Jump to content

When do I do what?
First baby, need advice!


  • Please log in to reply
7 replies to this topic

#1 RosieA

Posted 26 November 2012 - 09:24 AM

Hi Ladies,
I'm pregnant with my first baby and I have no idea what to do next! I've had 3 positive pregnancy tests, period is 2 week late & boobs feel like rocks so I'm definitely preggers, just need to get a timeline in my head of when I'm supposed to do everything. Do I see a GP straight away? I don't have one here yet because we just moved, I'd go to my normal clinic near work but I don't want to have to drive there every week or whatever for checkups after I stop working, it's 45 mins away. How often do you normally see the GP during pregnancy? When should I see an OB and how often do I need to see them during pregnancy also? What is covered by Medicare and what isn't covered? When do I need to book a birthing suite or centre? I really need to get a game-plan in my head, my sister & mum would be great for that but it's so early I don't want to tell them yet. I live in Maitland NSW. All advice appreciated!
-Rosie

#2 kindling

Posted 26 November 2012 - 09:38 AM

Firstly, congratulations! 😄

I would make an appointment at any GP to get started. They will send you to a pathology place to get blood taken. They will test that for pregnancy as well as a variety of other things just to check your vitamin and immune levels as a starting point.

The GP will also write you a referral letter to see an OB. If you gave one you'd like to use or a specific hospital you prefer then take those details with you and the GP can refer you to them. If you don't know/mind then they will have a list that they usually refer to.

You really will only see your GP for non pregnancy related illness. For any pregnancy checks you will see your OB.

If you go public I believe everything is covered by Medicare. If private then you pay your OB fee in full, Medicare will rebate about $450 of that. You will also pay for all your scans and Medicare rebate a portion of those too.

Generally speaking you will see your OB at the following points in your pregnancy (this varies between public and private system);

Weeks
6-8 Blood type, rubella titer, blood counts, HIV antibody, syphilis, hepatitis screen, ultrasound.
10-12 Doppler detection of fetal heart; CVS, if planned.
11-14 First trimester screen/Nuchal translucency (11–12 weeks is best).
15-18 Second trimester serum screen (sometimes called quad screen); amniocentesis, if planned.
18-22 Ultrasound to evaluate fetal anatomy.
24-28 Glucose screen to check for gestational diabetes.
28-36 Every-other-week visits to check blood pressure, weight, urine protein, and fetal growth.
36-40 Weekly visits to check the same things noted for 28–36 weeks and to assess fetal position. Some practitioners do internal exams to check the cervix; some do a vaginal/rectal culture for group B streptococcus.
40-?? Twice-weekly visits to assure fetal well-being.

#3 niggles

Posted 26 November 2012 - 09:38 AM

Go see your GP straight away and also start taking a pregnancy multivitamin if you are concerned your diet is not perfect. In particular, folate is very important at this stage.

The GP will answer all those questions and talk through your options with you.

If your wait for a GP is long it wouldn't hurt to also book an obstetrician straight away too (if you intend to use a private hospital to birth) as they fill up very quickly. You can get the referral after you see the GP.

Hope that helps. And congratulations. original.gif



#4 CheekyBuggers

Posted 26 November 2012 - 09:38 AM

First you'll need to see a gp who'll do all the blood work and confirm preg and do your referral (are you going public or pvt) generally public you'll get a booking in visit with the midwives around 12wks where they take all your info. At this stage you can get nt screening done test for downs syndrome and few others.

Then you see doctors at the hospital generally 16-20wks. Up until 3rd trimester if everything is ok check ups are every 4 wks and you can choose to have either shared care which is where you just go to the hospital for those 2 early appts then at 36wks and all others see a gp or go to your hospital for all appts. 3rd trimester goes to 2 weekly then from 36 weekly.

#5 happygurl06

Posted 26 November 2012 - 09:39 AM

First decide if your going public or private.

If your going public find a local GP or you can use your old one.

Then you need to decide if you will do your appointments at the hospital or if your GP does shared care you can just do your appointments there.  Your GP will fax off a booking firm to your local maternity hospital.

With public your first appointment (from my experience) is at about 16-19 weeks.  So your doctor usually organizes the first blood tests and 12 week ultrasound.  From there I think the appointments are monthly???  Until later in the pregnancy then they go fortnightly and then weekly. Can't remember exactly.

