# data[].attributes.body
What do you need to know?

# data[].attributes.body
A useful round-up

# data[].attributes.attachment_link.title
Vaccines in Pregnancy, UK | Learn More About Vaccination Today

# data[].attributes.attachment_link.description
Comprehensive guide to vaccines during pregnancy in the UK, including timing and locations for vaccination. Essential information for expectant parents and healthcare providers.

# data[].attributes.body
Although it is most likely that your labour will start spontaneously, sometimes it may be recommended that your labour is induced for the benefit of either you or your baby. This can sometimes happen at quite short notice, so it is recommended that you attend the Induction of Labour workshop at around 36 weeks gestation (or earlier if you already know that an induction of labour is likely). These happen online, every Thursday morning at 9am and you can book yourself in via Eventbrite, by using the QR code or shortlink in the picture.

# data[].attributes.attachment_link.title
Induction of labour Workshop Online Poster

# data[].attributes.body
Your 40 week due date is only an estimate of when your baby may be born and many women and birthing people will still be pregnant beyond this date. It is usual for the baby to be born spontaneously between 37 and 42 weeks. In a small number of pregnancies where birth has not taken place by 41 weeks, your midwife will discuss options for a plan of care.

For some women, an earlier induction of labour will be recommended by the medical team and you will have a chance to discuss this with your caregivers. Take a look at this padlet for more information about the reasons and statistics behind these recommendations and also to help you in the decision-making process.

# data[].attributes.body
Before you attend your main antenatal classes later in pregnancy, we offer a set of two workshops designed to support you in your decision making process in the earlier stages of pregnancy.

These sessions provide information about birth at both Chelsea and Westminster Hospital and West Middlesex University Hospital, including the care pathways available. They also give you space to reflect on your thoughts and feelings around birth.

The workshops are facilitated by a Senior Midwife and our Parentcraft Coordinator and run regularly on Monday mornings. Ideally, they are taken in order:

Let's Talk about Birth - Part 1 Tickets, Multiple Dates | Eventbrite (16–20 weeks of pregnancy)

Let's Talk about Birth - Part 2 Tickets, Multiple Dates | Eventbrite (20–24 weeks of pregnancy)

You are welcome to join later in pregnancy if you have missed these timeframes. While the classes are mainly designed for first pregnancies, they may also be helpful if this is your first time giving birth in the UK or if you would like additional support.

# data[].attributes.attachment_link.description
Helping you to feel better informed and more confident about your birth options

# data[].attributes.body
There are different types of classes available, depending on whether this is your first or subsequent baby.
Our antenatal and breastfeeding classes are for women who are 30 or more weeks into their pregnancy(unless your midwife has advised you to book earlier).

Antenatal education — Chelsea and Westminster Hospital NHS Foundation Trust (chelwest.nhs.uk)

# data[].attributes.body
Would you like to take part in new and important research?

# data[].attributes.attachment_link.title
Social media template v2.0 TRACKED 09Dec2024

# data[].attributes.headline
Walk-in Vaccinations Clinic: Chelsea Site

# data[].attributes.subject
Walk-in Vaccinations Clinic: Chelsea Site

# data[].attributes.body
-Flu (available at any stage of pregnancy)

-Whooping cough (16-32 weeks)

-RSV (28-36 weeks)

Immunisation Clinic Schedule:

Monday to Friday: 09:00–13:00 & 14:00–16:30

Location: First floor, Antenatal Clinic (Blood Room)

Please note: Pregnancy is not included in the eligible groups for COVID-19 vaccination during the 2025–2026 flu season.

Service details:

This remains a walk-in service (ticket number system).

Due to staffing constraints, waiting times may be up to 45–60 minutes.

Patients may alternatively receive:

The flu vaccine at their pharmacy (including Boots) or GP

The whooping cough and RSV vaccines at their GP

For inpatients, the vaccines should be prescribed by a doctor before we vaccinate them.

# data[].attributes.body
Available in Arabic, Gujarati, Polish, Punjabi on our website
https://www.chelwest.nhs.uk/services/maternity/leaflets-and-information

# data[].attributes.body
Conversation about bonding with your baby.
Please prepare for your appointment by discussing these points with family members/supporters.

# data[].attributes.attachment_link.readable_text
In this video, we look at the importance of developing close and loving relationships with babies in their early days and weeks.

Responding to babies' needs for comfort and food is hugely beneficial for brain development and makes for more confident toddlers. Parents should be supported in breastfeeding responsively and keeping their babies close to help them become happy, healthy and secure children and adults.

For more information:

Find more relationship building resources

# data[].attributes.attachment_link.title
The Importance of relationship building video - Baby Friendly Initiative

# data[].attributes.attachment_link.description
This video looks at the importance of developing close, loving relationships with babies in their early days and weeks.

# data[].attributes.body
Baby's movements are really important - if you are EVER worried please call our urgent helpline 02033156000, option 1 for Chelsea and Westminster
02083215839 (triage), 02083215953 (DAU) for West Middlesex

# data[].attributes.body
Columns are titled for ease of searching

Click on the website link/page/document to either view or download

Use the grey bar to the side of each column and at the bottom to scroll up and down or along

Please note that CW Trust is not responsible for information and links provided by outside organisations

# data[].attributes.body
We offer a mini glucose tolerance test to women at 28 weeks.

If you are booked at West Middlesex please call
02083216816 for any questions regarding the MGTT.

# data[].attributes.body
Please sign up to Care Information Exchange for access to your blood test results

# data[].attributes.attachment_link.description
The Care Information Exchange is Powered by Patients Know Best

# data[].attributes.body
For parents and parents to be from conception to 6 months postnatal. Provides week-by-week updates on your baby's development.

# data[].attributes.attachment_link.title
Screening tests for you and your baby | NHS

# data[].attributes.attachment_link.readable_text
Skip to main content

Cookies on GOV.UK

We use some essential cookies to make this website work.

We'd like to set additional cookies to understand how you use GOV.UK, remember your settings and improve government services.

We also use cookies set by other sites to help us deliver content from their services.

You have accepted additional cookies. You can change your cookie settings at any time.

You have rejected additional cookies. You can change your cookie settings at any time.

Accept additional cookies Reject additional cookies View cookies

STFYAYB provides information about the screening tests offered during and after pregnancy.

Details

This information is about the screening tests you will be offered during your pregnancy and after your baby is born. It explains the different types of test and what the tests are looking for.

Easy read versions of this leaflet are available. Additional information is also available for parents of babies who are in a special care baby unit, neonatal intensive care unit or paediatric intensive care unit.

We hope this advice will help prepare you for discussions with your midwife or doctor so that you can ask the questions that are important to you.

It is your decision whether or not to have any of the tests described.

In this publication, we use the terms 'woman' and 'women' to refer to anyone able to become pregnant, including trans men. Trans men who are pregnant should be offered the same antenatal and newborn screening tests as other pregnant individuals.

The information is available in 12 other languages: Arabic, Bengali, Chinese, French, Latvian, Lithuanian, Polish, Portuguese, Punjabi, Romanian, Somali and Urdu.

See how to print digital leaflets if you want to print any sections of this guidance.

Free printed copies of this leaflet are also provided for local screening providers to give to women who cannot access the internet. Screening services can view the full PDF of the printed leaflet and order printed copies on the APS online ordering portal (requires login).

Contact the screening helpdesk with any queries about this publication, making sure you include its full title.

# data[].attributes.attachment_link.title
Screening tests for you and your baby (STFYAYB)

# data[].attributes.attachment_link.description
STFYAYB provides information about the screening tests offered during and after pregnancy.

# data[].attributes.body
General information about the value of breastfeeding.

# data[].attributes.body
Advert for human milk - video.

# data[].attributes.attachment_link.readable_text
Recent News: Dutch researchers find Covid-19 antibodies in human milk

'We think when drinking the milk, the antibodies attach themselves to the surface of our mucous membranes,' Hans van Goudoever, head of the Emma children's hospital at the UMC, said. 'Then they attack the virus particles before they force their way into the body.' The UMC has now started a campaign to find 1,000 women who are willing to donate 100ml of breast milk for the research project. 'Women who may have had coronavirus without noticing it may also have made antibodies which can be found in milk,'

Here you'll find references and research supporting the information in the advert.

