£250 £250 - Emma's Diary

emmasdiary.co.uk

£250 £250 - Emma's Diary

Autumn-Winter 2008/09

A WEEK BY WEEK GUIDE

TO YOUR PREGNANCY

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Your health care team

During pregnancy you’ll be looked after by a primary health care team which is led by your

General Practitioner (GP) and includes the midwives and health visitors involved in your care

and the care of your baby. You may also be asked to attend the maternity unit at the hospital.

Presented with the Compliments

of Your General Practitioner

Written in association with:

2

Dr Shauna Fannin, MRCP, MRCGP

Practising GP with a special interest

in family medicine

Dr Abhijit Bhattacharyya, MRCOG, MRCGP

Practising GP with a special interest

in women’s health

Becky Bolton, BSc, RM, RGN

Midwife in a hospital maternity unit

Dr Simon Carvell, MRCGP

Practising GP with a special interest

in family medicine

Brenda Laurent, Advertising Executive

Royal College of General Practitioners

Your GP This is your family doctor who, along with a midwife,

will help you plan your antenatal care and will provide medical

care for both you and your baby during and after pregnancy.

Midwives Hospital and community midwives have been

specially trained to care for mothers and babies throughout

pregnancy, labour and birth. Community midwives continue

to care for you and your baby for between 10 and 28 days

after the birth.

Health Visitor Your health visitor takes over the care of

both you and your baby from the midwife. She is a qualified

nurse whose role is to help families, especially those with

young children, to keep healthy.

Obstetrician This is a doctor who specialises in pregnancy,

labour and birth. An obstetrician is part of the hospital

team you will be referred to if complications arise in any

of these areas.

Paediatrician Also part of the hospital team, a paediatrician

is a doctor who cares for babies and children. A paediatrician

who specialises in newborn babies is also known as a

neonatologist. A paediatrician or neonatologist will check

your baby before you both leave hospital to make sure that

he is fit and healthy.

Royal College of General Practitioners

Emma’s Diary ® is published on behalf of the Royal

College of General Practitioners.This is the largest

membership organisation in the UK solely for GPs.

It aims to encourage and maintain the highest standards

of general practice and to provide continuing support

for patients.All the information contained within this

publication has been checked and approved by them.

No endorsement of the products, services or websites advertised in Emma’s

Diary ® is implied or intended by The Royal College of General Practitioners.


Welcome to...

Emma’s Diary®

This is the pregnancy guide that every mum should read! Packed

with medical information, useful tips and helpful advice and

entertainment, Emma’s Diary ® covers every aspect of pregnancy,

from the first weeks through to the days after the birth.

If you want to know more about what’s happening to you and your baby,

our Medical Section tells you what to expect during each trimester.

Illustrated with medical pictures and diagrams, it takes you through the

weeks of pregnancy explaining how your body changes, what you are likely

to be feeling and how your baby is developing.Antenatal tests and

procedures and pregnancy complications are covered too, making this a

comprehensive guide to your pregnancy health.

Separate articles concentrate on other important aspects of pregnancy, such

as healthy eating, avoiding unnecessary risks and what to expect during

labour and birth.As a mum-to-be you’ll want to make the most of this

special time by looking and feeling great, so there are tips on how to care

for your changing body and how to exercise safely, along with ideas for

pregnancy fashion, preparing the nursery and shopping for your baby.

Knowing how to look after your newborn will help take some of the stress

out of those first days at home, so we’ve included a section on things that

will concern you once your baby has been born, such as feeding, bathing

and changing, as well as how to cope with the physical changes that take

place in your body after the birth.

If you’re wondering how other mums feel about being pregnant you’ll

want to read our first-time mum Emma’s unique diary. It starts on page 55

and describes the highs – and lows – of her pregnancy from week six,

when she does her pregnancy test, through to the birth of her baby.You’ll

want to laugh with her and cry with her as she struggles with morning

sickness, the wrong shaped bump and a partner who is sometimes less

than understanding!

And that’s not all! If you turn to the inside front cover you’ll find details of

how to claim your very own Mum-to-be Gift pack. Keep Emma’s Diary ®

to hand during your pregnancy to help you understand and enjoy this

important time in your life. Good luck!

Alison Mackonochie

Editor-in-chief

3


in this issue

Autumn-Winter 2008/09

antenatal

2 YOUR HEALTH CARE TEAM

The people who will care for you

6 WHAT’S AVAILABLE?

Choices in antenatal care

10 YOUR MATERNITY RECORD

How to understand your personal record

14 YOUR PREGNANCY DIET Healthy eating

16 FASHION WITH A BUMP!

Your maternity wardrobe

18 FEELING SEXY?

Making the most of sex in pregnancy

20 KEEPING FIT How to exercise safely

22 LOOK AFTER YOURSELF

Tips to help you look and feel good

24 WHAT ARE YOUR CHOICES?

Different types of birth explained

28 WHAT TO EXPECT....

What happens during labour and birth

34 INDUCTION Getting labour started

36 WHAT ARE YOU ENTITLED TO?

Maternity rights and benefits

39 BABY SHOPPING CHECK LIST

Everything you’ll need for

your newborn

40 CHANGING ROOMS

How to create your baby’s nursery

47 BABY’S TRANSPORT Out and about

50 AVOIDING RISKS

Health hazards you need to be aware of

55

follow this

unique diary

READ EMMA’S PERSONAL DIARY

AND EXPERIENCE THE HIGHS

(AND LOWS!) OF HER PREGNANCY

FROM WEEK SIX RIGHT UP

UNTIL SHE GIVES BIRTH

4

96

what’s

happening

to your baby

INFORMATION

ON THE

CHILD TRUST

FUND FROM

THE CHILDREN'S

MUTUAL

see page 36

100

what’s

happening

to your baby

medical file

FIRST TRIMESTER

92 Estimated date of delivery

Antenatal check ups

Morning sickness

94 Early pregnancy symptoms

Folic acid

95 Supplements

Bleeding

Booking appointment

96 Tests and checks

Diet and lifestyle advice

97 Blood tests

Healthy eating

98 Foods to avoid

99 Dating scan

Rhesus negative

medical file

SECOND TRIMESTER

100 Screening and Diagnostic tests

101 Nuchal translucency screening

102 Triple/quadruple tests

Amniocentesis

103 Chorionic villus sampling

Lifestyle advice

104 Pregnancy health niggles

106 Travelling

107 Anomaly scan

108 Gestational diabetes

Twins and more

medical file

THIRD TRIMESTER

110 Anaemia

Insomnia

112 Late pregnancy health niggles

113 Obstetric cholestasis

Pre-eclampsia

114 Braxton Hicks’ contractions

Colostrum

Breech position

115 How labour starts


postnatal

118 LIFE AFTER BIRTH

90

Your postnatal body

...Finally, at

120 YOUR BABY’S FIRST CHECKS

5.20am.

What the doctor does

122 ‘BREAST IS BEST’

How to feed your baby

125 CRYING

Why does your baby cry

128 WEANING WAYS

When to introduce solids

132 BATHTIME

Beat the bathtime blues

134 THE BOTTOM LINE

Nappies and changing techniques

138 SLEEPLESS NIGHTS

How to get your baby to sleep

141 LLOYDSPHARMACY STORE LIST

see pages

122

between

Breastfeeding

19, 108 &109 & 140

has many benefits

HELP AND SUPPORT

offering information and support

and that’s not all...

Join me on

Facebook!

www.emmasdiary.co.uk

Publisher David Castle Editor-in-chief Alison Mackonochie Production Enquiries Lorraine Rowe

Advertising Enquiries Doug McMillan Main Switchboard 01628 891644 Facsimile 01628 816883

Web Site http://www.emmasdiary.co.uk E-mail enquiries@emmasdiary.co.uk Postal Address Lifecycle Marketing (Mother & Baby) Limited, 1 Globeside Business

Park, Fieldhouse Lane, Marlow, Bucks SL7 1HY Contributing Writers Jo Waters and Heather Walton Illustrations Turinna Gren and Sophie Joyce

Creative Consultant Paul Stratford Editorial Design Consultant Stanley Glazer

Copyright © 1992-2008 Lifecycle Marketing (Mother and Baby) Limited. All rights reserved. Lifecycle Marketing (Mother and Baby) Limited is a member of TNT N.V.

Registered in England No: 2556692. Eighteenth edition (second impression).

All characters in this book are purely fictitious and any resemblance to anyone living is purely coincidental.

Emma’s Diary ® is a registered trademark of Lifecycle Marketing (Mother & Baby) Limited, 1 Globeside Business Park,

Fieldhouse Lane, Marlow, Bucks SL7 1HY The contents of Emma’s Diary ® are fully protected by

copyright and none of the editorial matter, including charts, illustrations and photographic matter,

may be reproduced in any form without the prior consent of the publisher.

Don’t forget

to collect your

FREE

Mum-to-Be

Gift Pack

exclusively from

JAN-JUN 2008

414,240

5


ANTENATAL CARE

What’s available?

Once your pregnancy has been confirmed you will need to find out about the type of

antenatal care that is available to you and decide where you would like to give birth.

Here we look at some of the things you’ll need to consider.

Your choice of antenatal care will be made jointly

with your GP or midwife depending on whether

your pregnancy is considered to be high or low

risk.The type of antenatal care available differs

around the country.

Shared care Most women have the option of

shared care between their GP and midwife.You

may also see the obstetric consultant in the local

maternity unit at the beginning and end of your

pregnancy or if there are complications.

Midwife-led care This can be in GP practices or

community clinics/hospitals.You are cared for

by a midwife at all your routine appointments and

only see a doctor if there is a medical complication.

GP-led care Some GPs’ practices have doctors

with a specialist interest in antenatal care who run

their own clinics.

Domino scheme All your appointments are with

a team of community midwives.You’ll get to know

the team during your pregnancy, one of them will

care for you in labour and oversee your early

discharge from hospital.

Consultant-led care If your pregnancy is in any

way complicated you will be under the care of a

consultant obstetrician.This means you will have

your appointments at a hospital clinic and see a

midwife and the consultant.

Hospital birth Our maternity services are

planned around delivering babies in hospital.Your

midwife will make the arrangements for you.

Pros

� Hospitals have all the equipment and expertise to

hand if complications develop for mum or baby.

6

�You have more pain relief options, such as an

anaesthetist on call to provide an epidural.

�You recover from the birth in hospital where the

midwives will help you get breastfeeding started.

�You can stay in hospital for at least six hours after

your baby is born – and for longer if you have

had complications. Consultants are on hand to

deal with any problems.

Cons

�You’ll give birth in unfamiliar surroundings.

�You may not have met the midwives who care for

you during your labour.

�You may be more likely to have medical

intervention, such as induction and assisted

delivery.

Different types of hospital care

Consultant-led units Larger maternity hospitals

are led by consultant obstetricians – specialist

doctors who have expertise in managing

pregnancies and deliveries with complications.

Midwife-led units Birthing centres are led by

midwives who care for women having normal

births. Epidurals and Caesareans are not available.

GP/midwife units Smaller cottage hospital

maternity units may be run by GPs and midwives

working in partnership.

Choosing a hospital You can find out what

services your local hospital offers and what its rate

of intervention is by asking your midwife, writing

to the hospital's director of midwifery services or

looking at the hospital’s website on the internet.

If you don’t want to go to the hospital that’s in your

catchment area, you can request to be referred to

another hospital and your GP/midwife should �


ANTENATAL CARE

arrange this for you. It helps if you have a legitimate

reason – such as wanting a hospital with a birthing

pool. Consider the distance you’ll have to

travel when making your choice. If you have

difficulties arranging another hospital, contact the

Association for Improvements in the Maternity

Services (AIMS).

Visiting the labour ward Most antenatal classes

arrange a visit to the labour ward at your local

maternity unit so that you and your birth partner

are familiar with the facilities that are available. It’s a

good opportunity to ask any questions.You can also

see what equipment they have (birthing balls and

chairs or birthing pools, etc.).

Home birth Lots of myths persist about home

births – the main one being that they are unsafe.

In fact, many research studies have confirmed that

planned home birth is as safe as planned hospital

birth in normal, low-risk pregnancies.

Pros

�You get two midwives to care for you in labour

and there is a high probability that at least one of

them will have cared for you during the pregnancy.

�You’re able to give birth in a relaxed, familiar

environment with your family close by.

� There’s less chance of medical intervention, such

as forceps or ventouse (see page 32)

8

Some maternity units

offer a range of

equipment to help

you through labour

� If things don’t go as planned you will

still be able to transfer to hospital.

�You can recover from the birth in your

own home.

Cons

�Your pain relief options are more

limited.

� A home birth is not advisable if you

have high blood pressure, are in

premature labour or your baby is breech.

� If you have problems during labour you

may have to transfer to hospital at a very

late stage, which can be uncomfortable

and may put you and your baby at risk.

� It’s harder to escape from the demands

of family life when you need to rest after

the birth.

If you decide you want a home birth ask your

midwife to book it for you – it doesn’t commit you

to anything and you can still change your mind at

any stage of labour.

Antenatal classesYour midwife will book you

(and your birth partner) into some free hospital

antenatal classes in the last eight weeks before your

baby is due – don’t miss them, they are very

informative and it’s a great way to meet other

couples preparing for their first baby. Refresher

groups for second and third-time mums are also

sometimes available.

The National Childbirth Trust charity runs

antenatal classes based on smaller groups of six to

eight couples, all with babies due around the same

time. It's best to book up early.You have to pay but

discounts are available and you don't have to be an

NCT member to attend.All money raised goes

back into providing the charity's services.

For more information

� www.homebirth.org.uk

� AIMS on 0870 765 1433 or www.aims.org.uk

� National Childbirth Trust charity (NCT)

on 0870 444 8707 or www.nct.org.uk

� Patient Advisory Service on

www.patientadvisory.co.uk

From maternity pants to maternity leave – mums are

chatting about all sorts at www.emmasdiary.co.uk


MATERNITY RECORD

Your maternity record

This is a personal record of your pregnancy which you keep until your baby is born.

It contains important information about your health and your baby’s progress.

You will be given your personal maternity record at

your booking appointment and you will need to

take it to all your antenatal appointments and then

give it to your midwife when you go into labour.

Your midwife or doctor will fill it in at each

antenatal check.Your maternity record is designed

to give as full a picture as possible of your

pregnancy and will contain all the information

that your health professionals have about you.

It’s important to carry these records with you,

You will be given your

personal maternity

record at your booking

appointment

10

especially if you go on holiday, in case you have a

medical emergency when you are away from home.

Personal information You will be asked to

complete a section about yourself and then discuss

it with your midwife.You’ll need to fill in your

name, address and hospital details, and give

information about your past and present health and

any medication that you are taking. If you’ve been

pregnant before, details of any complications, �

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problems – such as poor reception and

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to notify parents of anything else they may be

concerned about, such as the temperature or

humidity of baby’s room. Parents can now be

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with the brand new range of baby monitors

from Philips AVENT, the UK’s favourite

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Featuring the latest in Digital Enhanced

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your baby with crystal clear clarity. All come

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with a wide range of features. These include

monitoring the humidity and the temperature

of your baby’s room – this ensures he can sleep

comfortably and peacefully (as a baby is not

capable of regulating his body temperature)

and protects him from harmful germs and

bacteria in the air, which can cause illness.

The new range of Philips AVENT DECT Baby

Monitors comprises three different models so

there is one to suit everyone’s needs.