My GP bulk bills and I chose to go to the hospital for appointments and ultrasounds so I was not out of pocket at all.  Sine hospitals send you to private ultrasound places and costs can be upwards of $200.

If you go private I think you just choose an OB and go there for appointments and sometimes they do the ultrasounds there too.



#6 RosieA

Posted 26 November 2012 - 11:53 AM

Thanks ladies! I feel ready for all this, been trying for 6 months & my naturopath has got me ready re: nutrition so I feel good.

When you say "going private", do you mean private health cover or private Obstetrician? Do have to have private health cover already or can I just join up anytime?

I'm particularly interested in a more relaxed birthing centre as I would like to avoid a "hospital" birth unless it's medically necessary. Has anyone had experiences with something like that? How does it work with OB's - do they have their own or do I see my own OB separately? And can I have my own independent midwife? Argh so much to think about!

#7 anotherid

Posted 26 November 2012 - 02:45 PM

If you do not have private health insurance then you would go public. Going private and paying your own way could set you back $10-20 000 or more in a private hospital. To be covered by private health insurance you need to be a member for 12-24 months before your due date. You can not join and be covered after you are pregnant.

Look up birth centres in your local area. I know that there is one at Belmont and John Hunter Hospital. Then there is Wyong hospital as well. All birth centres have a midwifery model of care and you will usually see just one throughout your pregnancy, labour and birth and postnatally. You will also met their partner in case you birth on their days off. These services are all free and your only expense will be your ultrasounds.

If this is what you want you must be considered low risk (no diabetes, high blood pressure, obesity etc) and you must book in quick, as they will book out fast.

Alternatively just call Maitland Hospital and ask what their care options are. Ask about if they have a midwifery group practice model, which is the one on one care.

You will see your GP either way between now and your booking in appointment with the midwives. Your GP will organise your initial blood tests and ultrasounds and after that the midwives will.

If you develop complications in the public system your midwives will refer you to the public obstetricians. This service is also free.

Hope this helps.

Edited by anotherid, 26 November 2012 - 02:47 PM.


#8 RosieA

Posted 05 December 2012 - 08:30 AM

Hi ladies, thanks for all the advice. At the moment I'm doing shared care between my GP, naturopath (who I see normally anyway) and the Early Pregnancy Clinic (because I had a bleeding scare last week). All looks good so far! Found out there is a Midwifery Group Practice in Maitland that has only been running a couple of years, will speak to them soon. I'm leaning towards a planned home water birth so if the group practice doesn't do home births (I imagine they probably would) I've found a very experienced independent midwife who does home births. As long as it's safe I'd like to avoid the hospital!




0 user(s) are reading this topic

0 members, 0 guests, 0 anonymous users

 

11 things that will happen when you're breastfeeding

After having three children and various degrees of success feeding them all, there's one thing I can tell you: virtually nothing will go as planned.

Surgery for baby born with a tail

A baby born with a tail has had it removed after doctors feared the birth defect might cause long term damage to his lower body.

When 'skin to skin' becomes a family affair

An adorable photo of a little boy and his dad enjoying skin to skin contact with newborn twins is melting hearts everywhere.

35 hilariously weird 'top tips'

Who would have thunk it? We never knew there were so many uses for feminine hygiene products. 

Pregnancy skin woes: acne, dry skin, itchy skin

Here are some of the most common skin complaints in pregnancy and how to tackle them, face on.

Watch this fun dance class for babywearing dads

Is there anything sexier than a babywearing dad?

Parents, this is how to cut grapes to avoid choking

One mum has learnt a harrowing lesson about the best way to cut grapes to make it safe for toddlers and little kids to eat.

When your kids have totally different temperaments

Sometimes it has felt like whiplash parenting. She perches watchfully while I vacuum; he tries to climb on and go for a ride.

How do our stress levels influence our baby?

Since having my second baby a number of people have commented on how placid, content and settled he is and, similarly, many have commented on how this is a reflection of how I am with him.

Separation anxiety isn't just for kids

Despite its prevalence, most doctors tend to be reluctant to diagnose adult patients with separation anxiety.

