8 weeks consult, intake

The first check-up takes place around 8 weeks gestation. We record your personal information, ask about the health history of you and the father of the baby, your work situation, any other children and the health of both your families We also give a lot of information about pregnancy and issues around pregnancy. During this first check-up we also assess whether we can continue as midwives or if we should send you to the hospital, for medical reasons.

During the first check-up we also discuss:

  • Prenatal screening
    We give you information about various prenatal tests. A pregnant woman in Holland can get a prenatal test to check how big the change is that the baby has a syndrom, down, edwards or Patau syndrom. You can chouse between The combinationtest and NIPT. Around the 20 week gestation you will get another ultrasound to check the baby from head to toe. Below the tests are descpie

    Combination Test

    The combination test consists of a blood test for pregnant in the period from 9 to 14 weeks of pregnancy and a nuchal translucency measurement with an echo in the child during the period from 11 to 14 weeks gestation.

    The combined test calculates the probability that the child down-, and Edwards has patausyndroom. The study gives no certainty. We speak of an increased risk if the probability is greater than 1 in 200. With an increased chance, you can choose whether or not to make any further research. You can then choose a sip, chorionic villus sampling or amniocentesis. This follow-up study is to determine with certainty whether your child has any of these conditions or not. Klik hier voor meer informatie.

    The NIPT

    The NIPT is a study in which blood from the pregnant woman is examined. The blood test can be done from 11 weeks of pregnancy. The laboratory examines the DNA in the blood chromosome and can thus determine whether the child down- has patausyndroom or Edwards. In the blood of pregnant is DNA derived from the placenta (placenta) and DNA from the mother. The DNA from the placenta is almost always the same as the DNA of the child.

    The laboratory is also chromosome other than find down-, Edwards or patausyndroom the child, the placenta and very rare in the pregnant woman herself. Those are secondary findings. You decide in advance whether you want to find additional findings. Klik hier voor meer informatie.

    The 20-weeks ultrasound

    The official name of the ultrasound screening is the anomaly scan (SEO). This study is also referred to as the 20-week-echo because the echo takes place between the 18 and 22 weeks of pregnancy. The screening ultrasound is investigated any physical abnormalities in a fetus, such as spina bifida or anencephaly. There is much research into the development of the organs, head, heart, abdomen and arms and legs. It also checks whether the child is growing well and that there is enough amniotic fluid. The race is to be determined in most cases and if you ask, you get to hear it. Incidentally, this does not give complete security, and it is not the purpose of the investigation.

    Not all diseases are visible on ultrasound screening. A 'good' echo is no guarantee of a healthy child. When in doubt or uncertainty on the echo that is repeated at the screening center or in a teaching hospital. This does not necessarily mean that something is "not good" at the baby.

    These tests and ultrasounds are done in an external facility. Klik hier voor meer informatie.
  • Ultrasound
    In the Netherlands between the 10th and 12th week of the pregnancy the first ultrasound scan during the pregnancy (normal situation). Than the exact date of birth will be established, which is also the first day of your last period. This takes place in our practice.
  • Blood tests
    At the beginning of the pregnancy we test your blood: blood type, Rhc antibodies, irregular antibodies (antibodies, you might have made against another blood types or blood components), Hb, MCV (iron), glucose (sugar), HBsAg (hepatitis B), HIV, Lues (syphilis, venereal diseases) and rubella (German measles, if you have antibodies against rubella).
  • Nutritional advice
    During pregnancy there are some things you should not eat; no raw meat such as not-well-done steak, steak tartar, beef sausage.
    What is allowed: well-cooked meat and smoked fish, as long as it is not vacuum packed. Also raw fish fresh from the fishmonger, and baked or cooked shellfish.
    Raw milk cheeses are not allowed, this includes the special, soft cheeses made with raw milk.
    Furthermore, you should not eat too much liver, one serving per day as it contains vitamin A. You should not have too much vitamin A during your pregnancy.
    If you eat healthily and varied, than extra vitamins are not required. If you want extra vitamins, take vitamins especially for pregnant women. There is less vitamin A in these and more iron.
  • Folic acid
    If you want to become pregnant always think about the use of folic acid before becoming pregnant. It is better to take this at least three months before getting pregnant. It is advised to take it until 10-12 weeks gestation. If the pregnancy was not planned and you only knew around 8-9 weeks after becoming pregnant, then you can still take the pills. The effect of folic acid is then not that large but it’s never bad to take them.
  • Sporten
    You can sport during the pregnancy as long as you listen to your body. Do not test your limits. We advise to stop playing contact sports such as hockey, football and handball after 16 weeks of pregnancy.