Skip to the content

Your schedule of appointments

Throughout your pregnancy you will have regular appointments to check your health and the health of your unborn baby. The frequency of these appointments, their location and which professional you will see will depend on your specific circumstances as your care is personalised to reflect your individual needs.


Your first appointment (booking appointment)


All pregnant women will have an initial appointment with a midwife often referred to as a booking appointment. This appointment takes about one hour to complete and normally takes place in the community however for some women it will take place within the hospital setting. Within this appointment you will be asked a number of questions about your pregnancy, medical and social history, and family history. This is to ensure that together we can develop a package of care that is appropriate for your needs and be able to refer you to other colleagues if required. You will also be given information about


• Folic acid supplements
• Nutrition, diet and food hygiene
• Lifestyle choices including advice on how to stop smoking, drinking and recreational drug use
• Antenatal screening tests for you and your baby including scans and blood tests


It is important that you understand what the screening tests are and what they involve before agreeing or declining them. You will also be provided with a personalised care plan to enable you to consider your options and the things that you may want to discuss in future appointments. Listed below is a routine schedule of appointments and what you might expect to happen within them however for those with more complex needs your appointments may differ.

First Baby

Had a Baby Before

Weeks of Pregnancy

Guideline of Your Routine Appointments in Pregnancy

Before 12 weeks

Information on choice of place of birth, diet and lifestyle considerations, pregnancy care services, maternity benefits and screening tests

Measure your blood pressure, height and weight. Calculate BMI.

Test your urine for the presence of protein.

Offer of screening tests and making sure you understand what is involved before you decide to have any of them.

Find out if you need additional care.

Offer of help to stop smoking.

Offer of an ultrasound scan between 11+2 - 14+1 weeks  (combined screening offered)

Offer of quadruple screening between 14+2 - 20 weeks.

Chlamydia screening offered to pregnant women aged 25 or under.

Advised seasonal flu vaccine.

Carbon monoxide screening.

16 weeks

Measure blood pressure and test your urine.

Review and discuss results of all screening tests.

Generate customised growth chart.

Advised to see GP regarding whooping cough vaccine.

Cell free fetal DNA testing (for those with a Rhesus negative blood group)

By 20 weeks +6 days

Ultrasound scan to screen for physical development, major  structural anomalies and check the location of the placenta

 

 

25 weeks

Measure blood pressure and test urine.

Mat B1 issued

28 weeks

Measure blood pressure and test urine.

Measure the size of your abdomen.

Blood screening test to check for anaemia and antibodies.

A Glucose Tolerance Test (GTT) be offered if you are at a higher risk of developing diabetes during pregnancy.

Anti D injections offered if Rh negative and required.

If screening bloods declined at booking offer again.

Complete infant feeding checklist.

31 weeks

Measure blood pressure and test urine.

Measure the size of you abdomen.

Review results of screening tests taken at 28 weeks.

34 weeks

Measure blood pressure and test urine.

Measure the size of you abdomen.

Review results of screening tests taken at 28 weeks.

36 weeks

Measure blood pressure and test urine.

Measure the size of you abdomen.

Check to see if you baby is head first (presentation). Discuss the options to turn your baby if it is feet/bottom first (breech).

Family and friends test.

Review personalised care plan.

38 weeks

Measure blood pressure and test urine.

Measure the size of you abdomen.

Check presentation of your baby.

 

40 weeks

Measure blood pressure and test urine.

Measure the size of you abdomen.

Check presentation of your baby.

41 weeks

Measure blood pressure and test urine.

Measure the size of you abdomen.

Check presentation of your baby.

Discuss options of membrane sweep.

Discuss induction of labour.

Carbon monoxide monitoring

At some of your antenatal appointments you will be offered carbon monoxide monitoring. Carbon monoxide (CO) is a colourless, odourless and tasteless poisonous gas which can kill people. It can be present in exhaust fumes, faulty gas appliances, coal/wood fires, oil burning appliances and cigarette smoke. It is especially dangerous during pregnancy because it deprives your baby of oxygen, slows its growth and development and increases the risk of miscarriage, stillbirth and sudden infant death. This is why it is important to offer and encourage pregnant women to have CO monitor screening. Routine CO screening takes place at booking and at 36 weeks however for smokers or those within a higher risk category you can expect to be monitored with greater frequency. Monitoring simply involves blowing into a hand held machine which will detect the levels of carbon monoxide within your body. Results are displayed very quickly and your midwife will be able to discuss the results with you within your appointment.