A charm bracelet, a boy, and my beliefs questioned

I was staring at the face of my son, realising that my once steadfast decision to be open minded was quickly unravelling at the seams.

Why I'm so grateful for Hayden Panettiere's PND honesty

There are baby steps and giant leaps forward. But there are steps backwards, too. And, oh, how they can hurt your heart.

The heartbreaking story of little Moko

The mother of 3-year-old Moko Rangitoheriri said she should have picked up on the signs. {Warning: distressing content}

Kate Beckinsale and teen daughter recreate birth photo

Kate Beckinsale has recreated her daughter Lily's birth photo, 17 years after she was born.

The adult-size stroller you'll want to test drive

It's one of the biggest baby related purchases they will make, so it makes sense that parents-to-be get a chance to road test a stroller.

Pregnancy announcement shows the reality of IVF

It's a long way from baby booties or bump shots people have become accustomed to in social media pregnancy announcements.  

Soleil Moon Frye welcomes fourth baby

"Punky Brewster" is a mom again, for the fourth time. Soleil Moon Frye announced the birth of her baby boy, Story, on Instagram Wednesday.

Mum breastfeeds baby found abandoned on the street

A woman has been praised as a "beautiful mother" after breastfeeding a baby which had been abandoned at the side of a street. 

A birth with a difference: the 'natural caesarean'

We've shared stories of gentle caesareans before, but a new video shows a new option called a 'natural caesarean'.

Baby name inspiration by music genre

If you're all about the music, then you'll need a musical name for that baby. We've got all the lists for you by music genre.

Giving effective instructions to toddlers

One of the most common errors made by parents is in how they give instructions to their children.

 
Advertisement
 

Top 5 Articles

Advertisement
 
 
 

What's hot on EB

The babies who are one in 70 million

Bethani Webb was excited to find out she was pregnant, but the first time mum did not realise she was carrying four babies not one.

Cafe offers breastfeeding mums a free cup of tea

A Sydney cafe is offering breastfeeding mums free cups of tea in a bid to show support for the right of women to nurse their babies wherever they choose.

To snip or not to snip? When the decision is not clear cut

Jamie Oliver, who considered a vasectomy, is to be a father again. A fellow dad reflects on his own decision 11 years ago

Doctors stunned by rare twins born almost six weeks apart

To everyone's surprise, Kristen Miller "kept doing better each day", keeping her second baby safe.

Baby book ideas for modern parents

Before my son was born I was given a lovely baby book full of blank pages waiting to be filled with weights and heights and first words.

The adorable smile of a baby seeing his mum clearly for the first time

There is no doubt seeing their child smile for the first time is an unforgettable moment for parents everywhere.

Mum tells how toddler 'nearly hung himself' in cot mishap

When Alison Johnson put her 18-month-old Caleb down for a nap, she had no reason to believe her son was in any danger.

Babies are still switched at birth? Yes, it can happen

All my panic and tears aside, my biggest question looking back is about the kind of security measures used in the maternity ward.

Doctors slammed for taking selfie with newborn

Everyone who visits a mum in hospital in the days following childbirth wants to get a photo with the new baby.

ergoPouch Twosie Sleepsuit for winter breastfeeding

Finally, there's a way to keep warm while breastfeeding through winter.

Health check: How long does sex 'normally' last?

What to do with this information? My advice would be to try not to think about it during the throes of passion.

When breastfeeding sucks: fixing common problems

From niplash to tight boobs, biting to milk supply issues, Pinky McKay looks at common breastfeeding issues and how to solve them.

10 things I've learnt in my first six months with twins

Six months on we're all still alive, and the more we get to know each other the easier the days become.

Mum's loving kiss leaves baby fighting for life

Kirsty Carrington thought nothing of giving her newborn son a kiss, little did she know it would leave the baby fighting for life.

When doing chores is your new 'me time'

After children, 'me time' looks a little different.

Get going: 14 travel strollers for families on the move

A stroller can make or break travelling with a baby or toddler. Here are 15 great single travel stroller options.

10 ways toddlers are terrific

It always pays to remind yourself of how terrific toddlers can be - they're little like this for such a short time

 

Vintage Toys

The toys of your childhood

Take a trip down memory lane with these vinage and retro toys that you may have had in your childhood or your parent's childhood.

 
Advertisement
 
 
Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.