"Nature has been researching your milk for hundreds of millions of years"

"Your milk contains ingredients that kill cancerous cells"

"Your milk contains stem cells. These are cells that create and repair the body, and are being researched worldwide to cure conditions like Alzheimers and diabetes."

"Your body identifies bacteria and viruses found in your baby's body and environment. You then produce antibodies specifically tailored for those infections, and deliver them to your baby through your milk. The more milk she drinks, the more antibodies she receives."

"Your milk appears to switch on a gene in your baby's body, which produces a hormone called Leptin. This hormone tells your baby when his tummy is full, protecting him against over eating."

"Your milk contains Oxytocin, a hormone that induces relaxation, and feelings of well-being in your child and in you."

# data[].attributes.attachment_link.description
The science of human milk and breastfeeding

# data[].attributes.body
If you are unsure about which supplements or medicines are safe for you to take, speak to your midwife or look on the BUMPS website https://www.medicinesinpregnancy.org

# data[].attributes.attachment_link.readable_text
Eating a healthy, varied diet in pregnancy will help you get most of the vitamins and minerals you need.

But when you're pregnant, or there's a chance you might get pregnant, it's important to also take a folic acid supplement.

It's recommended that you take:

400 micrograms of folic acid every day - from before you're pregnant until you're 12 weeks pregnant

This is to reduce the risk of problems in the baby's development in the early weeks of pregnancy.

It is also recommended that you take a daily vitamin D supplement.

Do not take cod liver oil or any supplements containing vitamin A (retinol) when you're pregnant. Too much vitamin A could harm your baby. Always check the label.
You also need to know which foods to avoid in pregnancy

Where to get pregnancy supplements

You can get supplements from pharmacies and supermarkets, or a GP may be able to prescribe them for you.

If you want to get your folic acid from a multivitamin tablet, make sure the tablet does not contain vitamin A (or retinol).

You may be able to get free vitamins if you qualify for the Healthy Start scheme.
Find out more about the Healthy Start scheme

Folic acid before and during pregnancy

It's important to take a 400 micrograms folic acid tablet every day before you're pregnant and until you're 12 weeks pregnant.

Folic acid can help prevent birth defects known as neural tube defects, including spina bifida.

If you did not take folic acid before you conceived, you should start as soon as you find out you're pregnant.

Try to eat green leafy vegetables which contain folate (the natural form of folic acid) and breakfast cereals and fat spreads with folic acid added to them.

It's difficult to get the amount of folate recommended for a healthy pregnancy from food alone, which is why it's important to take a folic acid supplement.

Higher-dose folic acid

If you have a higher chance of your pregnancy being affected by neural tube defects, you will be advised to take a higher dose of folic acid (5 milligrams). You will be advised to take this each day until you're 12 weeks pregnant.

You may have a higher chance if:

you or the baby's biological father have a neural tube defect

you or the baby's biological father have a family history of neural tube defects

you have had a previous pregnancy affected by a neural tube defect

you have diabetes

you take anti-epilepsy medicine

you take anti-retroviral medicine for HIV

If any of this applies to you, talk to a GP. They can prescribe a higher dose of folic acid.

A GP or midwife may also recommend additional screening tests during your pregnancy.
Find out about epilepsy and pregnancy

Vitamin D in pregnancy

You need 10 micrograms of vitamin D each day. It's recommended pregnant and breastfeeding women take a daily supplement containing this amount between September and March.

Vitamin D regulates the amount of calcium and phosphate in the body, which are needed to keep bones, teeth and muscles healthy. Our bodies make vitamin D when our skin is exposed to summer sunlight (from late March/early April to the end of September)

Between the months of September and March the body cannot make sufficient vitamin D from sunlight alone, which is why a supplement is recommended.

Vitamin D is also in some foods, including:

oily fish (such as salmon, mackerel, herring and sardines)

eggs

red meat

Vitamin D is also added to some breakfast cereals, fat spreads and non-dairy milk alternatives. The amounts added to these products can vary and might only be small.

Because vitamin D is only found in a small number of foods, whether naturally occurring or added, it is difficult to get enough from foods alone.

Do not take more than 100 micrograms (4,000 IU) of vitamin D a day as it could be harmful.

You can get vitamin supplements containing vitamin D free of charge if you're pregnant or breastfeeding and qualify for the Healthy Start scheme.

There have been some reports about vitamin D reducing the risk of coronavirus (COVID-19). But there is currently not enough evidence to support taking vitamin D solely to prevent or treat COVID-19.

If you have dark skin or cover your skin a lot

You may be at particular risk of not having enough vitamin D if:

you have dark skin (for example, if you're of African, African Caribbean or south Asian origin)

you cover your skin when outside or spend lots of time indoors

You may need to consider taking a daily supplement of vitamin D all year. Talk to a midwife or doctor for advice.

Iron in pregnancy

If you do not have enough iron, you'll probably get very tired and may suffer from anaemia.

Lean meat, green leafy vegetables, dried fruit and nuts contain iron.

If you'd like to eat peanuts or foods that contain peanuts (such as peanut butter) during pregnancy, you can do so as part of a healthy, balanced diet unless you're allergic to them or your health professional advises you not to.

Many breakfast cereals have iron added to them. If the iron level in your blood becomes low, a GP or midwife will advise you to take iron supplements.

Vitamin C in pregnancy

Vitamin C protects cells and helps keep them healthy.

It's found in a wide variety of fruit and vegetables, and a balanced diet can provide all the vitamin C you need.

Good sources include:

oranges and orange juice

red and green peppers

strawberries

blackcurrants

broccoli

brussels sprouts

potatoes

Calcium in pregnancy

Calcium is vital for making your baby's bones and teeth.

Sources of calcium include:

milk, cheese and yoghurt

green leafy vegetables, such as rocket, watercress or curly kale

tofu

soya drinks with added calcium

bread and any foods made with fortified flour

fish where you eat the bones, such as sardines and pilchards

Vegetarian, vegan and special diets in pregnancy

A varied and balanced vegetarian diet should provide enough nutrients for you and your baby during pregnancy.

But you might find it more difficult to get enough iron and vitamin B12.

Talk to a midwife or doctor about how to make sure you're getting enough of these important nutrients.

If you're vegan or you follow a restricted diet because of a food intolerance (for example, a gluten-free diet for coeliac disease) or for religious reasons, talk to a midwife or GP.

Ask to be referred to a dietitian for advice on how to make sure you're getting all the nutrients you need for you and your baby.
Find out more about healthy eating if you're pregnant and vegetarian or vegan

Healthy Start vitamins

The Healthy Start scheme may be able to help you buy food and milk if you're pregnant or have a child under 4 years old and receive certain benefits, or you're pregnant and under 18.

If you're eligible, you'll be sent a Healthy Start card which you can use to buy certain types of milk, infant formula, fruit and vegetables.

You can also use your card to get free vitamins.

If you're not eligible for the Healthy Start scheme, some NHS organisations still offer the vitamins for free, or sell them. Ask a midwife about what's available in your area.

More information:

Get Start for Life pregnancy and baby emails

Sign up for Start for Life's weekly emails for expert advice, videos and tips on pregnancy, birth and beyond.

# data[].attributes.attachment_link.title
Vitamins, minerals and supplements in pregnancy

# data[].attributes.attachment_link.description
Find out about vitamins, minerals and supplements in pregnancy, including why you should take a folic acid supplement.

# data[].attributes.attachment_link.description
Find out what food and drink you can have and what you should avoid or be careful with during pregnancy, such as some cheeses, meats, fish, eggs, nuts, caffeine and alcohol.

# data[].attributes.body
We will undertake the mini glucose test, recheck your full blood count and group and antibodies at this appointment.

# data[].attributes.body
If not already issued following your scan, please ask for your MATB1 form.
The Maternity Certificate (MAT B1) enables a pregnant woman to claim:

Statutory Maternity Pay (SMP) from her employer

Maternity Allowance (MA) from Jobcentre Plus

# data[].attributes.body
Understanding how to reduce the risk of perineal tears

This information can also be viewed in other languages here: Reducing your risk of perineal tears | RCOG

# data[].attributes.attachment_link.readable_text
An induced labour is one that's started artificially.

It's common for labour to be induced if your baby is overdue or there's any risk to you or your baby's health.

This risk could be if you have a health condition such as high blood pressure, for example, or your baby is not growing.

