Adult Health

Pregnancy

Some links on this page have been colour coded to make it easier to find the information you need:

Quick Read
In-depth
Clinical level

There are excellent local and national services you can self-refer to which are covered below and numerous sources of good and detailed information covered in the frequently asked questions sections. A good place to start is the NHS website which provides a well organised and simple overview covering most topics which will complement any service that you use.

From the NHS
Pregnancy Pregnancy – NHS
This includes

LOCAL SUPPORT - SELF REFERRAL

There is significant local support for pregnancy. You are able to self-refer to any of the local hospitals for maternity care without needing to see your GP. In addition, you can get direct support from the local maternity team for any urgent help required or just simple advice. This is all explained below with other support.

SELF-REFERRAL FOR MATERNITY CARE

Information on self-referral process from patient info and what to expect
Refer Yourself for NHS Antenatal Care NHS Antenatal Care Self Referral | Patient

Booking at Stoke Mandeville hospital or Wycombe or Aylesbury birth centres (Buckinghamshire Health Care Trust)

Booking at Wexham Park Hospital (Frimley Trust)
To be booked under the care of Wexham Park Hospital (Frimley Health Foundation trust) just fill in their form Your pregnancy

Booking Hillingdon Hospital
To be booked under the care of Hillingdon Park Hospital just fill in their form Self-refer to Maternity | The Hillingdon Hospitals NHS Foundation Trust 

SUPPORT FOR TEENAGE PREGNANCIES AND YOUNG PARENTS

From Sexual Health Buckinghamshire
Teenage pregnancies and young parents Teenage Pregnancy and Young Parents | Sexual Health Bucks

FOR IMMEDIATE CARE WHEN DO I CALL MY MATERNITY TEAM AND WHEN 999

As the NHS suggests
Advice: Call your midwife or maternity team immediately if:

  • your baby is moving less than usual
  • you cannot feel your baby moving
  • there is a change to your baby’s usual pattern of movements
  • you have any bleeding from your vagina
  • you’re feeling very anxious or worried
  • you have a headache that does not go away
  • you get shortness of breath when resting or lying down
  • you cannot cope with your COVID-19 symptoms at home
  • your temperature is raised
  • you have severe tiredness
  • you feel unsafe at any time
    Do not wait until the next day or your next appointment – call immediately, even if it’s the middle of the night.”

Required: Call 999 if:

  • you feel very unwell or think there’s something seriously wrong
  • you have severe chest pain
  • you cough up blood
  • you feel cold and sweaty, with pale or blotchy skin
  • you collapse or faint
  • you have a rash that looks like small bruises or bleeding under the skin and does not fade when you roll a glass over it
  • you feel agitated, confused or very drowsy
  • you’ve stopped peeing or are peeing much less than usual
  • you’re so breathless that you’re unable to say short sentences when resting
  • your breathing has got suddenly worse”
    This is taken from NHS choices Pregnancy and coronavirus (COVID-19) – NHS  but it covers serious medical conditions beyond Covid.

How do I call the LOCAL maternity team for IMMEDIATE CARE?

If you need immediate care relating to your pregnancy
Following your self-referral to your chosen maternity unit, you will be given contact details for the maternity team. If you think you need immediate care as described in the question above call your maternity team. If you think you having an emergency as described in the question above, call 999.

This is also explained further in the hospital links with the telephone numbers below:

For Patients booking at Stoke Mandeville hospital or Wycombe or Aylesbury birth centres (Buckinghamshire Health Care Trust)
I/My baby needs urgent care I/My baby needs urgent care – Buckinghamshire Healthcare NHS Trust – Birth Choices Website

For Patients booking at Wexham Park Hospital (Frimley Trust)
Who to call if I am concerned about myself or my baby? Concerns in pregnancy

For Patients booking Hillingdon Hospital
This service is open 24 hours a day for anyone 18 weeks and over for pregnancy related problems or advice Wards, clinics, visiting and contacts | The Hillingdon Hospitals NHS Foundation Trust

SIMPLE ADVICE

If you need simple advice (non-urgent) relating to your pregnancy

You can contact your maternity team for simple advice on pregnancy related issues using the contact details below for your local hospital.

