Now that you are pregnant
Now that you are pregnant
Your care begins with your General Practitioner (GP), by confirming your pregnancy, taking a comprehensive health and medical history, ordering your blood tests and an obstetric ultrasound.
Your GP may write and send a referral to the Narrabri Hospital antenatal clinic to initiate your care, and is usually done at around 12 -14 weeks.
Once Narrabri has been sent your completed referral, including all blood test results and scan reports, you can contact the Maternity Unit to make an appointment time to have a booking in visit. This visit will be attended by a midwife at either Narrabri Hospital or our community-based antenatal clinic in Wee Waa and usually occurs before the 20th week of your pregnancy. During this visit, the midwife will discuss with you the options of care available for your pregnancy.
Where you have your pregnancy care will depend on your general health, your preferences, where you live and your previous birth experience.
The midwife will also discuss the importance of healthy eating and physical activity during this visit. You will be offered a referral to the Get Healthy in Pregnancy service. The Service is open to anyone aged 16 years and over. You will be able to talk with a qualified dietitian or exercise physiologist over the phone in the privacy of your own home. For Aboriginal women or women carrying an Aboriginal baby you may be able to speak with the Get Healthy Aboriginal Liaison Officer (ALO), for your first phone call or one of your coaching calls. The ALO will talk to you about your needs and your access to services in the community before referring you to either a dietitian or an exercise physiologist for the remainder of your phone calls.
Click on the image below for more information or to refer yourself to the service.
Options of care during pregnancy
Options of care during pregnancy
Shared Care with your GP
Shared care means that you are cared for by your GP/Obstetrician in consultation with the midwives. Shared Care enables you to continue seeing your family doctor, who you already know and trust, during your pregnancy, and this may be more convenient for you. Antenatal Clinics make our services more convenient for women to access ongoing antenatal care at the Narrabri Hospital. These clinics are run by midwives and are for healthy pregnant women with normal risk for medical or obstetric conditions. Your schedule of appointments shall be commenced at your initial appointment.
Specialist Obstetric Care Monthly at Moree
Specialist Obstetricians are best able to care for women who have pregnancies complicated by:
- A previous pregnancy requiring specialist care and/or hospitalisation
- A pregnancy that is not progressing normally
- A multiple pregnancy, e.g. twins
- Diabetes and/or other conditions
For women requiring Specialist Obstetric care will be referred to either the Maitland Hospital or to John Hunter Hospital.
AMHIS (Aboriginal Maternal Infant Health Service)
The AMIHS provides care for Aboriginal and Torres Strait Islander women, and/or women whose baby will be Aboriginal and Torres Strait Islander. The service aims to provide culturally appropriate support and education during pregnancy, after birth and for children up to early school years. This service includes antenatal care, child and family health care, immunisation, child health checks, support service referrals and health education. You may contact the AMIHS staff directly, or talk to your GP or the staff at the Narrabri Hospital to make a referral to the AMHIS service.
Please phone AMIHS on 0407179662 OR 0408967148 if: -
- You think you are pregnant or have a positive pregnancy test
- You have children between 0-5 years
Summary of options of care
|Options of care||Suitability||Who will provide your antenatal care||Where you will have your antenatal care||Who will provide care during labour|
|Shared care with GP/Obstetrician||All women ||GP/Obstetrician of your choice; Antenatal Clinic midwife at |
Booking-in and as per schedule of care
Narrabri Antenatal Clinic Narrabri Hospital
|Midwife from Narrabri Maternity Unit|
|Shared care with GP/Obstetrician||All women||Midwife and GP/Obstetrician||Wee Waa Antenatal Outreach Clinic in local Community||Midwife from Narrabri Maternity Unit|
|Narrabri Aboriginal Maternal infant Health Service (AMIHS)||Aboriginal and |
Torres Strait Island
women or women having an Aboriginal and Torres Strait Island baby
|Midwives and Aboriginal Health |
|Home / AMIHS clinic Narrabri/Community Antenatal Clinics||Midwife from Narrabri Maternity Unit|
|Specialist Care at Moree as required Monthly by Newcastle Visiting Specialist team||Women with pregnancies complicated by medical, obstetric conditions||Medical obstetric teams||Narrabri and as advised by Plan of Care||Depending on care as planned by Specialist team and local GP/Obstetrician|
Women requiring specialist or higher level care will be referred to the High Risk Clinic at either the Maitland Hospital or the John Hunter Hospital.
