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Contact us

If you are unable to find an LMC midwife from the list, contact us via our online form or phone us on 0800 Find MW (0800 346 369). Leave a message and we will ring you back.

Pregnancy checklist

Find a lead maternity carer (LMC)

Your LMC will support you during your pregnancy, labour and the first few weeks after your baby is born.

See our downloadable list of midwives in Wellington, Porirua and Kapiti or you can contact us for more information.

You can also read more about how to find a midwife here.

Folic acid and iodine

Start taking folic acid and iodine. These are essential nutrients for you and your baby.

Folic acid

Folic acid helps the body to make new cells. Folic acid is important because it can help to prevent birth defects of a baby’s brain and spine, such as spina bifida. Spina bifida can cause walking, bladder and bowel problems.

Take a folic acid tablet (0.8 milligram [mg]) every day for 4 weeks (1 month) before you might become pregnant through to 12 weeks after becoming pregnant.

If you find out that you are pregnant and you haven’t been taking a folic acid tablet, start taking tablets straight away. Keep taking them until the 12th week of your pregnancy.

You can buy folic acid tablets from pharmacies (or at a lower cost when prescribed by your midwife, medical practitioner or nurse practitioner - talk to them to find out more.)

Iodine

Iodine helps the body to grow and develop, especially the brain. Because babies get iodine from their mothers, pregnant and breastfeeding women need more iodine.

During pregnancy and while breastfeeding, choose foods that are high in iodine and take an iodine tablet every day. Foods that are high in iodine are well cooked seafood, milk, eggs, some cereals and bread.

Take one 0.150 milligram (mg)/150 micrograms (mcg or μg) iodine-only tablet every day when pregnant and breastfeeding. You can buy iodine tablets at pharmacies (or at a lower cost when prescribed by your midwife, medical practitioner or nurse practitioner - talk to them to find out more.)

Vitamin D

Vitamin D is needed for strong bones and joints as well as healthy muscle and nerve activity. If you don’t have enough vitamin D during pregnancy, your baby may be born with low vitamin D levels. This can affect how your baby develops.

The sun is the main source of vitamin D. Small amounts of vitamin D can also be found in foods such as oily fish (tuna, sardines and salmon), eggs and some margarines, milks and yoghurts.

Some time in the sun is recommended so that your body can make vitamin D. Try to get outside before 10 am or after 4 pm between September and April, and around the middle of the day between May and August. The lighter your skin, the less time you need to be in the sun to make enough vitamin D. Don’t get sunburnt!

Some people have low levels of vitamin D – called vitamin D deficiency. If you have darker skin, spend most of your time inside, have liver or kidney disease or are taking certain medicines (eg, anticonvulsants), you are at a higher risk of vitamin D deficiency. If you live south of Nelson-Marlborough in winter, you’re also more likely to have low vitamin D levels in late winter and early spring.

If you are worried that you don’t get enough vitamin D, or you have a higher risk of vitamin D deficiency, talk to your midwife, medical practitioner or nurse practitioner.

Read more about this at https://www.healthed.govt.nz/resource/folic-acid-and-spina-bifidaiodine-and-iodine-deficiency.

Make a decision about screening tests

A number of screening tests are offered for women and their babies. It is your choice whether to have these done or not. The first tests should happen in the first 10 to 14 weeks of your pregnancy.

Antenatal blood tests

Seven different tests are currently offered. These are usually carried out at the same time so you only have one set of blood taken. These tests are:

  • blood group and rhesus factor
  • full blood count
  • Rubella
  • Syphilis
  • Hepatitis B
  • HIV
  • Diabetes - HbA1c

For further information about any of your antenatal blood tests please talk to your Lead Maternity Carer (LMC).

