When do I do what?
First baby, need advice!
, Nov 26 2012 09:24 AM
7 replies to this topic
Posted 26 November 2012 - 09:24 AM
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!
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);
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.
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.
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.
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.
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!
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.
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!
1 user(s) are reading this topic
0 members, 1 guests, 0 anonymous users
The Essential Baby & Toddler Show is back this April! Save $8 off the door price for a limited time only!
Sometimes the greatest baby name ideas come from the most unexpected places, as these EB members show.
While we often think of pregnancy as a 40 week affair, experts agree that 37 weeks is actually “full term". So is there an argument for inducing all births at 37 weeks?
Controlled-crying techniques may help some babies sleep through the night, but for many exhausted new parents, it's just a recipe for more tears all round.
As people become more aware of these benefits, I hope more parents will practice this method, so we can cut down on nappies and improve baby bonding.
Aussie actress Emily Symons has announced she is pregnant with her first baby.
A little girl will grow up without her father after the fit and healthy 34-year-old passed away while doing something he had practised his whole life.
You could be doing yourself a disservice by encouraging your toddler to have an afternoon nap, according to new research.
We've compiled a guide to some of the most popular presents for newborns and new mums, and for christenings and naming days.
Actress Jaime King is pregnant with her second child, giving 16-month-old James a sibling.
The Abbott government should extend funding to nannies, and direct childcare payments to low and middle income families, a landmark study on childcare has found.
As many as one in two newborn babies suffer from skin irritations in their first few weeks. So what are the most common rashes and irritations to look out for?
Wall decals are the answer to creating a beautiful nursery or children's space without lifting a paint brush, a spirit level or even a hammer.
Three-year-old Cain Trainor headed off home after his first day at a new preschool without telling anyone.
In spite of being in an almost constant state of motion while looking after the kids and trying to keep things together at home, it can seem as though parents have managed to get nothing on the to-do list done by the end of the day.
The middle name is no longer an afterthought, and parents' inspiration comes from many places.
A new IVF scheme offers couples the chance to fall pregnant and give birth - or get their money back. But there's more to it than you might think.
A baby born still inside the amniotic sac gave US doctors a rare glimpse at life inside the womb.
Three years ago Jason Hughes viciously attacked his ex-partner. Now she has to write to him three times a year.
A West Australian woman will fight allegations that she scammed expectant mums by selling them fake ultrasound pictures of babies.
Got bored kids? Quickly find the best activities for kids wherever you are in Australia with the Essential Kids app.
A Sydney mother who suffered brain damage when she was hit by a car while pushing her newborn baby in a pram has reached a confidential out-of-court settlement with the driver's insurance company.
A culturally sensitive midwifery service has gained the trust and respect of Aboriginal women.
Most mums-to-be plan to take things easy and perhaps have a little break from work as the birth of their baby draws near. Not Kate McCartney.
Announcing that you're expecting can be a time to express your creativity, sense of humour and imagination. Check out how other parents and parents-to-be have broken the news to friends and family.
Last week an un-retouched photo of model Cindy Crawford surfaced, showing the 48-year-old mother-of -two posing in underwear.
Thought your toddler could not love pancakes any more than they already do? How about if the breakfast treat came in the shape of every two-year-old's favourite cartoon character?
I thought I was never going to be able to have a successful pregnancy. I decided that I wasn't going to form an emotional attachment with this baby.
February 18 marks the start of one of the most prolific annual baby competitions in Australia: the Bonds Baby Search. And this year is going to be more special than ever.
This is not something that people like to talk about, but Facebook has announced that it will grant users more control over what happens to their pages after they die.
Mother of four Marie Holmes was financially struggling after quitting her jobs at Walmart and McDonald's in order to care for her children.
A first-time mother whose daughter died hours after her frightening birth insists she was never told of the risks of being obese and pregnant.
She has labelled parents who do not vaccinate their children "misinformed imbeciles" - and for that, she makes no apologies.
Are you one of those that know the whole IKEA catalogue by heart? Love their stuff but want to personalise it? Here's some inspiration to help you realise the potential of IKEA furniture and fittings.
I never thought I’d say this, but for a brief moment last week, Kim Kardashian and I had something in common: both our kids had public tantrums.
Polycystic ovary syndrome (PCOS) is the most common female hormonal condition, affecting roughly one in 12 Australian women.
If doing it on your back is out, what's the best position for labour and birth?
With Valentine's Day coming up, Nat Gilbert could be forgiven for thinking her husband might be planning a surprise for her.
We usually only hear the success stories: tales of the two-year-old who’s talking, running and completely toilet trained. But other stories need to be told too.
Sarah Kiss has a word of advice for proud mums and dads who are keen to enter their babies in this year's Bonds Baby Search Competition - just have fun.
If your family needs to go to sleep school, go with them. You are part of that family and you are part of the solution.
A French court may have ruled out Nutella as a baby name, but that doesn't have to stop you from taking inspiration from the supermarket (or bottle shop). See what parents in the US have chosen for their delicious little ones.
Check out this range of products designed to help make your breastfeeding journey more enjoyable, manageable and convenient.
Win a KitchenAid Mixer
To celebrate, and to thank our amazing fans, we?re giving away a KitchenAid Artisan Tilt-Head Stand Mixer.