PRIVATE ANTENATAL CARE
This involves private antenatal care with subsequent delivery in UHW as an NHS patient for local mums and requires that the woman's GP would be happy for us to arrange this. We would then see her for all of her antenatal visits except for booking and the 18-20 week anomaly scan in UHW.
The care package includes:
- Personal, expert care and advice throughout your pregnancy
- An ultrasound scan each time you visit us - we check your baby not
- Optional free Nuchal Translucency Scan which looks for Down Syndrome and heart defects
- Convenient evening clinic appointments
- Easy parking at our Cardiff clinic
- Access to Dr Bryan Beattie for emergency ultrasound scans or telephone advice
- You’ll only need to visit an NHS hospital antenatal clinic twice – for booking and for an anomaly scan
- Local mums can be delivered as an NHS patient in the University Hospital of Wales under Dr Bryan Beattie
- Free Parentcraft Classes
- Access to 4D scans and other specialist services including specialist cardiac scans, preterm labour screening and Laser Photorystals (images3d.co.uk)
Following a positive pregnancy test most pregnant women will contact their GP. All pregnant women requesting Private Antenatal Care need a pink maternity booking form from their GP to be sent to UHW (University Hospital of Wales).
HOME VISIT - COMMUNITY MIDWIFE
They would usually have a home booking visit by their Community Midwife and their hand held notes would be issued after she takes a short history and discusses basic pregnancy issues and screening tests.
HOSPITAL VISIT- BOOKING VISIT
They would then receive an appointment for a UHW booking visit and their booking bloods and a urine sample (MSU) would be taken at that time. The hospital notes are then made up and they would be registered on the hospital Maternity System. Any subsequent blood tests taken during the pregnancy (e.g.the 32 week bloods) and MSU are taken using UHW bottles, forms and labels and sent to the labs at UHW with a return address of the antenatal clinic in UHW for their reports. No copies are sent to Spire. The results are filed or actioned in the normal way via the UHW antenatal clinic.
HOSPITAL VISIT - ANOMALY SCAN
Patients would usually attend UHW once again, usually at 19-21 weeks for an anomaly scan, which is requested on a standard UHW X-ray booking form and sent to the X-ray Department. There is no preferential treatment given in terms of allocation of appointments, as all anomaly scans are booked for and carried out during this period in pregnancy. The scan reports are brought back to the antenatal clinic where a midwife will file it, check off the booking blood results and discuss the blood test results and scan findings, ensure the handheld notes and hospital notes are complete and discuss any relevant midwifery or public health issues as they do with all other patients.
SPIRE CARDIFF HOSPITAL - SUBSEQUENT VISITS
Checks for Mum
All subsequent visits would be to Innermost Secrets at the Reproductive Health Clinic at Spire (Clinic 03435 2303386) where they would have maternal health checks such as blood pressure, urine testing, etc. and a fetal growth scan. Normal NHS care would involve a booking scan and an Anomaly Scan only. For an additional fee, women at increased risk of preterm labour can have Fetal Fibronectin Screeing and cervical incompetence scans and those concerned about their risk of pre-eclampsia can have uterine artery scans.
Checks for Baby
The use of a customised fundal height chart to plot the measurements of the size of the uterus (womb) will identify 48% of small for dates babies whereas ultrasound scans will identify about 85%. (The Investigation ad Management of the Small for Gestational Age Fetus Royal College Obstetrcians and Gynaecologists Guideline 31. Nov 2002-Nov 2005). For an additional fee, women concerned about fetal cardiac defects can have a 5 View Cardiac Scan and those that want colour photographs, vide keepsakes or a laser photocrystal of their baby can have a 4D Baby Bonding Scan.
In an emergency patients can contact Dr R B Beattie via his mobile 0345 2303387
There are no private delivery facilities in UHW and thus patients are admitted as a NHS patient under the care of Dr Bryan Beattie or as an NHS patient under their own consultant or midwife if delivering elsewhere.
The Community midwife would visit both mother and baby at home as for all other patients. This will be organised throught the hospital. The mother's 6 week check up would be at the Spire hospital and they are asked to contact our office staff on 0345 2303386 to arrange this.
Although cervical smears can be done through us Spire it is recomended that they are done via the GP surgery so that they are entered onto the "Cervical Screening Wales" programme to ensure automatic recall subsequently. Patients are reminded that, even if breast feeding, ovulation may take place prior to the 6 week postnatal check up and therefore they should consider appropriate contraceptive measures from 2 weeks postnatal.
NEONATAL PULSE OXIMETRY CHECK 1-4 days
For an additional fee, women who are concerned about their baby's risk of having a congenital heart defect can have Pulse Oximetry Screening, a non-invasive test which measures oxygen levels in the baby's hands and feet. Recent studies suggest that 50% of newborn babies with congenital heart disease are missed with conventional testing and these account for 3% of infant deaths. The addition of newborn pulse oximetry increases this to about 92%
NEONATAL EXAMINATION AT 6 WEEKS
The The six week neonatal (baby) check up would normally be with the GP, but for an additional fee we can arrange a neonatal check up with a consultant paediatrician.