Download a flyer about antenatal blood tests from the National Screening Unit. (PDF)

HIV testing in pregnancy

Pregnant women should be offered an HIV test along with their first antenatal blood tests.  Women have the option to decline the test.Most pregnant women with HIV are unaware they have the infection; an HIV test is the only way to tell. HIV virus can be passed onto others, including your unborn baby. Treatment in pregnancy reduces the risk of the HIV virus being passed to the baby from 30% to less than 1%.

Further information can be found in the Ministry of Health leaflets which can be downloaded from the links below.
Downloads for HIV Testing in Pregnancy Leaflets - Ministry of Health:

https://www.healthed.govt.nz/search?query=pregnancy%20HIV&type=resource&topic=All&organisation=All&language=All&format=All&online_only=All&mode=picture-view 

Diabetes testing

Diabetes testing is offered twice in pregnancy: as part of the first antenatal blood test and again when you are 24 to 28 weeks pregnant. Read more about diabetes testing during pregnancy on the Ministry of Health

Screening for Down syndrome and other conditions

Antenatal screening for Down syndrome and other conditions can be done either before 14 weeks or between 14 and 20 weeks of pregnancy. Read more about this on the National Screening Unit website.

Give your baby the best possible start

Avoid smoking, alcohol and recreational drugs.

You may find the following resources useful:

Eat well and stay active

Eating well and doing moderate physical activity during pregnancy are important for you and your baby. Nutritional needs are higher when you are pregnant. Meeting these needs helps protect the long-term health of both you and your baby.

Immunisations for pregnant women - whooping cough and influenza.

Immunisation against influenza and whooping cough during pregnancy is recommended by the Ministry of Health, and free. Talk to your doctor or practice nurse, or your midwife to find out how to protect you and your child.

Mothers pass some of their immunity along to their babies during pregnancy. This provides some protection to newborn babies during the first few weeks of life until they are able to be immunized.

Find out more at http://www.health.govt.nz/your-health/healthy-living/immunisation/immunisation-pregnant-women.

Zika virus

Zika virus is mainly transmitted by mosquitoes and may be present in any country that has the mosquitoes able to spread it. To date, the virus has been found in parts of Africa, southern Asia, the Pacific Islands, and the Americas.

Rare instances of sexual transmission (mainly male to sex partner) have also been documented.

Pregnant women who become infected with Zika can transmit the disease to their unborn babies, with potentially serious consequences. Reports from several countries, including Brazil, indicate an increase in severe birth defects (microcephaly in particular) in babies whose mothers were infected while pregnant.

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Dental health and healthy eating

Dental health

Looking after your dental health is particularly important during pregnancy. Read 5 tips to keep your smile healthy on the Bee Healthy Regional Dental Service website.

Healthy eatingHealthy eating for pregnant women brochure cover

Eating well and doing moderate physical activity during pregnancy are important for you and your baby. Nutritional needs are higher when you are pregnant. Meeting these needs helps protect the long-term health of both you and your baby. Read 5 tips to keep your smile healthy on the Bee Healthy Regional Dental Service website.

The same site also has a resource about avoiding listeria for vulnerable people, including pregnant women.

Maternal Green Prescription (MGRx) provides a free programme managed by Sport Wellington to promote the health and well-being of pregnant women through improved nutrition and increased levels of physical activity. Sport Wellington Healthy Lifestyle Co-Ordinators work with women to encourage positive healthy lifestyle changes that will benefit their growing baby and whole whānau.

For more information visit: http://www.sportwellington.org.nz/maternal-green-prescription/

If you are pregnant and would like to make a positive change for you and your whānau, speak to your lead maternity carer, CCDHB community midwife or General Practitioner to see if a Maternal Green Prescription is right for you. Please use the following links to access referral information regarding green prescriptions:

Referral Criteria: https://3d.healthpathways.org.nz/index.htm
Self Referral form  

 

Sleep on side when baby's inside from 28 weeks of pregnancy

It is recommeded that women who are pregnant sleep on their side from 28 weeks of pregnancy this aims to reduce the risk of late stillbirth.

