Antenatal care

During your pregnancy

          Nurse and a pregnant woman.


When you decide to book your care with us here at Whipps Cross Hospital, we ask that you complete antenatal self referral form Whipps Cross hospital [docx] 186KB which you can either hand in to our Antenatal Clinic reception or email to us at bartshealth.wxmaternityappts@nhs.net. You can also ask your GP to refer you to us but this may take longer.

You will be offered a booking appointment with a midwife in our Women’s Health Centre in the Outpatient Building (see map).  This appointment will usually take just over an hour. At this appointment we will find out more about you and your new pregnancy and ensure you have received an appointment for your first scan. 

Following this appointment, women who have additional risk factors will receive a personalised care plan for their pregnancy from a consultant obstetrician and any additional referrals, scans and investigations will be organised at this point.

You will be offered care to either a community midwifery team or the hospital midwifery team to provide support throughout your pregnancy. You can find out more about the midwifery team on the meet the team page.

Antenatal Scans

Obstetric ultrasound scans

Our obstetric ultrasound scanning unit is located in the Antenatal Clinic. There are five dedicated scan rooms and our team is made up of seven sonographers including midwife sonographers. Please find more details about the scans offered in pregnancy here. Scan appointments are offered Monday to Saturday at Whipps Cross Hospital. You may be offered additional scans for uterine artery doppler screening at your anomaly scan, scans to check your baby is growing well and scans to recheck where your placenta is. At your routine scan appointment, we can arrange for a photo to be printed. They are currently free of charge.

Fetal Medicine Unit (FMU)
Our Fetal Medicine Unit team is made up of 4 consultants and a specialist midwife. We offer individualised care to you and your family when there is a concern about the health of your unborn baby.

The FMU diagnoses and manages:

  • Chromosomal abnormalities
  • Genetic conditions
  • Structural fetal defects
  • Fetal conditions that require surgical follow-up after birth
  • Suspected fetal growth restriction or small for gestational age fetus
  • Multiple pregnancy (twins and higher order)
  • Pregnancies affected by red cell antibody incompatibility
  • Diagnoses of chromosomal and genetic syndromes by invasive testing (amniocentesis and chorionic villus sampling) 

The FMU clinics take place in our scanning unit which is situated in the Antenatal Clinic and the clinics run every Monday / Tuesday / Wednesday / Friday mornings and Thursday afternoons.

Websites that you may find helpful are (add links)
Antenatal Results and Choices
Down’s Syndrome Association
Twins Trust
The contact number for the fetal medicine specialist midwife is 0208 535 6530 / 07927683224.

Antenatal screening

Our screening team is responsible for the day-to-day management of the 6 Antenatal and Newborn Screening Programmes.

The Team  is based in the Antenatal Clinic. They can be contacted on 02085356530 Monday-Friday 9am-5pm or you can email them at bartshealth.wxhans@nhs.net.

Screening tests during pregnancy and beyond include:

 

  • Routine blood tests at your first appointment which includes checking your glucose level, blood group and iron levels. All pregnant women are offered testing for hepatitis B, HIV and syphilis.
  • Blood testing and ultrasound scanning for Down's, Edwards and Patau's syndromes.
  • A detailed ultrasound scan at around 20 weeks of pregnancy.
  • A top-to-toe new-born physical examination offered to your baby within 72 hours of birth.
  • Newborn hearing screening.
  • Newborn blood spot (sometimes called "the heel prick test") at around five days after birth

Screening timeline

To give you more information about screening tests for you and your baby, Public Health England have produced a booklet explaining the screening tests in detail.

The screening timeline explains which screening tests will be offered during your pregnancy and after your baby is born.

You can access this information here.  A digital copy will be given to you by your midwife.

In this booklet, we use the terms ‘woman’ and ‘women’ to refer to anyone able to become pregnant, including trans men. Trans men who are pregnant should be offered the same

Whipps Cross specialist antenatal clinics

Whipps Cross specialist antenatal clinics contact details

Clinic

Venue

When

Shared care or consultant led care

 

Monday mornings (alternate); Mon afternoons (alternate); Thursday mornings (alternate)

Preterm Birth and High Risk Obstetrics

Antenatal Clinic

Wednesday mornings

Multiple Pregnancy and Fetal Medicine

Antenatal Clinic

Monday mornings

Maternal Medicine including Joint Obstetric Haematology, Joint Obstetric Neurology, Joint Obstetric Gastroenterology 

Antenatal Clinic

Monday afternoons

Perinatal Mental Health and Neurology

Antenatal Clinic

Wednesday afternoons

Previous 3rd/4th degree tears and High Risk Pregnancy

Antenatal Clinic

Wednesday afternoons

Lotus Clinic (Female Genital Mutilation)

Antenatal Clinic

Wednesday afternoons (alternate)

Obstetric Anaesthetic Clinic

 

Monday afternoons

High Body Mass Index

Antenatal Clinic

Tuesday afternoons (alternate)

Breech Clinic

   

Diabetic Antenatal Clinic

 

Every Tuesday afternoon and Friday morning.

