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Pregnancy

The first appointment is usually around 8 weeks of your pregnancy and takes about 45 minutes. We will make an ultrasound and discuss the prenatal testing options with you. An appointment is also made for the second ultrasound, around 10 weeks, during which the gestational age is determined by measuring the baby at the term ultrasound. You will also receive information about nutrition, smoking, folic acid, maternity care, etc..

Na de 2e echo vindt ook de intake plaats. Deze afspraak duurt ook ongeveer 45 minuten. Hierbij stellen we onder andere vragen over jouw lichamelijk en geestelijke gezondheid en over ziekten en/of aangeboren afwijkingen die in de familie voorkomen. Voor het standaard bloedonderzoek dat bij elke zwangere wordt gedaan krijgt je een lab. code mee om dit in het VieCuri ziekenhuis te laten prikken. Dit onderzoek kan samen met de NIPT (indien gewenst) gedaan worden. Deze gegevens worden naast alle controles vastgelegd in ons digitale dossier. Via de app Zwangerenportaal is het altijd en overal mogelijk dit in te zien.

Verder worden iedere afspraak de volgende controles uitgevoerd: meten van de bloeddruk, controle van de groei van de baarmoeder en de baby en het luisteren van het hartje. Vanaf ongeveer 28 weken kunnen we ook de ligging van de baby bepalen. Daarnaast is er tijd voor het beantwoorden van vragen en/of uitleg van klachten.

FYI: Unfortunately, we notice that appointments are sometimes not kept. We schedule 45 minutes for your first and second appointment. If this appointment is not canceled at least 24 hours in advance, we will charge 50 euros. 

Bij vervolgafspraken is ons tarief als je niet komt 25,- euro. Uiteraard hebben we begrip voor calamiteiten.

Tip: Volg ons op de socials om op de hoogte te blijven van de laatste nieuwtjes etc!

Centering Pregnancy

Instead of individual check-ups during pregnancy, care is offered in nine sessions to a group of approximately 8-10 pregnant women with approximately the same gestational age. To attend the centering pregnancy sessions you must speak and understand the Dutch language.

During these sessions, pregnancy check-ups are combined in a fun and informal way with information, interactive learning methods and conversations about what concerns you and your fellow pregnant women during pregnancy.

The group sessions start with the medical check-ups. You measure your blood pressure and weigh yourself and record this in your pregnancy book. Shielded from the group, the obstetrician conducts the external examination; feel your belly and listen to your baby's heart with the doptone! We continue in groups; in a creative way we discuss one or more topics that match the phase of your pregnancy. Your partner is welcome to join the sessions during the first half hour and the two partner sessions that focus on childbirth.

A regular pregnancy check-up takes 15 minutes. After measuring blood pressure and listening to your baby's heart, there is not much time left to provide information and answer questions. At Centering Pregnancy, a session lasts two hours. Because all dates are recorded in advance, this can often be planned very well in your agenda. During the session, several topics can be discussed. Because of the group dynamic you get a lot of information and experiences from the group.
You will be more extensively informed and therefore, look forward to the birth with even more confidence. Over time, when you know each other better and are familiar with the group, the group also offers a lot of support.
Research in America has shown that the outcomes for pregnant women who participate in Centering Pregnancy are better than for pregnant women who opt for the traditional form of pregnancy check-ups.

Ultrasound

An ultrasound is offered every time during the check-ups. In the first two check-ups, it is important to measure the baby. The first ultrasound is called the ‘vitality ultrasound’ and the second ultrasound in our practice is called the ‘term ultrasound’. Your final due date is determined during the term ultrasound.

Furthermore, it is sometimes necessary to monitor the growth of the baby with growth ultrasounds. These are also made at our own practice and every office location has an ultrasound machine. You will receive photos on a free USB stick.

The ultrasounds at our practice are made by all midwives. Ingrid also works as an ultrasound technician at CVONL. If preferred, she can make your 13- and 20- week ultrasounds there. After your term ultrasound has been made, we will send a referral and the assistant at the ultrasound centre will contact you to schedule an appointment.