For advice and helpful tips on pregnancy,

birth and beyond, visit the new Philips AVENT

website www.mybabytalk.co.uk,

or for product information visit

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The new range of DECT monitors is

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Room temperature sensor

Humidity sensor

Extra long range of 350m

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Vibration alert

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Baby unit nightlight

Parent talkback

Rechargeable parent unit

Sound level lights

Adjustable sound sensitivity

Volume control

Belt clip and neck cord

LCD screen on parent

and baby units

Travel bag


MATERNITY RECORD

miscarriages or stillbirths will need to be included.

You may also be asked about your ethnic group and

religious beliefs so that you receive appropriate care

at the time of birth or in an emergency.

Information about your pregnancy All the

information about your pregnancy will be recorded

on your records – your antenatal appointments, your

estimated date of delivery (EDD), as well as checks

carried out at the antenatal clinic.These will include:

� Results of blood and urine tests.

� Blood pressure.

� Size of your abdomen.

� Position in which your baby is lying.

� Your baby’s heart-rate.

� Details of ultrasound scans.

� Any problems you have during pregnancy.

Practical information Many maternity records

also contain a lot of practical information.This may

include:

� Phone numbers for your midwife, GP, antenatal

clinic, delivery suite and hospital switchboard.

� Information about voluntary organisations

who work with mothers, babies and families.

� Details of information leaflets relating to

pregnancy and parenthood.

� A list of topics you may want to ask your

midwife about.

� What to do if you experience a serious

problem, such as vaginal bleeding.

Your birth preferences There may be space for

you to include information about how you would

like your labour and birth to be managed.You can

fill this in if you want to, but you may prefer to

write a separate birth plan (see page 24) which will

give you more scope to write about the things that

are important to you.You should keep any birth

plan you write with your maternity record.

Some maternity records also include a space for

you to write about any previous experience you’ve

had of pregnancy and birth. It’s a good idea to write

down here any worries or concerns you may have

this time round resulting from your previous

experience so that your midwife is aware of them.

12

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FREE Mum-to-Be Gift Pack

UNDERSTANDING YOUR

MATERNITY RECORD

Health professionals often use abbreviated terms

when they fill in your record.Ask your midwife

to explain anything you don’t understand. Here

are some of the most common abbreviations:

ANC - Antenatal clinic

ARM - Artificial rupture of membranes

BP - Blood pressure

Br Breech - Baby is lying bottom down

CTG Cardiotocograph - Method of

monitoring baby’s heartbeat

Cephalic, ceph or Vx - Baby’s head is nearest

the cervix

Cx - Cervix – neck of the womb (uterus)

DAU - Day assessment unit

EPAU - Early pregnancy assessment unit

Eng/E - Engaged - the baby’s head drops into

the pelvis.The position of the baby’s presenting

part (head or bottom) is measured in relation to

the brim of the pelvis.

FHH - Foetal heart heard

FMF - Foetal movement felt

Fundal height - Distance from the pubic bone

to the top of the uterus – this gives a guide to the

size of the baby

IOL - Induction of labour

LMP - Last menstrual period – the date of the

first day of your last period

LSCS - Lower segment Caesarean section

NAD - No abnormality detected

Oedema - Swelling of hands and feet

SROM - Spontaneous rupture of membranes

Transverse lie - The baby is lying horizontally.

Urine P G O - Indication of whether your

urine sample contains protein, glucose or anything

else - other.

USS - Ultrasound scan

UTI - Urinary tract infection

24+2 - These figures indicate the length of your

pregnancy, i.e. 24 weeks plus two days.

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normal, as as it it isessential is essential for the for healthy the healthy growth

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When diet alone cannot satisfy the body’s body's

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HEALTHY EATING

Your pregnancy diet

Sorry girls, but pregnancy isn’t a licence to eat cakes, quite the reverse!

It’s more important than ever to eat a healthy balanced diet now

you’ve got another life to think about.

You don’t actually need to eat more until the last

trimester when your overall calorie needs increase,

but only by 200 calories a day – that’s equivalent to

two pieces of toast! But, equally, this is definitely not

the time to start a diet which could deprive you and

your baby of important vitamins and minerals. Just

concentrate on eating three meals a day, plus healthy

snacks and cut out ‘empty’ junk foods, which have

no nutritional value.

Certain foods are off-limits (see page 98), but you’re

still able to eat most things.As a rule of thumb, try to

include carbohydrates (wholemeal bread, pasta, rice,

breakfast cereals, potatoes, etc.), fruit and vegetables,

protein (lean meat, eggs, fish, beans, lentils, nuts, etc.)

and dairy products (such as milk, cheese and yoghurt)

which contain calcium, in every meal. Don’t skip

breakfast. Plan some healthy snacks for during the day.

HEALTHY START

A scheme offering vouchers which can be

exchanged for fresh milk, fruit and vegetables at a

wide range of retailers is now available. If you are

expecting a baby or have a child under four and

you’re on a low income ask your midwife or health

visitor for details of the Healthy Start scheme.

Five healthy eating tips

� If you’re struggling to eat the five portions of fruit

and vegetables recommended for a healthy diet,

start juicing to maximise your fruit intake or add

fresh fruit to natural yoghurt or milk to whizz up

a smoothie.

� Top up your iron intake with leafy green

vegetables like spinach, or dried fruits, such as

apricots.Watercress is another concentrated iron

source, so sprinkle it on your meals as a garnish

or use it for salads and soups. Boost absorption

by eating iron-rich foods with vitamin C drinks,

such as orange juice.

14

Eating a varied diet will help

you to get all the nutrients

you need during pregnancy

� Eat wholegrain foods (bread, breakfast cereals, etc.)

to avoid constipation, for slower and longer lasting

energy release and essential B vitamins.

� Keep up your intake of essential fatty acids

(especially omega-3 DHA and omega-6 AA

which are important for your baby’s brain and

eyesight) by eating oily fish (two portions a

week) and seeds. Linseeds are especially good.

� Try to eat a variety of different coloured

vegetables and fruit – the more colours the more

varied your intake of vitamins and minerals is

likely to be. Eat well washed raw vegetables as

cooking destroys many of the nutrients.

Healthy snacks If your energy levels are flagging

and you need a snack to boost your blood sugar –

don’t head for the sweet shop! Try some of the

following:

Bananas Eat them whole or blend them with

milk in a milkshake.They contain potassium and

B vitamins and will release energy slowly.

Cup of hot soup Great for extra vegetables and

very filling.

Wholemeal toast Add cheese (great for calcium)

or beans (calcium and protein).

Breakfast cereal with milk Porridge is good and

wholegrain cereals are packed with B vitamins too,

but stay away from sugary cereals. Milk is a good

source of calcium, needed for bones and teeth. Milk

is really important if you’re a teenage mum-to-be.

Dried fruit Buy bags of dried sultanas, apricots and

raisins and nibble on them when you crave

something sweet.


MATERNITY WEAR

Fashion with a bump!

If the thought of clothes shopping when you’re pregnant fills you with horror, don’t worry;

it’s not all sailor collars, pussy bows and floral prints!

There was a time when all you had was a choice

between baggy dungarees or chintzy smocks.

Now, thanks to a spate of ‘celeb’ mums – and

manufacturers realising that pregnant women still

love fashion and have money to spend – looking

stylish with your bump is easily achievable.

Where do I start?

Most women start to

‘show’ some time

during their second

trimester so this is

when you’ll probably

want to start shopping

for a few essentials.The

chances are you’ll have

some basics in your

wardrobe that will still

be wearable during

pregnancy. If you’re

happy to show your

bump off, then stretchy

vest tops and fitted tees

will be fine for the first

few months.Team them

with under the bump

jeans or a pair of

drawstring khakis for a

www.seraphine.com casual look. However -

unless they are very stretchy - you may have to go

up a size or two as your pregnancy progresses to

accommodate what will almost certainly be an

impressive increase in your bust size.

If you work in an environment where you need to

look smart, there are a number of companies that

specialise in business maternity clothes. However,

most maternity wear companies sell a range of

smart ‘basics’ that can be mixed and matched. For

example, a black jersey wrap-over dress is great for

most occasions. It can be worn on its own for a

sophisticated look or over jeans when you want to

be more casual.Almost everything available on the

high street is now replicated in maternity wear so

16

you don’t have to change your style.Although the

fashion still seems to be showing off your bump, if

this isn’t for you then don’t feel embarrassed about

it. If you want to spend your pregnancy wearing a

comfy tracksuit, then why shouldn’t you?

Undercover Despite what you may think, sexy

maternity underwear does exist, so there is no

reason why you shouldn’t make the most of your

new curves. For a start, your boobs are likely to get

bigger by up to three cup sizes during pregnancy so

a well fitting, comfortable and sexy bra is a must.

You should get properly measured as it’s important

that your breasts have good support and that your

back is protected from the extra strain. Under-wired

bras should be avoided as these are not suitable for

pregnancy or breastfeeding.

Breasts

Choose cotton, bikini-style pants as they will sit increased

comfortably under your bump. Cotton allows your size

skin to breathe which will help prevent itching and

may also help to avoid yeast infections, such as

thrush, which are common during pregnancy.You

may also want to buy a few pairs of maternity tights

to give your legs a bit of extra support.

Stepping out Although stilettos may be

beckoning, be warned; they are not good for you

during pregnancy! There’s no denying that they are

the obvious foxy choice for footwear, but you won’t

feel particularly foxy if you end up with a dodgy

back.This doesn’t mean surgical sandals and sensible

lace ups are the only option; a small heel is actually

better for your back than a flat sole, so think kitten

heels, low wedges and pumps.And don’t forget, if

you have to be sensible in style, you can always be a

little more adventurous with colour and textiles.

Brought to you by:

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SEX DURING PREGNANCY

Feeling sexy?

You may find it hard to believe, but pregnancy doesn’t always spell the end of passion – thanks

to your surging hormones and changing body you could feel sexier than ever before!

One of the major perks of sex with a bump is

pretty obvious – for probably the first time in your

life you can have sex without worrying you’ll get

pregnant. So now that the pressure is off, make the

most of it!

As an added bonus, higher levels of oestrogen and

progesterone in your body can make your breasts

and vagina much more sensitive and responsive.The

increased pregnancy blood flow in this area adds to

the heightened sensitivity, so you may find you can

become aroused more rapidly, lubricated more

readily and even be able to reach orgasm more

quickly, too.Which means it’s hardly surprising

that some women find that pregnancy is the first

time they can have an orgasm –

or even multiple orgasms.

You can feel sexy! It is possible

to have well fitting, comfortable

and attractive lingerie during

pregnancy - which makes you feel

good and helps get you and your

partner in the mood. bras4mums

offers online products and advice

to help you to find the right

underwear and swimwear.Your

breasts change drastically during

and after pregnancy - it’s hard to

feel sexy when you are

uncomfortable, so it’s vital to

get the right bra!

You can feel sexy!

Get experimental After

about 24 weeks it’s not good to lie on your back

for any length of time, so the missionary position is

out. It’s also good to avoid any position that puts

pressure on your breasts as they can be very

sensitive and tender in pregnancy. So use your

bump to provide you with a great excuse to try out

some new positions. Here are some ideas:

Side by side There’s no pressure on your bump so

18

it’s fab if you don’t feel up to swinging-from-the

chandelier style lovemaking.

Woman on top Lift yourself off your partner’s

stomach by supporting yourself on bent legs to

prevent pressure on your tummy and breasts.

The bedroom is also a great place to practise your

pelvic floor exercises as they could take your love

life to a whole new dimension. In turn, good sex

will help keep your pelvic floor muscles strong. But

don’t worry if you don’t feel like having the full

monty – getting close to your partner can take

many forms like stroking, cuddling, massage, mutual

stimulation and oral sex instead.

Can sex harm my baby? In most pregnancies,

sex is perfectly safe and won’t hurt your

baby at all.You might feel your baby move

around a lot more after you’ve had an

orgasm, but that’s quite normal. In fact,

the increased blood flow when you have

an orgasm helps to deliver more oxygen

and nutrients to your baby.

In the vast majority of cases sex with a

bump is totally safe, but, in some high-risk

pregnancies, it should be avoided. If you’ve

had a miscarriage or premature labour in

the past, if you notice bleeding or if you’ve

had a ‘show’, always get advice from your

midwife or doctor first.

Overdue? Try sex! If you’re overdue and don’t

fancy being induced, having sex can sometimes help

to kick-start labour.Your partner’s semen contains

high levels of hormones called prostaglandins,

which can help the uterus to contract. If you don’t

feel up to full sex (especially as you’ll be feeling as

large as a small bungalow by this stage), just try

stimulating your nipples – it sounds strange, but it

causes the release of the hormone oxytocin in the

body, which encourages labour to begin.

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USEFUL CONTACTS

Help &

Support

These organisations will be able to

offer information and advice.

Family Life

National Council for One Parent Families

Tel: 0800 018 5026

www.oneparentfamilies.org.uk

Advice for lone parents.

Parentline Plus

Helpline: 0808 800 2222

www.parentlineplus.org.uk

Self-help organisation for parents under stress.

Association of Breastfeeding Mothers

Tel: 08444 122 949 www.abm.me.uk

Promotes breastfeeding and offers support to

mothers who want to breastfeed.

Breastfeeding Network

Helpline: 0844 20 909 20

www.breastfeedingnetwork.org.uk

Offers support and information to mothers who

want to breastfeed.

TAMBA

Tel: 0800 138 0509 www.tamba.org.uk

Twins and multiple birth association providing information

and support for families of twins, triplets or more.

Cry-sis

Helpline: 08451 228 669 www.cry-sis.org.uk

Offers support for families with excessively crying,

sleepless children.

Family Welfare Association

Tel: 020 7254 6251 www.fwa.org.uk

Offers support to parents through local family

centres with drop-in facilities.

Gingerbread

Helpline: 0800 018 5026

www.gingerbread.org.uk

Self-help organisation for one parent families.

Families Need Fathers

Helpline: 08707 607 496 www.fnf.org.uk

Support for parents who are separated or divorced.


EXERCISE

Keeping fit

Taking regular exercise will help you to have an easier pregnancy and give you more stamina

to cope with labour. If you’re fit you are likely to get back into shape more easily after the

birth and you will have more energy to cope with the demands of a new baby.

If you already follow an exercise routine then –

providing your GP agrees – there is no reason why

you shouldn’t continue with it. But if you want to

try something new, or start a vigorous exercise

regime you should always check with your midwife

or GP first. If regular exercise hasn’t been part of

your lifestyle, it’s important to build some form of

exercise into your weekly routine.

Pelvic floor exercises These strengthen the

muscles that support the womb, bladder and bowel,

which get stretched during pregnancy. Exercise these

frequently by drawing in the back passage as if to

avoid passing wind, and hold for a count of four.

Choosing an exercise Activities that are

excellent during pregnancy include swimming,

walking, stationary cycling, prenatal aerobics and

aqua-natal classes.Yoga and T’ai chi are also good

choices as they will stretch and strengthen your

muscles.Avoid racket and contact sports and any

form of exercise that jars your joints, such as

jogging and high-impact aerobics. It is important

not to exercise on your back once you start to get

big, so from the fourth month onwards adapt any

exercises that you would normally do lying flat so

that you are sitting, standing or lying on your side

– if you can’t adapt them, don’t do them.

Getting started For the first few weeks of a new

programme you should exercise in short sessions,

three times a week. Start with a warm-up, followed

by 15 minutes of aerobic activity and finish with

some simple stretches and

breathing exercises. Once you are

comfortable with this, you can

gradually increase your aerobic

sessions until you reach a

maximum of 30 minutes.

20

don’t forget to collect your

FREE Mum-to-Be Gift Pack

Exercise safely

Always check with your doctor before starting

any new form of exercise. If you are continuing

an existing exercise programme, be prepared to

cut down on the amount you do as your

pregnancy advances.

� Stop immediately if you feel faint, light-headed

or breathless during exercise.