For Patients booking at Stoke Mandeville hospital or Wycombe or Aylesbury birth centres (Buckinghamshire Health Care Trust)
You can contact your midwife for simple advice What to do when I find out I’m pregnant – Buckinghamshire Healthcare NHS Trust – Birth Choices Website 

For Patients booking at Wexham Park Hospital (Frimley Trust)
Who to call if I am concerned about myself or my baby? Concerns in pregnancy

For Patients booking Hillingdon Hospital
Our Maternity Triage department is a 24/7 service for people over 18 weeks of pregnancy Wards, clinics, visiting and contacts | The Hillingdon Hospitals NHS Foundation Trust

PARENT EDUCATION AT A LOCAL HOSPITAL

For Patients booking at Stoke Mandeville hospital or Wycombe or Aylesbury birth centres (Buckinghamshire Health Care Trust)
Free Parent education (note you need to scroll to the bottom of the page to find the information on the courses and the link to book onto the courses) Care during your pregnancy – Buckinghamshire Healthcare NHS Trust – Birth Choices Website

For Patients booking at Wexham Park Hospital (Frimley Trust)
Parent education (Note: there is a charge for Buckinghamshire residents but free for East Berkshire residents) Register for free online parenting courses

For Patients booking Hillingdon Hospital
Want to book Parent education  Antenatal classes | The Hillingdon Hospitals NHS Foundation Trust

LIFESTYLE CHANGES

For local support for lifestyle changes, see under

Antenatal low mood

You can speak to your midwife initially about low mood. An example of midwife/ hospital support is given below but this applies to all hospitals.

For Patients booking at Stoke Mandeville hospital or Wycombe or Aylesbury birth centres (Buckinghamshire Health Care Trust)
Perinatal mental health Perinatal mental health – Buckinghamshire Healthcare NHS Trust – Birth Choices Website

From Buckinghamshire Mind
Your midwife can refer you to the perinatal support service
Perinatal support service Buckinghamshire Mind – Perinatal Support Service

Postnatal low mood

From Buckinghamshire Mind
Your health visitor can refer you to the perinatal support service
Perinatal support service Buckinghamshire Mind – Perinatal Support Service

From Buckinghamshire Talking Therapies
“Postnatal wellbeing group: A 10-week structured group designed to help mothers struggling with depression and anxiety after birth” (scroll down page to see). Courses and groups – NHS Buckinghamshire Talking Therapies

Support from your health visiting team
For information and contact details for your local health visitor team, see under

This includes

  • Includes what health visitors do, when they visit and how to contact the team for advice on all aspects of baby and child management and behaviour (covering children up to the age of 5).
  • Includes pregnancy advice and how to feed your baby working with the midwife team.

Further support for anxiety and low mood

For further local mental health support, see under

DOMESTIC ABUSE SUPPORT

From Frimley Health Foundation trust (Wexham Park Hospital)
“About 25% of women will experience domestic abuse at some point in their lives. It can be physical, emotional, sexual, psychological or financial. Unfortunately, it is known that pregnancy can be a trigger for the start of abuse, or it can worsen existing abuse. Abuse in pregnancy can be harmful to the mother and the baby.

We can help you. You can speak to your midwife; they can give you the support you need.”
Ask us for help Ask us for help | Frimley Maternity Health and Care

NOTE: This is from the Frimley website but contact your midwife for support whichever hospital you are under.

Further support

For other support locally, see under

Bereavement support

Every hospital will provide bereavement support, to support you at a very difficult time including:

From Buckinghamshire Healthcare NHS Trust
“Sadly, sometimes pregnancy does not go to plan. You may have experienced a miscarriage, ectopic pregnancy, termination or the death of your baby. We want to extend our sympathy to you and help you through this difficult time.” Bereavement support – Buckinghamshire Healthcare NHS Trust – Birth Choices Website

From Wexham Park Hospital (Frimley Trust)
“Although pregnancy and childbirth is safer now than ever before, not all pregnancies have the happy ending hoped for. It is always a very sad and difficult time when families are faced with unexpected loss and parents can be left feeling vulnerable, angry and confused.” Baby Loss 

Further support for bereavement

There is further support for bereavement locally, see under

Also see under the national support section for national helplines.

Health visitor

Support from your health visiting team
For information and contact details for your local health visitor team, see under

This includes

  • Includes what health visitors do, when they visit and how to contact the team for advice on all aspects of baby and child management and behaviour (covering children up to the age of 5).
  • Includes pregnancy advice and how to feed your baby working with the midwife team.

SUPPORT FOR PRE-SCHOOL CHILDREN AND PARENTS

For further information and local support.

Local hospital service for infant feeding

Similar services will be available from all local hospitals, an example is included below

From Buckinghamshire Health Care Trust
Infant feeding Infant feeding – Buckinghamshire Healthcare NHS Trust – Birth Choices Website

From Healthy Start NHS
If you’re more than 10 weeks pregnant or have a child under 4, you may be entitled to get help to buy healthy food and milk.

NATIONAL SUPPORT - SELF REFERRAL

There is particularly good national support for breast and bottle feeding, with detailed information particularly on breast feeding, in addition to the helplines.

