I’m pregnant, what next?

‘‘The first decision you need to make is an important one - who is going to be your Lead Maternity Carer’’

Early pregnancy can be a daunting time especially the first time around.

How should I care for myself to ensure the best start for my baby? Will my baby be healthy? I do not know anything about caring for a baby. . . who can advise me?

The first decision you need to make is an important one - who is going to be your Lead Maternity Carer throughout your pregnancy.

This is the person who will provide and coordinate your care during your pregnancy, birth and after the birth.

This decision should ideally be made as soon as you suspect and confirm you are pregnant, at around or before the 10 week stage.

Most women choose to be looked after by a midwife, but some women feel more comfortable with a GP or specialist private obstetrician. There is a website where you can view profiles of midwives and choose someone you will feel most comfortable with and who is available. http:/ /www.findyourmidwife.co.nz/

You can ring your short list of midwives and discuss and compare your wishes for your pregnancy journey. Ask questions such as: what is your philosophy on childbirth? What choices can you offer as to where I give birth, such as hospital, primary birthing unit, home or water birth? What happens if I need specialist care during my pregnancy or labour? Will you continue to care for me after the birth - in hospital and when I go home? If I need to stay in hospital, what will your role be?

It is helpful to know that women who commence labour in a primary birthing unit are less likely to have an intervention. If you choose a midwife as your lead maternity carer, they will care for you during your pregnancy, labour, birth and the weeks following. Usually midwives will care for you during most of your labour. This most ordinary, yet extraordinary experience is different for every woman.

Most importantly remember to contact a midwife early in your pregnancy and attend your appointments. You will be advised you on weight and diet as well as checking your blood pressure and your baby’s growth milestones. Recent evidence shows that a moderate weight gain is the safest for you and your baby to ensure baby’s best start in life.