Pregnancy Support & Postnatal Care

Our practice provides holistic support throughout pregnancy and after birth, helping you navigate early pregnancy, recovery, and maternal wellbeing. We follow national guidance from the NHS and the Royal College of Obstetricians and Gynaecologists to ensure safe, effective, and patient-centred care.

Early Pregnancy Care

Positive Pregnancy Tests

If you suspect pregnancy:

• Use a home pregnancy test and follow the instructions carefully

• Contact the practice or your local midwifery service for confirmation with a blood or repeat urine test

• Book your booking appointment with a midwife as early as possible (ideally before 10 weeks)

Further information:

• NHS – Confirming pregnancy:
  https://www.nhs.uk/pregnancy/early-pregnancy/

Early Pregnancy Symptoms

Common early signs include:

• Missed periods

• Nausea or vomiting (“morning sickness”)

• Fatigue

• Tender breasts

• Mild cramping or spotting

Seek medical advice if you experience:

• Severe abdominal pain

• Heavy bleeding

• Dizziness or fainting

Further information:

• NHS – Early pregnancy symptoms:
  https://www.nhs.uk/pregnancy/your-body/pregnancy-symptoms/

Hyperemesis Gravidarum (Severe Morning Sickness)

Some patients develop hyperemesis gravidarum, requiring medical support. Symptoms may include persistent vomiting, dehydration, and weight loss.

Treatment may include:

• Hydration and electrolytes

• Pregnancy-safe anti-sickness medications

• Referral to specialist services if needed

Further information:

• NHS – Hyperemesis gravidarum:
  https://www.nhs.uk/conditions/pregnancy-and-baby/hyperemesis-gravidarum/

Miscarriage Support

Miscarriage is common, affecting roughly 1 in 5 confirmed pregnancies. Support is available medically and emotionally.

• Contact the practice urgently if experiencing bleeding, pain, or passing tissue

• Referral to early pregnancy units for assessment and treatment

• Emotional support and counselling services are available

Further information:

• NHS – Miscarriage:
  https://www.nhs.uk/conditions/miscarriage/

• Miscarriage Association:
  https://www.miscarriageassociation.org.uk/

Referral to Midwifery Services

All pregnant patients are encouraged to book with a midwife as early as possible. Midwives provide:

• Early pregnancy care and advice

• Screening and routine tests

• Support with lifestyle, nutrition, and pregnancy planning

• Referral to specialist care if needed

Further information:

• NHS – Midwife appointments:
  https://www.nhs.uk/pregnancy/your-pregnancy-care/

Postnatal & Maternal Wellbeing

Postnatal Checks

After birth, you should have a postnatal check around 6–8 weeks to assess:

• Physical recovery (uterus, wound healing, blood pressure)

• Emotional wellbeing

• Breastfeeding and feeding support

• Family planning and contraception

Further information:

• NHS – Postnatal care:
  https://www.nhs.uk/pregnancy/after-birth/postnatal-checks/

Pelvic Floor Support

Pregnancy and birth can weaken pelvic floor muscles, leading to incontinence or prolapse. Support includes:

• Pelvic floor exercises (Kegels)

• Referral to physiotherapy if needed

• Guidance on safe exercise after birth

Further information:

• NHS – Pelvic floor exercises:
  https://www.nhs.uk/conditions/pregnancy-and-baby/pelvic-floor-exercises/

Birth Recovery

Recovery after birth varies but may include:

• Managing perineal or caesarean wounds

• Monitoring bleeding and pain

• Gradual return to activity and exercise

• Addressing long-term effects (pelvic floor, back pain)

We provide guidance, reassurance, and referrals where appropriate.

Postnatal Contraception

After birth, fertility can return quickly—even before your period resumes. Options include:

• Progestogen-only contraception (pill, implant, injection)

• Barrier methods (condoms)

• Intrauterine devices (IUD/IUS)

Your GP or midwife can advise on the safest and most suitable method for you.

Further information:

• NHS – Contraception after childbirth:
  https://www.nhs.uk/conditions/contraception/after-childbirth/

Emotional Wellbeing After Birth

Many parents experience mood changes, anxiety, or postnatal depression. Support includes:

• Screening at postnatal checks

• Referral to perinatal mental health services

• Counselling and support groups

Further information:

• NHS – Emotional wellbeing after birth:
  https://www.nhs.uk/mental-health/conditions/perinatal-mental-health/

When to Contact Us Urgently

Seek immediate medical advice if you experience:

• Heavy bleeding or clots

• Severe abdominal or pelvic pain

• Signs of infection (fever, discharge, redness)

• Severe mood changes or thoughts of self-harm