Valerie Gommon Midwife’s Blog

Archive for the ‘Pregnancy ultrasound’ Category

I have just “appeared” on 3 Counties Radio to discuss a local news item.  A Sainsbury’s employee refused to sell local woman, Janet Lehain, unpasteuried cheddar because she was pregnant!

Whilst applauding the employee for pointing out the recommendation that pregnant women do not consume unpasteurised products I have to say that I believe they overstepped the mark by refusing to sell her the cheese!  The woman could have been buying the cheese for her husband and whatever happened to freedom of choice? 

I am a firm believer in Informed Choice, we are very cautious where pregnancy is concerned because although the risks are very low there could be serious implications for the baby SHOULD the mother contract food poisoning.

The Department of Health guidance in early pregnancy is to be extra careful with hygiene; food poisoning is bad news for your baby. They suggest that women don’t eat any unpasteurised foods – most food is pasteurised, but some speciality milks, cheeses/diary are not.

The recommendation is to avoid moulded or veined cheeses and pate/salami. Eggs should be well cooked not runny. Fruit and vegetables should be washed prior to eating. It is suggested that you don’t eat swordfish or marlin and limit the consumption of “oily” fish to twice weekly. Sea food should be cooked not raw. Liver is not recommended for pregnant women.

Whilst pregnant the current recommendation is not to drink alcohol at all, and it is better to limit the amount of caffeine you take (tea, coffee, cola and fizzy drinks), and obviously it would be wise to stop smoking and avoid any “recreational” drugs prior to getting pregnant.

We are still evaluating the evidence regarding eating peanuts in pregnancy – the best current advice is that if you have nut allergies in the family it may well be best to avoid eating nuts in pregnancy; it there are no nut allergies then use your own instinct and judgement as to whether you feel safe to eat nuts (bearing in mind they are a good source of protein, particularly if you are vegetarian or vegan).

Having made a huge list of foods to avoid, you are encouraged to eat plenty of fruit and vegetables (aim for at least five a day), plenty of protein (at every meal if you possibly can) and plenty of iron rich foods (red meat, pulses, green vegetables).

You can read articles I have written at:

www.birthindex.co.uk/Planningababy.pdf and www.birthindex.co.uk/SOYOUAREPREGNANT!.pdf or

https://midwifevalerie.wordpress.com/wp-admin/post.php?action=edit&post=59

https://midwifevalerie.wordpress.com/wp-admin/post.php?action=edit&post=64

A listing of events that I am hosting or involved with over the next few months, please feel free to pass on these details to anyone appropriate.

I can be contacted on 01908 511247 if you need any further information.

Antenatal Exhibition – FREE entry
Sunday 8th March 2009
2pm – 4.30pm
The Guildhall, Church of Christ the Cornerstone,
300 Saxon Gate West,
Central Milton Keynes, MK9 2ES
info@3shiresmidwife.co.uk

Love Your Body Exhibition – FREE entry
Saturday 21st March 2009
10 am – 4 pm
Midsummer Place,
Central Milton Keynes
www.loveyourbody.me

Milton Keynes Real Nappy Show – FREE entry
Thursday 2nd April 2009
11am onwards
Chrysalis Theatre, Camphill Community,
Japonica Lane, Willen Park South,
Milton Keynes, MK15 9JY
info@3shiresmidwife.co.uk

Wedding Fair – FREE entry
Sunday 5th April 2009
11am – 4 pm
Holiday Inn, London Road,
Newport Pagnell MK16 0JA
info@3shiresmidwife.co.uk

International Week of Midwife – FREE entry
Part of John Lewis Nursery Event
Saturday 9th May 2009
10 am – 4 pm
Nursery Department
John Lewis, Central Milton Keynes
info@3shiresmidwife.co.uk

National Breastfeeding Week – FREE entry
Saturday 16th May 2009
10 am – 4 pm
In store at Boots Baby Department,
Central Milton Keynes
info@3shiresmidwife.co.uk

Love Your Body Exhibition – FREE entry
Saturday 13th June 2009
10 am – 4 pm
Excape, Central Milton Keynes
www.loveyourbody.me

Antenatal Exhibition – FREE entry
Sunday 28th June 2009
2pm – 4.30pm
The Guildhall, Church of Christ the Cornerstone,
300 Saxon Gate West,
Central Milton Keynes, MK9 2ES
info@3shiresmidwife.co.uk

MK Baby and Toddler Show
Sunday 6th September 2009
The Stadium, Denbigh,
Milton Keynes
info@3shiresmidwife.co.uk

Antenatal Exhibition – FREE entry
Sunday 4th October 2009
2pm – 4.30pm
The Guildhall, Church of Christ the Cornerstone,
300 Saxon Gate West,
Central Milton Keynes, MK9 2ES
info@3shiresmidwife.co.uk

As an Independent Midwife I am often asked by clients whether I know about pregnancy yoga classes, or baby swimming classes or even about complementary therapists and nurseries.

