Conception
To improve your chance of success when trying to conceive (fertility treatment)
To improve your chance of success when trying to conceive you should consider:
– Both partners stopping smoking.
– Ensuring you are eating a healthy diet and consider taking an antenatal supplement which contains folic acid and vitamin D.
– If you are under 35 years old and having regular periods we advise you to continue trying and make the recommended health adjustments as most couples fall pregnant within two years.
– If you have been trying to conceive for over two years and are under 35 years please make an appointment for the GP to arrange some tests for yourself (blood test) and your partner will need to see his usual GP for semen analysis.
– If you are aged over 35 and have been trying to get pregnant for 12 months please see a GP.
– If you are trying to conceive and not fallen pregnant after 12 months and have irregular or absent periods please see a GP to discuss your issues.
– Depending on your blood and semen tests results you will be referred onto a specialist in fertility who will discuss your options.
Please be aware that in Gloucestershire there are restrictions on who is eligible for funding towards fertility treatment:
– Neither partner can have any living children from the current or previous relationship.
– Neither partner can be a smoker or have issues around dependence with substance or alcohol misuse.
– The female partner must be under age 40 and have a BMI between 19-30.
– Neither partner can have previously been sterilised.
Website
www.nhs.uk/getting-pregnantDiabetic and thinking of becoming pregnant?
If you have type 1 or type 2 Diabetes and are considering pregnancy it is better to have pre-pregnancy counselling to discuss your options. This is because many diabetic medications and associated medications that are used for blood pressure and cholesterol should not be used prior to becoming pregnant and during pregnancy.
Having diabetes increases the risk of complications to mother and baby. It is important that there is tight blood sugar control and this includes levels in the few months prior to conception.
Because there are an increased risk of heart and spinal cord abnormalities in babies born to diabetic mothers , we advise that you take 5mg folic acid which is only available on prescription.
The Diabetes Consultants are very clear that they prefer to meet with patients before they become pregnant to look at medication and plan for future pregnancies. This helps to reduce the risk of complications during pregnancy leading to better outcomes for mothers and babies.
Website
www.diabetes.co.uk/pregnancy
Pregnancy and birth
Found out you are pregnant, what happens now?
Gloucestershire hospitals has booking system for people who are newly pregnant or have moved into the area and would like to access midwifery services in Gloucestershire.
Rather than presenting to a GP surgery, you can access maternity services via a portal on the Gloucestershire Hospitals website. Once the simple booking form has been submitted, a midwife from your local team will make contact within a few days.
You can make contact as early as you wish after a positive pregnancy test, but ideally, before 10 weeks of pregnancy so your midwife can discuss relevant information about your personal and family history which may impact on your pregnancy.
To ensure the wellbeing of you and your baby, it’s vital that you have antenatal care, and this is your first step.
If you require assistance completing the form or experience any difficulties, please still attend your GP Practice.
Website
Your first midwife appointment (gloshospitals.nhs.uk)Maternity Services at Gloucestershire Royal Hospital
Maternity Advice Line/Triage
0300 422 5541
Delivery Suite
0300 422 5542
The Birth Unit
0300 422 5523
Maternity ward
0300 422 5520
Maternity Outpatients
0300 422 6103
Neo-natal Unit
0300 422 5529
Website
www.gloshospitals.nhs.uk/maternity
MAMA Academy
MAMA Academy’s mission is to empower all maternity professionals and expectant parents on stillbirth prevention methods to help more babies arrive safely.
Phone
07427 851670
Website
MAMA Academy
Email
contact@mamaacademy.org.ukBaby Buddy: Pregnancy & Parent
Baby Buddy is an award winning mobile phone app for new parents and parents-to-be, created by mums, doctors and midwives.
Google Play Store
Download Baby Buddy on the Google Play Store
Apple App Store
Download Baby Buddy on the Apple App StoreTommy’s
Tommy’s provides information and support to empower parents during pregnancy.
Website
Tommy’sNHS Pregnancy
This guide includes all you need to know about trying for a baby, pregnancy, labour and birth.
Website
NHS: PregnancyBumps – Best use of medicine in pregnancy (Leaflets A-Z)
This information is not intended to replace the individual care and advice of your health care provider. The decision to start, stop, continue or change a medicine before or during pregnancy should be made together with your health care provider. When deciding whether or not to use a medicine in pregnancy you need to weigh up how the medicine might improve your and/or your unborn baby’s health against any possible problems that the drug may cause.
Website
www.medicinesinpregnancy.orgHypnobirthing
Our hypnobirthing service, run by our midwives, is proving really popular with mums-to-be. As an addition to our free-of-charge antenatal education provision, these classes have a small charge, but some concessionary rates are available.
You can attend from 28 weeks’ pregnant.
You can book or find out more by emailing
ghn-tr.hypnobirthingclassesgloucestershire@nhs.netKeeping Active During Pregnancy
You may get told that pregnancy is a good time to put your feet up but if your pregnancy is uncomplicated it is actually much healthier for you and your baby to exercise while pregnant.