Induction will usually be planned in advance. You'll be able to discuss the advantages and disadvantages with your doctor and midwife, and find out why they think your labour should be induced.

It's your choice whether to have your labour induced or not.

If your pregnancy lasts longer than 42 weeks and you decide not to have your labour induced, you should be offered increased monitoring to check your baby's wellbeing.

Why you might be induced

if you're overdue

if your waters have broken

if you or your baby have a health problem

If you're overdue

Induction will be offered if you do not go into labour naturally by 41 weeks, as there will be a higher risk of stillbirth or problems for the baby.

If your waters break early

If your waters break more than 24 hours before labour starts, there's an increased risk of infection to you and your baby.

If your waters break after 34 weeks, you'll have the choice of induction or expectant management.

Expectant management is when your healthcare professionals monitor your condition and your baby's wellbeing, and your pregnancy can progress naturally as long as it's safe for both of you.

Your midwife or doctor should discuss your options with you before you make a decision.

They should also let you know about the newborn (neonatal) special care hospital facilities in your area.

If your baby is born earlier than 37 weeks, they may be vulnerable to problems related to being premature.

If your waters break before 34 weeks, you'll only be offered induction if there are other factors that suggest it's the best thing for you and your baby.

If you have a health condition or your baby is not thriving

You may be offered an induction if you have a condition that means it'll be safer to have your baby sooner, such as diabetes, high blood pressure or intrahepatic cholestasis of pregnancy.

If this is the case, your doctor and midwife will explain your options to you so you can decide whether or not to have your labour induced.

Membrane sweep

Before inducing labour, you'll be offered a membrane sweep, also known as a cervical sweep, to bring on labour.

A membrane sweep would usually be offered to you after 39 weeks.

To carry out a membrane sweep, your midwife or doctor sweeps their finger around your cervix during an internal examination.

This action should separate the membranes of the amniotic sac surrounding your baby from your cervix. This separation releases hormones (prostaglandins), which may start your labour.

Some women find the procedure uncomfortable or painful. You may get some cramping and vaginal bleeding afterwards.

If labour does not start after a membrane sweep you may be offered an additional sweep or induction of labour.

Induction is always carried out in a hospital maternity unit. You'll be looked after by midwives and doctors will be available if you need their help.

How labour is induced

If you're being induced, you'll go into the hospital maternity unit.

There are 2 main ways labour can be induced:

Hormones can be put inside your vagina using a vaginal tablet (pessary) or a gel, or given as tablets that you swallow.

Devices such as balloon catheter (a small balloon, full of water) or an osmotic dilator (a type of sponge) can be used to widen your cervix.

You'll usually be offered hormones first to see if they work, unless there's a medical reason you cannot take hormones.

It usually takes many hours for these treatments to start working. You will usually stay in the hospital maternity unit, though you may be able to go home in some cases.

Sometimes a hormone drip is needed to speed up the labour. You may also need to have your waters broken artificially.

What induced labour feels like

If you need to be induced it may affect where you can give birth. You may need to stay in hospital for longer and have more examinations.

Induced labour is usually more painful than labour that starts on its own.

Your pain relief options during labour are not restricted by being induced.

You should have access to all the pain relief options usually available, such as an epidural or water birth.

If you are induced you'll be more likely to have an assisted delivery, where forceps or ventouse suction are used to help the baby out.

If induction of labour does not work

Induction is not always successful, and labour may not start.

Your obstetrician and midwife will assess your condition and your baby's wellbeing. You may be offered another method of induction or a caesarean section, or you may be able to wait a few hours and then be assessed again.

Your midwife and doctor will discuss all your options with you.

Natural ways to start labour

There are no proven ways of starting your labour yourself at home.

You may have heard that certain things can trigger labour, such hot baths, certain food or drinks, having sex or herbal supplements. But there's no evidence that these work. Also there's no information about the safety of herbal supplements and they could be harmful to you or your baby.

Having sex will not cause harm, but you should avoid having sex if your waters have broken as there's an increased risk of infection.

For more information on induction, you can read the NICE information for the public on induction of labour.

Community content from HealthUnlocked

# data[].attributes.attachment_link.description
Find out about induction of labour, where the midwife or doctor starts labour artificially using a membrane sweep, pessary or hormone drip.

# data[].attributes.body
Reminder to book antenatal classes/breastfeeding workshops.
Link: Antenatal education — Chelsea and Westminster Hospital NHS Foundation Trust (chelwest.nhs.uk)

# data[].attributes.body
Aspirin in pregnancy information

# data[].attributes.attachment_link.title
Aspirin patient information leaflet cross site

# data[].attributes.body
Another Padlet with resources about:
Feeding and Nurturing your Baby (padlet.com)

# data[].attributes.body
Detailed information on our face-to-face breastfeeding workshops at Chelsea and Westminster Hospital (currently only open to families who plan to give birth at Chelsea and Westminster Hospital due to space allowance).
Chelsea and Westminster face-to-face Antenatal Breastfeeding Workshops Tickets, Multiple Dates | Eventbrite

# data[].attributes.attachment_link.keywords[]
chelsea and westminster face-to-face antenatal breastfeeding workshops

# data[].attributes.attachment_link.keywords[]
chelsea and westminster face-to-face antenatal breastfeeding workshops tickets

# data[].attributes.attachment_link.keywords[]
chelsea and westminster face-to-face antenatal breastfeeding workshops london

# data[].attributes.attachment_link.keywords[]
chelsea and westminster face-to-face antenatal breastfeeding workshops london tickets

# data[].attributes.attachment_link.title
Chelsea and Westminster face-to-face Antenatal Breastfeeding Workshops

# data[].attributes.attachment_link.description
Eventbrite - Chelsea and Westminster Hospital presents Chelsea and Westminster face-to-face Antenatal Breastfeeding Workshops - Saturday, 25 February 2023 | Monday, 27 March 2023 at Chelsea and Westminster Hospital, London, England. Find event and ticket information.

# data[].attributes.body
Detailed information on our face-to-face breastfeeding workshops at Chelsea and Westminster Hospital (currently only open to families who plan to give birth at Chelsea and Westminster Hospital due to space allowance).
Chelsea and Westminster face-to-face Antenatal Breastfeeding Workshops Tickets, Multiple Dates | Eventbrite

# data[].attributes.attachment_link.keywords[]
chelsea and westminster face-to-face antenatal breastfeeding workshops

# data[].attributes.attachment_link.keywords[]
chelsea and westminster face-to-face antenatal breastfeeding workshops tickets

# data[].attributes.attachment_link.keywords[]
chelsea and westminster face-to-face antenatal breastfeeding workshops london

# data[].attributes.attachment_link.keywords[]
chelsea and westminster face-to-face antenatal breastfeeding workshops london tickets

# data[].attributes.attachment_link.title
Chelsea and Westminster face-to-face Antenatal Breastfeeding Workshops

# data[].attributes.attachment_link.description
Eventbrite - Chelsea and Westminster Hospital presents Chelsea and Westminster face-to-face Antenatal Breastfeeding Workshops - Saturday, 25 February 2023 | Monday, 27 March 2023 at Chelsea and Westminster Hospital, London, England. Find event and ticket information.

# data[].attributes.body
Detailed information on our online breastfeeding workshops at Chelsea and Westminster Hospital.
Chelsea and Westminster online Antenatal Breastfeeding Workshop Registration, Multiple Dates | Eventbrite

# data[].attributes.attachment_link.keywords[]
chelsea and westminster online antenatal breastfeeding workshop

# data[].attributes.attachment_link.keywords[]
chelsea and westminster online antenatal breastfeeding workshop tickets

# data[].attributes.attachment_link.title
Chelsea and Westminster online Antenatal Breastfeeding Workshop

# data[].attributes.attachment_link.description
Eventbrite - Chelsea and Westminster Hospital presents Chelsea and Westminster online Antenatal Breastfeeding Workshop - Thursday, 23 April 2020 | Saturday, 25 March 2023 - Find event and registration information.

# data[].attributes.body
This padlet accompanies the Trust's antenatal education course

# data[].attributes.body
Come and see for yourself what our Birth Centre can offer for your birth

# data[].attributes.body
Come and see our Birth Centre for yourself - book here !

# data[].attributes.attachment_link.title
Lunar Birth Centre Tours - West Middlesex Hospital

# data[].attributes.attachment_link.description
Take a tour of the Lunar Birth Centre at West Middlesex Hospital. Come and see the rooms and see where the magic happens!

