Epsom and St Helier Hospital
Early Pregnancy Check-up

Establishing your due date or expected date of delivery (EDD) is important. It allows your doctor to monitor your baby’s growth and the progress of your pregnancy.

Due date also helps with scheduling tests and procedures, so they are done at the right time.

 

What test is recommended?

 Trans vaginal scan to establish pregnancy with or without blood test (for pregnancy related hormone test)

 

Later on, more extensive blood test to:

 Check your blood type and Rh status.

 Measure your haemoglobin

 Check immunity to certain infections

 Detect exposure to other infections. Your health care provider will suggest blood tests to detect infections such as hepatitis B, syphilis, gonorrhoea, chlamydia and HIV.

 Random Blood sugar

 Detect Urine infection by urine culture

 

Pain during first 6 weeks of Pregnancy

It is important to exclude Ectopic Pregnancy. This means pregnancy is not inside the womb but inside the tube, in the neck of the womb or on the ovaries.

 

Bleeding in Pregnancy

Vaginal bleeding during pregnancy has many causes.

It’s important to report any vaginal bleeding during pregnancy to your GP or our consultants. If bleeding is heavier or associated with pain then urgently attend nearest A&E (emergency department) of NHS Hospital.

 

Bleeding during the first trimester (week 1 to week 12):

 Sometimes bleeding during pregnancy indicates an impending miscarriage

 If you have moderate to heavy vaginal bleeding, pass tissue from your vagina, or experience any amount of vaginal bleeding accompanied by abdominal pain, cramping, fever or chills then urgently go to nearest NHS hospital with Emergency service.

 Inform your health care provider if your blood type is Rh negative 2nd trimester

 

Bleeding during the second trimester (weeks 13 to week 24):

 Contact your GP or our consultants the same day if you have light vaginal bleeding that goes away within a few hours

 Contact your NHS (Emergency Department) urgently if you have any amount of vaginal bleeding that lasts longer than a few hours or is accompanied by abdominal pain, cramping, fever, chills or contractions

 

Bleeding during the third trimester (weeks 25 through 40):

 Immediately inform your Midwife / Consultant / GP / Maternity unit for any vaginal bleeding. 

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