� Always wear a supportive bra when exercising.

� Exercise at a gentle, rhythmical pace so that you

avoid making jerky or bouncing movements.

� Listen to your body and don’t push yourself.

� If you attend classes or go to the gym tell your

instructor that you are pregnant.

� Start to reduce the amount of exercise you

do as your pregnancy advances.

� Never skip the warm-up or cool down

stretches when doing aerobic exercise.

� Some yoga poses are not suitable for pregnancy

so always check with your teacher or go to a

prenatal class.

Regular exercise will

help you to have an

easier pregnancy

exclusively from


YOUR CHANGING BODY

Look after yourself

Your body is having to work extra hard during pregnancy, so it makes sense to take extra

care of yourself during the months that lie ahead. Here are some easy-to-follow tips.

Lots of women experience a ‘bloom’ in pregnancy

– their hair grows quickly and develops a glossy

shine, their skin develops a healthy glow and their

breasts swell and they develop a sexy cleavage.These

changes are due to the pregnancy hormone

progesterone and to more oxygen circulating

around your body. Progesterone can also have a

calming effect and help reduce anxiety, hence the

serene feeling of contentment some pregnant

women experience.

Take extra care of

yourself during the

Unfortunately, not all women months ahead

experience this ‘bloom’ and find

their hair falls out, becomes greasy

and their skin breaks out in spots.

Both are normal – like pregnancy

nausea or stretch marks, the

‘bloom/wilt’ syndrome is often just

the luck of the draw. However, there

are things you can do to keep

yourself in good health.

Teeth Dental care is free on the

NHS during pregnancy and for one year after the

birth, so book an appointment now. Bleeding gums

are very common in pregnancy due to an increased

blood flow, so you’ve got to take special care to

keep your teeth and gums healthy. Clean below the

gum line with a toothbrush twice a day, floss to

remove food and use a mouth wash if necessary. If

bleeding persists see your dentist as you may need

extra cleaning. Gum disease has been linked to

premature labour and if left untreated can lead to

periodontal disease and tooth loss, so it’s really

important you don’t ignore it.

Hair Your hair may be thicker and glossier, mainly

because hair growth speeds up. Faster hair growth

may also mean more hairs falling out – but don’t be

alarmed, these are just being shed because new hair

22

is replacing them.You may experience some hair

loss after the birth when the hair growth returns to

normal. Some women do experience greasy hair in

pregnancy and this is due to progesterone

stimulating more sebum (oil) on the scalp – wash

your hair frequently using mild shampoo.

Skin Progesterone causes glands in the skin to

produce more oil so you may find you break out in

spots for the first time in years. Equally,

your skin can become dry and itchy.

Use a skin care range appropriate for

your type of skin and moisturise daily.

Avoid perfumed shower gels and

bubble bath as these can dry your skin.

Stretch marks These occur if the

elasticity of the skin becomes overstretched.They

appear as reddish lines,

often on the breasts, stomach and

thighs.There is little you can do to

prevent them, although it helps not to

put on too much weight and to wear a

supportive bra.After the birth, the lines will fade

and become a lot less noticeable.

Pigmentation If you find your skin is more

sensitive to the sun than normal use a moisturiser

that contains UVA protection. Some women

develop a condition called chloasma, a butterflyshaped

mask of darker skin across the face.This can

be concealed with make-up and will disappear after

the birth.

Legs and feet Tired, aching legs and feet are a

common pregnancy health niggle.Try to spend

some time with your feet up every evening. It’s also

worth having your feet measured mid-pregnancy

because fluid retention sometimes causes your feet

to get bigger and you may need a bigger shoe size.

Put your swollen feet up, grab a cup of decaf and

check out our new website! www.emmasdiary.co.uk


CHILDBIRTH

What are your choices?

It’s a good idea to make a birth plan early on in your pregnancy to help you decide how you

would like your labour and birth to be managed. One of the things you will need to think

about is how you want to give birth. Here we look at your birth choices and give you ideas

to consider for your birth plan.

How you give birth may depend on where you

give birth.Although many hospitals and maternity

units offer facilities for different types of birth these

days, not all of them offer all the options.Your

midwife will be able to tell you what’s available at

the hospital or midwifery unit where you plan to

have your baby.

24

It’s a good idea to

think about your

birth plan early

Active birth Having an active birth means that

you will be free to move and walk around during

labour and can give birth in the position that you

find most comfortable – like squatting or kneeling.

You may also be able to use birthing aids, such as a

birthing chair or bean bag.

The benefits of an active birth are:

� You are not confined to bed.

� It makes first-stage contractions more effective.

� Being upright helps your baby get into the best

position for birth.

� It’s easier to push.

� Gravity can help speed up the delivery.

Natural birth This means that you will give birth

as naturally as possible without drugs or any

medical intervention – unless it becomes necessary

for your safety or the safety of your baby. You can

use relaxation and breathing techniques to help you

cope with contractions and you may also be able to

use alternative therapies, such as aromatherapy and

homeopathic remedies.

The benefits of a natural birth are:

�You have greater control over the management

of your labour and birth.

�You can be as mobile you want to be.

�You won’t be physically affected by painrelief

drugs.

�Your baby is likely to be less sleepy

after the birth.

Water birth If you want a water

birth you will need to talk to your

GP and midwife to see if this is an

option they would recommend –

opinions differ as to whether

giving birth in water is best for

the baby. If a water birth isn’t

possible, you can use a birthpool


or a bath filled with warm water to relax you

during the first stage of labour and then get out to

give birth. Birthpools are in limited use in

maternity units so you will need to find out

whether one is available, or alternatively whether

you can hire one to use at home.

The benefits of using water are:

� Warm water helps to ease the pain of contractions.

� It enables you to relax.

� Promotes a feeling of well-being.

High-tech birth This is when

your labour and birth is controlled

by medical methods, such as having

an epidural for pain-relief.You can

choose this type of birth, or you

may have no option if your

baby is in trouble and an

assisted delivery is needed.

Another example of a

high-tech birth is a

Caesarean which may be needed

for medical reasons or carried out as an emergency.

The benefits of a high-tech birth are:

� You can have reliable pain relief through

epidural/spinal anaesthetic.

� The safe delivery of your baby if for some reason

he can’t be born naturally.

� Your well-being if there are any complications.

Your birth plan It’s a good idea to discuss your

ideal birth plan with your birth partner and your

midwife so that they know how you’d like your

labour and birth to be managed. However, do

remember that it’s important to keep an open mind

as you may find you have to make changes as your

pregnancy progresses – or if complications arise

when you are in labour.You may also want to

include other issues that need to be considered

before you go into labour.

Labour and birth:

� Where are you going to have your baby?

� What kind of birth do you want?

� Who do you want to be with you as your

birth partner?

� Do you have any special requirements to help

you through labour?

Your midwife will be able to

tell you what’s available at

the hospital or midwifery unit

� What is your ideal method of pain relief?

� Do you want your waters broken or to wait for it

to happen naturally?

� Would you rather tear naturally than have an

episiotomy?

� Do you want your partner to cut the cord?

� Would you like your baby to be given to you

immediately after being born?

� Do you want to breastfeed your baby as soon

after the birth as possible?

� Do you want your baby with you all the time?

� Would you like the placenta to be delivered with

the aid of drugs, or naturally?

� Are you happy to have student midwives or

medical students present at the birth?

Other issues:

� Have you any cultural needs that your health

professionals need to be aware of?

� Are there any language difficulties?

� Do you have a special diet?

� Is transport to and from the maternity unit likely

to be a problem?

� Will childcare be required for other children?

� What arrangements need to be made for when

you go home?

Who said you shouldn’t surf when you’re pregnant?!

Take a dip in our new website: www.emmasdiary.co.uk

CHILDBIRTH

25


LABOUR AND BIRTH

What to expect...

It’s natural to be concerned about how you will cope with labour, but one of the best ways

to overcome any anxieties you may have is to find out as much as you can beforehand.

Here we explain what happens during labour and tell you about your pain relief options.

A first labour usually lasts for 12 to 16 hours, while

any subsequent labours are often much shorter.

During labour you will go through several stages

and it helps to know what happens in each so you

can recognise the signs that you are progressing.

Early labour This can take hours, or even days as

contractions start to build up and put pressure on

your cervix (neck of the womb) to thin (efface) and

open up (dilate). Unless there’s a medical reason for

you to go early to hospital, you’ll be much more

comfortable at home during this stage. Initially

contractions are short and infrequent and then

gradually they will become stronger and closer

together. During this time you may experience a

‘show’ (see page 115). Keeping mobile during early

labour will help and you should continue to

eat and drink normally. Contact your

midwife if you need advice.

First stage labour

Strong, regular

contractions, lasting

about 45–60 seconds and

coming every five to 10

minutes, indicate that

you are in ‘established’

labour.You will need to

ring the labour ward then

go to the hospital. If you are

having a home birth now is

the time to call your midwife.

The midwife will assess

how far your labour

has progressed – the

cervix has to dilate to 10cm

during the first stage – and your pain

28

labour and birth

relief options will be discussed (see page 30).Your

baby will also be monitored, either with a handheld

Doppler or a foetal monitor which is strapped

to your abdomen.You will be encouraged to eat

light snacks and to drink plenty of liquid during

this stage.

As labour progresses your contractions will become

really intense with virtually no gaps in between

them. During this stage any pain relief you are

having will be monitored.Your partner can help

by offering you lots of encouragement and support.

Sips of water, a cool flannel on your face or a

massage may all help, but equally you may �

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no idea how many friends and family I’ve told about Bio-Oil!”

Bio-Oil ® is a specialist skincare product that helps reduce the possibility of developing

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Bio-Oil absorbs quickly, leaves no oily residue and is suitable for all skin types. It is

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LABOUR AND BIRTH

‘go into yourself’ to gather your strength and

will hate any fussing.You may start to feel the

urge to push.

Second stage Think of the second stage, which

can take up to an hour, as the final countdown to

meeting your baby.Yes, it’s painful – but the end is

in sight now and your midwife will help you

through it.Your contractions will become even

stronger and closer together and you will feel the

urge to bear down and push with each one.With

every push your baby will move further down the

birth canal and be closer to being born.

Eventually the baby’s head

will ‘crown’, passing

through the perineum and

you may feel an intense

burning sensation.The

midwife will encourage

you to ‘pant’, a succession

of quick, short breaths to

allow the perineum to

stretch and not tear. In

some cases you may tear or

your midwife may want to

perform a small cut – an

episiotomy (this can be

repaired with stitches after

the birth). Once your

baby’s head is born, when

you push with the next

contraction your baby will

turn to allow one shoulder

to come out, followed by

the other.The feeling of relief is immense and the

pain stops immediately; many women also feel an

intense ‘high’ at their achievement. Once the baby is

born the cord will be clamped and cut – in some

cases the new dad wants to do this – and the baby

will be handed to you so that you have skin-to-skin

contact if you wish.You may also want to put him

to the breast.

Third stage: delivery of the placenta It’s not

quite over yet! The placenta (or after-birth) now has

to be expelled and in most cases this is quite

straightforward. If you consent, your midwife will

30

LABOUR BAG

This should include any personal items that

will make life more comfortable.

� Natural sponge or face cloth

� Oil or lotion

� Loose T-shirt or nightie and socks

� Front-opening nightie, maternity bra and

disposable pants for after the birth

� Towel, toiletries, tissues and hairbrush

� Maternity or super absorbent sanitary

towels

� Snack and drink

� MP3 player and camera

� Change for car park and phone or a phone

card (the use of mobiles may not be

allowed)

� Your antenatal record

don’t forget to collect your

FREE Mum-to-Be Gift Pack

give you an injection of oxytocin as your baby is

being born to speed up the delivery of the placenta

(to between five and 20 minutes after the birth). It

usually takes just a few pushes and it’s out, or your

midwife may gently pull the cord to help to

remove it while you relax your tummy.

A natural third stage, where the placenta is expelled

without the help of drugs, isn’t suitable for

everyone. No injection is given and you’ll need to

be prepared for the delivery to take up to an hour

and possibly for more bleeding. In rare cases the

whole or part of the placenta is retained and this

causes heavy bleeding

and requires removal

under anaesthetic.

After the birth While

you are being cleaned up

and given stitches – if

they are needed – your

baby will be checked

over to make sure he’s

healthy (see page 120).

Pain relief in labour

Having a birthing partner

– your partner, a relative

or a friend – to give you

encouragement and

support will help you get

through your labour. It’s

important to remember

that everybody handles

pain differently and has

different thresholds for what they find acceptable.

Labour isn’t a competition and you don’t win any

medals for endurance if you go without pain relief.

Natural methods of pain relief

Breathing Learning how to breathe deeply in a

calm relaxed way is a key weapon in your battle to

stay on top of pain during labour. Deep breathing

helps your muscles to relax, slows your heart rate

and gives you something other than pain to focus

on.You’ll be taught deep breathing techniques at

your antenatal classes, but you will need to practise

these beforehand if they are to be any use in labour.

exclusively from


Relaxation techniques This can be anything that

helps to release tension and distract you from the

pain of contractions. Massage, aromatherapy oils,

music and low lighting can all be soothing. Some

women find it helpful to practise visualisation

throughout pregnancy to use as a distraction

during labour.This involves focusing on something

real or imagined.The idea is that you escape the

pain by concentrating on the details of the

experience/place you have conjured up.

Water Being in water can be extremely soothing

during labour and can help speed up contractions.

It supports your weight and can help you to relax.

Over 150 NHS hospitals have birthing pools or

you can hire your own pool and use it at home

before you go to hospital. Even if you don’t have

access to a pool, you can spend part of your labour

relaxing in a bath.

Active birth positions Getting gravity on your

side can make good sense. Standing, squatting,

kneeling, walking or even sitting in a semi-upright

position with your upper body supported can

help ease the pain. Staying upright reduces the

pain of contractions because your uterus can

contract without encountering resistance. Being

upright also relieves pressure on major blood

vessels and helps the baby get into the best position

for being born.

You can use a birthing ball (a large inflatable ball),

a bean bag to lean on, sit in a specially adapted

birthing chair or get your partner to support you.

For more information

�Contact the Active Birth Centre on

www.activebirthcentre.co.uk

Using a bean bag for

support will help to

make you more

comfortable

LABOUR AND BIRTH

TENS machine These portable hand-held

devices can be effective for easing contractions in

early to mid-labour.They use Transcutaneous

Electrical Nerve Stimulation (a weak electrical

current) to block pain messages to the brain and

stimulate the body to produce its own natural

painkillers called endorphins.

The four electrodes are attached to your back,

which are all connected via wires to a control box.

You control the flow of the electrical current

yourself by turning a dial and pushing a button.

It’s most effective if you use it in early labour, so it’s

a good idea to either hire one in advance (from

some high street chemists, the NCT, on the

internet or mail order), or get your partner to

collect one from your hospital so you can use it at

home before you go in.

Medical forms of pain relief

Entonox (gas and air) This is the most popular

form of pain relief in labour, a half-and-half mix of

nitrous oxide and oxygen. Nitrous oxide is a

painkiller, but most women report that it makes

them feel detached from the pain, rather than

blocking it out completely.You administer it

yourself by inhaling it at the beginning of a

contraction through a mouthpiece or mask. It

doesn’t have any harmful effect on the baby, or

affect your contractions.

Pethidine (or similar strong pain-killing

drugs) These are sedative drugs that relieve the

pain from contractions.They are particularly useful

in a long labour where you may need to rest – it’s

hard to imagine but you can actually doze �

31


LABOUR AND BIRTH

between contractions! You’ll be given an injection

and it will take 20 minutes to start working and last

for two to four hours depending on the dosage.