Pregnancy support service
Pregnancy support services
Acute Gynaecology Service (incorporating the Early Pregnancy Assessment Service)
This service is available for women with early pregnancy abdominal pain, bleeding or severe vomiting (up to 18 weeks) through the Emergency Department, your GP or GP Obstetrician.
Multicultural Health Services
The Multicultural Health Unit provides the following services to women from culturally and linguistically diverse (CALD) backgrounds:
- Health Care Interpreter Services
The Multicultural Health Unit provides professional health care interpreters for all women from CALD backgrounds. Health Care Interpreters assist women to communicate with their health professional during antenatal visits, classes, labour, postnatal period and other health-related occasions. If you need the assistance of a health care interpreter please let staff know and they will book one for your appointment.
Aboriginal Liaison Officers
The Narrabri Hospital Aboriginal Liaison Officer is available to assist Aboriginal and Torres Strait Islander patients.
If you or your family require assistance in accessing hospital services, please ask one of our staff members to contact the Aboriginal Liaison Officer for you.
Care and Support for women with drug and alcohol problems
Some women may still be using alcohol or taking drugs during pregnancy. It is known that this can be very harmful to the unborn child. A number of skilled, non-judgmental and empathetic staff can provide a range of support. This will greatly improve the chances of having a healthy baby. Other services include the Drug and Alcohol Team and Social Work team.
Providing practical assistance and counselling: Social Work
Social workers are part of the health care team looking after you and your family while you are in hospital.
Social Workers can offer counselling to individuals and families in all areas, including:
- Women or families experiencing difficulties during the pregnancy, such as family breakdown or financial difficulties
- Women or families considering adoption
- Information about community support services
If you wish to contact a social worker you can contact the Social Work Department directly on (02) 67992159 or alternatively ask your midwife, doctor or other hospital staff involved in your care to contact a social worker for you.
Promoting Healthy Eating: Dietitians
Both you and your baby need extra nutrients during all stages of pregnancy and breastfeeding. Eating a nutritious diet during pregnancy promotes healthy growth and development for your baby, prepares you for breastfeeding and is important for your own wellbeing. It is important to remember that even though you are eating for two, there is no need to eat twice as much.
A dietitian can assess your diet and suggest any changes that you may need to make. This is particularly important for women who are under- or over-weight, suffer from anaemia or a malabsorption illness such as Crohn’s or Coeliac disease, follow a vegetarian diet, or are diabetic.
Our staff can refer to this service as required or requested.
Get Healthy in Pregnancy
The Get Healthy in Pregnancy Service is a FREE telephone health coaching service available to anyone aged 16 years and over. You will be able to talk with a qualified dietitian or exercise physiologist over the phone in the privacy of your own home.
Your health coach could help you to:
- Eat healthily
- Get active
- Gain or maintain a healthy amount of weight during your pregnancy
- Not drink alcohol during your pregnancy
- Return to your pre-pregnancy weight.
For Aboriginal women or women carrying an Aboriginal baby you may be able to speak with the Get Healthy Aboriginal Liaison Officer, for your first phone call or one of your coaching calls. The ALO will talk to you about your needs and your access to services in the community before referring you to either a dietitian or an exercise physiologist for the remainder of your phone calls.
Discuss referral to the service with your midwife at your booking-in visit or you can click the image below for more information and to refer yourself to the service.
This service can be accessed online or discuss referral with the midwife at your booking in visit.
Helping women to move well: Physiotherapy
A physiotherapist is available to give you advice or treatment on the discomforts that may arise during your pregnancy or after your baby is born. These may include back pain, pelvic pain, pelvic floor weakness, incontinence or abdominal muscle weakness.
If you wish to see a physiotherapist, ask your caregiver to contact them for you.
If you wish to see a physiotherapist, contact them by phoning (02) 67992800 or ask your caregiver to contact them for you
Narrabri Birth suite
Narrbri Birth Suite
The Narrabri Birth Suite is located in the maternity unit at Narrabri hospital.
When you arrive at Narrabri Hospital go straight to the maternity Unit. You will be met by a midwife and taken to an available room that best suits your needs.
