'Prenatal' or 'antenatal' development is the period during which an embryo or fetus gestates during pregnancy, from fertilization until birth.
Royal Stoke University Hospital
The Antenatal Clinic is an outpatient clinic, situated on the Ground Floor of the Maternity Centre. It is where we provide antenatal care for women who are under the care of one of our consultants rather than those who intend to give birth at home or in our Midwife Birth Centre.
The Antenatal Clinic is open Monday to Friday 8.30am - 5.00pm. Vending machines are available at the main entrance to the maternity centre selling drinks and snacks. There is a drinking water dispenser and also a public telephone and a free taxi phone within the unit.
If your midwife has recommended that you are referred to the hospital for an antenatal appointment it is generally due to something in either you or your family history that requires more monitoring than can be provided in the community. When attending the antenatal clinic at the hospital you will have a urine test, blood pressure check and an abdominal examination.
Further tests such as blood tests and ultrasound scans may be offered. The reason should be explained to you so you can understand your care. Unlike visits done in the community, during this appointment you will be seen and examined by a consultant obstetrician who will become responsible for planning further care.
Follow-up antenatal visits
Follow-up visits will be offered depending on your care pathway. These may be with the community midwife or at the hospital with an obstetrician or a combination of both. Usually follow-up visits do not take as long as the initial visit but the same routine examination will be conducted, whihc includes blood pressure and an abdominal examination. Your urine will also be tested and depending on the stage of your pregnancy, your baby's heart rate listened to.
These examinations give an indication of your baby's growth, development and wellbeing. After about 30 weeks of your pregnancy you will be able to detect a clear pattern of movements. If you feel this pattern has changed you should contact the hospital on the 24-hour help ine given to you by your community midwife.
You will usually have two scans; one between 11 – 13 weeks of pregnancy and a detailed scan at approximately 20 weeks. They will be carried out in the hospital's scan department at Royal Stoke and County Hospital, at Bentilee Neighbourhood Centre or Bradwell Hospital. Your community midwife will book the most appropriate venue for you. Other venues may be available in the near future. You will be able to purchase a photograph of the scan.
Click here to download a leaflet about coming for a scan
- Antenatal Clinic Reception: 01782 672111
- Antenatal Clinic Appointments: 01782 672113
- Antenatal Clinic Manager: 01782 672111
Our staff and clinics
We combine a number of specific medical disorders with obstetric clinics so women should always have the opportunity to be cared for by the specialist consultant. We have 11 consultant obstetricians who each run clinics and have specialist areas of expertise.
Many of our midwives also have individual areas of expertise. We have an antenatal screening specialist midwife, a perinatology midwife, a midwife with a special interest in Epilepsy, a midwife with a special interest in Diabetes and a midwife who coordinates care for vulnerable women.
On Wednesday mornings we hold a midwife-led PEACH (Parent Emotional Antenatal Clinic for Health) clinic which deals with mental health issues. We also have a specialist perineal clinic which is run by a midwife who is a professor in women's health. All of the midwives work alongside the specialist consultants within the antenatal clinic.
A pre-operative assessment clinic is held every morning Monday to Thursday for women who plan to have a caesarean section.
On Tuesday afternoons our midwives see pregnant women, particularly those who live outside the immediate area, for their first appointment and on Friday afternoons we have a midwife-led Anti-D clinic for mums who are Rhesus negative.In order to maintain continuity of care the Antenatal Clinic also has strong links with the community midwifery team.
The Perineal Care Clinic
The dedicated Perineal Care Clinic was set up at University Hospital in March 2003. It runs every Wednesday morning and afternoon. The main aim of the clinic is to provide care for women who suffer from perineal problems including bowel, bladder or sexual dysfunction following childbirth. We also see women during the early antenatal period who have experienced complex perineal trauma or anal sphincter injuries during previous births, in order to advise regarding the best mode of delivery.
Women can be referred directly to the clinic via their midwives, general practitioners, health visitors, physiotherapists, practice nurses, and consultants. The Perineal Care Team works closely with other disciplines, including obstetric physiotherapists, colorectal surgeons, urogynaecologists and continence advisors. The multi-disciplinary team meets monthly to discuss and plan appropriate care for women with complex problems.
Where needed, we refer women for further investigations, such as an endo-anal scan or anorectal physiology tests. The Perineal Care Clinic provides exceptional care in a friendly environment and the way it works is being copied by many other units. We are leading in research relating to perineal care and also run local, national and international courses relating to the management of perineal trauma.
The Parent Emotional Antenatal Clinic for Health (PEACH)
This is a weekly specialised multidisciplinary service working with the parent and baby day unit at Bucknall Hospital. PEACH is a midwife-led specialised perinatal mental health clinic that runs alongside a consultant led antenatal clinic. The main aim of this service to provide guidance, advice and support for women in relation to any current or past mental health issues throughout their pregnancy.
Fetal medicine offers patients detailed assessment and screening of their fetus with ultrasound when a problem is suspected. We also offer procedures including amniocentesis and chorionic villus sampling. The service is run by a multidisciplinary team including midwives, support workers, radiographers, secretaries, paediatric and neonatal specialists.
This is a monthly specialised multidisciplinary clinic that has strong links with the hospital's neurology department. Care pathways for this clinic are in line with the National Institute of Clinical Excellence (NICE), Scottish Intercollegiate Guideline Network (SIGN) and the Confidential Enquiry into Maternal and Child Health (CEMACH) recommendations for the management of epilepsy in pregnancy. The role of the clinic has also been extended to care for women with other neurological problems.
Screening tests for you and your baby
Click here to find out more about what screening is offered for you and your baby during and after pregnancy.