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Pregnancy

When you get pregnant you should make an appointment to see your doctor immediately. You’ll be offered regular check-ups throughout your pregnancy. How often they are varies according to a number of issues such as whether this is your first baby and whether you have any particular health needs. However, you can always contact your midwife or doctor if you are concerned or would like to discuss something.

Regular check-ups

These check-ups will probably include:

• taking your blood pressure
• weighing you
• feeling your stomach (to check your baby's size and position)
• listening to your baby's heartbeat
• checking your urine for infections and blood sugar problems
• checking your general well-being

Blood tests

During pregnancy, you will be offered a number of blood tests which provide information that helps you deliver a healthy baby. Don't be afraid to ask questions about the tests you are offered, what they will and will not tell you and what further decisions you may have to take depending on the results. Discuss any concerns you have with your midwife or doctor and feel free to take time to consider your options.

Tests may include:

• identifying your blood group and type
• HBV testing (HBV causes hepatitis B)
• testing for conditions such as syphilis, anaemia or the sickle cell trait
• testing for immunity to rubella (German measles)
• HIV testing
• Down's syndrome

Ultrasound scans

An ultrasound scan involves having a hand-held scanning device rolled over your stomach. This allows images from inside your womb to be shown on a screen. These may be used to:

• determine the size and age of your baby
• check the position of the baby and placenta
• check for physical problems in the baby or placenta
• determine whether you are expecting more than one baby

You may be offered a scan at:

• about eight to 14 weeks
• about 18 to 20 weeks

Screening tests

These tests are used to check for conditions such as Spina Bifida and Down'’s syndrome. If you are offered a screening test, check with your midwife why you are being offered the test. All women regardless of age can be tested for Spina Bifida and Down's syndrome, however, older mothers are at greater risk of having a baby with Down's syndrome.

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