# data[].attributes.body
For those carrying more than one baby

# data[].attributes.body
Get more detailed information at our online breastfeeding workshops:
Chelsea and Westminster online Antenatal Breastfeeding Workshop Registration, Multiple Dates | Eventbrite

# data[].attributes.attachment_link.keywords[]
chelsea and westminster online antenatal breastfeeding workshop

# data[].attributes.attachment_link.keywords[]
chelsea and westminster online antenatal breastfeeding workshop tickets

# data[].attributes.attachment_link.title
Chelsea and Westminster online Antenatal Breastfeeding Workshop

# data[].attributes.attachment_link.description
Eventbrite - Chelsea and Westminster Hospital presents Chelsea and Westminster online Antenatal Breastfeeding Workshop - Thursday, 23 April 2020 | Saturday, 25 March 2023 - Find event and registration information.

# data[].attributes.body
Conversation about how to start breastfeeding.
Please prepare for your appointment by considering what further information you may need.

# data[].attributes.body
Stop smoking service that you can self refer to

# data[].attributes.attachment_link.readable_text
There has never been a better time to kick start your health.

Quit smoking today and you will see immediate health benefits. You will also be protecting those around you from the harmful effects of secondhand smoke.

# data[].attributes.attachment_link.description
There has never been a better time to kick start your health. Quit smoking today and you will see immediate health benefits. You will also be protecting those around you from the harmful effects of secondhand smoke.

# data[].attributes.body
If you're diabetic, taking medication for high blood pressure, or know you may have a premature or small baby, read this leaflet to find out what additional support your baby needs to avoid low blood sugar.
We would encourage you to consider expressing your colostrum during pregnancy (see next leaflet down).

# data[].attributes.body
Expressing your colostrum (early breastmilk) during pregnancy.
Hand expression video - Baby Friendly Initiative (unicef.org.uk)

# data[].attributes.body
Revisit the decision tree to help you decide on birth setting.

# data[].attributes.attachment_link.title
Birthplace in England Research Programme | SHEER | NPEU

# data[].attributes.attachment_link.description
Birthplace is a multidisciplinary programme of research addressing questions relating to the provision, safety and costs of different settings for birth in the NHS. The programme included the Birthplace national prospective cohort study, which compared perinatal and maternal outcomes by planned place of birth; a linked cost-effectiveness study; a descriptive study of the configuration of maternity care in England; and a set of qualitative organisational case studies.

# data[].attributes.attachment_link.readable_text
Good birth stories are powerful. Hearing a mother's experience - how she felt, what helped her feel strong, the way they were loved and listened to - it's more than comfort. It's a model to copy.

Learning from first-hand experience gifts you confidence for your birth. And when you also have a story to share, you can pay that forward in turn.

For nine years, tell me a good birth story has been building a big chain of beautiful birth stories. The link gets longer all the time, so if you'd like to add to it, please get in touch. Whether waterbirth or caesarean, induction or a breech birth at home, if you want to contribute your experience as a way to support new parents, contact us using the SHARE YOUR STORY page.

As for how to use this site.....head over to our library and dive in. A scroll's ok. But better still, get yourself a cup of tea and have a proper 'meeting' with the people sharing their stories there. In amongst the tales you'll find some tips from me - pearls and pointers about what all women need, wherever their birth journey takes them.

For further encouragement, my book is packed with practical guidance, and will help provide a clear path to you having a positive birth experience yourself.

Buy a copy, for yourself or a friend, and you'll be supporting our site and helping our community to grow.

'Absolutely loved this book. Very informative and full of no-nonsense, real and realistic advice about giving birth. A fantastic resource for preparing for a positive birth experience, whatever kind of birth you have. On top of that, it is a beautiful book with gorgeous imagery. A joy to read.' Noobug, Amazon Customer

'Natalie is all your mothers, your sisters, your aunties and your friends arriving bearing the gifts of their experience and wisdom. Nothing this book shares with us is useless; every page holds a nugget that could make birth or parenting easier or more beautiful. Reading the section on labour I felt I could hear Natalie's warm, kind voice, holding my hand as she passed on the deep, intuitive knowledge that can only come from years spent accompanying parents through labour and birth.' AIMS ( Association for the Improvement of Maternity Services )

'I adored this book and can't stop recommending it to people. I read it when pregnant with my second child and learnt so much, despite having giving birth before. It made so much sense! I learnt about all the stages of labour and was so much better prepared for my second birth. I loved the suggestions of lavender and hot water bottles, and other tips. It made me feel nurtured and excited about the birth. A very special book!' Jo

# data[].attributes.attachment_link.description
Good birth stories are powerful. Hearing a mother's experience - how she felt, what helped her feel strong, the way they were loved and listened to - it's more than comfort. It's a model to copy. Learning from first-hand experience gifts you confidence for your birth.

# data[].attributes.attachment_link.readable_text
Are you struggling or feeling isolated during this COVID-19 pandemic?

Best Beginnings and our delivery partners are here for you and your family.

We are offering free emotional support to new and expectant mothers, fathers, and other non-birth parents across England until the end of November.

In collaboration with Bethel Health & Healing Network, MumsAid, and The Fatherhood Institute, we have have partnered with Barnardo's on their See, Hear, Respond programme to provide you with some extra support during this difficult time.

There are two ways we can help you - you won't even need to leave your front door:

Online advice and Support

Personalised daily information from our free NHS approved Baby Buddy app - your digital best friend!

24/7 access to the confidential Crisis Messenger text line if you are in emotional distress.

Hundreds of films and written information to support you through pregnancy and your baby's first months.

Group support sessions
You can join a small group of other antenatal or postnatal parents - we have separate groups for mums, dads, or other non-birth parents. You'll meet weekly for three or more weeks and together will be supported by two experienced facilitators. The Group support sessions are a friendly supportive online group, connecting you to other parents during the pandemic. Together you'll discuss some of the following topics, depending on the needs of your group:

Managing Anxiety and Stress

Self Care

Preparing for Birth and the role of Birth Partner

Responsive feeding

Understanding your Baby and Good Sleep Practices

COVID-19 advice and other information and helpful resources

To register for one or more of these types of support, please fill in the form below.

Latest

Related

Most read

Tag cloud

At Best Beginnings we believe in the power of collaboration to create and provide quality-assured and evidence based information for families. All of our content is co-created with parents and healthcare professionals and vetted by external Healthcare bodies and parents. Read more

# data[].attributes.attachment_link.description
Are you struggling or feeling isolated during this COVID-19 pandemic? Best Beginnings and our delivery partners are here for you and your family. We are offering free emotional support to new and expectant mothers, fathers, and other non-birth parents across England until the end of November.

# data[].attributes.body
Anxiety UK:

03444 775 774

Monday to Friday, 9:30am to 5.30pm

# data[].attributes.body
Mind

0300 123 3393

Open 09:00 – 18:00

Text: 86463

# data[].attributes.body
Shout

24/7 free text service, for anyone in crisis needing immediate help.

Text Shout to 85258

# data[].attributes.body
For help with sleep, anxiety, low mood and stress

# data[].attributes.attachment_link.title
Digital mental health and wellbeing support for Londoners

# data[].attributes.attachment_link.description
Anxious, stressed, depressed or having trouble sleeping? Find NHS-approved mental health tools and advice to support you.

# data[].attributes.body
Mental wellbeing audio guides

# data[].attributes.attachment_link.readable_text
On this page you can listen to a series of mental wellbeing audio guides to help you boost your mood.

You can listen to them privately, in your own time, to help you through feelings such as anxiety or a low mood.

# data[].attributes.attachment_link.description
Listen to a series of mental wellbeing audio guides to help you through feelings such as anxiety or a low mood.

# data[].attributes.body
Please read if you have a RH NEGATIVE blood group

# data[].attributes.body
Mindfulness app
App — Smiling Mind

# data[].attributes.attachment_link.readable_text
Practice your daily meditation and mindfulness exercises from any device.

Smiling Mind is a unique tool developed by psychologists and educators to help bring balance to your life.

We suggest 10 minutes a day.

What are you waiting for?

DOWNLOAD THE APP NOW AND SEE FOR YOURSELF!

