This exclusive private maternity service offers consultant led pregnancy monitoring and delivery with leading consultant obstetrician, Dr Makrina (Mina) Savvidou on hand to help and guide at every key stage.
Initial 'get to know you' consultation
In this session, both parents-to-be and Dr Savvidou will discuss due dates, concerns and delivery options. A quick scan may well be indicated if the pregnancy is deemed to be around 7 weeks.
Antenatal consultations take place within the state-of-the-art Kensington Wing
The appointments with Dr Savvidou are every 2-4 weeks, depending on the circumstances, up until 32 weeks, when visits increase to every 2 weeks. At 36 weeks, consultations move to weekly until delivery.
First Visit 6-10 weeks During this "getting to know you" session, medical history, due dates are discussed along with any concerns and planned care during pregnancy and delivery. A 'viability & dating' scan may be offered or arranged. Recommended blood screening tests will be explained to you, and samples taken with your consent.
11-13 weeks Ultrasound and blood screening for chromosomal disorders are performed. A nuchal translucency scan is part of the screening for Down's syndrome and puts the baby at no risk. Non-invasive prenatal testing (NIPT) - such as the Harmony or Panorama test - is a new type of blood test that analyses cell-free fetal DNA to predict the risk of Down's syndrome (trisomy 21) and other genetic conditions called trisomy 18 and trisomy 13. Link: http://www.ariosadx.com/resource/video-page/ Flu vaccination will also be discussed.
16 weeks Mother and baby wellbeing visit. This includes reviewing the blood and scan results and checking that you and your baby are doing well.
19-22 weeks Mid-pregnancy mother and baby check. A detailed anatomy scan will be arranged. If all well, antenatal classes should be arranged. Whooping cough immunisation will be discussed.
25-26 weeks Mother and baby wellbeing visit. Futher routine blood tests will be discussed and arranged during this meeting.
28-30 weeks Mother and baby wellbeing visit. Further routine blood tests will be taken to check haemoglobin levels and your blood group. A glucose test will also be performed to check for the development of gestational diabetes. If your blood group is Rhesus negative (which we will know from your first blood tests), you will be advised to have an Anti-D injection.
32-34 weeks Mother and baby wellbeing visit. A fetal growth scan will be advised.
36 weeks Mother and baby wellbeing visit. Signs of labour and birth plan are discussed around this time. Screening for Group B streptococcus is offered.
37, 38, 39, 40 & 41 weeks Mother and baby wellbeing visits. Options for on-going pregnancy care, and/or make plans to start labour if appropriate are also discussed in these visits.
Antenatal classes are strongly recommended, especially for first time parents. There are many options open to mothers both for individual or group classes. The Kensington Wing offers regular birth preparation workshops for couples and can be arranged directly with the unit. Also the National Childbirth Trust (NCT) can enroll mothers in classes in local areas. Price is by arrangement with individual practitioners.
It is suggested that all mothers have two scans routinely in pregnancy: a nuchal translucency scan between 11-13 weeks (part of the screening for Down's syndrome) and a detailed anomaly scan at 19-22 weeks. An early viability scan which accurately locates the pregnancy may be required. An additional growth scan at 32-34 weeks is recommended. Occasionally, further scans may be required, depending on clinical indications.
Blood and urine tests:
It is recommended to have routine urine and blood screening tests, which include testing for anaemia, blood group, congenital infections and diabetes . Some of these tests are repeated later in pregnancy and occasionally additional tests may be required.
Full blood count This test is to check for anaemia, lack of enough healthy red blood cells . If anaemia is discovered, iron supplements and further blood tests are often recommended. This test is repeated at 26-28 weeks.
Electrophoresis This test is to test for hereditary forms of anaemia, mainly sickle cell and thalassaemia. These forms of anaemia are more common in black, Mediterranean or oriental people. If you are found to be a carrier it will be recommended that your partner be also tested. If both parents are found to be carriers, there is a chance that the baby may be affected by the disease and further tests will be offered.