See the website with further information, downloadable PDFs of both pamphlets, and a animated short video (less than one minute) www.sleeponside.org.nz  

Newborn screening programmes

Newborn Metabolic Screening Programme

This screens for rare but potentially serious disorders such as phenylketonuria (PKU), cystic fibrosis and congenital hypothyroidism. A blood sample is taken from your baby's heel at 48 hours of age (the 'heel prick' or 'Guthrie' test). If a disorder is found, early treatment can prevent permanent damage or death.

Find out more at https://www.nsu.govt.nz/pregnancy-newborn-screening/newborn-metabolic-screening-programme-heel-prick-test.

Newborn Hearing Screening Programme

This screens for hearing loss, referring to audiology for diagnosis and treatment.

Find out more at https://www.nsu.govt.nz/pregnancy-newborn-screening/universal-newborn-hearing-screening-programme.

SmartStart - access government services

SmartStart logoThe Department of Internal Affairs, along with several other government agencies including the Ministry of Health, have created a online service called SmartStart. Visit https://smartstart.services.govt.nz/

SmartStart is an online tool for parents that makes it easy for them to access government services and support during pregnancy, and the first years of their new baby.

SmartStart provides users with integrated information about services provided by a range of agencies to help parents check that they’re not missing out on financial help and provides tips on keeping parents and baby healthy and safe.

Pregnancy information from the Ministry of Health

  • The Ministry of Education's HealthEd website has extensive information and resources related to pregnancy. Visit www.healthed.govt.nz.

Neonatal Trust

Neonatal Trust logoThe Neonatal Trust provides support to families of premature or sick full-term babies as they make their journey through neonatal care, the transition home, and onwards.  

In Wellington the Neonatal Trust Office and Shop is located just inside the entrance to the Neonatal Intensive Care Unit, Level 4, Wellington Regional Hospital.

Find out more at https://www.neonataltrust.org.nz/regions/wellington

Parenting help, information and courses

Plunket

Plunket provides support services for the development, health and wellbeing of children under 5 years old. For more information visit www.plunket.org.nz

Or phone PlunketLine - available 24/7 on 0800 933 922.

SKIP: strategies with kids, information for parents

Whakatipu is a kaupapa that encourages strong whānau connections which nurture and develop tamariki. Tikanga and pakiwaitara are interwoven with child development information, ideas and activities for whānau.

Visit http://community.skip.org.nz/whakatipu/index.html.

Parent help Wellington

The only designated free national parenting helpline in New Zealand that is available from 9am to 11pm, 7 days a week. Visit http://www.parenthelp.org.nz/ or phone 0800 568 856.

The Parenting Place

Early Years Toolbox Parenting courses for 0 to 6 years. This course that runs over 6 weeks and covers everything from behaviour management techniques to ways of creating great family memories.

Find out more at http://www.theparentingplace.com/.

Space

A programme for first time parents and babies with weekly sessions covering a variety of topics such as sleeping, teething, temperament, childhood illnesses with play sessions with age-appropriate equipment to support infants' learning and development. It's also an opportunity to meet other new parents. Centres are throughout Wellington.

Find out more at http://www.space.org.nz.

Tapuaki: Pacific pregnancy and parenting information

Here you will find information about pregnancy and parenting to help you stay safe and healthy during your pregnancy and to care for your baby when he or she arrives. Learn about what you, your partner and/or family can do to ensure the mother and baby are healthy, find links to different services and resources such as videos, and read stories written by other parents about their experiences in Tala (story) Tapuaki. The information is available in several different Pacific languages by clicking on the flags at the top right of the website.

There is also a Tapuaki app available on Google Play and iTunes.

Visit http://www.tapuaki.org.nz.

Download the Tapuaki app to find a midwife or to see what baby looks like week by week.

Support

Support for parents of twins, triplets or more

Wellington Multiple Birth Club provides support, information and resources.