The main disadvantage is that if it is given too close

to birth the baby may be affected and this may

cause breathing difficulties, drowsiness and interfere

with breastfeeding.These effects can be reversed

with further drugs.

Epidural More than one in three women opt for

epidurals in labour. It’s a popular choice because it is

a very effective method of pain relief which allows

you to remain awake and alert and it doesn’t affect

your baby adversely. However, there is still a one in

10 chance of it only partially blocking the pain.

Epidurals involve injecting either local anaesthetic

or local anaesthetic and a morphine-type painkiller

into the epidural space (a thin layer in the spinal

canal that nerves run through) in the lower back. It

works by blocking the nerves that relay pain

messages back to the brain, producing a numb

sensation from the waist down. Epidurals need to be

set up by an anaesthetist, which takes about 15

minutes, and you will start to feel the effects within

10 to 20 minutes.

The down side to an epidural is that you are

connected to a drip and you may need a catheter to

allow you to pass urine.You may experience a drop

in blood pressure so this will be monitored

regularly.You will also need to have continuous

foetal monitoring.An assisted delivery is also more

likely. Some women experience headaches after

delivery which may last for a week or more.

Spinal block Given in a similar way to an epidural,

but the drugs are injected straight into the spinal

fluid.The pain-relief is speedy and lasts for a few

hours which makes it suitable for use in emergency

situations, such as an emergency Caesarean.

Assisted deliveries If you experience difficulties

in the second stage of labour such as foetal distress,

exhaustion or the baby becoming stuck in the birth

canal you may need help with the delivery.An

epidural may be given to relieve any pain.

32

Ventouse This is the medical name for using

vacuum suction to ease your baby along the

birth canal as you push.A suction cap is attached

to the presenting part of the baby’s head and

this is held in place by a vacuum created by a

pump. It has overtaken forceps (see below) as the

preferred method of assisting delivery in the UK,

mainly because it is narrower and you may not

need an episiotomy or a local anaesthetic, so it can

be used more immediately than forceps when

needed. Babies delivered by ventouse have a ‘coneshaped’

head, but this disappears after a few days.

Forceps These look like metal salad servers which

cradle the baby’s head and help its progress down

the birth canal.The baby is helped out as your

contraction reaches a peak and you are pushing, so

it’s working with your body rather than against it.

Forceps are used to help babies whose heads are in

an awkward position and sometimes to protect the

heads of premature babies.You may be given an

episiotomy and either an epidural or a local

anaesthetic to numb the area.

Caesarean sections A Caesarean section

involves delivering a baby by making an incision

in the abdomen and uterine wall. A Caesarean

is a major surgical procedure and recovery takes up

to six weeks.There are two types of Caesarean:

Elective or planned Caesarean This is planned in

advance because of medical complications such as

pre-eclampsia (see page 113) or if the baby is too

large or too small.

Emergency Caesarean This is not planned in

advance and is performed because there is a risk to

you and/or your baby.These problems may have

developed during labour, such as the baby being in

distress or failure to progress in labour.

Most Caesareans are now performed using a

spinal block (see epidurals, opposite) where all

sensation is blocked out with local anaesthetic and

painkilling drugs.You will be awake during the

procedure and your partner can usually remain with

you. In rarer cases, where your obstetrician believes

the baby needs to be born quickly, a general

anaesthetic will be given so you’ll be asleep.

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Model and clothes by Isabella Oliver

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Pregnacare ® supports

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LABOUR AND BIRTH

Induction

Sometimes labour has to be started artificially because the baby is late – more than 41 weeks

— or because there is some kind of risk to the health of the baby and/or the mother. Known

as induction, this is a fairly common procedure – about 20 percent of pregnant women in the

UK have labour induced.

Induction is always planned in

advance so that you’ll be able to

discuss the reasons for it and the

methods that are going to be used.

Induction doesn’t usually involve a

single procedure, but a number of

interrelated procedures.

Membrane sweeping When

carried out at term this has been

shown to increase the chance of

labour starting naturally within 48

hours of having the procedure so

it reduces the need for other

methods of induction. Unless your

waters have broken, you should be

offered this before other induction

procedures are used.A midwife or

doctor places a finger just inside

the cervix and makes a circular,

sweeping movement to separate

the membranes from the cervix.

Membrane sweeping can cause

some discomfort and bleeding but

it won’t increase the chance of

infection. It can be carried out at

home, in the maternity unit or antenatal clinic.

Prostaglandins These are hormones that help to

induce labour by encouraging the cervix to soften

and ripen and contractions to start. Prostaglandin is

given as a tablet or gel which is placed in the

vagina. More than one dose may be needed to start

labour so if nothing has happened after six to eight

hours you will be given another dose. Prostagladins

are usually given on the antenatal ward where your

baby’s heart rate can also be monitored. Labour that

has been induced with prostaglandins is no more

painful than labour which starts naturally.

34

REASONS FOR INDUCTION

Why labour may need to be started

artificially:

�Your pregnancy is more than

41 weeks.This increases the

risk of your baby developing

health problems.

�Your waters have broken but

labour hasn’t begun.The longer

the time between your waters

breaking and the start of labour

the greater the risk of infection

for both you and your baby.

Artificial rupture of the

membranes (ARM)

If your waters haven’t

broken the doctor or

midwife may decide to

make a hole in the

membrane to release the

amniotic fluid.This

procedure is done with a

small instrument which is

inserted through the vagina

and cervix.Although there

is no risk to the baby, the

procedure can be

uncomfortable. Once the

waters are broken labour

usually follows naturally.

Oxytocin This is a drug

that encourages

contractions. It’s given

through a drip which can

be controlled so that

contractions occur regularly

until the baby is born.

Oxytocin is given in the

labour ward as your baby’s heartbeat will need to be

monitored continuously.This means you are more

limited in your movements during labour and you

are more likely to be offered an epidural to help

with pain. If your waters have broken you may be

given prostaglandins and oxytocin.

� Health related problems such as

diabetes, high blood pressure or

pre-eclampsia.These can put

both you and your baby at risk.

If you are offered induction it’s important to find

out what your options are before you make any

decision.Ask your doctor or midwife to explain

the procedures so that you will know what to

expect and discuss with them the likelihood of

there being any risks to you or your baby.

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MATERNITY RIGHTS AND BENEFITS

What are you entitled to?

If you are employed when you become pregnant you have special employment rights, such as

maternity leave. You are also likely to be eligible for some financial benefits too – even if you

are not working you may be able to claim some financial help.

All employers are required by law to protect the

health and safety of employees who are pregnant.

If you are concerned that your job may put your

pregnancy at risk you should tell your employer as

soon as your pregnancy is confirmed so that

appropriate action can be taken.You are also

entitled to time off work for your antenatal care

and to take maternity leave.

Statutory Maternity Leave (SML) You are

entitled to 52 weeks Statutory Maternity Leave

(this is made up of 26 week Ordinary Maternity

Leave and 26 weeks Additional Maternity Leave).

You are entitled to SML regardless of how long you

have worked for your employer.This applies even

if you are working part time or on a fixed-term

contract.The earliest you can start your SML is

11 weeks before the week your baby is due. If

you decide to go back to work before the 52 weeks

are up you will need to give your employer at least

28 days written notice of the date you intend to

return to work.

36

What you have to do You need to write to

your employer at least 15 weeks

before your baby is due stating

that you are pregnant and

giving your baby’s

expected date of birth

and the date you

expect to start your

maternity leave.

You should enclose

your maternity

certificate – form MAT

B1 – which you can get

from your GP or midwife.

Your benefits will vary

depending on how long you

have been working for the

same company

Benefits during pregnancy

Your employer should write back to you within

28 days to confirm when your maternity leave

will finish. If, later on, you want to change when

you start your SML you will need to give your

employer 28 days notice in writing in advance

of the new date.

Paternity Leave Your partner may qualify for up

to two consecutive weeks off which has to be taken

within 56 days of the baby’s birth. Not all men are

entitled to this so he will need to ask his employer.

What he has to do He must inform his employer

of his intention to take the time off by the end of

the 15th week before the baby is expected. He will

need to say when he wants the leave to start and

whether he intends to take one or two weeks off.

Will he be paid? Your partner may be able to

claim Statutory Paternity Pay (SPP). His employer

will be able to tell him whether he is entitled to

SPP. The rate is currently £117.18 (or 90 percent

of his earnings if they are lower than this) a week.

Statutory Maternity Pay (SMP) If you have

been employed by your present employer without

a break for at least 26 weeks by the time you reach

the beginning of the 14th week before your baby is

due, you are entitled to Statutory Maternity Pay

(SMP).This is paid by your employer for up to 39

weeks and is subject to tax and national insurance.

You can only claim SMP once you have stopped

work.The earliest you can start getting SMP is in

the 11th week before the baby is born and the latest

you can claim is on the day after the birth. SMP is

paid whether or not you intend to return to work.

What you have to do You must give your

employer at least 28 days written notice of the date

you intend to stop work along with your signed

maternity certificate – form MATB1. �


CHECK LIST

15 weeks before your baby is due:

� Obtain form MAT B1 from GP or midwife.

� Write to your employer about your

maternity leave.

� Your partner must tell his employer if he wants

paternity leave.

11 weeks before your baby is due:

� Claim SMP or MA (once you’ve stopped work).

� Claim SSMG (if you’re not eligible for

other benefits).

How much will you get? If your

average gross earnings are £90 or more a

week, SMP is paid for 39 weeks. In the

first six weeks you get 90 percent of

your weekly earnings with no

upper limit. For the rest of your

maternity leave (33 weeks) you

will get £117.18 – or if your

earnings are less than £117.18 a

week you will get 90 percent of

your average weekly earnings.

Your partner has

more benefits than

you both may realise

Company Maternity Pay

Some employers have their own

maternity pay scheme.You will need to check the

terms and conditions of any such scheme as there

may be a clause that requires you to pay back some

of the money you’ve been paid if you decide not to

go back to work after you’ve had the baby. If you

qualify for SMP your company scheme must pay

you at least as much as SMP (see above) and this

amount doesn’t have to be repaid.

Maternity Allowance (MA) If you are not

eligible for SMP, but you have been employed or are

self-employed for at least 26 weeks in the 66-week

period ending with the week before your expected

week of childbirth, or you have earned on average

£30 a week over a 13-week period, you can claim

MA.This is paid when you stop work, for a

maximum of 39 weeks. Payment is made directly

into your bank, building society or PO account and

MATERNITY RIGHTS AND BENEFITS

is not taxable.The earliest you can start getting MA

is in the 11th week before the baby is due and the

latest you can claim is the day after the birth. MA is

paid whether or not you intend to return to work.

What you have to do Contact your Jobcentre

Plus office or Social Security office and ask for

form MA1. Send this along with form SMP1

(which you will get from your employer) and your

maternity certificate to the Jobcentre Plus or Social

Security office.You will be also be asked for proof

of earnings.

How much will you get? You will be paid up

to the standard weekly rate of £117.18 or 90

percent of your average weekly gross earnings

if they are less.

Sure Start Maternity Grant (SSMG)

If you are not able to claim either SMP or MA

you may be eligible for a Sure Start Maternity

Grant (SSMG).This is a one off payment of

£500 for families on low incomes that doesn’t

need to be paid back.The grant doesn’t affect

any other benefits or tax credits.You can claim

at any time from the 29th week of pregnancy

until your child is three months old.

What you have to do Ask your local Jobcentre

Plus for form SF100 Sure Start. Once you’ve filled

it in there is a section that your GP or midwife will

need to sign.

For more information

� Talk to your employer, trade union, local Jobcentre

Plus office or Citizens Advice Bureau.

� Information on maternity and paternity benefits can

be found on: www.direct.gov.uk/Parents

� Information on Health and Safety can be found

on: www.hse.gov.uk/mothers/index.htm

or you can phone 08701 545 500

� ‘Parents at work’ is a booklet produced by Acas.

Download it from their website www.acas.org.uk

or phone their helpline 08457 47 47 47.

Discriminated against because of your pregnancy?

Confused about your maternity rights?

If so, contact Louise Brown of employmentassist solicitors for confidential free advice on

01733 887702 or email lvbrown@employmentassist.co.uk, or write to Louise at employmentassist,

Monkstone House, City Road, Peterborough, PE1 1JE.

www.employmentassist.co.uk

NO WIN. NO FEE. NO WORRIES.

37


Things you definitely need

� Cot (plus mattress,

sheets and blankets)

� Car seat

� Pram/buggy/travel

system*

� Six sleepsuits/long

sleeved suits

� Six vests/short

sleeved suits

� Two cardigans/jackets

� Shawl or snowsuit

� Hat, mittens and

bootees

� Changing mat

� Nappies

� Bottles/teats/bottle

brush (only needed if

not breastfeeding )

� Nursing bra and

breast pads

� Loads of bibs

� Loads of

towels/flannels/

muslin squares (for

bathing and dribbles!)

� Loads of kitchen roll and cotton wool pads

� Brush and comb

*One of these

Things that are handy

SHOPPING CHECKLIST

Baby shopping check list

Confused about what you should buy for your baby? Just tick off the items on our definitive

list and you’ll have everything you need to see you through those first six weeks.

� Moses basket/crib

(plus mattress, sheets

and blankets)

� Baby bath

� Baby box or bag

� Sling

� Bouncy chair

� Baby monitor

You’ll only need a few

first size baby clothes

as your newborn will

grow very quickly

� Changing bag

� Steam steriliser

� Breast pump

� Baby lotion

� Baby wipes

� Bath thermometer

� Nail scissors

� Nappy wrapper

HOSPITAL BAG

Essential items to take to the hospital:

� Front-opening nighties, dressing gown

and slippers

� Nursing bras, breast pads

� Maternity, or super-absorbent sanitary towels

� Toiletries

� Nappies

� Baby toiletries and cotton wool

� Baby clothes

� Shawl or cot blanket, hat & mittens if it’s cold

� Car seat

� Clothes and a coat if it’s cold

� Money and camera

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39


THE NURSERY

Changing rooms

Planning the nursery together is a great way to involve your partner in your pregnancy.

Our DIY, style and shopping tips will help you transform a room into your baby’s nursery.

Putting together your baby’s nursery can be one of

the most enjoyable parts of pregnancy – choosing

the colours, designing the layout – and of course, all

the shopping for cute baby things. Here are some

suggestions on how to decorate the room along

with ideas of what to put in it.

Got grand designs? Keep it simple.When it

comes to decorating, bear in mind that your child

will only be a baby for a very short time so go

easy on the floor to ceiling pastel pink bows or cute

wallpaper.Your little one will very soon have his

own tastes and opinions so, unless you’re a DIY nut

or best mates with an interior designer, it’s best to

go for a room scheme that will be easy to change as

your child grows.

Invest in a blackout

blind to block out

the light

40

Peel-off stickers are great for temporarily

brightening up walls and can be changed quickly

without having to redo the whole room. Don’t

forget to look up! Your baby will spend a lot of his

time lying on his back so make sure you give him

something fun to gaze at.A brightly-coloured

mobile that attaches to the cot is a good choice for

stimulating his senses. Black and white pictures of

shapes and patterns placed where they can be easily

seen are also a good idea.When it comes to

window dressing, delicate muslin curtains can look

very attractive, but will give you little help when

you’re trying to get junior off to sleep for his

lunchtime nap. Instead, invest in a blackout blind

which blocks out the light as this will help to

encourage good sleep habits. �


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THE NURSERY

Finally, don’t forget to put in a dimmer switch –

low-level lighting is ideal for night feeds and will

make sure you don’t crash into something when

you’re leaving the room after you’ve spent two

hours getting him to sleep!