Our App

A daily mindfulness and meditation guide at your fingertips

#1 Apple Health & Wellbeing App 2018 - Australia

Trusted by over 6.1M people

100% evidence based

FREE Programs for children and adults

We suggest 10 minutes a day

What are you waiting for?

DOWNLOAD THE APP NOW AND SEE FOR YOURSELF!

THE PERFECT APP FOR BEGINNERS

There are dozens if not hundreds of exercises tailored to different demographics and desires, more content than most other mindfulness apps. All the content is free, making it the perfect app for beginners to see if mindfulness is for them.

TRY SAYING:

"Hey Google, talk to Smiling Mind"

"Hey Google, do a sleep meditation with Smiling Mind"

"Hey Google, use Smiling Mind to do a relax meditation"

"Hey Google, help me focus with Smiling Mind"

Indigenous Languages Program

We worked with NPY Women's Council to develop a mindfulness program aimed at providing accessible and engaging mental health tools for Aboriginal people of the NPY region. These meditations have been scripted and recorded by senior Anangu women in Pitjantjatjara and Ngaanyatjarra. Thanks to nib foundation for funding this work.

# data[].attributes.attachment_link.description
Smiling Mind is a unique tool developed by psychologists and educators to help bring balance to your life. We suggest 10 minutes a day. What are you waiting for?

# data[].attributes.attachment_link.description
It's natural to have some feelings of anxiety when you are pregnant. But if you are feeling anxious most of the time and find it difficult to relax you may need help

# data[].attributes.attachment_link.title
Support for mums and families | Maternal Mental Health Alliance

# data[].attributes.attachment_link.description
© Maternal Mental Health Alliance 2023. Maternal Mental Health Alliance is a charitable Incorporated Organisation (CIO) registered in England and Wales No. 1178152. Registered address International House, 12 Constance Street, London E16 2DQ.

# data[].attributes.body
Gestational diabetes videos created by our Diabetic Team at Chelsea and Westminster.

# data[].attributes.attachment_link.description
Gestational diabetes is diabetes that can develop during pregnancy. It affects women who haven’t been affected by diabetes before. It means you have high blood sugar and need to take extra care of yourself and your bump. This will include eating well and keeping active.

# data[].attributes.body
Home-Start is ready to support families through their toughest times.

# data[].attributes.attachment_link.description
Home-Start is a local community network of trained volunteers and expert support helping families with young children through their challenging times. We are there for parents when they need us the most because childhood can’t wait.

# data[].attributes.body
Maternity Action is the UK’s maternity rights charity dedicated to promoting, protecting and enhancing the rights of all pregnant women, new mothers and their families to employment, social security and health care.

# data[].attributes.attachment_link.description
challenging inequality : promoting wellbeing

# data[].attributes.body
Helpful information for women living in Hammersmith and Fulham

# data[].attributes.attachment_link.readable_text
The family information service (FIS) provides impartial information and advice on facilities for children and young people aged up to 19.

It covers services provided by the council and organisations in the voluntary, private and independent sectors in Hammersmith & Fulham.
Visit the FIS directory
Only the FIS has access to the latest local Ofsted (the Office for Standards in Education) information on childcare and early years education.

We can advise you on how to choose the type of childcare or early years service that best suits your needs and send you up-to-date lists, including contact details for:

childminders (some offer baby sitting)

nurseries

pre-schools

crèches

children's centres

after-school care and holiday play schemes

extended services in schools

parent and toddler groups

toy libraries

activities for children and young people.

# data[].attributes.attachment_link.description
The family information service (FIS) provides impartial information and advice on facilities for children and young people aged up to 19. It covers services provided by the council and organisations in the voluntary, private and independent sectors in Hammersmith & Fulham.

# data[].attributes.body
Helpful information for women living in Wandsworth

# data[].attributes.attachment_link.readable_text
We provide free information and advice on services, including activities for children and young people aged 0 - 19 years (or 25, if the child or young person has a special need or disability)

To browse all activities and services you can use the search engine above, alternatively you can refine your search by clicking on the categories below.

# data[].attributes.attachment_link.description
We provide free information and advice on services, including activities for children and young people aged 0 - 19 years (or 25, if the child or young person has a special need or disability) To browse all activities and services you can use the search engine above, alternatively you can refine your search by clicking on the categories below.

# data[].attributes.body
Helpful information for women living in Westminster

# data[].attributes.attachment_link.readable_text
Learn what services are on offer for your family in your local area.
This directory brings together free, impartial information, advice and guidance on local and national services, help and support available for children and young people aged up to 19 (up to 25 years for those with additional needs), parents, carers, families and the practitioners working with them.
Please use the above themes, the search box (top of the page) or the Better Living Choices tool to find the right information, advice and services for you

# data[].attributes.attachment_link.description
Learn what services are on offer for your family in your local area. This directory brings together free, impartial information, advice and guidance on local and national services, help and support available for children and young people aged up to 19 (up to 25 years for those with additional needs), parents, carers, families and the practitioners working with them.

# data[].attributes.body
Further information to support your decision

# data[].attributes.attachment_caption
Maternal and Trauma Loss Care Service Patient Leaflet (including Tokophobia/fear of childbirth)

# data[].attributes.attachment_link.title
Maternal and Trauma Loss Care Service Patient Leaflet for in-house printing

# data[].attributes.body
Residents of Ealing,

Hounslow or Hammersmith

& Fulham

West London NHS Trust

Ground Floor, Building 135,

Hammersmith Hospital,

Du Cane Road, London W12 0HS

020 3313 2022

wlm-tr.maternitytlc@nhs.net

# data[].attributes.body
Residents of Brent, Harrow,

Hillingdon, Kensington &

Chelsea or Westminster

Central & North West London

NHS Foundation Trust

St Charles Hospital,

Exmoor Street, London W10 6DZ

020 7685 6384

cnwl.maternitytlc@nhs.net

# data[].attributes.body
What you feel you need for your labour is very personal – only you know what you and your partner will need to make your labour as calm and relaxing as possible.

See the attached document that includes suggestions for things that might help.

# data[].attributes.body
Women and birthing people may need a blood transfusion for a variety of reasons. A blood transfusion might be needed to save your life or to prevent serious harm to your health and your baby’s health. Please read the below leaflets regarding blood transfusion

# data[].attributes.attachment_link.readable_text
Know the signs

There are several signs that labour might be starting, including:

contractions or tightenings

a "show", when the plug of mucus from your cervix (entrance to your womb, or uterus) comes away

backache

an urge to go to the toilet, which is caused by your baby's head pressing on your bowel

your waters breaking

The early (latent) stage of labour can take some time.

Latent phase of labour

The start of labour is called the latent phase. This is when your cervix becomes soft and thin, and starts opening for your baby to be born. This can take hours or sometimes days.

You'll probably be advised to stay at home during this time. If you go to the hospital or maternity unit, they may suggest you go back home.

Find out more about the stages of labour and what you can do at home during the latent phase.

Call your midwife if you're unsure or worried about anything.

What do contractions feel like

When you have a contraction, your womb tightens and then relaxes. For some people, contractions may feel like extreme period pains.

You may have had contractions during your pregnancy, particularly towards the end. These tightenings are called Braxton Hicks contractions and are usually painless.

Your contractions tend to become longer, stronger and more frequent as your labour progresses. During a contraction, the muscles tighten and the pain increases. If you put your hand on your abdomen, you'll feel it getting harder; when the muscles relax, the pain fades and you will feel the hardness ease.

The contractions are pushing your baby down and opening the entrance to your womb (the cervix), ready for your baby to go through.

Your midwife will probably advise you to stay at home until your contractions become frequent.

Call your midwife or maternity unit for guidance when your contractions are in a regular pattern and:

last at least 60 seconds

come every 5 minutes or

you think you are in labour

Read more information on when to go to hospital

Backache often comes on in labour

You may get backache or a heavy, aching feeling.

A "show" can signal the start of labour

During pregnancy, there's a plug of mucus in your cervix. This mucus comes away just before labour starts, or when in early labour, and it may pass out of your vagina. This sticky, jelly-like pink mucus is called a show.

It may come away in 1 blob or in several pieces. It's pink because it contains a small amount of blood.

If you're losing more blood, it may be a sign something is wrong, so phone your hospital or midwife straight away.

