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Pregnancy

You are pregnant! Congratulations!
There will be a lot coming towards you… Here you will find everything we will do for you during your pregnancy.

Checkups Screening & prenatal diagnostics Breech presentation Pregnancy courses There is more…

You just got pregnant? Congratulations!

Checkups

1st Checkup

The first checkup will always take place at our practice, located at Wethouder Ebbenlaan 168. During this visit, we will gather personal and complementary information which could be important for the pregnancy. We will test blood pressure and urine samples and our assistant will take some blood. Afterwards, one of our obstetricians will perform an ultrasound. And if you so desire, the possibility of prenatal screening and/or diagnostics will be discussed.

First ultrasound 7-8 weeks
First ultrasound 7-8 weeks
Second ultrasound 10-12 weeks
Second ultrasound 10-12 weeks
Blood tests
Blood tests
Urine tests
Urine tests
Follow-ups
Follow-ups

You will visit one of the three consultation locations for the routine pregnancy checkups.
First off, our assistant will check your blood pressure, urine and, if necessary, your blood iron content. Next, you will see one of the obstetricians for the obstetric exam. Any questions are best saved for the obstetrician.

Screening & prenatal diagnostics

Prenatal screening

We offer various screenings both during and shortly after the pregnancy. These are meant to identify various diseases and defects. The screenings we offer are:

  • Blood tests: during your first or second visit to the obstetrician, blood will be taken to determine your blood type and to assess the risk of any possible infectious diseases. (Attention: Not all blood tests are covered by your health insurance).
  • Combined test: the primary objective of this test is to determine as accurately as possible whether there is an increased possibility of Down syndrome (trisomy 21) or an increased possibility of serious trisomies (trisomy 18 and 13) The test consists of 2 parts. A blood test on the mother to be and an ultrasound (nuchal scan) on the unborn child. The tests are done between 11 and 13 weeks into the pregnancy. If there is an increased possibility, a NIPT (non-invasive prenatal test) can determine whether it concerns a trisomy pregnancy. To help you choose whether this screening is for you, you can use the decision aid.
    All women must pay for the combined test themselves. Only in certain cases the test is covered by the additional insurance. However, the combined test will be covered in case of any medical indication of a trisomy. The results will be available after about 10 days.
    If the results of the combined test indicate an increased risk of having a child with trisomy 21, 18 or 13, the costs of the follow-up tests (NIPT, chorionic villus sampling and amniocentesis) will be covered by your healthcare insurance, but will also count towards your out-of-pocket maximum. Folder
  • NIPT: During the NIPT, we take blood from the pregnant mother and send it to a laboratory for research. The lab will test the blood for Down syndrome (trisomy 21), Edwards syndrome (trisomy 18) and Patau syndrome (trisomy 13). The results of the NIPT can be divergent or non-divergent. The NIPT does not offer a 100% guarantee. In case of divergent results, your child may not have a trisomy and further tests are needed (amniocentesis or chorionic villus sampling). In case of non-divergent results, the possibility that your child will have trisomy is so small that we advise against taking any follow-up tests. The NIPT is offered starting at 10 weeks into pregnancy and the results are available within 10 to 15 working days. For more information, please visit NIPT Consortium. Read also Onderzoek van mijn ongeboren kind.
  • 20 weeks screening ultrasound: this test is used to determine whether the unborn child has spina bifida or any other congenital physical defect. The costs for the 20 weeks ultrasound are covered by your healthcare insurance. Folder
  • Heel prick screening and hearing test: a few days after birth, all babies get a heel prick and a hearing test. For more information about these tests, please consult the following website: www.rivm.nl/hielprik.

Participation in these tests is not mandatory. The advantages and disadvantages of the tests will be discussed by the obstetrician during the first interview, so that the parents to be can make a well-considered choice on whether or not to participate.

Nuchal translucency measurement
Nuchal translucency measurement
20 weeks screening ultrasound
20 weeks screening ultrasound
Prenatal diagnostics

Non-Invasive Prenatal Test

  • NIPT: when the combined test indicates an increased risk of trisomy 21, 18 or 13, you can choose to have a Non-Invasive Prenatal Test done. 
  • Chorionic villus sampling: during this test, cells of the placenta are extracted. This test takes place between the 10th and the 13th week of the pregnancy. The results are available about 1 week later. The risk of a miscarriage during the procedure is 0.5%.
  • Amniocentesis: during this test, amniotic fluid is collected with the use of a needle. The test takes place between the 15th and the 18th week of the pregnancy. The results are available about 3 weeks later. This test is used to determine whether the child has a neural tube defect, such as spina bifida. The risk of a miscarriage during the procedure is 0.3%.