Get back to basics When it comes to choosing

your cot, it’s worth picking one with a drop side so

you don’t strain your back bending over to pick up

your baby. For the same reason, it’s good to have a

choice of mattress positions which can be adjusted

as your baby grows. Cot beds are a nice idea – but

if money is an issue, financially you’re better off

buying a simple cot and then a normal single bed

later on. If you got your cot second-hand always

check for flaky paint or splinters and make sure the

drop side locking mechanism is in good order.The

gap between the side rails should be no greater than

8cm (3in) so there’s no risk of your baby’s head

being caught between them.

Always buy a new cot mattress. It should fit snugly

within the cot, and any gaps around the sides

should be no bigger than 4cm (1.5in). A specialised changing table is a great idea if you have

the cash, but they can be expensive.A wide chest of

drawers that comes up to elbow height can make an

SLEEPING BEAUTY

Follow these simple tips to make sure your little

one sleeps soundly – and safely.

� Babies need to be warm – but not hot – so

you’ll need a room thermometer to keep a

check on the room temperature, which should

be kept at a steady 18°C (65°F) all the time.

� A mix of sheets and light-weight blankets

as bedding is ideal, so you can easily add

an extra layer or take one away –

remember, a blanket doubled over counts

as two layers. Duvets, pillows and cot bumpers

are not suitable for babies under one year.

� Always place your baby on his back and

in the ‘feet to foot’ position to go to sleep

– i.e. with his feet at the bottom of the

cot or Moses basket – this way he won’t

be able to shuffle down under the covers.

42

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NURSERY DIY –

DO’S AND DON’TS

DON’T strip paint if there’s a chance it dates

back to 1965 or earlier, as the lead in old paint

could be harmful to your unborn baby. (Stay well

out of the way if someone else is stripping it, too.)

DO make sure that all the paint you use is nontoxic

– look for one that says it has low VOC

(Volatile Organic Compounds) on the tin.

DON’T ever climb up ladders when you’re

pregnant – you could easily overbalance, fall and

hurt yourself.

DO put new carpet down and paint the room at

least three months before your baby’s due to arrive

to make sure that the nursery is fume-free.

DON’T forget to fix rugs down firmly to the

floor and keep all flexes out of the way so you

can’t trip over them.

equally good place to change your baby – and will

provide storage for when your child is older. Never

leave your baby unattended on a changing surface –

he could easily roll off and be seriously hurt.

For storage, always pick solid shelves or drawers that

won’t be easily pulled over by toddlers – or fix

them to the walls. Baby clothes may look lovely on

open shelves or rails, but chests of drawers and

cupboards will keep them dust-free.

As you’ll spend most of your time in the first few

months feeding your baby, make sure you pick a

chair that is really comfortable. Choose one that has

arms and supports your back – your feet should

always be flat on the floor.

For more information

� Find out about safe sleeping by contacting the

Foundation for the Study of Infant Deaths on

020 7233 2090 or go to www.sids.org.uk/fsid

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Out and about

BABY’S TRANSPORT

You will want to make sure your baby is comfortable and safe when you take him out. Here

we look at some of the things you’ll need to consider before you buy your baby’s transport.

As well as choosing a stylish, comfortable fabric

design for your pram or pushchair, there are a lot of

practical issues you also need to take into account.

The first thing to think about is your lifestyle –

where you live and your usual way of getting out

and about are important factors. For example, if you

usually walk everywhere you

will need a pram with good

suspension and

manoeuvrability. However,

if you use the car you’ll

need one that folds down

and fits into your car boot.

If you travel on public

transport or have a lot of

steps to negotiate you’ll

want a pushchair that folds

up easily and is light

enough to carry. Storage is

another thing to consider –

where will you keep your

pram or pushchair when it’s

not in use?

The transport you

choose for your baby

should suit your lifestyle

Types of baby transport

Traditional prams These

give a comfortable ride and will last through

babyhood – but are not suitable for a toddler.

Combinations and travel systems Fully

reclining prams that convert to a rear/forward

facing pushchair for when your child is older.

Add-ons include carrycots and portable

rear/forward facing baby car seats.

Pushchairs and strollers Lighter than a pram,

these come in a variety of styles – many are suitable

from birth through to toddlerhood.

All terrain pushchairs These pushchairs are ideal

for use over different types of surfaces and are often

three-wheeled. Many can be used from newborn.

Car seats Your baby should always travel in a car

seat placed in the back of the car. The car seat must

be suitable for your child’s weight – weight is more

important than age.Always buy new and make sure

that the seat complies with safety standard ECE

R44/03 or later standard (R44/04). Get it installed

correctly – many stores offer fitting advice. Not all

car seats fit all cars, so check that the seat you buy is

suitable for yours.

Carriers These are an

ideal way of carrying your

baby snugly against you

while leaving your hands

free. Many carriers adapt

from front facing for a

newborn to outwards

facing, which is suitable

from three months

onwards.Always try before

you buy to make sure that

the carrier is comfortable

and that you can get it off

and on without help. It’s

also a good idea to check

that the carrier is washable.

Buying second-hand Although buying secondhand

can save you money, never buy second-hand

items that could have been damaged, such as a car

seat. Be sure to get operating instructions – these

are essential for the safe use of the item.

For more information

� Contact The Baby Products Association (BPA)

helpline: 01296 660990.

Brought to you by:

47


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market have a short lifespan, so you end up buying a new one after six months.

Or they have extra bulky bits that clutter up your house. 3D is suitable from birth

to toddler, has no extra bulky bits, and it’s also compatible with the Ventura Plus

car seat. Pram, pushchair and travel system in one: that’s how it’s clever.

Available in Black Denim, Tokyo Denim, Pistachio, Vintage and Cargo.

For more information visit www.silvercross.co.uk/3d

3D Pram System by Silver Cross


HEALTH HAZARDS

Avoiding risks

You’ll want to do everything you can to keep your baby safe throughout pregnancy. Here we

look at some of the obvious – and not so obvious – hazards that you should be aware of.

It’s easy to be alarmed by the multitude of scare

stories in the news about possible risks in

pregnancy. But, in reality, there is no reason why,

with a bit of extra care, you can’t sail through the

nine months without putting either your baby or

yourself in danger. Here are the risks that it’s

important to avoid.

Smoking This increases the risk of your baby

having a low birth weight, being born prematurely

(see page 104) and cot death.There has never been

a better reason for you to give it up, so do

it now. If you need help giving up ask

your midwife or GP for advice and

details of local support groups or call

the NHS pregnancy smoking help-line

on 0800 169 9 169.

Alcohol Drinking alcohol can harm

your baby (see page 103).There is no safe

limit, so it really is best to stop drinking

altogether. However, if you decide to

drink alcohol during pregnancy

remember the Department of Health

advice and limit yourself to one or

two standard units of alcohol a week

(one standard pub measure of wine, half

pint of cider, beer or lager). Never binge drink.

For more information call the National

Organisation for Fetal Alcohol Syndrome

(NOFAS-UK) Helpline: 08700 333 700.

Caffeine Some research has linked too much

caffeine consumption to miscarriage and low birth

weight so you should limit your intake to no more

than 300mg a day (see page 104).

Certain foods Paté, peanuts, undercooked eggs

and blue-vein or mould ripened crust cheeses can

be hazardous to your baby (see page 98).

50

Toxoplasmosis This is a parasite that lives in

unpasteurised milk and cheeses, undercooked meat,

soil grown vegetables and cat faeces. It can also be

caught through contact with lambing. It’s only a

problem if you become infected with it for the first

time while you are pregnant. Depending on which

stage of pregnancy you contract it, toxoplasmosis

can cause miscarriage, birth defects and still birth.

Minimise your chances of catching it by not eating

the foods mentioned, and wear gloves

to change cat litter, to do

gardening and if lambing.

Cook meat thoroughly

Remember to

wear gloves when

you’re gardening

and wash all fruit

and vegetables.

Recreational drugs

The effects of cannabis on

your unborn baby are

uncertain, but it’s thought

to be harmful to your

baby. Ecstasy can cause

you to dehydrate and

has also been linked

to birth defects.

Apart from

adverse

effects on your health other illegal drugs

such as cocaine, heroin and crack are addictive, as

the drugs cross the placenta.This means your baby

could be born with an addiction and will have to

go through withdrawal after he is born. If you need

help coming off drugs tell your midwife so she can

arrange support and counselling, or call the

National Drugs helpline on 0800 776600.

Prescription and over-the-counter

medicines Don’t take any over-the-counter

(OTC) remedies without checking with your GP

or pharmacist first that they are safe for pregnancy. �

For more information on alcohol and pregnancy contact NOFAS-UK

Helpline: 08700 333 700. www.nofas-uk.org


HEALTH HAZARDS

Paracetamol can be taken occasionally in pregnancy

but should be avoided, as with any other drugs,

during the first 12 weeks. It should always be taken

in the correct dosage and shouldn’t be taken on a

regular basis. If you need painkillers regularly you

should always seek medical advice.Aspirin has been

linked to miscarriage and neonatal heart defect so

should be avoided in pregnancy unless prescribed

by your GP for a particular medical condition.

Nonsteroidal anti-inflammatory drugs, such as

ibuprofen, should always be avoided.

Antihistamine tablets If your pregnancy

coincides with the hay fever season you may

need medication to cope with your symptoms.

See your GP for advice as some of the newer

non-drowsy remedies are not suitable for

pregnant women.

Heartburn remedies Antacid remedies are

generally safe, but check with your pharmacist first

as some are unsuitable for use in pregnancy.

Complementary remedies The effects of many

complementary therapies in pregnancy are still

unknown. Unless a specific treatment, such as

acupressure to help with nausea,

or massage to relieve backache,

has been approved by your GP

or midwife it is safest to avoid

these therapies during your

pregnancy.

Insect repellents If you’re

going on holiday and worried

about mosquitoes, don’t use

insect repellents with an

ingredient called DEET, which

has been linked to damage to

the nervous system.

Abdominal x-rays All x-rays

use radiation, which can harm your baby so they

must only be used in situations where your

condition is life-threatening.Although dental x-rays

are considered safe, you should always tell your

dentist you are pregnant. He or she can then decide

if the x-ray can wait until after the baby is born.

52

Computer screens There was lots of anxiety in

the past about radiation from computer screens

causing miscarriage and birth defects. However

extensive research has found this is not the case.

Mobile phones The jury is still out on this one.

They haven’t been around long enough yet for

there to be enough good quality research done on

their long-term safety.The Independent Expert

Group on Mobile Phones reviewed all the available

evidence in 2000 and recommended a cautionary

approach to the use of mobile phones, until much

more detailed and scientifically robust evidence

becomes available.

Chickenpox Most adults have had chickenpox in

childhood and are therefore immune to the disease.

If chickenpox is caught in pregnancy there is a risk

to both mother and baby. If you have been in

contact with chickenpox and you are unsure

whether you've had it, you should seek urgent

medical advice.

Jacuzzis and saunas These should be avoided

during pregnancy because they could cause you to

become overheated.

It’s important to

position your seat

belt correctly

Air travel Travelling by plane

increases your risk for deep vein

thrombosis (DVT) (see page 107).

Seat belts It’s against the law not to

wear a seat belt in a car and you’d be

very stupid not to, however

uncomfortable it may be towards the

end. Don’t use a lap belt, as these have

been shown to cause grave injuries to

unborn babies in the event of an

accident. Use a three-point seat belt

and make sure the diagonal strap is in

between your breasts, resting on your

shoulder, breastbone and over your

bump. Place the lap part of the belt across your

thighs, under your bump.

For more information

� Contact the Royal Society for the Prevention of

Accidents on www.rospa.com

From maternity pants to maternity leave – mums are

chatting about all sorts at www.emmasdiary.co.uk


Children are smaller

and they breathe faster.

This means that for

their size, they take in

more of the harmful

chemicals in tobacco

smoke than you do.

For confidential help

and advice on giving

up smoking, visit

www.nhs.uk/gosmokefree

or call the NHS Pregnancy

Smoking Helpline on

0800 169 9 169.

Opening hours midday

to 9pm every day.

If you smoke, your

children smoke too.


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READ EMMA’S

PERSONAL DIARY

AND EXPERIENCE

THE HIGHS (AND

LOWS!) OF HER

PREGNANCY

FROM WEEK SIX

RIGHT UP UNTIL

SHE GIVES BIRTH...


FOR MORE INFORMATION: Alcohol page 103 and Folic Acid page 94

WEEK 6

I’m going to have a baby!

I’m pregnant! I’m really pregnant! I can’t believe

it – I’m going to be a mum! I’m so excited and just

slightly terrified! I knew something was up as my

period was two weeks late, which has happened

before, but this time it just felt totally different. I

had the whole classic run-up to my period – being

grouchy, spotty chinned with an achy stomach –

but then nothing happened, which I thought was

dead weird.

On Tuesday I sneaked out of the office at

lunchtime and bought a pregnancy test – making

sure no-one spotted me. I was really tempted to

do it there and then in the Ladies’ loo, but I knew

that if it was positive there was no way I could

keep it secret, especially from my friend Ranaa as

she knows that Nick and I have been trying for a

baby for the past five months.

I managed to hold out until I got

home – although it nearly killed

me – and then rushed straight to

the bathroom. After five

of the longest minutes of

my life a blue line

appeared so I knew it

was positive, although

part of me still

wanted to take

another 10 tests to

make absolutely sure!

I was going to play it

cool when Nick came

home, but as soon as he

came in the door I had to tell

him – I was too excited to pretend.

He looked stunned for a minute, then he

gave me a huge hug and a big kiss! We spent

the rest of the evening going ‘We’re going to have

56

Brought to you by:

a baby’ and ‘You’re going to be a mum/dad’ to

each other. We decided to keep it a secret and

promised not to tell anyone until I’ve got to eight

weeks.

The next day I got a bit freaked out thinking

back to how much I’d drunk before I knew I was

pregnant – in the last few weeks I’ve been to a

mate’s 30th birthday party (a bit drunken) and a

family barbecue (Dad got carried away with the

white wine) – but when I saw my GP, Dr Laird,

she reassured me. She gave me loads of

information to read and told me to carry on

taking folic acid – I’ve been taking it since we

began trying for a baby. She also booked an

appointment for me with the midwife and gave

me a form for free prescriptions.

Book to see your doctor or midwife to confirm your pregnancy

Top Tip


FOR MORE INFORMATION: Early pregnancy symptoms page 94 and Lifestyle advice page 103

On Friday Nick and I went for a meal with

Caroline and Mark, which was great but pretty

tricky as I wasn’t drinking. I fibbed and told them

I’d been to a work leaving do the night before and

was still feeling hung over. I think they bought it.

Nick is still in shock, bless him – I think he’s a

bit worried about how our life will change.

Perhaps he’s scared I’ll cut down on his lad-time in

the pub (which is quite likely). As for me, I’m just

WEEK 7

Hmm, I feel really weird

I’ve been getting loads more strange pregnancy

niggles – not only am I dead tired, I’ve started to

get a strange metallic taste in my mouth and my

nose has gone into overdrive making everything

smell really, really, strong. I even went to put on my

usual perfume the other morning and it made me

feel sick – very bizarre.

Nick’s made up his mind to try and give up

smoking again because of the baby. It’s going to be

hard, but he’s going to give it another go and even

paid his first visit to the anti-smoking clinic at Dr

Laird’s this week. I’m so proud of him – and very

glad that I managed to quit when we last tried a

couple of years ago! Seeing as he’s being so noble,

I’ve decided that I’m going to stop drinking –

which isn’t a problem at the moment as the

thought of alcohol makes my stomach churn.

Anyway, I don’t want to take any chances and it’ll

be good for me too. Nick says it’ll give my liver a

break – he’s so charming! Looks like pregnancy is

going to be tough on the both of us.