Support for parents of children with special needs

Parent to Parent is a nationwide not-for-profit organisation that was formed in 1983 to support the families of babies, children, teens and adults with any type of disability or health impairment.

Visit http://www.parent2parent.org.nz/.

Postnatal and Antenatal Distress support

The Post and Antenatal Distress Support Group Wellington offers support to women and their families in greater Wellington. Find out more at http://www.pnd.org.nz/

Wellington Women's Refuge

Women's Refuge is an organisation for women and their children to help prevent and stop family violence in New Zealand.

Website:http://www.womensrefuge.org.nz/

Crisisline: toll free from anywhere in New Zealand 24 hours a day, 7 days a week on 0800 REFUGE or 0800 733 843.

Power to Protect

When your baby keeps on crying

One of the hardest times can be when your baby keeps on crying and you can’t work out why. If you find yourself getting upset, it’s OK to put your baby down gently in a safe place, walk away and take a break.

Do not pick up your baby until you have calmed down. Your baby is more likely to calm down when you are feeling calm and in control.

Look after yourself. Make a cup of tea or coffee, or phone a friend or someone in your whānau.

You could also phone PlunketLine on 0800 933 922 or Healthline on 0800 611 116 for advice or support.

Never shake a baby

Never, ever shake a baby. Never leave a baby alone with anyone who may lose control. A single moment of losing control may damage a baby forever. Babies can die if they are shaken.

If you ever think your baby has been hurt, call 111. Don’t let fear or pride stand in your way. It could save your baby’s life.

The Kidshealth website has a video called Power to Protect about how to cope with the stress of a baby’s crying and what can happen if a baby is shaken.

Related websites

Crying: what to do – Kidshealth
Why babies cry and what you can do about it.

Shaken baby syndrome – Kidshealth
Why you should never shake a baby. Also includes the Power to Protect video.

Research at CCDHB

Induction of labour OBLIGE study

The OBLIGE Research Team from Auckland University and Wellington Hospital wish to inform you about the Outpatients Balloon vs Inpatient Gel (OBLIGE) study.

There are many reasons why pregnant women may be advised to have their labour induced, or started artificially, before the body has gone into labour naturally. If your midwife or doctor has recommended that you have your labour induced, then please keep reading.

Prior to the onset of labour, your cervix is closed, firm and long. Early labour pains – which are often irregular and less painful – soften and thin the cervix. This process is stimulated by the hormone prostaglandin, which the body produces when labour begins naturally.

If you are being induced, this prostaglandin hormone will be given to you to soften your cervix, which mimics the process of natural labour. You may need several doses of this hormone gel and will stay in hospital throughout.

An alternative method of inducing labour is to have a soft, flexible balloon catheter gently placed through your cervix. This stimulates your own natural prostaglandin hormone to soften your cervix. You will be able to go home during this process if you meet the criteria to be part of the OBLIGE study.

Your LMC or the research team will discuss the criteria with you. Inclusion criteria includes one baby in a head down position, planning an induction of labour (IOL) at ≥ 37 weeks gestation. You would need to be able to remain within one hour of Wellington Hospital whilst an outpatient, if allocated to the balloon group. Women who have had a previous caesarean would not be included as prostaglandins would be contraindicated.

The aim of this study is to find out which method is more effective to induce your labour. If you agree to participate in this study, then on the day of your induction, you will be selected by chance to have it started by one of these two methods. This means you have a 50/50 chance to be in the prostaglandin hormone gel group and remain in hospital, or to be in the balloon catheter group and go home (outpatient) for the first 18-24 hours.

After your baby is born, we will ask you to complete a brief questionnaire about your experience having your labour induced. Participation is voluntary. The study is confidential; your privacy will be protected. Your care will not be affected if you choose not to participate.

If you would like more information discuss this study with your LMC and click on the following Participation Information Sheet.

Participation Information Sheet (Word Document)

Last updated 1 October 2019.