A show indicates that the cervix is starting to open. Labour may quickly follow or may take a few days. Sometimes there is no show.

What happens when my waters break

It's likely your waters will break during labour, but it can also happen before labour starts.

Your baby develops and grows inside a bag of fluid called the amniotic sac. When it's time for your baby to be born, the sac usually breaks and the amniotic fluid drains out through your vagina. This is your waters breaking. Sometimes when you're in labour, a midwife or doctor may offer to break your waters.

If your waters break naturally, you may feel a slow trickle or a sudden gush of water you cannot control. To prepare for this, you could keep a sanitary towel (but not a tampon) handy if you're going out, and put a protective sheet on your bed.

Amniotic fluid is clear and pale. Sometimes it's difficult to tell amniotic fluid from urine. When your waters break, the water may be a little bloodstained to begin with.

Tell your midwife immediately if:

the waters are smelly or coloured

you're losing blood

This could mean you and your baby need urgent attention.

If your waters break before labour starts, call your midwife. Use a sanitary pad (not a tampon) so your midwife can check the colour of the waters.

If labour does not start after your waters break

It's usual to go into labour within 24 hours of the waters breaking. You'll be offered an induction if you do not because, without amniotic fluid, there's an increased risk of infection for your baby.

Until your induction, or if you choose to wait for labour to start naturally, tell your midwife immediately if:

your baby moves less than usual

there's any change in the colour or smell of any fluid coming from your vagina

You should take your temperature every 4 hours when you're awake, and tell your midwife if it's raised. A raised temperature is usually above 37.5C, but you may need to call before this - check with your midwife.

There's no evidence that having a bath or shower after your waters have broken increases your risk of infection, but having sex might.

How to cope when labour begins

At the beginning of labour, you can:

walk or move about, if you feel like it

drink fluids - you may find sports (isotonic) drinks help keep your energy levels up

have a snack, if you feel like it

try any relaxation and breathing exercises you've learned to deal with contractions as they get stronger and more painful - your birth partner can help by doing these with you

have your birth partner rub your back - this can help relieve pain

take paracetamol according to the instructions on the packet - paracetamol is safe to take in labour

have a warm bath

Find out what happens during labour and birth, and what you can do for pain relief in the early stages of labour.

Get Start4Life pregnancy and baby emails

For information and advice you can trust, sign up for weekly Start4Life pregnancy and baby emails.

Community content from HealthUnlocked

# data[].attributes.attachment_link.description
There are several signs that labour might be starting, including: contractions or tightenings a "show", when the plug of mucus from your cervix (entrance to your womb, or uterus) comes away backache an urge to go to the toilet, which is caused by your baby's head pressing on your bowel your waters breaking The early (latent) stage of labour can take some time.

# data[].attributes.headline
Calcium Supplementation for Prevention of Pre-Eclampsia in High Risk Women

# data[].attributes.subject
Calcium Supplementation for Prevention of Pre-Eclampsia in High Risk Women

# data[].attributes.headline
What happens if my baby has not been born by their due date?

# data[].attributes.subject
What happens if my baby has not been born by their due date?

# data[].attributes.attachment_link.title
Overdue baby – what happens if my baby is late? | NCT

# data[].attributes.attachment_link.description
Many women hope for a birth around their baby’s due date. Find out here what happens if your baby is overdue and you are offered an induction of labour.

# data[].attributes.body
One-off antenatal session to cover oral health in babies/toddlers:  book via Eventbrite here https://www.eventbrite.co.uk/e/oral-health-and-nutrition-tickets-126972737877

# data[].attributes.body
Please speak to a health professional about how to lose weight and sustain the weight loss to enter pregnancy at a healthy weight. Eat a balanced diet, control portion sizes, and swap unhealthy food for healthier options. search in Search: ‘NHS Eatwell Guide’ for helpful tips. Stay fit and healthy and try to be active daily. Brisk walking for extra 10 minutes every day is helpful and consider downloading free NHS app ‘Active 10’ to monitor your progress.

# data[].attributes.body
Looking after your mental health in pregnancy/parenthood - now available in 18 different languages

# data[].attributes.attachment_link.readable_text
Perinatal Positivity uses the real voices and experiences of women and men who have had mental wellbeing difficulties around the time of pregnancy, childbirth and beyond. We hope it will help you emotionally prepare and find support, if needed, at this time. There are translations and subtitled versions of the film on our films page.

Perinatal mental health issues can happen in pregnancy and in the first years of being a parent (antenatal and postnatal). Problems can affect new mums as well as dads, people with no history of mental health problems as well as those who have. The word perinatal simply means the time around (peri) childbirth (natal).

Issues might include depression, anxiety, OCD, psychosis and post-traumatic stress amongst other things. Tommy's (pregnancy health information for parents) has an excellent guide: https://www.tommys.org

If you, or someone you are close to, is experiencing mental wellbeing problems connected to pregnancy and being a new parent , talk to your GP, health visitor or midwife a nd visit our support page to find local and national support organisations. Parents talk about the signs & symptoms they experienced in the video below.

# data[].attributes.attachment_link.title
Perinatal Positivity Film - Perinatal Positivity

# data[].attributes.attachment_link.description
Perinatal Positivity is a short, animated film to help new families safeguard their mental health. It uses the voices & experiences of real parents.

# data[].attributes.body
A programme for parents who may have experienced domestic abuse themselves

# data[].attributes.body
Try this 3 minute breathing exercise to help you cope when you are feeling panicky

# data[].attributes.body
To help you make decisions about SCID screening for your baby

# data[].attributes.attachment_link.readable_text
This information was created on behalf of the NHS. In it, the word 'we' refers to the NHS service that provides screening.

The NHS is considering introducing screening for severe combined immunodeficiency (SCID). SCID makes it very hard to fight off infections like pneumonia and meningitis. Screening would help to find and treat babies with this condition earlier.

After about 3 months of age infections can be life-threatening for babies with SCID. Without treatment they rarely survive past the age of one.

You may have heard of babies with SCID having to live in a 'bubble' to avoid infections. About 14 babies a year in England will have SCID.

Screening your baby

The NHS offers newborn blood spot screening (using a heel prick to take blood) when a baby is 5 days old. It looks for 9 rare but serious conditions, including sickle cell disease and cystic fibrosis.

Most babies will not have any of these conditions. For those who do, finding them early through screening is very important. Early treatment can stop the baby becoming severely disabled or even save their life.

Screening tests for you and your baby information is available, which can help you make an informed choice about screening for your baby.

Same sample

The test for SCID uses the same blood taken from the heel prick. No further blood sample will usually need to be taken. Premature babies may need a second test because their immune system is still developing.

If the test, using a small fragment of DNA, shows your baby has fewer white blood cells than usual, it could be a sign they have SCID. White blood cells are important because they protect against infections.

SCID screening evaluation

We're offering screening for SCID in some hospitals to see how it could best be introduced across England. Your hospital is one and that's why you've been offered the test.

It is your choice whether or not your baby has the test for SCID.

If you decide that you want your baby to have the test, we will use your information as part of the evaluation. If you decide you do not want your baby to have the test, we can still screen your baby for the 9 other conditions covered by newborn blood spot screening.

SCID results

Lower chance result

Most babies will get a lower chance result, which means it is very unlikely they have SCID. Parents will get the result by the time their baby is 6 weeks old.

Higher chance result

A higher chance result means it is more likely, but not certain, that your baby will have the condition.

We estimate that around 1 in 1,500 babies will get a higher chance result for SCID.

You will be contacted within a few days and invited to see a specialist team if your baby gets a higher chance result. You will be offered a diagnostic test for your baby (blood test).

This diagnostic test will confirm if your baby:

does not have SCID or another condition, and can be discharged

has another condition affecting the immune system

One of the aims of the SCID evaluation is to find out how many babies are in each of these 3 groups.

BCG vaccine

Some parents will be offered the BCG vaccine for their baby. The BCG clinic will check your baby's SCID screening result before giving it. This is because treatment for SCID is more complicated if a baby has had the BCG vaccine.

The BCG vaccine will only be offered if it is safe for your baby to have it.

Treatment

Treatment for SCID is far more likely to be successful if started early, rather than waiting until a baby becomes ill.

If tests show your baby has SCID, a bone marrow transplant can fix their body's defences against infections.