Over the years I have worked hard to collate databases of useful information, and often would hand out piles of flyers to my clients, but I began to see the need to put this information into one central place and thus the idea of BirthIndex was born.

www.BirthIndex.co.uk is a LOCAL on-line Directory for all things Pregnancy, Birth and Baby and currently covers the Bedford, Milton Keynes and Northampton areas.  There are sections for Fertility, where one might find anything to prepare of assist with actually getting pregnant; a Pregnancy and Birth section listing everything from pregnancy ultrasound, complementary therapists who work with pregnancy to a specialist pathology laboratory; the postnatal section includes pilates or physiotherapy for Mum and baby signing whilst the Other section includes photographers and caterers who make christening cakes!  There are also useful Baby Equipment, Complementary Therapists and Childcare sections as well as an Events section listing relevant local events (if you are hosting events please do list them with us as it makes the site more useful – there is no charge for this).  There is a comprehensive Links section and a Useful Articles section which is set to expand over time and finally an opportunity to sign up for our BirthIndex newsletters.

Please do visit the site and let me know what you think, I would welcome any ideas you may have for improving the site, equally if you know of businesses that should be listed please do invite them to look at the site, as they can be listed free of charge.

During your pregnancy you will usually be offered the following blood tests: www.screening.nhs.uk/anpublications/screening_tests.pdf

Full Blood Count – Mainly to test for anaemia

Blood Group – In case you need a blood transfusion
Rhesus group and antibodies – To look for unusual antibodies in your blood/to screen for potential rhesus disease

Rubella antibodies – To check your immunity to rubella (German measles)

Syphilis – To check for syphilis which although very rare could be harmful to you and your baby if untreated

Hepatitis B – An infectious liver disease

H.I.V. – If you are HIV positive treatment can be offered to both you and your baby

Sickle Cell and Thalassaemia – These are genetic blood diseases, usually specific to certain populations (if you feel your ancestors may come from these areas it may be wise to be tested) – we are moving to “universal” testing for these conditions, i.e. that everyone is offered the blood test

* Parts of Africa (the region south of the Sahara Desert)
* Spanish-speaking areas like South America, Cuba, and Central America
* Saudi Arabia
* India
* Mediterranean countries, such as Turkey, Greece, and Italy

Serum screening – This testing performed at around 16 weeks of pregnancy will give a risk factor (high or low) for your baby having Down’s syndrome and neural tube defects (spina bifida). You need to think carefully what you would do with the result. Further investigations such as detailed ultrasound scan or amniocentesis may be offered if you have a high risk result. Amniocentesis gives a definite result but incurs a small risk of causing miscarriage.

You will probably be offered repeat Blood Group and Full Blood Count later in pregnancy.

Ultrasound scans can be performed to:
* date/confirm pregnancy
* Check physical structure of baby
* Nuchal fold – checking for any anomalies in structure of baby
* Assess fetal wellbeing, growth, liquor volume

Many areas are now offering a combined early pregnancy scan and nuchal fold scan – this may be combined with a biochemistry blood test to assess your risk of having a baby affected by Down’s or other Syndromes – in this case the serum screening at 16 weeks in not needed.

It is important to remember that all these tests are OPTIONAL – you can have any, all or none of the above tests after discussing the options with your midwife.

Please do feel free to email me if you have any specific questions: info@3shiresmidwife.co.uk

A woman in America has given birth to eight babies, and although born nine weeks prematurely, at present doctors say all of them are doing well.  The babies weighed between 1lb 8 ounces (820g) and 3lb 4oz (1.47kg) and will need to stay in Neonatal Intensive Care for some time.  It’s only the second time in the world that someone has given birth to eight babies at once, and doctors were only expecting her to have seven! www.news.bbc.co.uk/1/hi/world/americas/7852623.stm

Also in the news is the story of surrogate mother Carol Horlock who has had eleven babies for other couples and also has two children of her own. www.news.bbc.co.uk/1/hi/health/7851838.stm I am sure surrogacy takes place in most cultures, often with the surrogate mother being a family member, of course this raises huge ethical issues not to mention the emotional issues for all concerned, but wow … this is something that I personally could never have considered, I couldn’t even have parted with my eggs, but I know many couples are eternally grateful for those that are able to help them have a family.