Every pregnant woman also receives an ultrasound at around 36 weeks to check in which position the baby is lying in.

Fun ultrasound

We begrijpen dat je graag het geslacht wilt weten of een 3/4D echo wilt laten maken. Judith en Nanda maakt deze pretecho’s in het pretechocentrum Noord-Limburg waar ze met de nieuwste HD Live techniek werken.

Consultation for listening to the baby's heart

Vind je de periode tussen 2 controles te lang en wil je tussendoor het hartje van je kindje even horen met de doptone? Wil je graag iemand meenemen om het hartje te horen maar hoeft dat niet bij een complete controle? Dat kan!

Ben je tussen de 13 en 26 weken zwanger, dan ben je van harte welkom op het hartjesspreekuur. Dit is elke vrijdag in Blerick tussen 8.30-9.30 uur. Soms valt het hartjesspreekuur uit door bijvoorbeeld vakantie. Houdt onze socials in de gaten en je bent op de hoogte!

You do not need to make an appointment for this, and you will be seen in the order of arrival. You can come as often as you like and there is no charge.

The heartbeat consultation hour is not intended for when you feel your baby is moving less after 26 weeks of pregnancy, or for discussing physical complaints etc.. In these instances, please contact our assistant or the midwife on duty.

Prenatal tests

During pregnancy you will receive more information about various tests that are available. The three examinations in question are the NIPT, 13-week ultrasound and the 20-week ultrasound. 

Met de NIPT wordt bloed van de moeder onderzocht op de aanwezigheid van chromosomen van de placenta van de baby. Deze chromosomen zijn meestal identiek aan die van de baby zelf. De test is bedoeld om te kijken of er afwijkingen zijn op chromosomen, bijvoorbeeld  T21 wat het Downsyndroom is. De test is betrouwbaar, maar is niet 100% zeker. Het is als bloedonderzoek met een buisje extra te bepalen als je het routine bloedonderzoek laat uitvoeren op route 11 (bloedafname) in VieCuri. Voor elk bloedonderzoek is een afspraak nodig bel 077-3205555 of mijnviecuri.nl Meer informatie over NIPT op: pns.nl/nipt.

Lifestyle

The use of alcohol during conception, during pregnancy and while breastfeeding can have serious consequences for the development of the baby. For this reason, it is recommended not to drink alcohol during this period. All alcohol consumed by the mother reaches the unborn child directly through the placenta. However, the child is not yet able to break this down properly, therefore it remains in the body longer. The exact consequences of drinking alcohol during pregnancy are difficult to predict, however, there are indications that consumption of less than one glass per day can already have negative consequences for the baby. This can be in the form of miscarriage, premature birth, fetal alcohol syndrome and even death. Problems in the development of the child can also arise after birth.

The use of drugs is strongly discouraged during pregnancy because it may have harmful effects on the development of the child. For caregivers of a pregnancy, it is important to know whether the mother has used drugs in the past, or during the pregnancy.

Smoking can reduce the chance of getting pregnant. Smoking and second-hand smoke during pregnancy can also have a harmful effect on the development of your child. Cigarettes contain harmful substances that reduce blood flow to the placenta and therefore, a reduced oxygen supply to your child.

As a result, the growth of the baby may lag behind and the physical condition may be impaired. Childbirth can be extra difficult for these children. It is therefore vital to stop smoking, preferably before and otherwise as soon as possible during pregnancy. Smoking less is good, but quitting is better. Smoking during pregnancy increases the risk of miscarriage, premature birth and even stillbirth. After the birth, it is also important to not smoke near your baby. If this does happen, your child has a greater chance of cot death, asthma and behavioural disorders, among other things. The urgent advice to both parents-to-be is therefore to stop smoking. Quitting smoking can be very difficult, especially the first two weeks. Quitting tools, techniques or telephone coaching can be useful here.

