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PRIVATE ANTENATAL CARE WITH DELIVERY AS AN NHS PATIENT IN UHW
This involves private antenatal care with subsequent delivery in UHW as an NHS patient 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.
GP REGISTRATION
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 is 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 - SUBSEQUENT VISITS
All subsequent visits would be to the Cardiff Fetal Medicine Centre at Spire (Clinic 02920 542722) 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.
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 scan however 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)
EMERGENCIES
In an emergency patients can contact Dr R B Beattie via his mobile 07966 135505
DELIVERY
There are no private delivery facilities in UHW and thus patients are admitted as a NHS patient.
POSTNATAL CARE
The Community midwife would visit both mother and baby at home as for all other patients. This will be organised throught the hospital. The six week neonatal check up would normally be with the GP but if the parent wished they could organise the neoanatal check up with a consultant paediatrician. The mother's 6 week check up would be at the Spire hospital and they are asked to contact Helen Dando or Dilys Gale on 0845 230 3386 to arrange this.
Although cervical smears can be done via 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.
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