BREAST FEEDING

From the National Breastfeeding Helpline
“The National Breastfeeding Helpline offers friendly, non-judgemental, independent, evidence based breastfeeding support and information to anyone in the UK who needs it. The helpline is provided by the Breastfeeding Network and the Association of Breastfeeding Mothers.”
National Breastfeeding Helpline National Breastfeeding Helpline – Helpline

From the Association of Breastfeeding Mothers
How to get breastfeeding support Get breastfeeding support – ABM

From La Leche League GB
Get Support Get Support – La Leche League GB

From NCT (the National Charity for Pregnancy, Birth and Early Parenthood.)
Support with breastfeeding or bottle feeding: our infant feeding line Support with breastfeeding or bottle feeding: our infant feeding line | NCT

BOTTLE FEEDING

From NCT (the National Charity for Pregnancy, Birth and Early Parenthood.)
Support with breastfeeding or bottle feeding: our infant feeding line Support with breastfeeding or bottle feeding: our infant feeding line | NCT

GENERAL SUPPORT

From Family lives
“Don’t forget you can chat to us online for support or call our helpline”
Advice about pregnancy and babies Pregnancy and baby advice – Family Lives

From NCT (the National Charity for Pregnancy, Birth and Early Parenthood.)
General enquiries for parents, members and volunteers. Contact us | NCT

Support for pre-school children and parents

For further information and national support also see under

support for anyone affected by the death of a baby

From the Miscarriage Association
“The Miscarriage Association is here to provide support and information to anyone affected by miscarriage, ectopic pregnancy or molar pregnancy.”
Our support services Miscarriage and pregnancy loss support – The Miscarriage Association

From Sands
Helpline: “The Sands National Helpline provides a safe, confidential place for anyone who has been affected by the death of a baby. Whether your baby died long ago or recently, we are here for you”. Sands Helpline – 0808 164 3332 [email protected] | Sands – Saving babies’ lives. Supporting bereaved families.

a pregnancy app

Though not a helpline this is included as a popular App to support parents.

From Best Beginnings
“Our free multi-award-winning, interactive pregnancy and parenting app Baby Buddy has been created to support parents, co-parents and caregivers, and to back up frontline practitioners’ work and communication. Baby Buddy provides trusted, evidence-based information and self-care tools, based on the latest research and is NHS-approved.”
Baby Buddy app Baby Buddy app | Best Beginnings

BEFORE DELIVERY

GENERAL OVERVIEW

From the NHS, Patient info and NICE
Pregnancy

From Start4life
Trusted NHS help and advice during pregnancy, birth and parenthood Start4Life

From NCT (the National Charity for Pregnancy, Birth and Early Parenthood.)
Pregnancy, birth and early parenthood The UK’s leading charity for parents | NCT

Local sERVICES AND MORE INFORMATION ON PREGNANCY

From Frimley Health Foundation trust (Wexham Park Hospital)
An excellent well organised resource with good information around pregnancy but note links to support smoking cessation does not include Buckinghamshire patients, see under self-referral section to local support for Buckinghamshire patients.
Maternity at Frimley Health and Care Maternity at Frimley Health and Care

From Buckinghamshire Health Care Trust
Mainly information on their service but some good leaflets
Birth choices website  Homepage – Buckinghamshire Healthcare NHS Trust – Birth Choices Website

From Hillingdon Hospital
Maternity and midwifery Maternity | The Hillingdon Hospitals NHS Foundation Trust

preconception advice

From the NHS

From Sexwise (produced by the Family Planning Association)
Simple well laid out advice
Planning a pregnancy Planning a pregnancy – Sexwise

From Patient info

From Frimley Health Foundation trust
Note links to support smoking cessation does not include Buckinghamshire patients, see at the bottom of this question for local support for Buckinghamshire patients.
Planning for pregnancy About Frimley Health and Care

From NICE
Pre-conception – advice and management  Pre-conception – advice and management | Health topics A to Z | CKS | NICE

Local support for lifestyle changes

For local support see under

travel information

From Fit for Travel (NHS Scotland and Public Health Scotland)
Advice for Pregnant Travellers Pregnant Travellers – Fit for Travel

From the NHS
Travelling in pregnancy Travelling in pregnancy – NHS

PREGNANCY CARE TIMETABLE

From the NHS

From Patient info
Pregnancy (see under “Information on Newborn Baby Screening Tests”) Pregnancy | Planning, Labour and Complications | Patient

From NICE
Antenatal care – uncomplicated pregnancy Antenatal care – uncomplicated pregnancy | Health topics A to Z | CKS | NICE

LOCAL SERVICES AND MORE INFORMATION ON PREGNANCY

From Frimley Health Foundation trust (Wexham Park Hospital)
Maternity at Frimley Health and Care Maternity at Frimley Health and Care