Paracetamol (500 mg, without codeine) can be used incidentally up to a maximum of 8 tablets per day. Always consult with your midwife or doctor for all other medication. Inform your doctor and pharmacist about your pregnancy. A local anaesthetic for treatment at the dentist is not a problem.

Do not use the sauna or tanning bed in the first three months of your pregnancy. There is a possibility that prolonged heating in the embryonic stage could affect development. We do not recommend the infrared sauna during the entire pregnancy. Even after the first three months, it is important that you take changes in your body into account. Drink plenty of fluids and take breaks on time.

Exercising is healthy – especially when you are pregnant. During pregnancy, your body changes, which means that your body also responds differently to sports. Pregnancy causes the ligaments to become a little looser, which increases the risk of spraining or overloading the joints and muscles. The uterus enlarges, causing the centre of gravity of your body to shift. This can change your sense of balance. Your body also absorbs carbohydrates faster. Exercise can speed up this absorption, which can lower your blood sugar level. Because you have accelerated breathing, you may get out of breath a little faster.

It is therefore very important to listen to your body during pregnancy. If you have abdominal pain after exercising, this is a sign that you have done too much. A few more tips:

  • Drink enough before, during and after exercise;
  • Provide a moderate effort so that you do not become exhausted or out of breath;
  • Do not engage in any sport where there is a risk of abdominal injury, falls or strain on the joints;
  • Exercise is very healthy and prepares you well for the effort involved in giving birth. So keep moving and go for a walk, for example, if you don't do sports.

What to arrange in pregnancy?

It is important that you register for maternity care, preferably before 16 weeks of pregnancy.

The maternity nurse assists us during a home birth and helps you and your partner at home during the first week of maternity with the care of the baby and yourself, even after a hospital birth.

  • She offers (physical) care to mother and child.
  • She carries out checks on mother and child.
  • She provides information.
  • She offers help and advice in feeding the baby.
  • She does light housework.
  • If the maternity nurse identifies problems, she will consult the midwife.

You can register at one of the following maternity offices:

Geboortezorg Limburg : geboortezorglimburg.nl
LieV : lievkraamzorglimburg.nl
Kraamzus : kraamzus.nl

Als je niet bent getrouwd, is de biologische vader of je partner niet automatisch de officiële vader/ moeder van je kind. Hij/zij moet het kind daarom erkennen. Met erkennen regel je ook de achternaam van de baby. Dat kan de naam van je partner zijn maar ook een combinatie van beide namen is mogelijk.  Dit kan bij de Burgerlijke Stand van de gemeente waar je woont.

Naast erkennen is het vaak ook wenselijk dat je partner het ouderlijk gezag over het kind krijgt. Met het ouderlijk gezag kan de vader/moeder beslissingen nemen over de opvoeding en verzorging van het kind. Je partner mag ook ‘rechtshandelingen’ verrichten in naam van zoon of dochter. Bijvoorbeeld het zetten van een handtekening of het voeren van een gerechtelijke procedure. 

De vader/moeder kan het kind erkennen op de volgende momenten:

  1. During the pregnancyEr wordt een akte gemaakt. De zwangere moet hier altijd bij aanwezig zijn. Tijdens de zwangerschap is dit het handigste moment. Na 24 weken is het regelen handig want dan is de achternaam ook bij eventuele vroeggeboorte goed geregeld volgens jullie wensen.
  2. At the birth registration. If this is your first child, the mother must be present when the declaration is made. Since a birth registration has to take place within 3 days after the birth, it can be quite burdensome for the mother to go to the town hall.
  3. At any time after birth. Als je partner het kind niet tijdens de zwangerschap of de geboorteaangifte heeft erkend, kan dit later ook nog. Er wordt dan een aparte akte opgesteld waarin de partner wordt erkend als de officiële vader/moeder van het kind. Jullie kind heeft dan de eerste periode de achternaam van de moeder.