detected at the early pregnancy scan.

Maternity Services. York Teaching Hospital NHS Foundation Trust. Working together for The Nuchal Translucency scan, combined test and the quadruple tests are An ultrasound dating scan is performed before the blood test to accurately.

If you have a new continuous cough , a high temperature , or a loss or change to your sense of taste or smell , do not come to our hospitals. Follow the national advice. Patients and visitors must wear a face covering in our hospitals. This site is best viewed with a modern browser. You appear to be using an old version of Internet Explorer. This early ultrasound scan provides important information about the number of babies present and the expected date of delivery.

Pregnancy and the fetal heart can be seen from six weeks gestation by vaginal scan, and from eight to nine weeks by abdominal scan. Accurate measurements and images are taken of the gestational sac and the ‘crown to rump’ length of the embryo, to accurately date the pregnancy. Please see ‘Screening’ for further information. Careful and accurate measurements of the baby are taken to monitor the baby’s wellbeing. At this scan your umbilical artery dopplers will be measured; these measurements help us to detect those babies who may be at higher risk of not growing as we expect.

Based on these measurements you will be placed onto one of three pathways: no additional scans apart from a routine 36 week scan or additional scans at various points in your pregnancy.

Your scans

Routine Antenatal Care and Schedule of Visits. She will also discuss your blood results. The main purpose of this scan is to check that there are no physical abnormalities. You will be offered more blood tests. You will be offered your first anti-D treatment if you are rhesus negative. Whooping cough vaccine will be discussed, this ideally should be given between now and 32 weeks pregnant, but may be given up to 38 weeks of pregnancy.

Book private ultrasound Babybond Pregnancy Scans for pregnancy online including baby scan, 3D scans, 4D scans, gender scans, early scans, nuchal scans and to provide services as a trusted alternative for essential NHS Antenatal scans. to the Dating Scan, Gender Scans and NIPT Scan in your 2nd trimester, and.

A dating scan is an ultrasound examination which is performed in order to establish the gestational age of the pregnancy. Most dating scans are done with a trans-abdominal transducer and a fullish bladder. If the pregnancy is very early the gestation sac and fetus will not be big enough to see, so the transvaginal approach will give better pictures. Dating scans are usually recommended if there is doubt about the validity of the last menstrual period.

By 6 to 7 weeks gestation the fetus is clearly seen on trans-vaginal ultrasound and the heart beat can be seen at this early stage 90 to beats per minute under 6 to 7 weeks, then to beats per minute as the baby matures. Ultrasounds performed during the first 12 weeks of pregnancy are generally within 3 – 5 days of accuracy. The most accurate time is between 8 and 11 weeks gestation.

This is because the fetus is growing so quickly that there is a big difference in size from week to week. However, the accuracy of the ultrasound examination is always dependent on the skill of the sonographer and the quality of the equipment. The EDD from the early dating scan is used – if the last menstrual period is not known or is unreliable, or the dating scan differs from the last menstrual period dating by more than 5 days.

Ultrasound examinations from 12 to 22 weeks are regarded as being within 10 days of accuracy or up to 10 days earlier or 10 days later than the woman’s calculated due date. Ultrasounds performed after 22 weeks gestation cannot be used to estimate the due date of the baby because the size no longer reflects the age very well.

Even average babies can differ by up to 2 to 3 “weeks of growth”;. These scans are only used to estimate the due date of your baby if this is all you have to go on.

Your pregnancy – What to expect

There will be many changes to our normal maternity services as we respond appropriately to national guidance on Covid We have created separate areas and are following government guidance to care for those who have or are suspected to have coronavirus. This ensures that those women who are unaffected are also kept safe and well. It is important for your care and safety that you let us know if you have confirmed or suspected Covid, or if anyone you live with is self-isolating because they have symptoms.

Please send the following information to this email address: LG.

one additional adult is welcome to attend the first dating/nuchal obstetric scan hard to make it safe for one additional adult to attend the ultrasound scan.

Every pregnant woman in England should be offered screening in pregnancy, however to access these it is important to attend antenatal services early in pregnancy. Information is available in the NHS “Screening tests for you and your baby” booklet which can be obtained from the midwives at your health centre. A screening test for these conditions, called the first trimester “combined test”, is available between 10 and 14 weeks of pregnancy.

If you choose to have the combined test, a blood sample is taken from you. At the dating ultrasound scan the fluid at the back of the baby’s neck is measured known as the nuchal translucency. The information from these 2 tests is combined to work out the risk how likely it is of the baby having Down’s, Edwards’ or Patau’s syndrome. If you are too far on in your pregnancy to have the combined test for Down’s syndrome, you will be offered a blood test between 14 and 20 weeks of pregnancy.

This test is not quite as accurate as the combined test. If you are too far on in your pregnancy to have the combined test for Edwards’ and Patau’s syndromes, you will be offered a mid-pregnancy scan which will look for physical abnormalities. The screening test cannot harm you or the baby but it is important to consider carefully whether to have this test or not. This test cannot tell you if the baby definitely has Down’s, Edwards’ or Patau’s syndromes or not. The screening test can provide information that may lead to further important decisions.

For example, you may be offered diagnostic tests that have a risk of miscarriage. The scan will look in detail at the baby’s bones, heart, brain, spinal cord, face, kidneys and abdomen.

Dating scan

Across the Trust there are approximately antenatal scans taking place each week, and approximately are the first dating or nuchal obstetric scans. We understand how important this is to you and have undergone a rigorous assessment to determine the changes needed in order to accommodate an extra person. We will be implementing social distancing measures, using additional hospital space as waiting areas, implementing a higher level cleans, using additional staff members to escort partners in and out of the waiting area.

The maternity team at Epsom and St Helier Hospitals are committed to the absolute weeks: first ultrasound scan; Around 12 weeks or earlier: booking-in.

Women also have routine blood tests or ‘blood screening’ to find out the mother’s blood group and several other things. For more information on screening tests please see ‘Resources ‘. Though all the pregnancies considered here began in the usual way with early scans and blood test screening, they all differed subsequently because the baby was found to have problems. See also ‘Having the week scan and further tests’.

The first scan was to check the make-up of the baby – check that there was a heartbeat, check that their arms, legs, head and measure the length of the baby from crown to rump really. So that was what the first scan was for – a basic sort of check really – and I was told that they’re limited in what actually, if there is any abnormalities with the baby at that stage, they’re very limited about what they can actually find, it’s not really till the week scan where they’ll pick up most things, especially congenital deficiencies.

The nuchal scan, we were given a leaflet, sent a leaflet by the hospital before we attended. My husband and I both attended the scan. We were very well informed about what to expect. We knew before going in for the scan, that if there was a problem we would be told there and then, and we would then be advised to take further tests, such as amniocentesis. So we were very well informed about what to expect and how the scan would take place. The dating scan Many people couldn’t remember much about early scans, particularly if they had experienced other scans later on in pregnancy.

Ultrasound scans in pregnancy


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