Midwifery care (community and hospital)

We have five community midwifery teams covering all areas for your antenatal care.  For your postnatal care, our community midwifery teams cover the designated areas of Redbridge and Waltham Forest.

We use the continuity of carer model with the aim of ensuring that you receive dedicated support throughout your pregnancy and after your birth from the same team.

At your booking appointment, you will be told which team you will be seen by. We provide Homebirth cover to low-risk women in our catchment area.

Caseloading
The Caseloading Team Midwives provide continuity of carer support from your booking appointment, antenatally, intrapartum wherever you decide to deliver and to postnatal care after your birth. These appointments are carried out in your own home for your convenience. The Caseloading Team will be transitioning into a Homebirth Team in the new year(2023).

Emerald Team 
The Emerald Team Midwives are based at Whipps Cross Community Hub and antenatal and postnatal clinics are held at:

  • Chingford Health Centre, 109 York Road E4 8LA
  • Silverthorn Centre, 2 Friars Close E4 6UN
  • Handsworth Medical Practice, Handsworth Avenue
  • Orchards Children’s Centre, Liston Way IG8 7BL
  • South Woodford Health Centre, 114 High Road E18 2QS
  • Hainault Health Centre, Manford Way Chigwell IG7 4DF

The Team covers E4,E18,IG8, and part of IG7. 

Diamond Team
The Diamond Team Midwives are based at Whipps Cross Maternity Hub and antenatal and postnatal clinics are held at:

  • Wood Street Health Centre, 6 Linford Road E17 3LA
  • Leyton Green Clinic, Leyton Green Road, E10 6BL
  • Cyberlink Clinic, 51 Beaumont Road, E10 5DE
  • Allum Medical Practice, Fairlop Road, E11 1BN
  • Wanstead Place Clinic, 35 Wanstead Place, E11 2SW

 The Team covers parts of Waltham Forest, Redbridge and Out of Area (E10 ,E11). 

Opal Team
The Opal Team Midwives are based at Midwives are based at Whipps Cross Maternity Community Hub  and Antenatal and Postnatal clinics at:

  • Cranbrook Children’s Centre, The Drive Ilford, IG1 3PS
  • Aldersbrook Children’s Centre, Ingatestone Road, Wanstead, E12 5HE
  • Redbridge Children’s Centre, College Gardens, IG4 5HW
  • Hainault Health Centre, Manford Way, Ilford, Chigwell, IG7 4DF

The Opal Team covers parts of Redbridge (IG1,IG2,IG4,IG5,IG6). 

Topaz Team 
The Topaz Team Midwives are based at Whipps Cross Maternity Community Hub  and Antenatal and Postnatal Clinics:

  • Forest Road Medical Centre, 354-358 Forest Road, E17 5JL
  • St James Health Centre, 47 St James Street, E17 7NH
  • Comely Bank Health Centre, 46 Ravenswood Road, E17 9LY
  • Wood Street Health Centre, 6 Linford Road, E17 3LA

 The Team covers parts of Waltham Forest, the E17 area. Each community midwifery team provides cover for the home birth service.

Ruby Specialist Team
The Ruby Specialist Team Midwives are based in the Antenatal Clinic at Whipps Cross Hospital.  The Team caseloads pregnant women with complex factors and aims to empower and support women throughout their pregnancy into parenthood.  They liaise with other multi-agency professionals to ensure that families are supported and have positive outcomes. 

Hospital Midwifery Team
If you have additional risk factors such as multiple pregnancy, you will be offered appointments to see the hospital midwives in the Antenatal Clinic.

Colostrum harvesting kits
These are available from all our midwifery teams including Antenatal Clinic, please ask if you would like one or more information. The Association of Breastfeeding Mothers also provide information on expressing your milk before you baby arrives.

Emergency Gynaecology Unit

The Emergency Gynaecology Unit (EGU) provides emergency care for women with problems in early pregnancy (up to 17 weeks of pregnancy) and emergency care for acute gynaecological problems.

We see women with:

  • pain or bleeding in early pregnancy
  • suspected ectopic pregnancy (pregnancy outside of the womb)
  • severe pelvic pain admitted to hospital who are not pregnant

The appointments are allocated from the Emergency Department, GPs or other healthcare providers. You will be given an appointment either on the day or within a few days.

You can self-refer if you've had:

  • two previous miscarriages
  • a previous ectopic pregnancy
  • a previous molar pregnancy

What to expect when you attend EGU 

A doctor or nurse will assess you by taking your medical history and you will also have an internal ultrasound scan. The scan findings will be explained, whether you need to have any more tests, and your treatment options. If you need to discuss these further with a doctor you may need to wait to be seen as we give priority to those who are seriously unwell.

Contact Details
Direct telephone line: 020 8535 6499
Switchboard: 020 8539 5522 Ext 6575
Monday to Friday: 8:30am to 7:00pm
Weekends and bank holidays: 9:00am to 12:00pm

If you are pregnant and are having pain or heavy bleeding outside of these hours, please go to the Emergency Department.

Further information and support:


Some of the consultant that you will meet in EGU are Ora Jesner, Anupama Shahid, Nandita Deo, Ismail Wong, Mehrnoosh Aref-Adib, Anwen Gorry.