Some types of SCID respond to gene therapy. This involves replacing an unhealthy gene in your baby's body with a healthy one.

Research

You may be contacted by researchers and asked to take part in research linked to newborn blood spot screening. Please tell your midwife if you want to take part or not. It is completely up to you, and will have no effect on your care.

Confidentiality

The NHS screening programmes use personal information from your NHS records to invite you for screening at the right time. PHE also uses your information to ensure you receive high quality care and to improve the screening programmes. Find out more about how your information is used and protected and also what your options are.

Further information and support

# data[].attributes.attachment_link.title
SCID screening: helping you decide if you want this for your baby

# data[].attributes.attachment_link.description
This information was created on behalf of the NHS. In it, the word 'we' refers to the NHS service that provides screening. The NHS is considering introducing screening for severe combined immunodeficiency (SCID). SCID makes it very hard to fight off infections like pneumonia and meningitis.

# data[].attributes.headline
Information about recommended screening tests for your baby

# data[].attributes.subject
Information about recommended screening tests for your baby

# data[].attributes.attachment_link.readable_text
Skip to main content

Cookies on GOV.UK

We use some essential cookies to make this website work.

We'd like to set additional cookies to understand how you use GOV.UK, remember your settings and improve government services.

We also use cookies set by other sites to help us deliver content from their services.

You have accepted additional cookies. You can change your cookie settings at any time.

You have rejected additional cookies. You can change your cookie settings at any time.

Accept additional cookies Reject additional cookies View cookies

STFYAYB provides information about the screening tests offered during and after pregnancy.

Details

This information is about the screening tests you will be offered during your pregnancy and after your baby is born. It explains the different types of test and what the tests are looking for.

Easy read versions of this leaflet are available. Additional information is also available for parents of babies who are in a special care baby unit, neonatal intensive care unit or paediatric intensive care unit.

We hope this advice will help prepare you for discussions with your midwife or doctor so that you can ask the questions that are important to you.

It is your decision whether or not to have any of the tests described.

In this publication, we use the terms 'woman' and 'women' to refer to anyone able to become pregnant, including trans men. Trans men who are pregnant should be offered the same antenatal and newborn screening tests as other pregnant individuals.

The information is available in 12 other languages: Arabic, Bengali, Chinese, French, Latvian, Lithuanian, Polish, Portuguese, Punjabi, Romanian, Somali and Urdu.

See how to print digital leaflets if you want to print any sections of this guidance.

Free printed copies of this leaflet are also provided for local screening providers to give to women who cannot access the internet. Screening services can view the full PDF of the printed leaflet and order printed copies on the APS online ordering portal (requires login).

Contact the screening helpdesk with any queries about this publication, making sure you include its full title.

# data[].attributes.attachment_link.title
Screening tests for you and your baby (STFYAYB)

# data[].attributes.attachment_link.description
STFYAYB provides information about the screening tests offered during and after pregnancy.

# data[].attributes.headline
Family Hubs (Kensington and Chelsea) - South

# data[].attributes.subject
Family Hubs (Kensington and Chelsea) - South

# data[].attributes.body
Support and activities for families in the South of the Borough

# data[].attributes.body
Explore your options at a new monthly online class (book using the QR code in the picture.

This class is for women and pregnant people who are receiving antenatal care from either:

Chelsea and Westminster Hospital NHS Foundation Trust

London North West University Healthcare NHS Trust

Imperial College Healthcare NHS Trust

The Hillingdon Hospitals NHS Foundation Trust

who want to learn more about contraception after pregnancy and what is available from their maternity service after their baby is born.

Fertility can return as early as Day 21, and we recommend a minimum of 12 months between the birth of a baby and becoming pregnant again. Maternity services can now offer contraception before discharge, so it is important to think about your future contraception plans whilst you are pregnant. To help you get your choice of contraception, please inform your midwife or doctor of your choice by 36weeks.

We will be discussing all methods:

Combined hormonal contraception

Progestogen only contraception

Long-acting reversible contraception (Cu-IUDs (non-hormonal), LNG-IUDs(hormonal), implants and injections)

Barrier methods (condoms)

Lactactional Amenorrhea Method (LAM)

Sterilisation"

# data[].attributes.attachment_link.title
Poster parent ed contraception class july 2024

# data[].attributes.body
We offer a wide choice of contraceptive options after the birth of your baby. A space of one year or more (or two for caesarean) between birth and your next pregnancy is recommended, as evidence suggests it improves health outcomes for you and your children. Most importantly, it empowers you to take control of your own fertility and decide when you are ready to have your next child. We recognise that becoming a new parent is an exciting and extremely busy time in your life and would like to help by providing contraception before your discharge home.

# data[].attributes.attachment_link.readable_text
We offer a wide choice of contraceptive options after the birth of your baby. A space of one year or more between birth and your next pregnancy is recommended, as evidence suggests it improves health outcomes for you and your children. Most importantly, it empowers you to take control of your own fertility and decide when you are ready to have your next child. We recognise that becoming a new parent is an exciting and extremely busy time in your life and would like to help by providing contraception before your discharge home. The following information provides you with an outline of the options available, all are safe to use while you are breastfeeding and will not affect your milk supply.

Remember that these methods will not protect you from sexually transmitted infections. You should always consider using condoms to help protect against sexually transmitted infections.

Intrauterine contraception (IUC)

This is a device or coil which is inserted into your uterine cavity after your baby is born. IUC is a form of long-acting reversible contraception. There two types-hormonal and non-hormonal-and have a failure rate of less than 0.6%. We are able to offer IUC at elective caesarean section and hope to be able to offer it after vaginal birth in the future.

The hormone releasing IUC contains progestogen which is similar to the natural progesterone produced by your ovaries and works for 5 years. It works by thinning the lining of the uterus so that a fertilised egg is very unlikely to implant and it also thickens cervical mucus making it difficult for sperm to enter the uterus.

The non-hormonal IUC prevents fertilisation as the copper on the device is toxic to sperm and works for 5-10 years depending on the type.

Advantages of IUC

It works instantly if inserted at birth. Both devices are more than 99% effective, with fewer than 1 woman in 100 becoming pregnant in a year

Fertility returns to normal as soon as the IUC is removed

It is not affected by other medicines

Hormonal IUCs can make periods lighter or sometimes stop

Disadvantages of IUC

Non-hormonal (copper) IUC may make periods heavier, longer or more painful-this may settle after a few months

Some women with hormonal IUC report having acne, headaches, and breast tenderness

Some women develop small fluid-filled cysts on their ovaries which may cause pain but are not dangerous and do not usually need treatment

The IUC does not increase your risk of infection, but if you do acquire an infection with the IUC in place, it could lead to a pelvic infection if not treated

Risks of IUC

There is a small chance of having an infection during the first 20 days after IUC insertion

The IUC can be pushed out of your womb (expelled) or it can move (displacement)-this is not common and occurs in approx 5% of women

If you do become pregnant while using an IUC the likelihood of it being ectopic is greater than if a pregnancy were to occur without an IUC-however, overall, the risk of ectopic pregnancy is small because they are so effective at preventing a pregnancy

How will IUC affect my periods?

With the hormonal IUC it is common to have extra bleeding or spotting during the first six months. Periods become shorter and lighter and may stop altogether, this is not harmful.

With the non-hormonal (copper) IUC, irregular bleeding is common during the first six months. In some women periods become heavier, longer, and sometimes more painful. There are medications which can be used to control bleeding.

How will I know if IUC is in place?

The IUC has threads which hang a short distance through the cervix into the top of the vagina. You will be referred to a community service at 6 weeks to have the threads trimmed if needed, and to check that the IUC still remains in place. If you cannot feel the threads or think you can feel the IUC then you should use condoms until your GP or community sexual health service has examined you.

What if I become pregnant while using an IUC?

Very few women become pregnant while using an IUC. If you think you might be pregnant or have unusual abdominal pain you should seek medical help as soon as possible.

Where can you have an IUC inserted?

If you are having an elective caesarean section you can have an IUC fitted at the time-please let your midwife or doctor know if you would like this arranged.

If you choose to wait to have an IUC inserted, you can do this from four weeks after the birth with your GP or local community sexual health service.

When can an IUC be removed?

An IUC can be removed at any time by a doctor or nurse pulling gently on the threads. This service may be available at your GP surgery or at local community sexual health service.

