Maternity notes

Maternity notes

Close up of midwife and pregnant woman sharing her maternity notes You will be given a set of handheld maternity notes you should keep with you at all times, and bring to all your appointments. Your appointments will normally be documented in here, along with results from your blood tests and scans. All maternity units in England are moving toward the use of digital records and these records are stored securely on the maternity unit’s IT system. You can ask your maternity care provider to explain anything that has been written in your maternity notes if you’re not sure.

41 weeks

41 weeks

Midwife checks the size and the position of the baby by feeling the woman's pregnancy bump Your care provider will:
  • enquire how you are feeling and if you have any concerns
  • check your blood pressure and urine
  • measure the size of your abdomen to check your baby is growing well
  • check your baby’s position and discuss the importance of this
  • offer you a membrane sweep (a vaginal examination which may help encourage labour to start naturally)
  • discuss induction of labour and book it with your consent
  • be able to reassure you and, if required, signpost you to appropriate services.

40 weeks (first pregnancy only)

40 weeks (first pregnancy only)

Close up of hand-held device monitoring fetal heartbeat on pregnancy bump Your care provider will:
  • enquire how you are feeling and if you have any concerns
  • check your blood pressure and urine
  • measure the size of your abdomen to check your baby is growing well
  • check your baby’s position and discuss the importance of this
  • discuss your choices and options if your pregnancy lasts longer than 41 weeks
  • be able to reassure you and, if required, signpost you to appropriate services.

38 weeks

38 weeks

Midwife talks to a pregnant woman at home Your care provider will:
  • enquire how you are feeling and if you any concerns
  • check your blood pressure and urine
  • measure the size of your abdomen to check your baby is growing well
  • check your baby’s position and discuss the importance of this
  • be able to reassure you and, if required, signpost you to appropriate services.

36 weeks

36 weeks

Midwife measuring pregnant woman's bump with a tape measure Your care provider will:
  • enquire how you are feeling and if you have any concerns
  • check your blood pressure and urine
  • check your carbon monoxide level and your household smoking status
  • measure the size of your abdomen to check your baby is growing well
  • check your baby’s position and discuss the relevance of this
  • review, record and discuss the results of any tests you may have had
  • provide you with information about feeding your baby, Vitamin K for your baby and preparing for parenthood, and discuss your feelings around these topics
  • be able to reassure you and, if required, signpost you to appropriate services.

34 weeks

34 weeks

Couple at a maternity unit appointment Your care provider will:
  • enquire how you are feeling and if you have any concerns
  • check your blood pressure and urine
  • measure the size of your abdomen to check your baby is growing well
  • review, record and discuss the results of any tests you may have had
  • discuss choosing place of birth, preparing for birth and beyond and thinking about your birth and after birth care plans
  • you may also be offered more screening tests at this appointment
  • be able to reassure you and, if required, signpost you to appropriate services.

31 weeks (first pregnancy only)

31 weeks (first pregnancy only)

Close up of tape measure on pregnant woman's bump Your care provider will:
  • enquire how you are feeling and if you have any concerns
  • check your blood pressure and urine
  • measure the size of your abdomen to check your baby is growing well
  • review, record and discuss the results of any tests you may have had
  • be able to reassure you and, if required, signpost you to appropriate services.

28 weeks

28 weeks

Smiling midwife feels pregnant woman bump at home Your care provider will:
  • enquire how you are feeling and if you have any concerns
  • check your blood pressure and urine
  • measure the size of your abdomen to check your baby is growing well
  • be able to reassure you and, if required, signpost you to appropriate services.
You may also be offered more screening tests at this appointment, and/or an anti-D injection if you have a rhesus negative blood group.

25 weeks (first pregnancy only)

25 weeks (first pregnancy only)

Pregnant woman at appointment with doctor Your care provider will:
  • enquire how you are feeling and if you have any concerns
  • check your blood pressure and urine
  • measure the size of your abdomen to check your baby is growing well
  • be able to reassure you and, if required, signpost you to appropriate services.

Anomaly scan (18-21 weeks)

Anomaly scan (18-21 weeks)

Sonographer scaning pregnant woman's bump Your sonographer will check:
  • enquire how you are feeling and if you have any concerns
  • your baby is growing well
  • for any major physical abnormalities in your baby
  • your baby’s bones, heart, brain, spinal cord, face, kidneys and abdomen
  • your placenta is in the right place and not covering the cervix, which can cause complications
  • be able to reassure you and, if required, signpost you to appropriate services.