From Buckinghamshire Health Care Trust
Birth choices website  Homepage – Buckinghamshire Healthcare NHS Trust – Birth Choices Website

From Hillingdon Hospital
Maternity and midwifery Maternity | The Hillingdon Hospitals NHS Foundation Trust

LIFESTYLE

From the NHS
Keeping well in pregnancy Keeping well in pregnancy – NHS

From Start4life
Pregnancy Pregnancy | Start4Life

From NCT (the National Charity for Pregnancy, Birth and Early Parenthood.)
Pregnancy Pregnancy | NCT

From BDA UK (Association of UK dietitians)
Pregnancy and diet  Pregnancy and diet

From Patient info
Under the pregnancy section in patient info there are features on keeping healthy in pregnancy

From Frimley Health Foundation trust
Your pregnancy Your pregnancy

For local support with smoking and alcohol see under local support self-referral subsection.

HEALTH CONDITIONS

From the NHS

From Patient info

Under the pregnancy section in patient info there are features on Pregnancy Complications

From Frimley Health Foundation trust
Pregnancy complications Pregnancy complications

From NICE

mental health

From the Royal College of Psychiatrists
An excellent section, scroll down page and click on tab “ Before, during and after Pregnancy” for multiple articles around pregnancy Mental health problems and disorders | Royal College of Psychiatrists
Includes
Mental health in pregnancy Mental health in pregnancy | Royal College of Psychiatrists

From NICE
Depression – antenatal and postnatal Depression – antenatal and postnatal | Health topics A to Z | CKS | NICE

For local support for mental health see under local support self-referral subsection.

OTHER SUPPORT

From the NHS

From the NHS, Patient info and NICE
Miscarriage

From The Miscarriage association
Information: Our information section helps you to make sense of what’s happening Information about miscarriage & pregnancy loss – The Miscarriage Association

From Patient info
Maternity Benefits Maternity Benefits. Pregnancy advice, maternity leave and pay | Patient

For local support following the loss of a baby see under local support self-referral subsection.

AROUND DELIVERY

hospital bag

From Frimley Health Foundation trust
Preparing your hospital bag Preparing your hospital bag

birth and labour

From NHS choices and Patient info
Labour and birth

From NCT (the National Charity for Pregnancy, Birth and Early Parenthood)
Labour & birth Labour & birth | NCT

From Patient info
Under the pregnancy section in patient info there are features on labour(childbirth)
Pregnancy (see under “Information on labour (childbirth”) Pregnancy | Planning, Labour and Complications | Patient

 From Frimley Health Foundation trust
Your labour and birth  Your labour and birth

AFTER DELIVERY

Further information on early years can be found under

Some important topics immediately after delivery are covered below:

breastfeeding and bottle feeding

From the NHS

From the NHS and NICE
Common breastfeeding problems

From Patient info

From Patient info and NICE
Mastitis and Breast Abscess

From NCT (the National Charity for Pregnancy, Birth and Early Parenthood.)
Feeding (breast and bottle feeding) Feeding | NCT

From La Leche League GB
Detailed and comprehensive information covering all aspects of breast feeding
Breast feeding information Get Support – La Leche League GB

From the Association of breast-feeding mothers
Information Library Information Library – ABM

Local sERVICES

From Buckinghamshire Health Care Trust
Infant feeding Infant feeding – Buckinghamshire Healthcare NHS Trust – Birth Choices Website

See under self-referral section for local support from Health Visitors and the support from national helplines

young babies

From the NHS

“This guide includes everything you need to know about caring for a baby.”

From NCT (the National Charity for Pregnancy, Birth and Early Parenthood.)
Baby & toddler Baby & toddler | NCT

From Start for Life

From Patient info

For further information and support see under Preschool .

See under local self-referral section for support from Health Visitors

health and wellbeing after pregnancy

From the NHS
After the birth After the birth – NHS

From NCT (the National Charity for Pregnancy, Birth and Early Parenthood.)
Life as a parent Life as a parent | NCT

From Patient info

Contraception support and information

Also see other sections for further information which maybe relevant including contraception under

mental health

From the Royal College of Psychiatrists
An excellent section, click on tab “ Before, during and after Pregnancy” for multiple articles around pregnancy Mental health problems and disorders | Royal College of Psychiatrists
Includes
Postnatal depression – key facts Postnatal depression key facts | Royal College of Psychiatrists

From NICE
Depression – antenatal and postnatal Depression – antenatal and postnatal | Health topics A to Z | CKS | NICE

For local support for mental health see under local support self-referral subsection.

Videos and podcasts

On the videos and podcasts page there are links to some relevant videos and podcasts covering the topic of pregnancy.

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