My pregnancy zonked-out feeling is doing its best

to make things difficult at work. I’m trying to carry

on as normal but everyone keeps asking me why I

look so washed out – so much for this pregnancy

Top Tip Get your doctor or midwife to book 12 week scan

scared about putting on huge amounts of weight

and ‘The Birth’. At the moment I still feel the same

– the only difference is that my boobs have

started to get a bit sore.

P.S.Well, the promise to keep schtum didn’t last

very long – on Sunday I rang my mum and

blabbed. She and dad were really thrilled.This is

their first grandchild and I know they are so going

to spoil him or her rotten!

‘bloom’ I’ve been reading about! I kept mumbling

something about a dodgy stomach bug to anyone

who asked but I don’t think that’ll work for long,

so I might have to tell my boss, Susan, soon. I just

hope she’s OK with my news.

I’m still finding it hard to believe how something

this small – according to all the books, my baby is

now roughly the size of a grape/olive/walnut – can

have such a strong effect on me. By Friday night it

all got a bit too much – I think it was a mix of

feeling knackered and totally stressed, plus all

those pregnancy hormones racing around my

body – and when I got home from work I had an

attack of the weepies. I was worrying about

whether I’d be a good mum, if I’d feel as bad as

this all through my pregnancy and how I’d cope

with actually giving birth all at once!

Thankfully, I was perked up by Nick coming

home with a huge bunch of flowers and some

yummy chocolates.Then I managed two

mammoth lie-ins at the weekend – pure bliss!

It’s just so hard to believe how little energy I have,

I knew pregnancy was meant to make you tired,

but not like this. I just need sleep, sleep and

more sleep.

57


FOR MORE INFORMATION: Booking appointment page 95 and Blood tests page 97

WEEK 8

Uh-oh! Rubbish start to the week

I spent the first half of the week really stressed

out. It’s my own stupid fault for flicking through

every single pregnancy book and magazine I could

lay my hands on and reading all these scary

statistics about one in eight pregnancies ending in

miscarriage before 12 weeks. I knew that if

anything happened it wouldn’t be down to

anything I’d done, but it was still hard to think

happy thoughts about the baby with facts like that

lurking at the back of my mind.

To make things worse, on Tuesday night I went

for an Italian with the girls from work – which

was a good laugh as usual, although they

must have known something was up

because I was downing cranberry

juice all night which is very

un-me – but I got into

another panic when I got

home as I realised that the

lush chocolate mousse I’d

been scoffing was a

‘pregnancy no-no’ as it

had raw eggs in it.

Then when Nick wanted

to have sex I turned him

down flat because I was

feeling sick and tired – not

the most rampant

combination! Also, and I

didn’t tell him this bit, I was

worried whether sex – of

the rampant or our usual notso-rampant

kind – could harm the

baby while it was still so tiny.

Thankfully, it was my first antenatal

appointment on Thursday (I’d sneakily told Susan

I was at the dentist due to wisdom teeth trauma)

58

If you are not already taking folic acid, start to take a daily supplement

and I was able to go through my huge list of

worries, paranoias and niggles with Anne, my

midwife, who completely put my mind at rest.

Anne told me that sex in pregnancy was

perfectly safe for the baby and that eating one

chocolate mousse was very unlikely to have

harmed him/her. She also asked about Nick and

my families’ medical history, did some blood and

urine tests and booked me in for my first scan in

four weeks time – which will be so exciting!

I can’t wait to see my baby for the first time.

Top Tip


FOR MORE INFORMATION: Maternity benefits page 36

All this meant I found it impossible to

concentrate at work on Friday – let’s face it, who

could find talking to Scott in accounts about

unpaid invoices a thrill? I was on a complete high

and spent the whole day looking down at my

WEEK 9

I’ve had to come clean...

We went to visit Mum and Dad for the first time

since I told them about the baby. I knew they would

be really thrilled about becoming grandparents and

sure enough, they didn’t stop going on about it all

the time we were there. I really had the red

carpet treatment all day – got given non-stop

drinks and snacks, had cushions plumped up for

me – somehow I think I could get used to this

pregnancy business! Mum had already been out

and bought some very cute baby outfits and despite

me giving her strict instructions to wait before she

splashed her cash, I couldn’t help going slushy over

a dinky pair of soft baby shoes she’d bought.

Back at work, I was still feeling and looking

pretty grim – despite slapping on tons of tinted

moisturiser to hide my oh-so-attractive grey-white

complexion – so I had to come clean to Susan

about the pregnancy. It was that or pretend I had

glandular fever! She was dead nice about it,

congratulated me and told me to check with

personnel about my maternity benefits.They told

me that I could take 52 weeks maternity leave

(wahey!) and that I’d be paid for 39 of these

weeks.Then they went on about the forms I

needed to give them and told me the earliest I

could start my maternity leave was 29 weeks.

After the official stuff was done and dusted,

I snuck off for lunch with Ranaa – it was such a

relief to tell her at last! We had a long chat about

all things pregnancy, and I told her she’s going to

Top Tip Learn what foods to avoid in pregnancy

tummy and trying to picture what my baby would

look like at the scan – hopefully he or she will

inherit my good looks, brain, sense of humour and

Nick’s... um, ability to sleep for extremely long

periods of time!

be my official guru as she has got two kids –

Rajesh, who’s three and Jahanaara who’s only

10 months. She has even promised to let me

come round and practise changing nappies. I must

be cracking up as I’m looking forward to it! Seeing

as I’d spilled the beans at work, Nick and I felt it

was only fair to spend the evening ringing his

parents and all our mates to tell them about the

baby. It was great to go public at last, as although

it had been nice keeping it a secret, it somehow

makes it seem more real now that other people

know, too.

That’s the good stuff for this week over with –

on the dodgy side, my nausea is getting

even worse. It’s so foul – I can’t go into our

kitchen for gagging, which means either Nick trying

to produce something edible (sadly he’s hardly a

whizz in the Jamie Oliver department) or I’ve

been making do with cereal or beans on

toast – not very yum. My sense of smell is still

wonky as well, I even had to get Nick to throw his

brand new trainers out of the bedroom as the

rubber smell was making me want to chuck up.

P.S. Nick’s been ciggy-free for two whole weeks

which is brilliant. He’s doing really well, although

we’ve been outdoing each other over mood

swings! We’ve decided that we’re putting all the

booze and fag money towards a trip to Paris –

just in case we never get another holiday again

once the baby arrives.…

59


FOR MORE INFORMATION: Pregnancy hormones page 99

and Healthy eating page 14

WEEK 10

Had to take time off work

Woke up on Monday morning feeling fluey with

a really killer headache. I’d heard that I shouldn’t

take any medication in the first trimester unless it

has been prescribed by my GP, so I just drank

loads of water and went back to bed feeling very

sorry for myself.The next day I was still hot and

shivery, so I went to see Dr Laird who found out

I’d got a urine infection and gave me some

antibiotics to clear it up. I thought it was strange

that I wasn’t peeing all the time – the one

pregnancy symptom I hadn’t got – and this

explained why.

Felt almost human by Thursday, so I went back

to work determined to stay fit and healthy. My

plan is to be good and drink two litres of water or

fruit juice each day and stop being such a caffeine

junky – which means no tea and coffee or the

odd sneaky can of cola in the afternoon.

While I was still feeling virtuous, I booked an

appointment for the dentist next week. Ranaa told

me it’s worth doing as all the treatment is free

when you’re pregnant – and bleeding gums aren’t

a very attractive look for a mum-to-be.

At the weekend I went to the cinema with

Ranaa and Caroline for our regular monthly

chick flick. Unfortunately I think the pregnancy

WEEK 11

Guess what I found out today?

Chocolate is good to eat in pregnancy! Well,

kind of, anyway. At work Ranaa was reading out an

article in the paper saying that if pregnant women

were having trouble getting enough iron, dark

chocolate is one way to up your level. OK, so it

60

Brought to you by:

hormones must have kicked in big time – I spent

the whole film snivelling through the soppy bits

while they both sniggered at me.

On Sunday, Nick and I were going to sit down

and talk about grown-up, sensible things like what

we’re going to do for money after the birth and

how we were going to look after the baby, but we

ended up arguing about baby names instead.

Nick’s convinced it’s going to be a girl and wants

to call the baby Beth or Chloe, while I think it

might be a boy and like Lewis and Cameron –

blame my Scottish grandad! The only thing we did

agree about was not to tell anyone what we’ve

decided on until after the baby is born, as you can

bet your life that they’ll have known someone at

school with that name who was horrible and try

and put us off the name.

P.S. Had an e-mail from one of my old school

mates – Dominique – and she’s pregnant too! It’s

so exciting – she’s 14 weeks, exactly a month

ahead of me. We’ve been texting each other like

mad comparing notes. It’s great to be able to

share how I’m feeling with someone who’s going

through the same things as me, and she’ll be able

to tell me all the things I’ve got to look forward to

– and all the scary things I haven’t!

said chomping more green vegetables and cereals

each day was a more sensible option, of course.

Mind you, chocolate is about the last thing I feel

like eating at the moment. My sicky feeling has got

worse and some days I’ve been throwing up in

Ginger helps to alleviate morning sickness, in any form, even biscuits!

Top Tip


FOR MORE INFORMATION: Morning sickness page 92

the mornings – which can make breakfast meetings

at work a bit tricky! Everyone is full of advice, but

if I hear one more person say that I should try

ginger biscuits for morning sickness I will scream –

when I feel that bad nothing will stay down, not

even a whole blinkin’ packet of ginger nuts.

However, I’ve devised my own tactics to make

me feel better – eating a banana when I wake

up starving at night, or first thing in the morning,

seems to help calm my dodgy stomach. Also not

eating and drinking at the same time seems to

help too, along with drinking bubbly drinks like

lemonade or mineral water. I’m just hoping this

horrible icky stage soon wears off and I get to

the shiny hair, glowing skin bit of pregnancy – if it

really does exist!

My sickness has been confusing both my mother

and mother-in-law – I wonder if every other

pregnant women has to beware well-meaning

relatives spouting random pregnancy mumbojumbo?

According to Nick’s mum the

reason I’m feeling so sick is

Top Tip Carry water and a snack with you in case you feel faint or sick

because I’m ‘definitely’ carrying a boy, but my

mother swears blind that it’s a girl because of

the ‘well-known fact’ that they make you throw

up more. Hmm, I suppose one of them has to

be right.…

As for the baby, after much thought I’ve decided

to call it ‘Flump’ because I’m fed up of saying ‘it’ or

‘he’ or ‘she’ all the time and I reckon Flump could

quite happily suit a girl or a boy. Nick thinks that

I’ve officially gone bonkers, but I know I’m not the

only one – Dominique has started calling her baby

‘Monkey’ which is even more weird.

Had a lovely long soak in the bath tonight

(complete with strawberry soda bath bomb –

totally lush) to help me chill out. I lay there for

ages just staring at my tummy (it’s becoming a

hobby of mine) trying to imagine what Flump

looks like. It’s still hard to believe that there’s a

baby growing in there – I can’t wait for my scan

next week when I’ll get to see Flump

‘in person’ for the first time.

61


FOR MORE INFORMATION: Dating scan page 99

and Maternity wear page 16

WEEK 12

Oops-pregnant woman hissy-fit alert

On Sunday, Nick and I were set to go out with

Caroline and Mark to the ‘Insider’ – a new bar that

has just opened in town. I went to slip into my

fave jeans – tight, sexy, look great with anything –

and found that thanks to my now planet-sized

(well, almost!) jellybelly they wouldn’t do up. Nick

found me sitting on the end of our bed in tears

and had to spend 20 minutes telling me that I

looked sexier in my little black dress and another

20 minutes getting me to leave the house!

It has also been a manic week at work – my

boss has been totally stressed due to a major

conference we’ve been holding, so I’ve had

double the amount of work than usual.

Each afternoon I’ve felt like collapsing

but managed to wait until I got

home before I crashed out. I’m

usually asleep by eight o’clock

– I’m such a lightweight

these days! I think the

thought of Friday’s scan

was the only thing that

was keeping me

going.…

By the time the big

day came I was

really hyper. Nick

got time off work

and came with me,

which was great, and

I’m so glad he did,

because the whole

experience was amazing.

I was a bit worried – I kept

wondering if the scan would

spot something wrong with

Flump – or bizarrely, even find there

was nothing in there. Beat that for

62

Ask your GP or Midwife about exercising safely during pregnancy

pregnancy paranoia! But it was all fine, we could

see Flump’s head, spine, hands and legs – and the

little heart beating away.

Because up till now all the stuff has been

happening inside me I think it really helped make

the pregnancy seem real to Nick – he kept staring

at the scan pics all the way home!

At the weekend I decided there was only one

way to tackle the shrinking wardrobe/ ballooning

Top Tip


FOR MORE INFORMATION: Emotional changes page 100

stomach problem, and hit the shops with Ranaa.

I was dreading it as I thought all the clothes would

be hideous, but there’s loads of pretty funky

maternity stuff now (thanks to all those ‘celeb’

mums). I came home with two pairs of black

bootlegged trousers, plus maternity jeans that will

go with everything and some tunic-style tops that

will hopefully cope with my rapidly-growing bump!

WEEK 13

Second trimester here I come!

If all the pregnancy books are right this was

supposed to be when I would stop feeling sick

and finally start blooming. Glossy hair, flawless skin

and more energy here I come. Hmm, I think

someone should have told Flump this piece of

good news, as I still want to throw up and I’ve

staggered to work every day this week looking my

usual ashen-coloured self. As for more energy,

forget it, the only thing I really want to do at the

moment is flop down somewhere comfortable

and sleep for England.

Thankfully work wasn’t too stressful as

Susan was off on holiday, so I did all my filing –

very dull, but it stopped me disappearing behind a

paper mountain – and still had plenty of time left

to decide when to start my maternity leave. After

a short chat with Ranaa, I reckon maybe week 34,

to give me plenty of time to get all the last-minute

baby stuff out of the way just in case Flump

decides to put in an early appearance.

Apart from that, had a mega row with Nick on

Friday. I came home from work feeling totally

wiped out but happy as I thought we’d agreed to

spend the night in and watch a DVD together but,

unknown to me, he had arranged to go to the

pub with his mates from work. Just as I was

beginning to wonder where he was he rang me

Top Tip Keep your iron levels up by eating lots of leafy green vegetables

I treated myself to some really comfy shoes,

too, as Ranna says that later on in pregnancy

your feet swell up – that’s something to look

forward to! Then, because I didn’t want Nick to

feel left out, I bought him a couple of shirts and a

CD he’s been wanting for ages.This baby business

is well pricey – and Flump hasn’t even put in an

appearance yet!

from the pub to explain that ‘the A-team’ (yes, he

really does call them that) had met their sales’

target this month so he’d been ‘forced’ to

celebrate (scoff a stupidly hot curry and down

industrial-sized quantities of lager) with the others.

Normally I wouldn’t have cared, I’d just call up

some of the girls and arrange a night out with

them instead. But I was feeling so yuck and tired I

just couldn’t face it. So instead, I threw a strop and

told him in no uncertain terms that I thought in

the circumstances (pregnant wife, feeling hideous,

carrying his child, etc., etc.) he could pass up one

night with the lads. But oh no.... So, to cut a long

story short, guess who ended up sleeping in the

spare room that night?

