Details of previous pregnancies are relevant when making decisions about the care you receive. Some of the main topics are described below. If there is anything else you think may be Important, tell your midwife or doctor.
Para. This is a term which describes how many babies you already have. Usually early pregnancy losses are also listed after a ‘plus’ sign. For example the shorthand for two previous births and one miscarriage is ‘2 + 1’.
High blood pressure and/or pre-eclampsia : if you had this condition last time, you are more likely to have it again, although id is usually less severe and starts later in pregnancy. It is more likely to happen again if you have a new partner.
Premature birth. This, means any birth before 37 weeks but the earlier the baby is born, the more likely that it will have problems and need special or intensive neonatal care. The chance of premature berth is increased because of smoking, infection, ruptured membranes, bleeding, or poor growth. Having had a baby prematurely increases the chances of it happening again.
Small babies (fetal growth restriction). If one of your previous babies was growth restricted , there is a chance if it happening again. Arrangements will be made to watch this baby ‘ s’ growth more
closely, offering ultrasound scans and other tests as necessary ( see page 12).
Big babies (macrosomia). A baby over 4.5 kg is usually considered big – but this also depends on your size and how many weeks pregnant you were when the baby was born. You may be offered a blood test to check for high blood sugar (diabetes), which may be linked to having big babies.
Previous caesarean section. If you have had one caesarean section in the past you have a good chance (at least 2 in 3) of having a vaginal birth this time. Your doctor will discuss with you the reason for your last caesarean and the options for childbirth this time. Labour after a previous caesarean section is monitored more closely, to make sure the old scar does not tear although in over 99% of cases this does not happen. If you have had two or more caesarean section in the past, you will usually be advised to have your next baby (ies) also by caesarean section.
Bleeding after birth, Postpartum hemorrhage (PPH) means a significant loss of blood after birth (usually 500 ml or more). Often this happens when the womb does not contract strongly and quickly enough. There is a chance of it happening again, but your careers will make sure they are prepared.
Postnatal well being – The postnatal period lasts up to 6 weeks after the berth and it is during this time your body recovers. However, for some women problems can occur, including feeding difficulties, slow perineal healing, or concerns with passing urine, wind and/or stools. If you have experienced these or any other complication, talk to your doctor or midwife.
Depression-It is quite common to feel low for a little while after having a baby because of hormonal changes and tiredness. However, some mothers do become seriously depressed. This can carry on for months or even years and may require help, counseling and/or medication. Depression can happen again, so it is important that we know about it. We can then discuss any special worried or anxieties you may have and arrange counseling and help to suit your needs.
Miscarriages. A miscarriage (sometimes also called spontaneous abortion) is usually though to happen because of a one-off problem with them baby’ s chromosomes, causing an abnormality . After one miscarriage, the chances of a successful next pregnancy are as good as before. If you have had there or more miscarriages, there is still a good chance that this pregnancy will go well, but special tests may be required. If you ever had any MTP piztell us it is strictly confidential the first half of pregnancy is a time when various tests are offered to check for potential proble3ms by blood tests and ultrasound scan. The test listed here are the ones usually recommended. We can list only brief points here but further information can be found on internet and additional discussion can be done by doctor. Do not hesitate to ask what each test means. The choice is yours and you should have all relevant information to help you make up your mind, before the visit when the test(s) are actually done.