Today I was twice invited to speak on BBC 3 Counties Radio, partly in response to this news story and also to speak about my work as an Independent Midwife – www.bbc.co.uk/threecounties/content/articles/2008/04/25/afternoon_show_feature.shtml

I had hoped to have the opportunity to discuss my new website www.BirthIndex.co.uk but the interviewer was keen to discuss my blog.

BirthIndex.co.uk was launched only three months ago has already proved popular.  The site currently covers Bedford, Milton Keynes and Northampton and aims to be THE information site for all things Pregnancy, Birth and Baby.  For example on the site you can find therapists who specialise in Pre-conceptual support, pregnancy ultrasound, swimming classes for babies and even photographers to photograph your little one!  The site has a comprehensive Links section and an interesting selection of articles and the opportunity to sign up for a regular newsletter.

You will be offered regular appointments with your midwife or doctor (frequency of appointments is usually decided by clinical need); they will offer to:

  • monitor your blood pressure
  • analyse your urine
  • assess the baby by palpating (feeling) the size and position of the baby
  • listen to your baby’s heartbeat
  • question you for signs of any potential problems

You will also be offered the following blood tests:

Full Blood Count – Mainly to test for anaemia
Blood Group – In case you need a blood transfusion at the birth
Rhesus group and antibodies – To look for unusual antibodies in your blood/to screen for potential rhesus disease
Rubella antibodies – To check your immunity to rubella (German measles)
Syphilis – To check for syphilis which although very rare could be harmful to you and your baby if untreated
Hepatitis B – Testing for this infectious liver disease
H.I.V. – If you are HIV positive treatment can be offered to both you and your baby
Sickle Cell and Thalassaemia – These are genetic blood diseases, usually specific to certain populations (if you feel your ancestors may come from these areas it may be wise to be tested)

  • Parts of Africa (the region south of the Sahara Desert)
  • Spanish-speaking areas like South America, Cuba, and Central America
  • Saudi Arabia
  • India
  • Mediterranean countries, such as Turkey, Greece, and Italy

Tay-Sachs – most commonly prevalent in Eastern European Jewish populations

Serum screening – This testing performed at around 16 weeks of pregnancy will give a risk factor (high or low) for your baby having Down’s syndrome and neural tube defects (spina bifida). You need to think carefully what you would do with the result. Further investigations such as detailed ultrasound scan or amniocentesis may be offered if you have a high risk result. Amniocentesis gives a definite result but incurs a small risk of causing miscarriage.

Usually repeat Blood Group and Full Blood Count testing will be offered later in pregnancy.

Ultrasound scans can be performed to:

  • date/confirm pregnancy
  • check physical structure of baby nuchal fold – checking for any anomalies in structure of the baby
  • assess fetal wellbeing, growth, liquor volume

Today I am going to write about my latest project, www.BirthIndex.co.uk

 

BirthIndex.co.uk is an on-line Listings Directory for all things related to Pregnancy, Birth and Baby.  As a Registered Midwife I saw the need to produce this on-line Directory to give clients and families comprehensive information about what is available in their LOCAL area. 

At the moment we have sites up and running in the Bedford, Milton Keynes and Northampton areas but hope to expand this shortly.

The site contains listings relating to pre-conception or fertility advice; pregnancy and birth; postnatal issues; baby equipment; complimentary therapists; childcare and other services for example photographers, activities to do with your baby/toddler.  We are also building a reference library of useful articles and currently have articles on the following subjects:

A Day In The Life Of An Independent Midwife

Alternatives To Hospital Induction

Blood Tests And Scans

Blood Tests For Your Baby

Breech Birth

Foods Rich In Iron

Heartburn Relief

Homebirth List Of Useful Items

Independent Midwives – Endangered Species

Planning A Baby

So You Are Pregnant!

The Big Day!

Top Tips For Labour

Vitamin K

Local events will happily be promoted on the site, and a periodic newsletter will be produced to keep families up-to-date.

I am inviting all related businesses to take a FREE listing on this site.  Additionally there are also other advertising opportunities available at half price for limited period; for example “Enhanced Listings” or “Box” and “Banner” advertisements.

Please do go and have a look around my new site www.birthindex.co.uk  

 

Valerie Gommon

 

 


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