Travelling to have your baby in hospital
- Contact the midwife in the Birthing Service for advice.
- Wear a sanitary pad
- Have your support person drive safely, and use your seat belt with lap belt positioned below your baby. Have old towels available to catch leaks if they occur, and an old ice-cream bucket in case of nausea or vomiting.
- In NSW, an ambulance ride can be very expensive; it is strongly suggested that you join an ambulance fund for your family emergency situations, if you are not already covered by private health insurance (this may be done through any major private health fund office or online).
- Bring your antenatal record. Your antenatal record provides us with your history and plan of management for labour and birth. Please carry it at all times, and present it to the midwife on your arrival.
A plan for going home after birth
Some women choose to go home from the hospital soon after the baby is born. This is dependent on both mother and baby being well, baby has had the first feed, and mother is confident going home with adequate family support. A physical examination of mother and baby will be done before you leave. All the necessary documents and supportive information will also be provided. The Child and Family Health Nurse will contact you and inform you of an approximate time for your home visit.
Husband/ partner/ support persons in labour and birth
We welcome people who will support and encourage you throughout labour and birth. There is room for a maximum of two support people at any one time in the Birth Suite.
It is the woman’s choice who supports her during pregnancy, labour, birth and the postnatal period. A doula is a layperson, identified by the woman, who provides continuous support during the antenatal period, childbirth and the postnatal period. The doula attends as an employee of the woman. Under normal circumstances each woman is able to have two support people with her in delivery suite. A doula is to be considered one of the two support people.
Hunter New England Local Health District (HNELHD) is open to the use of doulas at birth, and maternity services will facilitate a productive, receptive environment for doulas to support women. However, HNELHD clearly states that it does not accept responsibility and is not accountable for any actions or advice given to labouring women by doulas.
If there are some visitors you would like to visit you soon after the birth of your baby in the Maternity unit, we request that your visitors check at the Maternity Unit desk before proceeding to your room. This is to protect your privacy and the privacy of other women in the unit. Please be aware that there is no waiting room for visitors in the Birth Suite.
Enquiries while in Birth Suite
To protect your privacy and confidentiality, information is not given to people enquiring about you without your consent. We will take messages for you to contact the enquirers at a convenient time.
Video recording and photography
We respect your wish to film labour and birth. However, all staff have the right to refuse to be identified on film or refuse filming during specific procedures. Please inform your midwife of your intention to film.
There are no childcare facilities available in the maternity unit. If you wish to have your children present for labour and birth, we request you have one adult, other than your main support person to care and supervise.
We ask that all mobile phones are turned to silent mode in the Birth Suite, and ward environments.
Keeping baby with you following birth
Your baby will remain with you following birth. Skin-to-skin is encouraged for a minimum of 1 hour after the birth or until the first breastfeed. Skin to skin contact stimulates the mothers’ production of the oxytocin hormone, which decreases bleeding, promotes bonding and breastfeeding. It allows the baby to smell, touch and know mum as well as stay warm. When the baby shows signs of readiness, he/she will be able to breastfeed.
It is strongly suggested that during this important time the baby stays with mum, rather than being handed around to other family members. The father of the baby has an important role in protecting the new mother and baby.
After your baby has fed, he / she will be weighed and measured. With your consent, Vitamin K (Konakion) and Hepatitis B vaccine injections will be given at this time.
Two arm-bands with the baby’s correct identification details will be placed on the baby’s arm and leg – the midwife will ask you to check these details to ensure they are accurate. The identifying number on the mother’s armbands are the same as the baby’s, so it is important that you make sure the identifying numbers correspond.
The armbands are routinely checked by the midwives. Should the armbands fall off, please tell the midwife as soon as you can so that new armbands can be provided.
What happens to the placenta (afterbirth)?
After the birth of your baby, the placenta will be disposed of in accordance with NSW Health Guidelines.
On some occasions the placenta may be sent to the Pathology Department, for extra information. If you would like to take your placenta home please talk to your midwife.
Stem cell collection and storage
If you are interested in the collection of stem cells from your baby’s cord blood for possible future use, you need to organise this with one of the private companies several weeks before coming to hospital to birth your baby. You will need to organise the collection, equipment, courier service and storage with the private company.