The pregnancy

You're pregnant! Congratulations. You will probably have a lot of questions about what is going to happen the next few months and you are curious about how your pregnancy will develop. It is possible that your body will tell you in the first few weeks that you are pregnant but this is far from necessary. One feels sick and tired, the other feels fine. In the first months the idea of pregnancy still can be abstract for many women, but it is important to take into account that you are pregnant. Give your body enough rest and sleep, and eat healthy and varied. 

Do not take medication without consulting a midwife or physician and do not drink any alcohol. As soon as you find out you are pregnant you can register with us. This can be done by calling our assistant so you can also ask questions. Another possibility is to register through the use of the registration form at this site (see on top of the page). Our assistant will contact you as quick as possible (definitely within three days).

It is important, if you have not yet started, to take folic acid. Start doing this as soon as you read this. Folic acid is a vitamin which decreases the chance of spina bifida in the child. You can buy this in tablet form (0.5 mg) at your drugstore or pharmacy. Take one tablet a day up to and including week 10 of the pregnancy. 

During the pregnancy and in the period that you are breastfeeding it is recommended to take 10 micrograms of vitamin D. This plays an important part in the bone formation of the baby and the prevention of osteoporosis for the mother. Vitamin D can be bought at the pharmacy or drugstore in the specific amount for pregnant women. Brand does not matter. House brands contains the same vitamins as the other brands. If you take a multivitamin for pregnant women, then you will already swallow both folic acid as vitamin D. If that is the case, do not take extra folic acid and/or vitamin D. 

The first appointment takes place at the practice around week 8 of the pregnancy, and will take about 60-80 minutes. We then inform ourselves about your health, any previous pregnancies and births and arrange a blood test at the laboratory. Here the blood will be tested for blood group, rhesus factor, irregular antibodies, iron deficiency, sugar (on indication) and on some infectious diseases (HIV, hepatitis B and syphilis). More tips on pregnancy ailments (including pelvic floor pain) can be found here. Furthermore we will ask about the health of your partner and that of both families. We also will inform you about the possibility to perform prenatal screening. Click here for further information about prenatal tests.

You will get a referral for a dating ultrasound at our own echo centre. You can call them for an appointment and plan when the ultrasound is best to be made. We also measure your blood pressure. We will measure that every time you come to us during regular visits because the blood pressure gives important information about how your body deals with the pregnancy. During the first appointment it is too early to listen to the heartbeat of the baby from the outside. That is possible from about 12 weeks pregnancy. Besides all this there is of course time to ask questions. We will also give information on how to arrange maternity care. For more information click here.

The second time you will visit us will be around week 16 of the pregnancy. From now on we will always listen to the heartbeat of the baby and the appointments will take about 20 minutes. We will discuss the results of the blood tests and the ultrasound and inform you about the possibility of having an ultrasound at week 20. On the whole you will visit us about 10 times at the practice during your pregnancy. At week 30 we will determine the level of iron in your blood. 

Around week 32 we will discuss your wishes and ideas about the delivery. At about week 36 we will inform you elaborately about the childbirth during a 40 minute appointment. What can you expect? When do you need to contact us? For more information on the delivery, click here.