Routine

Antenatal care.

Ultrasound scan, including 4-D.
(Anomaly/morpholgy scan that requires specialised examination will be referred to a qualified doctor.)

Additional

Down’s syndrome screening test with nuchal translucency (NT) scan, first trimester combined test, second trimester triple test, non invasive prenatal test (NIPT).

Gender determination by means of ultrasound scan and NIPT.

Doppler ultrasound study of at risk babies.

Cardiotocography (CTG) or non-stress test to assess foetal well-being.

Biophysical profile for at risk babies.

Cervical cerclage for cervical incompetence causing preterm births.

Intravenous infusion of normal saline for dehydration due to severe vomitting and/or diarrhoea.

Delivery of baby

All patients are encouraged to undergo vaginal delivery. Classes with the aim to achieve vaginal delivery are available (elsewhere).

Caesarean section is performed only if there is a medical indication.

Stem cells from placenta and umbilical cord can be collected at birth.

High-risk pregnancy counselling and management.

•    Bleeding in early pregnancy.
•    “Small” baby or intrauterine growth restriction (IUGR).
•    “Big” baby.
•    Polyhydramnios and oligohydramnios.
•    Preterm/premature labour.
•    Twins or multiple order pregnancy.
•    Infection in pregnancy.
•    Fibroids (myoma) in pregnancy.
•    Ovarian cyst in pregnancy.
•    Diabetes in pregnancy (gestational diabetes).
•    Obstetrics cholestasis.
•    Anaemia in pregnancy.
•    Thalassaemia.
•    Hypertension or hypertensive disorders in pregnancy.
•    Preeclampsia (PET).
•    Symphysis pubis dysfunction.
•    Rhesus negative pregnancy.
•    Medical diseases in pregnancy- thyroid disorder, asthma, hypertension, hepatitis B or C, thalassaemia.
•    Breech presentation.
•    Previous traumatic obstetrics history.
•    Previous stillbirth.