I don’t know when he staggered in – I collapsed

as usual at nine thirty having locked the bedroom

door first. Whatever time it was, he must have felt

pretty guilty as when I woke up in the morning

there was a bunch of flowers waiting for me in

the kitchen which, trust me, doesn’t happen very

often. He also insisted that I had breakfast in bed

(not that I felt much like eating, but I wasn’t going

to tell him that) and made dinner that night, which

was even more amazing, despite the not-soyummy

soggy vegetables. Now, if I could only get

him to feel that guilty for the next six months.…

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FOR MORE INFORMATION: Pregnancy health niggles page 104

WEEK 14

Eeek! My dreams are really scary

My pregnancy dreams are getting so vivid it’s

scary. In this latest one, I dreamt that my baby had

just been born and it was really, really hairy

(seriously, think mini-gorilla like) but nobody else

in the dream could see what was wrong apart

from me. I woke up at three o’clock in a panic and

found it really hard to get back to sleep. Nick was

dead to the world, snoring his head off, and I lay

there thinking about Flump, hoping that everything

will turn out OK for the both of us.

Then, just as I’d calmed my nerves enough to fall

asleep again – or to be more precise, I got so

tired I couldn’t worry about anything anymore –

I was woken up an hour later by my bladder telling

me I had to go to the loo. I knew peeing all the

64

time was one of the joys of pregnancy, but was

keeping my fingers (or should I say legs?) crossed

that this wouldn’t begin until I was loads bigger.

I presume this is my body’s handy way of getting

me used to zero sleep ready for Flump’s night

feeds later on.

Nick was away for the weekend at a boring

work conference so I had the flat to myself, which

was fab. First off, I could eat exactly what and when

I wanted, which was brilliant. Since I’ve been

pregnant my eating habits have gone completely

wonky and I find it better to have little meals more

often during the day, rather than stuffing myself at

dinner, but Nick’s a strictly three meals a day, meat

and two vegetables kind of fella. It was also

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FOR MORE INFORMATION: Blood tests page 97 and Amniocentesis page 102

great not to have to fight for the remote control

for once, so I had a total soap-fest, (complete with

choccies, box of tissues on sofa arm, the full

works), which made a change from being forced

to put up with Nick hogging the telly with his

Playstation games.

On Sunday I went round to Ranaa’s house and,

after getting in a bit of nappy-changing practise

(not anywhere near as gross as I’d thought, but still

pretty smelly), we took her two kids for a walk in

the park. Rajesh and Jahanaara are really sweet

WEEK 15

Feeling very protective of my bump

Went for an antenatal check and had a blood

test which will check to see the chances of Flump

having Down’s Syndrome or Spina Bifida.

Everything else was fine, my urine and Flump’s

heartbeat etc., so I just hope my blood test results

come back OK as I don’t fancy the idea of having

an amniocentesis where a needle gets stuck in my

bump. Ranaa had to have an amniocentesis when

she was pregnant with Jahanaara and she said she

found it pretty nerve-wracking.

I tried to tell Nick about the tests, but all I got

was a ‘don’t worry, you’ll be fine’ – very helpful.

I know it’s hard for him to understand how I feel

as all the changes are happening inside me and my

body, but sometimes it would be nice to get a bit

more support. Maybe once he feels Flump kick it’ll

sink in a bit more for him, too.

It’s funny, I already feel very protective about my

bump. Susan my boss was laughing at me this

week as she spotted me putting my hand on it

when I was talking to her – I suppose it must

seem dead strange to other people, but it’s

something I do now without thinking.

Top Tip You may now need to be measured for a more supportive bra

and we spent ages at the swings and then took

them to feed the ducks. By the time we got home

again Ranaa and I had decided that all that playing

and walking had to be as healthy as jogging!

P.S. Don’t know if it’s down to the raging

pregnancy hormones, or if it’s because Nick and

I haven’t had sex for a while, but some of the

dreams I’m having are really raunchy. It’s totally

bizarre – and quite disturbing – especially as I still

don’t feel like doing anything about them. (Of

course, I haven’t told Nick about this!)

Mum rang up this evening to ask what she and

Dad could buy for the baby – did we want a cot,

pushchair or car seat? It’s dead generous of them,

but the trouble is Nick and I haven’t even started

making a list of all the stuff we need yet. It’s not

his fault, it’s mine as I keep putting it off – I’m sure

Flump will be fine, but I’m still superstitious about

buying the big things this early. When she heard I

was still feeling sick, mum launched into her Great

Aunt Elsie story again: yes, I know she was sick for

the whole nine months with all her five children,

and thanks mum, that’s not totally reassuring.…

Thanks to her call I was completely stressed out

again, so I headed straight to the sanctuary (the

bathroom) where I spent another hour up to my

eyes in bubbles – the amount of time I spend

wallowing in water these days I’ll be well wrinkly

by 40 weeks.

Bump update: definitely getting loads bigger, but

I still can’t imagine a little person in there sucking

their thumb or turning somersaults. I can’t wait to

feel Flump move – then I’ll really know that there’s

a baby in there!

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FOR MORE INFORMATION: Scan page 107

WEEK 16

Finally feeling better...

This has been the first week in what feels like

forever that I’ve not wanted to throw up in the

morning and everything seems to smell normal

again (I sniffed Nick’s trainers as a test and they

were back to their usual stinky selves). I’ve also

braved peeking in the mirror and was amazed to

discover that my skin has a hint of glow rather

than grey about it – hurrah, about blinkin’ time!

Which reminds me, now I’ve finally got my mumto-be

thick and shiny locks, I must book an

appointment at the posh hairdressers in town

to make the most of it.

The only scary thing about feeling better is I’ve

lost my nifty excuse not to exercise (thanks to

constant morning sickness the idea of jumping

around in order to get fit was a complete nonstarter).

Because I was hardly super-fit in my

bump-free days (the odd trip to the gym and that

was it), I thought I’d check with Anne first, and she

has told me to take it nice and slowly – which is

more than fine by me!

So, my fitness routine will now be going

swimming each week and taking plenty of long

walks at the weekend – with or without Nick,

I’m so excited my scan is in three weeks! It’ll be

fantastic to get another picture of Flump and see

how much bigger he or she has grown in eight

weeks. Because we’ll be able to find out loads

more at this scan, I asked Nick if he wanted to

find out the sex. I’m so desperate to find out

anything I can about Flump that part of me

wouldn’t mind knowing, but Nick told me he

66

depending on whether he can shift himself out of

bed on a Sunday morning. I decided that to stop

me wimping out I should go swimming with

someone else so I arranged to go with Caroline

for the first time on Thursday night before I had a

chance to change my mind! Although I only

managed a puny 15 lengths (Caroline’s been going

for ages and managed 40), I had a really good

time. It was brilliant to feel weightless in the water

– which will be great when I’m huge later on –

and I liked the idea that Flump was floating along

doing the same thing inside me!

When we were driving back afterwards Caroline

grilled me on my pregnancy and she was asking all

kinds of stuff about the baby (I think she’s getting

broody). Having read my faithful pregnancy book

that morning, which I do every single week to find

out what’s happening to me and Flump, I could tell

her that my baby was now about the length of a

pencil and had already got little fingernails – which

are probably in better condition than mine!

P.S. Really good news! I got my blood test results

back this morning – my screening for Downs

showed that I was “low risk”. What a relief!

WEEK 17

My boobs are definitely getting bigger!

doesn’t want to because it would spoil the

surprise. He said I could find out if I wanted and

not tell him – but seeing as that’s just not humanly

possible, I’ve decided to wait, too.

I knew they were achy in the early days, but I’d

been so obsessed with staring at Flump’s bump,

that I thought my boobs hadn’t got that much

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FOR MORE INFORMATION:Your breasts page 94 and Maternity wear page 16

bigger. When I said this to Nick he raised his

eyebrows and smirked. Mind you, I don’t know

how he knew they’d got bigger, as he never gets

to see them these days! Anyway, I measured them

only to find that they’ve gone up two whole cup

sizes – blimey!

Because of the bra crisis I had to go into town

to go shopping. I met up with Caroline and it was

OK, but she kept sliding into these slinky little size

10 numbers while I just watched enviously and

got depressed. My bump’s at the stage where it

just makes me look as if I’m fat, rather than

pregnant – I can’t wait until it gets a bit more

obvious. All I ended up buying were two sturdy

Top Tip Get lots of rest – you’re growing a baby!

bras (think ‘goodbye fellas’ rather than ‘hello boys’)

and some maternity tights – who said pregnancy

wasn’t glamourous?

While Caroline was off trying on a suede skirt I

went to have a nosy around the baby clothes

section. Some of the stuff was so cute I was really

tempted.The problem is, as I don’t know if Flump

is a boy or a girl, all the ‘neutral’ baby clothes are

in pale, uninteresting colours rather than cool,

funky ones. On a pastel theme, Nick’s mum is

raring to go with the knitting needles and I just

know all her cardies will be in lemon or mint

(ugh). I said I liked purple or lime, but she gave me

a funny look and said, ‘Well, that’s OK if it’s a girl!’

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FOR MORE INFORMATION: Baby’s movements page 100

WEEK 18

Wow!

I felt Flump move for the first time this week

and it was totally amazing – although it didn’t

feel like it said in any of the pregnancy books.

No darting fish or fluttering butterfly wings

for me, more like a strange kind of tummy rumble.

The first time I felt it I was

in the bath and I lay there

with my hand on my bump

and my mouth open for

what seemed like ages. But

then it happened again,

and I knew it wasn’t

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Visit the dentist – it’s free on the NHS whilst you’re pregnant

just indigestion (or my dodgy cooking) – it had to

be Flump wriggling and wiggling about inside me.

I kept feeling the same thing on and off during the

week, and it’s such a brilliant sensation. (I had to

stop myself from prodding my bump, just so I

could feel it again!) I love it, it’s just like a little

secret that only me and Flump know about, and

it’s so reassuring not to have to wait to hear the

heartbeat at my antenatal appointments to know

everything’s OK.

I couldn’t help it, I had to text Dominique with

the good news and she said she knew just how

I felt. She’s 22 weeks now and told me that her

baby’s movements feel more like kicks and

punches, rather than just rumblings.

I hope this means Nick will feel

something soon – when I told him

about the kicks, he put his hand

on my bump and was a bit

disappointed to only feel

my blobby belly.

Went out with the girls from

work on Friday night to a

club and had a wicked time,

despite not touching a drop

of alcohol – I think my

withdrawal symptoms must

have finally disappeared.

(I hope this lasts after

pregnancy – I’ll save a

fortune!) I was on a

total high from being

back to my old self

again and from feeling

Flump move, so I

didn’t need anything

else to keep me going. I

think everyone thought

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FOR MORE INFORMATION: Preparing the nursery page 40 and Birth plan page 24

my drinks were spiked as I spent the whole night

dancing and didn’t leave until after12 o’clock

(very late for me these days). But, there again,

they didn’t know I stayed in bed on Saturday until

lunchtime and had another mammoth lie-in on

Sunday as well.

Nick’s mum rang on Sunday to check everything

was still OK for them coming to stay. We chatted

about pregnancy stuff and it was all going fine until

WEEK 19

I can’t believe Nick’s mum

Nick’s parents were only here for four days,

somehow it seemed much longer – more like four

years! I think it’s because I was so busy looking

after them all weekend that I missed both my

power lie-ins, which means I’ve been feeling loads

more tired.

Their visit was OK, apart from the time his mum

spent talking about Nick’s two little nephews and

how great his sister was with them, how wellbehaved

they are (not normal) and how she’s the

perfect mother (must be on happy pills). I know

I’m ultra, ultra sensitive at the moment, but I’ve

just got the feeling that she thinks I’ll never match

up to her standards.

She was also dropping huge hints about us

starting work on the nursery and mentioned the

beautiful murals his sister had done (great, if you

happen to like badly painted soldiers and crosseyed

teddy bears), which I’m not keen on. I’d

rather have primary colours and loads of bright

pictures, but she’s right, we should make a start on

it sooner rather than later, or else, knowing Nick’s

DIY skills, the baby will spend the first three years

snuggling down in the spare room alongside his

gym ball and weights.

she asked me if I’d written my birth plan and then

made small tutting noises when I said I hadn’t

thought about it yet. Grrr, I’m only 18 weeks – it’s

not as if Flump will be popping out in the next

month (well, I certainly hope not). Knowing her,

she’ll have probably written one out for me by the

time she comes to stay! I know she’s Nick’s mum

and she means well, but I really don’t know how

I’m going to put up with her for four whole days

next week.

Now that my sickness has gone, my appetite has

come back with a vengeance and I always seem to

be hungry, also I think I must be getting my first

cravings.Yesterday I munched my way through a

whole tray of ice cubes (I know they’re not very

tasty, but I just liked the cold and crunchy

sensation in my mouth), and all this week I’ve

been knocking back orange juice like it’s going out

of fashion. When I consulted guru Ranaa she told

me she had cravings for crumpets and salt and

vinegar crisps in her pregnancies, so I suppose

mine are relatively healthy compared to that.

P.S. Read today that by 19 weeks babies can now

hear things going on outside of the bump (rather

than just your heart beat and gurgling stomach

noises) so I’ve started to sing and talk to Flump –

not when anyone else is around of course, as that

would be far too embarrassing, but at night before

Nick comes to bed.The first time I tried it my

mind went blank and I couldn’t think of a single

nursery rhyme so, as I’d watched Grease on telly

the day before, I started singing ‘You’re The One

That I Want’. I don’t know what Flump made of it,

but there was a lot of kicking after I’d finished so if

he or she comes out with a quiff, I’ll know it’s had

some effect!

Top Tip Get your NHS medical exemption card to ensure all your prescriptions are free

69


FOR MORE INFORMATION: Scan page 107

WEEK 20

Flump looks like a proper baby!

Had my second scan this week and it was really

cool – even more amazing than the first one.This

time Flump looked less like a cute alien and more

like a proper baby. Nick kept on going ‘wow, it

looks just like a baby’, so much so that the

sonographer jokingly asked him if he was

expecting to see a puppy, which made me laugh.

We could see absolutely everything, right down

to his/her little fingers and toes. Although I’d

grudgingly agreed with Nick that I didn’t want to

know the sex, I had a sneaky peek to see if I could

spot anything between the legs, but they were

crossed so Flump’s definitely keeping it a surprise

for the big day.

I felt quite sad when the scan was finished as,

although we’d got some photos to take home

(including a great one of Flump sucking his

thumb), I could have quite happily stared at him

spinning and kicking around for hours.

70

It’s so bizarre, and more than slightly frightening, to

realise that the next time I see my baby it’ll be

face to face.

At work the next day I waited a whole 10

minutes after I got in before getting my pictures

out and showing them off. Everybody was dead

nice about them, and they’re now taking bets on

whether it’s a boy or a girl. I haven’t got a clue; I’m

still finding it hard to imagine myself with a baby

without thinking about whether it’s a boy or a girl.

Maybe I’ll have an inkling nearer the big day, but at

the moment, and I know it’s a cliché, I don’t mind

what sex Flump is, just as long as he/she is healthy.

At my weekly swimming session on Thursday

I was telling Caroline about the interrogation I got

last week from Nick’s mum about baby names

(despite some hardcore nagging I gave nothing

away – actually we’re thinking of Lewis for a boy

and Chloe for a girl, but watch this space...).

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FOR MORE INFORMATION: Sex in pregnancy page 18 and Labour and birth page 28

She’s obsessed with us having a girl as she’s only

had grandsons so far. I hope Flump couldn’t hear

what she was saying as he’ll get a complex if he’s a

boy, especially as she wants us to call him Mary

after Nick’s grandma!

P.S. Finally booked our holiday – paid for

courtesy of Nick’s no-cigarettes and my noalcohol

fund. It’s amazing how much we’ve saved

WEEK 21

Ahem! Sex has been resumed!

