Ongoing pregnancy care

Congratulations on your positive pregnancy test. Having a pregnancy confirmed is generally a happy and exciting time. However, when pregnancy follows fertility treatment, it is also natural to feel other emotions such as caution, anxiety, and maybe fears about the pregnancy outcome.

Fertility Associates offers support and counselling during early pregnancy.

Good to know

A little bit of bleeding is normal and occurs in up to half of continuing pregnancies. However, do give your nurse a call, and please don’t stop Utrogestan or Crinone unless we tell you to. Very occasionally an ectopic pregnancy ruptures a blood vessel before the 7-8 week scan – the symptoms are usually sharp and severe pain.

If this happens, ring the clinic or the doctor on call straight away, and unless the doctor can arrange for you to be seen at the Fertility Associates clinic, go to an emergency clinic. Tell the emergency clinic staff you are pregnant – because sometimes the symptoms are mistaken for appendicitis.

If your blood group is Rh negative and you experience bleeding during pregnancy, please see your doctor. If some of the baby’s blood enters the mother’s bloodstream, the mother’s immune system can produce antibodies which can negatively affect future pregnancies. Your doctor can arrange for you to have an Anti-D injection to prevent Rh antibodies in the future if this is
needed. Whether you need Anti-D depends on what stage of pregnancy bleeding occurs.

What next?

Appointments: At the time of your positive pregnancy test you will be four weeks pregnant using the usual way of calculating gestation. Pregnancy is traditionally counted from the date of the last menstrual period, which for many treatments is the same as the day 1 of your cycle.

Blood tests: Most people will have two blood tests for the pregnancy hormone hCG, usually 14 and 18 days after treatment. We may ask for further tests if the day 14 and 18 results are outside the usual range, if you have previously had a pregnancy loss, or if there are other reasons for following your pregnancy more closely. Your nurse will discuss tests with you.

Pregnancy scan: Fertility Associates will arrange a pregnancy scan when you are around 7–8 weeks pregnant. This is a vaginal scan, just like those done during treatment. Most women bring their partner to the scan. It is good idea to have someone you know well as a support person at the time of the scan.

Antenatal appointment: After the scan result, Fertility Associates or your GP can help you find a Lead Maternity Care (LMC) provider to look after the rest of your pregnancy. Your LMC can be a midwife or an obstetrician. Fertility Associates early pregnancy care focuses on the first 8 weeks of pregnancy.

Early Pregnancy Care: The clinic’s early pregnancy care focuses on the first 8 weeks of pregnancy to ensure you know whether the pregnancy looks healthy and whether you might have twins. It is then time to ind a Lead Maternity Carer (LMC) to look after you during the rest of your pregnancy.

 

 

Click here to be directed to a guide to pregnancy and child birth in New Zealand.