Phone
0800 0147 800
Website
Being healthy during pregnancyWould you like to Stop Smoking?
With support, people are four times more likely to successfully stop smoking.
Healthy Lifestyles Gloucestershire will help you every step of the way.
Website
HLS Gloucestershire – Stop SmokingGestational Diabetes
Gestational Diabetes is the development of raised blood sugar readings during pregnancy. If you develop gestational diabetes it can lead to complications during your pregnancy for you and your baby.
If you have had Gestational Diabetes before and become pregnant again please contact the GP again as soon as you are aware as you will need to be seen in the joint antenatal and diabetic clinic. The specialists are keen to see you early on in your pregnancy.
If you would like to reduce your risk of developing type 2 diabetes please look at joining our Eat Real Food programme.
Website
www.diabetes.co.uk/gestational-diabetesCoronavirus Infection and Pregnancy
Please view the below Q&A’s and information for pregnant women and their families
Website
www.rcog.org.uk
Mental health during pregnancy
Struggling with your Mental Health?
Pregnancy can be very stressful and some women struggle with feelings of anxiety and or depression. If you are feeling this way please let your midwife know.
Let’s Talk – offers a priority service to pregnant patients – provides free, confidential support and advice.
Phone
0800 073 2200
Website
www.talk2gether.nhs.uk
The Association for Post Natal Illness runs a helpline, provides information and has a network of volunteers. Phone
0207 386 0868
Website
www.apni.orgDad Matters Gloucestershire
Supporting dads in Gloucestershire to have the best possible relationship with their families.
Phone
01453 821340
Website
www.dadmatters.org.uk/gloucestershire
Poster
Dad Matters information leaflet (PDF)
Email
dadmatters@homestartsd.orgPANDAS
PANDAS supports anyone, including fathers and partners, suffering from pre (antenatal) and postnatal illnesses.
Phone
0843 28 98 401
Website
PANDASSamaritans
Samaritans offer a confidential listening service. You can call them at any time about whatever’s getting to you.
Phone
116 123
Website
SamaritansMiscarriage (Bereavement Services)
The death of a baby is devastating to parents and their families.
At the Women’s Centre at Gloucester Royal Hospital they have two special suites in which you and your family can spend time with your baby and prepare for your return home.
You will be put in touch with one of the specialist bereavement midwives who will help you to find the best way for you and your partner to cope with your loss.
It may also help to talk about your feelings with other parents who have lost a baby in a similar way. SANDS has a Gloucestershire branch, run by our midwives, and can offer support and put you in touch with other parents who can offer friendly help.
Website
SANDS (the Stillbirth and Neonatal Death Society)
Antenatal care
Health Visitor
Your Health Visitor will usually contact to meet with you around two weeks after baby has been born and you have been discharged by the Midwifery Team.
They are able to support you with many issues until your baby starts school or turns five.
Gloucestershire Care Services
www.glos-care.nhs.uk/health-visiting
Keeping fit and healthy with a baby
www.nhs.uk/keeping-fit-and-healthy/Healthy Start
With Healthy Start, you get free vouchers every week to spend on milk, plain fresh and frozen fruit and vegetables, and infant formula milk. You can also get free vitamins. You could qualify if you’re on benefits, or if you’re pregnant and under 18.
Website
Get help to buy food and milk (Healthy Start)Start for Life
Trusted NHS help and advice during pregnancy, birth and parenthood.
Website
Start for life
Infant feeding
A fed baby is a happy baby
If you are breastfeeding your baby and would like help, or would like to get out and meet other mothers, breastfeeding groups can be a lifesaver.
In Gloucestershire you will be supported by your health visitor and midwife if you decide to breast feed and have any problems but we are also fortunate to have two charities providing non-judgemental support across the county.
Websites
Breastfeeding
Formula/bottle feeding
Weaning children onto solid foods (normally starts at about six months)
Poster
Vitamin D guidance (PDF)Breastfeeding friend from Start4Life
It can take a while to feel confident about breastfeeding, but you’re not alone. Your midwife and health visitor are there to help, guide and support you.
If you have breastfeeding questions the Breastfeeding Friend from Start4Life has lots of useful information and expert advice.Eating low carb or keto when breastfeeding
Do you want to eat a low-carb diet while breastfeeding? It can be an excellent way to lose excess weight, while still eating all the nutritious foods that you and your baby needs.
Website
www.dietdoctor.com/low-carbDiagnosis of mild-to moderate cow milk allergy
Practical pointers for Parents/Carers on how to carry confirm or exclude the diagnosis of mild-to moderate Cow Milk Allergy.
Posters
Home reintroduction protocol to confirm or exclude diagnosis (PDF)
Cow’s Milk Free Diet Information for Babies and Children (PDF)
The iMAP Milk Ladder (PDF)
iMAP Milk Ladder Recipes (PDF)Paediatric Dietitian Resources
The paediatric dietetic team have developed videos which offer dietary advice if you have a child with dietary needs.
Website
www.gloshospitals.nhs.uk/paediatric-dietitian-resources