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!




1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

Video: 10-week-old baby sounds like she says 'I love you'

It’s mixed in amongst garbled baby talk, but this 10-week-old's apparent attempt at telling her parents that she loves them has made her an internet star.

I only enjoyed pregnancy after booking my caesarean

To say I became obsessed is something of an understatement. Everywhere I went I found cause to be reminded of my impending pain.

When your bundle doesn't bring immediate joy

One mum says joy is very a personal feeling and expecting all new mums to feel it in the months after their baby born may do more harm than good.

Lessons learned from my toddler

Blogger Kiran Chug explains why she is going to let her toddler make more decisions for himself.

Family welcomes first baby girl in more than 100 years

The Silverton family has heard the phrase "it's a girl" for the first time in four generations.

When a community of kindness steps in

In future when someone I care for, or even someone I barely know, is experiencing a difficult time, I will not overthink it. I'll follow my heart.

Mum in Business: Jac Bowie

Jac Bowie is the founder of Business in Heels, one of the fastest growing women’s networking events in Australia. She shares her story, including how she juggles work with a young family, and ways to work smarter.

What not to say to a mum of twins

Being a mum of identical twin boys stirs up great interest and fascination. It also opens itself up to nosy, invasive questions, as well as huge assumptions.

The mums suing over unplanned babies

A mother-of-five who calls her two youngest sons "miracle babies" is just one of many mums seeking financial compensation for their children's unplanned conceptions.

Video: Dad sings 'Hallelujah' to his daughter every year

It's a gorgeous song to begin with, but this dad's version of Hallelujah, sung for his young daughter, is especially touching.

Constipation in babies when starting solids

While starting solids can be frustrating and messy (yet also fun!), introducing solids can also play havoc on tiny digestive systems.

Parents reunited with baby snatched from hospital

A mother whose newborn baby was snatched from hospital has spoken of her joy and relief at getting her daughter back.

In defence of the bumpie

Are bumpies - bump selfies - really "exhibitionism of the weirdest kind"?

Life on the other side of the fence: Why I'm child-free and quite content

Acknowledging that motherhood isn't a bed of roses – to begrudge lack of time, sleep, money and spontaneity – is sacrilegious and a no-no, especially by mother superior-types.

'Go the F*** to Sleep' author's new book for frustrated parents

A sequel is coming soon to the 2011 hit book 'Go the F*** to Sleep' - and this time, it's about mealtimes.

Win a $200 Pumpkin Patch voucher

Fill out this quick survey and tell us in 25 words or less your best pregnancy or parenting tip - you'll go in the draw to win a $200 Pumpkin Patch voucher.

Download now: Essential Kids Activity Finder app

Got bored kids? Quickly find the best activities for kids wherever you are in Australia with the Essential Kids app.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Losing yourself to motherhood

While watching your baby grow into a unique little person is exciting and wondrous, the intensity of meeting everyone else?s needs can ever so sneakily overtake your own needs for self-care.

Tearing during delivery: the facts

Almost all women will experience bruising, grazing or tearing after a vaginal birth. Depending on the degree of tearing, there are various treatments available.

6 tips for a day out with a baby and toddler

Outings can be lots of fun with the kids, but there are inevitable challenges. Here's some information about days out to help you be a little more prepared.

Why I invited a dozen people to watch my son's birth

I sent invitations on burgundy scrapbooking paper stamped with a field of poppies, and told each person why I wanted him or her there. I warned that there would be nudity.

Getting labour started: tips for a natural induction

When your baby?s due date comes and goes without so much as a pop - let alone a bang - it can be disheartening. Mums and a doula share their stories of natural inductions.

7 mistakes old hands make with new babies

As I sat across the table from my friend ? me, a seasoned mother of three; her, a brand new mum ? I thought of all the mistakes an old-hand parent can make when visiting a newborn baby.

That's my boy: a dad's diary of the first 4 months

Unbearable anxiety, unspeakable joy, constant exhaustion and bouts of frustration ... The many shocks of first-time fatherhood resound in a dad's diary of his son's early months.

One of the most important things a new mum can do

Finances may not be as cute as a newborn, but with many women?s working arrangements changing post-baby, monetary matters need attention too.

In defence of the bumpie

Are bumpies really "exhibitionism of the weirdest kind", as one writer has claimed?

Personalised baby gifts

We've scoured the internet to find gorgeous personalised keepsakes and nursery decor to record baby name and dates. They make great gifts for christenings, name days and birthdays! (All prices in AU.)

 

My Wellbeing

Making time for me

We look at your wellbeing, covering health, relationships, beauty and fashion, mind and body.

 
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.