Your antenatal care appointments

8-10 weeks: early pregnancy contact
Full antenatal risk assessment
Nutrition, diet, smoking, alcohol and lifestyle advice
‘Screening tests for you and your baby’ booklet
Routine booking bloods and RBG for women with risk factors

10-12 weeks + 6 weeks: booking appointment
Antenatal care and place of birth discussed; homebirth, Birthing Unit or Delivery Suite
Assessment of vulnerability issues, including partners details
Invite to parent education and infant feeding class
Blood pressure and urinalysis
Body Mass Index / weigh
Discuss infant feeding

11-14+1 weeks:
Combined screening and early pregnancy scan

16-17 weeks
Review screening tests to date and document results
If missed combined screening, offer quad set screening between 14-20 weeks
Blood pressure and urinalysis
Give information regarding flu and Pertussis vaccinations
Consider early help plan / refer to MASH if required
GAP chart generated
Discuss RCOG guidelines

19-21 weeks Date: scan
Anomaly scan

25 weeks (optional visit for women who have had more than one child)
Blood pressure and urinalysis
Mat B1
Review pregnancy and beyond educational needs and ensure infant feeding checklist discussed
Discuss fetal movements and give patient information
Ensure flu/ Pertussis vaccine given

28 weeks
Full blood count and antibodies, offer Anti D for Rh negative women
Offer GTT to all women / review GTT results
Re-offer booking bloods if declined at booking
Measure and plot fundal height (cms)
Blood pressure
Urinalysis – assess need for glucose testing
Review pregnancy and beyond educational needs & ensure infant feeding checklist discussed
Mat B1s
Discuss fetal movements and give patient information

31 weeks date
Measure and plot SFH (cms)
Blood pressure and urinalysis
Review, discuss and record 28 week results

34 weeks date
Measure and plot fundal height (cms)
Blood pressure and urinalysis
Discuss birth preferences and Vitamin K
Weigh (if BMI over 35 at booking)

36 weeks date:
Measure and plot fundal height (cms)
Blood pressure and urinaylsis
Discuss signs of labour
Position of baby (if breech off ECV and refer for scan)
Breastfeeding
Smoking status

38 weeks date
Measure and plot fundal heigh (cms)
Blood pressure and urinalysis
Care of baby and PN self-care including mental health and wellbeing

40 weeks date
Measure and plot fundal height (cms)
Blood pressure and urinaylsis
Offer first membrane sweep for primigravida

41 weeks date: time
Measure and plot fundal height (cms)
Blood pressure and urinaylsis
Offer membrane sweep (all women)
Plan induction of labour date

  • FW8: Maternity Exemption Certificate

    If you’re pregnant or have given birth in the last 12 months, you are entitled to:

    • free NHS dental treatment
    • free NHS prescriptions, if you have a valid maternity exemption certificate

    A maternity exemption certificate:

    • entitles you to free prescriptions
    • can be used to prove your entitlement to free NHS dental treatment

    To apply, you will need to speak to your midwife, doctor or health visitor as they need to complete the application for you. You can then apply as soon as your health care professional confirms you are pregnant.

    Click here for more information on FW8.

  • When to call the midwife