OBGYN, Midwife & More: Meet Your Antenatal Care Team

Pregnancy is a time filled with excitement, anticipation and also a fair amount of anxiety. Luckily you're not alone – you’ll have an antenatal team looking after you to make sure that everything goes as smoothly as possible. Read on for a quick introduction to the healthcare professionals that you might come into contact with during your pregnancy, such as the midwife, obstetrician/gynaecologist and others.

What Is Antenatal Care?

Antenatal means “before birth”, so antenatal care refers to the medical care that mums-to-be receive throughout their pregnancy, up to and including the time of labour and childbirth.

This includes routine tests and procedures such as ultrasound scans, to check the development of the baby and identify any potential issues. Your healthcare team will also provide support and advice on preparing for childbirth and caring for your baby after delivery.

Besides monitoring your health and your foetus’s development, your antenatal team can give you advice on other aspects such as diet, exercise and any lifestyle changes that might help ensure a healthy pregnancy.

Your antenatal care team might include

• A midwife

• An obstetrician and gynaecologist

• A paediatrician

• A sonographer

• An obstetric physiotherapist

• Your health visitor

• A dietician

• Other healthcare professionals depending on your specific needs.

What Does an Obstetrician and Gynaecologist Do?

An obstetrician and gynaecologist (sometimes shortened to O&G or OBGYN) is a doctor who specialises in women’s health, pregnancy, labour and birth, as well as postnatal care.

Although in many cases you will usually only meet with the midwife, the obstetrician may be involved if there are any risk factors or possible complications, such as:

• A pre-existing medical condition such as diabetes or high blood pressure

• If you’re pregnant with twins or triplets

• A high body mass index

• A family history of health conditions

• A low-lying placenta (placenta praevia)

• Premature labour or other complication during a previous pregnancy.

The obstetrician will work closely with your midwife and other members of your antenatal care team to make sure you receive the support you need to ensure that you and your little one remain safe and healthy.

Even if your pregnancy is considered low-risk, unexpected complications can arise, for example premature labour or the need for an emergency caesarean section. In such cases, the obstetrician will take charge of managing the situation to ensure the best possible outcome for you and your baby.

Is an OBGYN the same as a Gynaecologist?

Although many gynaecologists are also obstetricians, gynaecology and obstetrics are two different (but closely related) fields of healthcare. A gynaecologist is concerned with women’s health in general, while an obstetrician specialises in pregnancy and childbirth.

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What Is the Role of a Midwife?

If your pregnancy is straightforward with a low risk of complications, you’ll be cared for by a midwife both during your pregnancy and at birth.

A midwife specialises in caring for mothers and babies during pregnancy, labour and for a short period after your baby is born.

Your midwife is usually the first person that needs to be notified that you’re pregnant, in order to start your antenatal care. To do this, you can book an appointment with your midwife directly or through your GP.

To find a midwife, ask at your GP’s surgery or contact your local Children’s Centre, run by your local council. You’ll be assigned a midwife who’s responsible for your antenatal care, and whose name will be written in your pregnancy notes.

When Will You Meet the Different Members of Your Antenatal Care Team?

Precisely which members of your antenatal team you’ll be in contact with, and when, depends on your individual situation. No two pregnancies, or mums-to-be are the same, but here’s a rough guide to some of the key stages of your antenatal care.

Antenatal Appointments

Usually, most antenatal care takes place at antenatal appointments scheduled for you by your midwife or GP. The number of these appointments you’ll have throughout your pregnancy usually varies between 7 and 10, depending on whether it’s your first pregnancy or not.

Your antenatal appointments may be held at

• Your home

• A Children’s Centre

• A GP surgery

• A hospital.

At your first appointment your midwife, GP or obstetrician will perform some checks (such as a urine test and measuring your blood pressure) and ask some questions to determine how likely you are to encounter complications during your pregnancy.

At the following appointments your antenatal care team will monitor your progress and your foetus’s development. Your midwife can also talk to you about your preferences for how and where you’d like to give birth, and help you write a birth plan if you choose to have one.

Labour and Birth

If you have a straightforward birth it’s usually your midwife who will look after you during labour and deliver your baby. If complications or the need for extra care arises (or is expected) during labour, an obstetrician may also be involved.

The Postnatal Period

In the first few days or weeks after your baby is born, the midwife and/or obstetrician may continue to provide support and assistance as you get to know and learn how to care for your new arrival.

Some Other Members of Your Antenatal Care Team

Your antenatal care will be led by your midwife and/or obstetrician, but there are plenty of other professionals involved in monitoring you and your little one’s health and development. They’ll be working together closely to make sure you receive the support you need during your pregnancy and beyond.

The other members of your antenatal care team could include:

• Anaesthetist. If you ask for epidural pain relief during labour or give birth via caesarean section, an anaesthetist will be on hand to administer the pain relief and anaesthesia safely and effectively.

• Sonographer. Your ultrasound scans will be performed by a specially trained sonographer. You’ll probably be offered at least two scans during your pregnancy. The first, usually performed at 10-14 weeks pregnant, is often referred to as the dating scan – when the sonographer estimates your baby’s due date based on your foetus’s measurements. The second scan is usually carried out between 18 and 21 weeks pregnant. The main purpose of this scan is to rule out certain physical abnormalities, but it’s also often when you’ll be able to find out the likely sex of your little one (if you want to know).

• Obstetric physiotherapist. A specialist who can help you with the physical changes resulting from pregnancy and childbirth. You might meet an obstetric physiotherapist at antenatal classes, where they can teach pregnancy exercises, relaxation and breathing techniques and birth positions. They can also give you advice on exercise during pregnancy as well as afterwards.

• Paediatrician. A paediatrician is a doctor who specialises in caring for babies and children. One may be on hand to examine your newborn baby. If you have a complicated or difficult labour, a paediatrician may also provide support during the birth.

• Health visitor. Your health visitor is available to provide support and advice from pregnancy until your child is 5 years old. Your first meeting with your health visitor could be while you’re still pregnant or soon after your little one is born. As your baby grows you’ll be able to attend regular health and development reviews, where your health visitor will help make sure your little one’s development is on track.

• Dietician. A dietician may be available to help you with advice on healthy eating or special dietary needs. For example, if you experience gestational diabetes – an increase in blood sugar that usually only lasts until the end of your pregnancy – the dietician will be able to advise you on how to keep blood sugar levels under control.

The Bottom Line

Some pregnancies go more smoothly than others, but rest assured you’re in good hands! By getting to know your midwife, obstetrician and the other professionals making up your antenatal care team, and understanding the role that each member plays, you’ll be able to feel confident that you’re receiving the care and support you need to have the safest, healthiest pregnancy possible.

_{How we wrote this article The information in this article is based on the expert advice found in trusted medical and government sources, such as the National Health Service (NHS). The content on this page should not replace professional medical advice. Always consult medical professionals for full diagnosis and treatment.}