Local Maternity System

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Pregnancy journey

Pregnancy Arrow Blue - Pregancy JourneyI'm pregnant.....what next?

Congratulations on your pregnancy!

Every woman, every pregnancy, every baby and every family is different. Therefore quality services (by which we mean safe, clinically effective and providing a good experience) must be personalised. This is from the 2016 NHS 'Better Births' report which describes how maternity services will be improved. 

To support you in your choices we have included contact information for each hospital in Humber, Coast and Vale below.

Pregnancy booking appointment

This is your first appointment where you will meet a community midwife to discuss you and your pregnancy. It's the first opportunity to discuss what kind of care you would like.

You will be seen by a midwife for your booking appointment when you are eight to 10 weeks pregnant. It is advisable to have this appointment before 12 weeks, so that you have all the information you need to decide what care you prefer and tests and scans that you might want. Your midwife will ask questions about your health, your medical history, your lifestyle and any previous pregnancies, so that they can put together a suitable care plan with you.

At your booking appointment, you’ll be given a set of maternity notes which are often referred to as 'green notes'. You will need to take these notes to every appointment during your pregnancy. Your midwife will add to these notes, and reports from scans and other tests will be added as your pregnancy progresses.

Your midwife will also give you an application form for a maternity prescription exemption, which entitles you to free prescriptions and dental treatment until your baby is 12 months old. 

At your booking appointment, your midwife will assign how you will access care:

  • Midwife-led care: Women who are healthy and have a low chance of developing problems during pregnancy and birth will receive midwife-led care. This may change as your pregnancy progresses if you develop complications, if you are having multiple births, or if you need closer monitoring.

  • Consultant-led care: Women who have certain medical conditions, or a higher chance of developing problems during pregnancy and birth, will be overseen by a consultant obstetrician. As well as the routine pregnancy appointments with your midwife, you will also have appointments with an obstetrician, and possibly other specialists too. These will be tailored to your needs.

  • Continuity of carer: All trusts within the Humber Coast and Vale area are working towards providing continuity of carer pathways for women. This involves a small identified team of midwives caring for you throughout your pregnancy and birth. Some examples of this locally are Scarborough hospital now allocates all patients to specific teams of midwives who aim to provide all your care. Scunthorpe has 2 centrally based teams that work in the community and the hospital in a buddy system. Hull have 2 geographically based teams in East Hull and Beverley that provide a team approach to  your care in the community and during the birth of your baby. The reason for this change is that you can build relationships with your team and they get to know you and what matters to you and your family. Each hospital aims to have 35% of women on a continuity of carer pathway by March 2020 and 51% by March 2021.

If your care is hospital based for example if you are a diabetic, have mental health problems or another specialist area requiring    consultant care, teams are now in the process of being set up to meet your needs including doctors, dieticians and specialised services.

Don’t worry if things change during your pregnancy – your midwife will reassess your care and will make changes to your care plan if they are needed.

Hull University Teaching Hospitals NHS Trust information

Care Quality Commission (CQC) report

Hull Women and Children's Hospital

If you wish to book to give birth here please contact the direct access midwives on 01482 605304 text 07825 280822 or email direct.access@hey.nhs.uk. They will arrange your first appointment to see a midwife and discuss your plan of care with you. Click here to visit the hospital website.

York Teaching Hospitals NHS Foundation Trust information

Care Quality Commission (CQC) report 

York Hospital and Scarborough General Hospital

You should contact your GP surgery to book an appointment with a midwife. If you are not registered with a GP or are having difficulty getting an appointment please phone the hospital (York: 01904 631313 Scarborough: 01723 368111), ask for the maternity unit, leave your details and a community midwife will be in touch with you. York Teaching Hospitals Foundation Trust website

Northern Lincolnshire and Goole NHS Foundation Trust information

Care Quality Commission (CQC) report

Scunthorpe General Hospital and Goole and District Hospital   

If you wish to book to give birth in these hospitals please call the appropriate midwifery base as detailed below.

Goole                                03033 304079
Brigg                                 03033 306860
Barton/Winterton              01652 660052
Cottage Beck                   03033 303295
Isle Team                         01724 712925

Grimsby's Diana Princess of Wales Hospital

If you wish to give birth in this hospital please call the North East Lincolnshire midwifery base on 03033 305232 or for Louth Hospital 01507 631210. 

Northern Lincolnshire and Goole NHS Foundation Trust website 

2019-07-03 (7)

Your baby is now officially an embryo and is about the size of a poppy seed.

Please visit www.nhs.uk/conditions/pregnancy-and-baby/4-weeks-pregnant/ for more information.

2019-07-03 (4)

Your baby is now the size of a kidney bean and weighs 1g. 

Please visit www.nhs.uk/conditions/pregnancy-and-baby/8-weeks-pregnant/ for more information.

2019-07-03 (6)

Welcome to the second trimester!

Your baby is about the size of a small lime and weighs approximately 14g.

You have hopefully seen your midwife for your 'booking in' appointment, if you have not yet seen a midwife please make an appointment quickly, so you can have all of your choices about screening tests explained and offered to you.

Please visit www.nhs.uk/conditions/pregnancy-and-baby/12-weeks-pregnant/ for more information. You can also link to the 'Pregnancy Journey' area here.  

2019-07-03

Your baby is about the size of an avocado and weighs approximately 100g. 

Please visit www.nhs.uk/conditions/pregnancy-and-baby/16-weeks-pregnant/ for more information.

2019-07-03 (2)

Your baby has grown in length and is now the length of a small banana and weighs approximately 300g. Around this time you will be offered your '20 week' scan, also known as the 'anatomy' or 'anomaly' scan.Click here for more information about screening. 

Please visit www.nhs.uk/conditions/pregnancy-and-baby/20-weeks-pregnant/ for more information.

2019-07-03 (8)

Your baby has grown again to the approximate length of an ear of sweetcorn and weighs about 600g. 

Please visit www.nhs.uk/conditions/pregnancy-and-baby/24-weeks-pregnant/ for more information.

2019-07-03 (1)

Welcome to the third trimester!

Your baby is now approximately the weight of an aubergine; about 1kg and approximately 37cm in length. 

Please visit www.nhs.uk/conditions/pregnancy-and-baby/28-weeks-pregnant/ for more information.

2019-07-03 (3)

Your baby now weighs approximately the same as a coconut; around 1.5kg. 

Please visit www.nhs.uk/conditions/pregnancy-and-baby/32-weeks-pregnant/ for more information.

2019-07-03 (5)

Your baby is now around the same size as a lettuce, approximately 47cm long and weighs around 2.6kg. 

Please visit www.nhs.uk/conditions/pregnancy-and-baby/36-weeks-pregnant/ for more information.

2019-07-03 (9)

Your baby is now the weight of a small watermelon which is approximately 3.3kg and around 50cm in length. 

Please visit www.nhs.uk/conditions/pregnancy-and-baby/40-weeks-pregnant/ for more information.