Blood group and antibodies It is important to know your blood group and whether you have antibodies in case you need a blood transfusion. About 1 in 6 people are Rhesus negative. If you are Rhesus negative you will need Anti-D injections to prevent the development of antibodies that can cause fetal anaemia.
Hepatitis B and C These infections cause liver damage. They can be transmitted in several ways - sexually, contact with blood or other blood fluids or from mother to baby. Some people are not severely ill but become carriers of Hepatitis and are still infectious. If Hepatitis is diagnosed then further follow up and investigations are appropriate, mainly so the baby can be protected against Hepatitis B by immunisation soon after birth.
Syphilis This is a rare sexually transmitted infection, which women may have without knowing. It can cause abnormal development of the unborn baby. Treatment with antibiotics early in pregnancy can prevent harm to your baby.
Rubella (German measles) Immunity to Rubella is important as this infection can cause severe abnormalities of the unborn baby. Most people are immune to Rubella, either through vaccinations or a previous infection. If immunity is not present then rubella contact should be avoided and a vaccination will be offered to you following the delivery.
HIV (Human Immunodeficiency Virus) This virus infects and damages the immune system and can cause HIV related illnesses, such as AIDS. HIV can be passed from mother to baby during pregnancy, at birth or during breastfeeding. If you are HIV positive and receive no treatment during pregnancy and breastfeed, the risk of the baby becoming infected is about 20%. With the appropriate drug treatment and not breastfeeding, the risk is reduced to less than 1%.
Glucose This is a test for diabetes during your first visit. Some women develop mild diabetes during pregnancy and this can be potentially problematic for both mother and baby. If the sugar test is abnormal, further blood tests will be indicated (mini glucose challenge test or full glucose tolerance test). A routine glucose test will also be offered at around 28 weeks. Most cases of diabetes in pregnancy (Gestational Diabetes) can be controlled by appropriate diet. Rarely tablets or insulin injections may be required.
Group B Streptococcus (GBS) Group B Steptococcus is a kind of bacteria that many people harbour in their intestinal tracts. The bacteria may also inhabit (or "colonise") the vagina and be passed to the baby during labour and birth. Approximately 10% to 30% of pregnant women carry GBS in the vagina or surrounding area. If this is the case, then IV antibiotics will be needed during labour. Further Information: http://gbss.org.uk/
Delivery options and a birth plan will have been discussed during the course of your pregnancy.
Vaginal delivery During antenatal classes, parents-to-be will be informed about signs of actual labour and different modes of vaginal delivery.
C-Section delivery There are two types of C-section delivery, emergency or planned (elective). If Caesarean section delivery is being considered, this will be discussed during your consultations.
Post natal checks:
After discharge from the Kensington Wing, Dr Savvidou is available for any questions, concerns or worries. Post delivery checks occur 6 weeks after delivery, or sometimes earlier, to make sure that the body is returning to normal. Cervical smears, contraception and future plans will also be discussed during that visit.
Package fees can be discussed with Dr Savvidou’s secretary, and includes antenatal care, delivery and post-delivery care together with 24/7 availability for any emergencies.
Exclusions include any anaesthetic, Kensington Wing charges, scans, and blood test costs.
Dr Savvidou aims to deliver all of her patients; however due to personal and professional commitments, she works on a weekend on-call rota basis with consultant colleagues from the Cheyne Practice.
Medical Insurance Cover
Most insurance companies do not cover pregnancy care unless there is a significant complication (such as Caesarean section) and even then they will only usually cover a proportion of the total fee. You will be liable for any shortfall.
We are happy to issue a receipt, complete an insurance form and provide any relevant information in support of a claim that you may make to your insurance company for reimbursement of a proportion of the fees related to complication of pregnancy or delivery.
If in doubt you should discuss details of your pregnancy cover with your own insurance company.