 

Diagnostiek voor U (Diagnostics for you)

The combined test and the 20 weeks ultrasound are done by Diagnostiek voor U. They perform the ultrasounds on location at our practice. This has various advantages. The ultrasounds are done in familiar surroundings and it allows for direct communication between us and the people performing the ultrasounds.

Diagnostiek voor U
Ultrasound examination

An ultrasound is a research method which uses sonic waves. The ultrasound is imperceptible for humans. The sonic waves are used to make images of the internal structures of the human body. That way, the unborn child can be seen inside the womb. An ultrasound does not harm the mother or the child.

Ultrasound examination

Breech presentation

If your baby is in breech presentation, an “external version” may offer a solution. A fixed team of gynecologists, obstetricians and nurses are standing by at the Elkerliek Hospital. Office hours are every Tuesday afternoon. If your baby is in breech presentation, the obstetrician will explain the implications and, if you so desire, make an appointment.

What is breech presentation?

In case of breech presentation, instead of the baby’s head, its feet or bottom are pointing down. Breech presentation occurs in 3 to 4 percent of all women during the eighth month of the pregnancy.

Breech presentation

What is an external version?

An external version means turning the baby from breech position to a normal position, with its head down, from the outside of the belly.

Uitwendige versie

Chance of success and risks

An external version does not always work. The chance that an external version works is between 40 and 50 percent. An external version is more likely to succeed if the woman has given birth before. Complications during an external version are extremely rare. It is possible that the baby’s heartbeat temporarily slows down or accelerates. However, it almost always recovers within 10 minutes.

Why is a head-down position better?

A head-down position is the most natural way for a child to be born. A normal childbirth in head-down position provides the smallest risk of health problems for both the mother and the child. What are the risks of giving birth in breech presentation or by cesarean section? With special childbirths, such as a vaginal breech presentation or a cesarean section, we often see that the child is committed to the incubator unit afterwards. The mother has a higher risk of complications after a cesarean section than after a normal birth, such as infections, bleeding, bladder damage or intestinal problems.

Couveuze

After having undergone a cesarean section, any subsequent pregnancies must take place at the hospital under the supervision of a gynecologist.

How do we turn the baby?

The obstetrician and the gynecologist will help roll the baby over. Usually, the baby rolls head first, a so-called forward roll. If this doesn’t work, a backward roll is tried.

You are lying comfortably on the operation table with your knees raised. The external version is executed by an obstetrician and a gynecologist. One of the two will cup the bottom of the child and gently bring it towards on side of the pelvis. The other one will gently move the head of the child forward. By slowly continuing to move the bottom of the child upwards and the head of the child downwards, the child will turn further.

Educational film external version
In cooperation with the Elkerliek Hospital, obstetrician Linda Backx explains the external version (turning a child in case of breech presentation).

Pregnancy courses

The Obstetric Partnership Helmond (Verloskundig Samen­werkings­verband Helmond (VSV Helmond)) organizes free information evenings about pregnancy, giving birth and the postpartum period. During these interactive meetings, parents to be are provided with information, tips and advice from various experts in the field of natal care. As parents to be, you are free to choose the subjects about which you wish to receive more information and which information evenings you wish to attend. The basic information evenings are held at two locations, so you can choose when and where you wish to attend the meetings. The VSV Helmond also organizes special theme nights. You can choose which meetings you want to attend depending on your interests.

Do you wish to participate in one of the information evenings

Pregnancy courses

There is more…

Mothers for Mothers

During the first four months of pregnancy, the urine contains a hormone that is indispensable for some women to get pregnant. Mothers for Mothers collects this urine and turns it into a medicine. Even if you are still working during your pregnancy, you can help by collecting any small quantities of urine at home. The urine is collected discreetly. You can participate from the moment your period stops until the 11th week into your pregnancy. You will be visited by a consultant for a pregnancy test and for more information.

You can register on the website of Mothers for Mothers or you can call: 0800-0228070

 

Moeders voor Moeders
Maternity leave

Every pregnant woman has the right to 16 weeks of maternity leave. Depending on your working conditions and your personal health, you should start your maternity leave between 6 to 4 weeks before giving birth. The maternity leave lasts until 10 weeks after giving birth.

Maternity leave

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