Ph +64 9 367 1200 | aoc@obstetrics.co.nz

Antenatal Care

Introduction

As a group practice, we have a co-operative approach, sharing expertise and patient care. We encourage you to meet all the AOC obstetricians during your antenatal visits. This ensures that you will have met the doctor looking after you during your delivery.

We offer a set fee, which is all-inclusive, regardless of pregnancy complications or how your baby is born. Our fee also includes postnatal midwifery visits and your six week postnatal check-up. The fee for full pregnancy care can be paid by instalments during your pregnancy.

We have clinics Monday to Friday and can usually change appointment times for you at short notice if you are unable to leave work or have problems with childcare. Children are always welcome at AOC and we have a play area with lots of toys to keep young children happy.

When you come to visit us at AOC you are welcome to bring your partner or members of your family. We will help you to make informed decisions. We recognise that pregnancy care is very much a partnership.

You may book at AOC at any stage of pregnancy. If you have a problem during your pregnancy and you are seeing another caregiver, then we are happy to accept referrals for one-off consultations.

First Trimester

When you phone AOC to make a booking we will usually arrange your first consultation for about your 8th to 10th week of pregnancy. As the initial appointment is 45 minutes please contact us early in your pregnancy to ensure a booking.

You are most welcome to arrange a first appointment earlier in your pregnancy, particularly if you are concerned about miscarriage, ectopic pregnancy or any other early pregnancy problems.

At your booking visit we will discuss your medical history, your general health and answer your questions about antenatal care. We will also arrange for you to have an initial set of antenatal screening bloods (see our Medical Tests During Pregnancy page) and discuss other screening tests you may wish to have.

Most women at this stage feel tired and experience “morning sickness”, which may occur through much of the day. You may also find you need to go to sleep much earlier than usual. Some women also experience constipation and breast tenderness. Don’t worry: most of these symptoms subside and you will “glow” as your first trimester symptoms start to settle.

You should be taking a folic acid supplement during the first trimester at a dose of 800 micrograms (0.8 milligrams) daily. You should also be taking an iodine supplement at a dose of 150 micrograms (0.15 milligrams) throughout your pregnancy and while breastfeeding.

Second Trimester

Most women are aware of a “bump” from about 12 to 14 weeks after their last period but at first it may only be obvious at the end of the day. By 14 to 16 weeks a pregnancy “bump” should be noticeable to everyone. Between 18 and 20 weeks most women will have started to feel baby moving.

During the early part of the second trimester there are some further screening tests that many women opt to have. These include screening tests for Down Syndrome that comprise a blood test at 9 to 14 weeks and a nuchal translucency scan at 11 to 14 weeks. The results of these two tests are used together as a “combined screening test” to produce an individualised risk assessment. For more information, see our Medical Tests During Pregnancy page.

At 18 to 20 weeks most women will have an anatomy scan to check baby’s heart, spine, brain and other important organs. This scan also checks that the placenta is in the right place and that your baby has grown appropriately.

At this stage we are only seeing you every four weeks but there is no need to save all your queries for your clinic visits. You can call us between appointments with any questions or concerns that you might have.

If you are planning to attend antenatal classes it is worth booking these now as they fill up quickly. You can find more information about antenatal education providers on our Useful Websites and Information page.

At 26 weeks you will have a second set of blood tests to screen for diabetes (the polycose test), anaemia and blood group antibodies.

If you are travelling overseas at this time do check that your insurance covers problems in pregnancy as most insurance companies will not cover you after 28 weeks. You will also need to start planning when you will cut back or stop working.

Third Trimester

During the third trimester we are seeing you in clinic every two weeks and then weekly from 36 weeks. At about 35 weeks you will have an extended appointment to discuss your birth plan and make sure we know how you wish to be cared for during labour. Your partner should also attend this appointment.

Baby’s movements may start to follow more of a pattern with movements being more marked in the evening or at bedtime (yours - not baby’s!). Many women do not sleep well in late pregnancy so make time for a rest during the day. Do call if you are worried that baby is moving less often or you experience any abdominal pain or bleeding.

Most women will go into labour within a few days of their due date. For some women it may be safer for their baby to be born earlier by induction or caesarean section and if we have any concerns about how or when your baby should be born we will discuss those with you. We will also organise closer monitoring of you and your baby if you are still pregnant after your due date.

Women with Disabilities

As a group we have looked after many pregnant women with vision or hearing impairment or mobility problems. Sometimes this has been a learning experience for us but always it has been a privilege to be part of their pregnancy care. Do talk to us if you are concerned that these issues may make pregnancy care and delivery a problem for you. Our clinic is on the ground floor of the Birthcare building with easy wheelchair access.