Progestogen-only implant

The progestogen-only implant is a method of long-acting reversible contraception. It is highly effective with a failure rate of 0.05% (1 in 2,000) and lasts for 3 years. The implant is a small, flexible rod (no larger than a matchstick), which is placed just under your skin in the upper arm. It releases progestogen hormone similar to the natural progesterone produced by your ovaries.

How does the implant work?

The main way it works is to stop your ovaries releasing an egg each month. It also thickens cervical mucus making it more difficult for sperm to penetrate and makes the lining of your uterus thinner, so it is less likely to accept a fertilised egg.

Can anyone use the implant?

Most women can have the implant fitted. A midwife or doctor will ask you about your medical history to make sure that the implant is suitable. An implant may not be suitable for you if you take certain medications, have current or previous breast cancer or have liver disease.

Advantages of the implant

It does not interfere with breastfeeding

It can be inserted as soon as your baby is born

It lasts for three years

As soon as the implant is taken out you will be able to get pregnant again

It may reduce heavy or painful periods

Disadvantages of the implant

You may have irregular bleeding

You may have temporary side effects such as headaches, breast tenderness and mood changes-these should stop within a few months

How is the implant inserted?

The implant is placed under your skin in the inner area of your upper arm. You will be given a local anaesthetic to numb the area before it is inserted. The procedure only takes a few minutes and you will not need any stitches. After it has been inserted you will be shown how to check it is in position. Occasionally, you may notice redness or bruising of the skin in your arm, where your implant is inserted, which usually settles within a week. You will be asked to leave a skin plaster on for at least 24 hours to help reduce the bruising. No routine follow-up is required, however if you have any concerns consult your GP or local community sexual health service for further advice.

How will an implant affect my menstrual periods?

Your periods will probably change, you may:

No longer have periods (1 in 5 women)

Have infrequent bleeding (1 in 3 women)

Have regular bleeds (1 in 4 women)

Have prolonged or frequent bleeding (1 in 4 women)

These changes are not harmful and may or may not settle within a few months.

Where can you have the implant inserted?

On the postnatal ward or birth centre-please let your midwife or doctor know if you would like this arranged. Or at your GP or local community sexual health service.

When can the implant be removed?

You can have the implant removed at any time. This can be done at your GP practice or community sexual health service. After removal, there is no delay in return to fertility.

Progestogen-only injection (POI)

A POI contains a form of progestogen similar to the natural progesterone produced by the ovaries. There are 3 forms of the injection. This following information is about the most widely used-Depo-Provera®-which needs to be administered every 13 weeks.

How does the injection work?

The main way it works is to stop your ovaries releasing an egg each month. It also thickens cervical mucus making it more difficult for sperm to penetrate and makes the lining of your uterus thinner, so it is less likely to accept a fertilised egg.

Can anyone use the POI?

Most women can use the POI-your midwife or doctor will ask you about your medical history to ensure you are suitable. An injection may not be suitable for you if you have liver disease, current or previous breast cancer, arterial disease, history of serious heart disease or stroke.

How soon after delivery can I start using the POI?

You can start using the POI immediately after the birth of your baby and before you leave the maternity unit or birth centre.

How effective is the POI?

If you have the injection every 13 weeks it is more than 99% effective. This means that fewer than 1 woman in 100 will become pregnant. If the next injection is delayed, about 6 in 100 women will become pregnant.

Advantages of the POI

It can be administered immediately after the birth of your baby

It is safe to use during breastfeeding

You do not have to think about contraception for as long as the injection lasts

It is not affected by other medicines

For some women, it may reduce heavy painful periods and help with premenstrual symptoms

Disadvantages of the POI

There are no serious side-effects with the contraceptive injection, however women may experience:

Irregular bleeding-a majority of women will experience lighter bleeding, or it may stop altogether, and this may continue for some months after you stop using the injection

Some women experience weight gain (<10%)

There can be a delay of up to one year before the return of your periods and fertility, however this varies greatly between women

Risks of the POI

As with any injection, there is a small risk of irritation at the injection site

You can have an allergic reaction to the injection, but this is very rare

Prolonged use may lead to some thinning of your bones-this is not normally a problem, but if you have a risk factors for osteoporosis, it is advisable to use an alternative method of contraception

How is the POI given?

You need to have an injection of Depo-Provera® once every 13 weeks-it is injected into muscle, usually in your buttocks.

Where can you get the contraceptive injection?

You can be given the injection before you leave the unit and will need to arrange your next injection at 13 weeks with your GP or community sexual health service.

Progestogen-only pill (POP)

The POP is a tablet containing the hormone progestogen. This is similar to the natural progesterone produced by the ovaries. The following information is about the POP containing a progestogen called Desogestrel which is the most effective POP.

How does the POP work?

The main way it works is to stop your ovaries releasing an egg each month. It also thickens cervical mucus making it more difficult for sperm to penetrate and makes the lining of your uterus thinner, so it is less likely to accept a fertilised egg.

Can anyone use the POP?

Most women can use the POP. The midwife or doctor will ask about your medical history to ensure that you are suitable. The POP may not be suitable for you if you take certain medications, have current or previous breast cancer or have liver disease. It is not suitable if you have a soya or peanut allergy.

How soon after delivery can I start the POP?

You can start taking the POP immediately after the delivery of your baby and before you leave the maternity unit or birth centre. If you delay, pills should be started before the baby is 21 days old.

How effective is the POP?

The effectiveness of the POP depends on how well you follow the instructions. If the POP is taken perfectly then it is more than 99% effective, with fewer than 1 in 100 women getting pregnant in one year. If the POP is not always taken according to instructions, this changes to 9 in 100 women.

Advantages of the POP

It can be started any time after the birth of your baby

It is safe to use during breastfeeding

It can be stopped at any time and your fertility will return to normal straight away

It may help with premenstrual symptoms and painful periods

Disadvantages of the POP

There are no serious side-effects with the POP, but:

More than half of women using POP will notice a change in bleeding pattern-bleeding may become irregular, light, more frequent, last longer or stop altogether, this may settle down and is not harmful

You need to remember to take the pill around the same time every day

You may get some side-effects such as spotty skin, breast tenderness and headaches-these may settle within a few months

Risks of the POP

The POP is very safe. Infrequent risks include:

Developing small, fluid-filled cysts on the ovaries which are not dangerous and do not usually need to be treated (occurs in up to 1% of women)

If you become pregnant while taking the POP, there is a small risk (10%) that the pregnancy will be in the tube (ectopic pregnancy)

How do I take the POP?

You should take one tablet daily around the same time every day. It is best to attach pill taking to an activity that you do at the same time each day to prompt you to remember it. There are 28 pills in a packet and after finishing a pack you should move straight onto the next pack. Do not take breaks.

What do I do if I forget to take it on time or miss a pill?

If you are less than 12 hours late:

Take the pill as soon as you remember

Take your next pill at the normal time and you will still be protected from pregnancy

If you are more than 12 hours late:

You should restart your pills as soon as you remember and use a condom or abstain from sex or for 48 hours

If you have had unprotected sex during this time you should talk to your pharmacist/GP/community sexual health service about emergency contraception

What should I do if I am sick or have diarrhoea?

If you vomit within 2 hours of taking the POP, it will not have been absorbed, so take another pill as soon as you can. Use additional precautions during and for 48 hours after sickness or diarrhoea has stopped.

Where can I get the POP?

On the postnatal ward or birth centre-please let your midwife or doctor know. You will be given a 6-month supply on discharge and further supplies can be obtained from your GP or local community sexual health service.

# data[].attributes.attachment_link.description
We offer a wide choice of contraceptive options after the birth of your baby. A space of one year or more between birth and your next pregnancy is recommended, as evidence suggests it improves health outcomes for you and your children.

# data[].attributes.headline
Family Hubs (Kensington and Chelsea) - North

# data[].attributes.subject
Family Hubs (Kensington and Chelsea) - North

# data[].attributes.body
Support and activities for families in the North of the Borough

# data[].attributes.headline
Birth options after a previous caesarean

# data[].attributes.subject
Birth options after a previous caesarean

# data[].attributes.body
Check out our dedicated Birth after Caesarean ("BAC") padlet for more information

# data[].attributes.body
Parent support in the Kensington/Chelsea area