This is a question myself and many Independent midwives,
gets asked at the first contact or call.
Depending on where you are in your pregnancy path, the answer can differ.
Mostly moms engage in this question with the proposed midwife even before she is pregnant,
or when planning, to become pregnant.
In short the path we will walk and the services I can provide will be determand by how far along you are in your pregnancy or planning when you first contact me.
When you decide to go the midwife route there is a few things to keep in mind or let’s rather say plan to be in mind…
Ask yourself the following questions first:
Your midwife will see you from 18w, monthly up till 24w, from there onward 2 weekly till 36w, and then weekly till the birth of your baby.
Midwife consultations normally replace Obstetrician visits , unless you have an issue and needs referral.
Midwife visits entail the following:
Visits to your midwife will also set you at ease, discussing full spectrum of your health, that of your baby, planning your diet and discussing different birth options. Discussing personal issues that may arrise, planning your next visit as well as helpful information surrounding birth and health issues, supporting you and your partner ( and other membersof your family).
Also expect discussions around birthing your baby, when to call your midwife and special things to consider when it is time to go into labour.
The above is only guidelines and can be different with every professional practitioner.
Set up your first meeting with me by completing the folllowing form, I will get back to you to set up an appointment.
The next important question is: Will my medical aid cover my birth and would I have to pay for everything out of my own pocket?
Lets talk medical aid…
To answer the above: There is quite a few medical aids which value the professional importance of a midwife and midwife services in SouthAfrica…find out who they are, and if they cover/ work in good relation with your chosen midwife.
There are also (big) medical aids that claim they do, and then don’t. Check the nitty gritty of your contract, phone the helpline and dig deep. If your medical aid is not transparent or cannot give you exact amounts they’ll pay…move on and move fast.
There is also the possibility to change over to a different more accommodating medical aid, but mostly the rule for non-exclusion is membership of longer than 2 yrs , without breaks on your current medical aid.
There are also different options to get your money back…one through SARS and the other if you perhaps have gap cover.
Other products like MediWallet is also to your avail to pay for medical expenses. Speak to your midwife and find out the options .
Ok,so you are not on medical aid…
There is financial products like Medi Wallet that you can investigate, speak to your midwife and find out if there is an option for down payment.
Ironlevels , Vit D and Vit B12 levels.
Why is this specifically important?
It is important because Iron and Vit D grows Brain, Blood and Bone in your baby. If you have a deficiency there will not be enough stores to grow these important factors for your baby. Vit B 12 deficiency can interfere with the uptake of both vit d and iron. So when you go for your blood test to determine the pregnancy hormone and confirm your pregnancy, do these 3 important ones as well. If you are deficient in the above it can also lead to an unwanted miscarriage.
A full blood count, HIV antibodies, Syphilis, Hep B, Rubella antibodies as well as Blood group and Rhesus antibodies will be done with your 1st or follow up visit at your midwife or Obstetrician.
(above tests can also be done free of charge at your local gov clinic or rapids at any dischem, clicks pharmacy and or at your midwife, again, ask what tests is available when speaking to your midwife.)
Early dating scan: between 7 & 9 weeks to confirm pregnancy and intrauterine implantation
12-14 week scan: This is your first growth scan and determines that your baby is healthy and growing.
20-24 week scan: This is an anomaly scan which will lift out any growth abnormalities, anomaly’s and placental lie problems if any.
36 week scan: Your last scan with your Obstetrician to detect the lie of the baby, placental and umbilical blood flow as well as amniotic water indexes.