For a few weeks now I’ve been getting really bad

backache, and because all my magazines keep

saying that ‘a sensual massage from your partner

can really help’, I asked Nick if he wouldn’t mind

giving it a go. After much bribery, persuasion (like

me volunteering to do all the washing up for a

week – ha, no change there then) and downright

nagging, he finally gave in. So this week I brought

out the scented massage oil, fluffed up our fluffiest

towels and dimmed the bedroom lights – and

before I knew it, my innocent back massage

became, thanks to Nick’s wandering hands, not

quite so innocent!

Despite doing nothing to help my back, the sex

was great – maybe it was because of all those

rude dreams I’d been having – but a few hours

later I got really scared as I could feel Flump going

round and round inside my bump like the

contents of a washing machine. I also had loads of

painful stomach cramps and at one point I had to

sit down as I was convinced I was going to go into

early labour.

I rang Dominique in a total panic and she said

the same thing had happened to a mate of hers,

and her midwife had told her that having sex can

sometimes trigger off mini contractions, but

Top Tip Look into ante-natal courses and sign-up now – spaces go quickly

in only a few months, it would be great if we

could keep on saving like this, but somehow I can’t

see us keeping it up once Flump is here. Anyway,

we’re going to have a short break in Paris.The girl

at the travel agents says it is one of the most

romantic cities in the world, which sounds good

to me (I figure it’s our last chance to be slushy to

each other before Flump arrives) and it’s only

three weeks away – hooray!

nothing will happen unless your body is ready to

give birth. Phew! Once Dominique had calmed

me down – and reassured Nick that we could

have sex again safely – we got into our usual

routine of comparing bumps and lumps.

Dominique’s winning so far as she’s got restless

legs, pytalism (loads of saliva) and really itchy skin

on her bump – three bizarre things I’d never even

heard of – while I’m only peeing all the time and

getting heartburn, which is boring as everyone

gets that in pregnancy. We also had a long chat

about ‘The Birth’ and how we’d like things to go.

We’ve both decided we’d like to have as natural

a birth as possible, but to go with the flow and do

whatever is needed for a healthy baby – not

surprisingly! Dominique seems OK with the idea

of an epidural if she needs one – I think it’s the ‘no

pain’ thing – but because I’m terrified of big

needles I’d rather have a go at all the other drugs

on offer first.

P.S. Still failing miserably to get Nick to read

anything about pregnancy. I’d really like him to

understand what’s happening to Flump and me,

and to know what happens at the birth in case I

don’t make it to the hospital on time – yes,

I know I’m paranoid!

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FOR MORE INFORMATION: Weight gain page 96 and Flying page 107

WEEK 22

Feel like I’m turning into a cow!

All I seem to do is graze all day. It’s totally

embarrassing – instead of useful stuff like invoices,

files and receipts, my desk drawers are now

bulging with things like crackers, fruit and sweets.

It’s hardly surprising I’m piling on the pounds, as

my typical day’s menu now goes: banana and two

plain biscuits before getting out of bed, wholemeal

toast with cheese for breakfast, some crackers and

a yoghurt for elevenses, a tuna and salad sandwich

and an apple for lunch, a mid-afternoon snack,

jacket potato with cheese and beans for dinner,

topped off with a crumpet for afters.

Susan, my boss, made the fatal mistake of asking

me how much weight I’d put on (tact is not her

strong point), and got a narky ‘How much do you

think?’ back. I couldn’t help it, she’d be moody too

if she was up all night going to the toilet (personal

best so far – five trips in seven hours) and putting

on weight on her bump, boobs and bum at a rate

of half a pound a week – well, almost.…

I’m also grumpy because my bump isn’t the cute

football shape I’d hoped for, and the one all the

‘celeb’ mums seem to have – it goes in at the

WEEK 23

Bonjour!

Just back from the most fantastic holiday. Paris

was totally lush, the weather was gorgeous and

we both had a really brilliant time. We went by

plane (I thought we’d have to take the Eurostar

but I checked with the airline and they said as

long as I was healthy it was fine for me to fly at

23 weeks) to really make the most of our four

days together. We found time to do all the proper

touristy things – like going to the Pompidou

72

middle so it looks more like a giant kidney bean

and makes me feel super fat rather than super

fertile. While I’m still in a whinging mood, I’m also

well miffed that my belly button has popped out

and looks dead strange – especially when it shows

through my T-shirts. I hope it goes back to normal

once Flump’s appeared as I don’t fancy being an

‘outy’ for the rest of my life.

It must have been obvious that I was depressed

because even Nick asked me what was wrong

when we were out for a walk this morning

(usually I’d have to leap around in front of him

naked with a sign saying ‘not happy, not happy, not

happy’ before he would notice). I told him I wasn’t

really looking forward to our holiday next week

because I was sure that compared to all those

chic French women I’d look about as glamourous

as Pauline Fowler on a bad hair day. He gave me

a hug and told me not to be so stupid (typical)

then he said that as far as he was concerned I’d

look far sexier than any of them because I had an

inner radiance! This shocked me so much (the

boy’s not usually big on compliments) that I

stopped grumping for the rest of the day.

Centre, looking at the Mona Lisa in the Louvre

and chilling out in some cool pavement cafes. My

favourite bit was going to the top of the Eiffel

Tower and then having a picnic in gardens

afterwards complete with a to-die-for lemon tart

(pity we couldn’t have a bottle of wine to go with

it, but still...). I’m sure Nick’s high point of the week

was dragging me all the way out to Pere Lachaise

to see Jim Morrison’s grave (yawn), which was fine

Pregnancy yoga or aquanatal classes are great for well-being during pregnancy

Top Tip


FOR MORE INFORMATION: Healthy eating page 14

as in return he had to put up with a day going

round Galleries Lafayette – so I could indulge

myself in a little Parisian retail therapy.

The only real downside with picking Paris was

the food. I really, really love cheese but all the runny,

stinky ones were completely out of bounds for a

sensible mum-to-be. I was very good and no Brie

or Camembert passed my lips, but I made up for

it by scoffing loads of delicious french bread and

olives instead. Coming back on the plane I felt a

bit down when I realised that this was the last ever

holiday Nick and I would take as a twosome. It

wasn’t that I didn’t want Flump, but it was gradually

sinking in just how much our life was going to

change over the next few months and years.

I was picturing going on holiday in the future with

a whole car load of toys and nappies and a small

person in the back shouting ‘Are we there yet?’

every five minutes.

P.S.Wahey! Nick felt a kick! We were sitting in

bed together on Sunday morning when I felt

Flump jumping and thumping about, so I grabbed

Nick’s hand and put it on my bump. It all went

quiet for about five minutes and we were about

to give up, when Flump suddenly started bashing

around again and Nick snatched his hand away

sharpish and started grinning from ear to ear. He’s

now decided that Flump has to be a boy –

because ‘he’s got a right foot like Beckham’. Men!

Still, I’m glad he’s happy.…

Top Tip Sit down! Standing for long periods can lead to aching, swollen legs and ankles

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FOR MORE INFORMATION: The nursery page 40 and Shopping check list page 39

WEEK 24

How rude is this...

People at work seem to think it’s perfectly fine

to say whatever they want when they see me and

my bump.They always come out with stuff like:

‘Was it planned?’, ‘Are you happy about it?’ and my

personal fave, ‘Blimey you look huge/tiny for 24

weeks.’. Grrrrrr, it makes me so mad. What is it

about the sight of a pregnant woman that makes

everyone feel totally free to come out with things

they’d never say to anyone else. I mean, would you

go up to someone in the street and say, ‘You’re

dead fat, you are’, ‘Isn’t your nose a bit big?’

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Start to think about baby names!

or ‘Have you had sex recently?’ – no, well, I

thought not. I know most people mean well and

are just interested, so most of the time I just smile

through my slightly gritted teeth, but sometimes it

gets way too personal. (Oops, sorry about the

rant, but a girl just has to get it off her chest!)

On a less stroppy note, on Saturday I had a great

time going round the baby stores – so many cute

things, so little spare dosh – with mum and dad to

buy Flump a travel system. Nick and I had spent

Top Tip


FOR MORE INFORMATION: Baby’s development page 107

the week poring through all the catalogues and

we decided a 3-in-1 type that turns into a car

seat, a pram and then a buggy would be the best

bet as it should last Flump until he’s at least three.

(It’s so weird to think of Flump as a three-year-old,

I can’t even imagine him as a real, live baby yet.)

Had a good time with mum and dad and even

splashed out and bought Flump a matching Noah’s

ark changing mat, top ‘n’ tail bowl and baby bath.

Then, (just by chance), I found myself wandering

round the toy part of the nursery store and I

couldn’t resist a cuddly toy monkey, which wasn’t

that practical, but dead cute.

WEEK 25

Had a real fright this week

After getting used to the pattern of Flump’s

movements – lots of wiggles around midday then

another lot when I’m watching telly in the evening

– I had 24 hours of feeling absolutely nothing,

despite giving my bump the odd poke. I spent the

whole of Wednesday at work getting more and

more paranoid – I’m sure everyone knew

something was up as I didn’t say a word all day,

which is so not like me. Finally, in panic, I rang my

midwife, who said if I was really worried I should

go straight to the hospital’s maternity unit.

I called Nick and he came and picked me up

from work and took me to the hospital. I was

really nervous when I got there, but the midwife

quickly attached the monitor and then all we

could hear was Flump’s heartbeat, thumping away

as usual as loud as anything – thank goodness.

I felt so stupid for getting worked up about it, but

the midwife there was really reassuring and said

they’d rather check it out than have people worry.

(I feel much less scared about going to the

hospital for the birth now, if they’re all that nice.)

She thought the reason I couldn’t feel Flump was

Top Tip Tell your employer and fill in the appropriate MAT B1 forms

Went round to Ranaa’s on Sunday for Rajesh’s

fourth birthday party. It was great fun (total chaos)

and I think he liked my present of a toy fire engine

– well, he ran round the house screaming ‘neenaw,

nee-naw, nee-naw’ once he’d opened it,

which I reckon was a good sign. Because I said I

needed the extra babysitting practice, Ranaa and

the other mums’ jumped at the chance to put

their feet up and I was shocked at how shattered

I was once the party had finished. Running around

with the kids for three hours made me realise I

need all the exercise I can get, as I’ll have to be

well-fit to cope with being a mum!

that he’d turned round to face inside me so

I couldn’t feel any of his kicks and punches

through my bump.

Nick was really sweet to me throughout the

whole thing – I think he was dead scared – and

when we got home he made sure I put my feet

up and kept bringing me cups of cocoa (dark

chocolate naturally, to keep my iron levels up). If

that wasn’t freaky enough, he then started talking

to me about the birth, and asked me if I was going

to use a TENS machine! I asked him where he’d

got his info from and if he’d been swopped for an

alien that looked like Nick! It turns out that he’d

been looking at stuff on a pregnancy website.

I suppose he didn’t mind reading it there because

the internet seems more techy and less girlie.

I don’t know what made him do it, but I’m just

glad he’s into this pregnancy business at last.

P.S. Flump update: according to my book he has

starting to grow teeth buds in his gums and has

wrinkly skin – which kind of makes him sound a

bit like a little old man!

Brought to you by:

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FOR MORE INFORMATION: Maternity rights page 36 and Braxton Hicks’ contractions page 114

WEEK 26

I’ve got bump envy!

Nick couldn’t get time off from work, so I went

to my first antenatal class on my own. Probably a

good thing as the conversation ranged all the way

from piles to bleeding nipples – lovely! There was

a group of about ten of us and some of the other

mums seem dead nice. I ended up sitting next to

Gina, who’s a first-time mum too. She lives just

round the corner from me, which might come in

handy when we’re both after babysitters.

I have to come clean though, a lot of the time

I wasn’t listening to a word the midwives were

saying but sneakily sussing out all the other bumps

on display as I don’t know anyone else – apart

from Dominique – who’s pregnant. As far as I

could work out, most of the other mums seem to

be sporting the classic football-shaped bump I’m

jealous of, and I could only spot one other mum

with a peanut-shaped blob like mine. (It’s official,

I’ve got bump envy – I think I’m losing the plot.)

Handed in my MATB1 form to my HR

department on Friday, so I know I’ll be getting

some regular cash when I’m off on my maternity

leave. I’ve told Susan I will be coming back to

WEEK 27

I partied – and paid for it!

I’ve had loads of Braxton Hicks’ contractions.

I didn’t know what they were at first, but when

I told Ranaa that my bump was feeling swollen

and tight she said it was my body having a trial

run for the birth.

On Wednesday night we drove down to London

for Nick’s cousin’s wedding, which they were

holding at this really swish hotel. Sally, the bride,

76

Research what baby essentials you might need

work, but I still haven’t said for sure whether it will

be in six months or a year (I guess it all depends

on how much money we’ve got and if Nick can

get a promotion).

Maybe I should have started my maternity leave

at 29 weeks not 34, because I’ve found I’m

becoming really forgetful at work, which isn’t that

helpful as I can’t remember what I’m meant to be

doing and have to write myself loads of lists and

stick notes all over the place. I don’t know if it’s

down to the pregnancy hormones doing funny

things to my brain, or if it’s just because there’s so

much to think about when you’re having a baby

that there’s no room left for normal work

thoughts like ‘must give Susan that urgent message’

and the all important ‘is it time for lunch yet?’

P.S. Help! I’m turning into a monkey – I’ve got a

black hairy line down the middle of my bump that

I’m sure wasn’t there the other day (that’s the

wonder of pregnancy, you never know what’s

going to happen next). I’m not sure what it is, but

it’s obviously harmless so I’ll ask Anne about it at

my antenatal appointment next week.

looked gorgeous, the bridegroom looked well,

smart-ish, (which, if you know Alex, is saying

something).To stop me feeling like a baby

elephant I’d splashed out on this floaty dress

which showed off all my very curvy curves. It must

have worked because everyone said I was

blooming, which put me in such a good mood

that I didn’t even notice I wasn’t drinking all night.

Nick even told me when we were having a dance

Top Tip


FOR MORE INFORMATION: Swollen feet and ankles page 113

and Iron level check page 110

that I looked dead sexy and he loved me more

than ever. OK, so it was midnight, it was quite dark

and he was more than slightly drunk, but hey, it’s

the thought that counts!

The next day I was brought back down to earth

with a bump (hem, hem) when I couldn’t get my

shoes on as my ankles had swollen up so much.

Thanks to a combination of pregnancy water

retention and four hours dancing in high heels to

80s disco classics, they still hadn’t gone down by

the time we were leaving to drive back home. In

the end I had to sneak past hotel reception in my

socks carrying my shoes!

P.S. I had to see Anne, my midwife, on Friday for

some blood tests to check my blood count.

Despite my swollen ankles everything else was

fine and when I asked her about my hairy bump

she said it was called the linea nigra and was

totally harmless. She also reassured me that it

would disappear after Flump’s arrival.

Top Tip Go shopping for the baby essentials; leave enough time to order big items

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FOR MORE INFORMATION: Preparing the nursery page 40

WEEK 28

Not a happy bunny again

Because my mum told me she’d got loads of

stretch marks after she gave birth to me (sorry

Mum), I’ve been religiously slapping on tons of

very expensive, very nice-smelling stretch mark

cream every week since my bump first started to

appear. I thought I’d just about got away with it,

but I caught a glimpse of my bump in the

bathroom mirror the other day and saw loads of

scary purple lines (think AA roadmap) sneaking

across it.Yes, I know they’re harmless, 60 percent

of pregnant women get them and they’re meant

to fade after the birth, but it’s still hard to face the

fact that my bikini wearing days are over. It doesn’t

help that when we went round to see Caroline

and Mark on Sunday she was showing off a very

flat, very tanned stomach in her hipster jeans.

I can’t believe the third trimester/home straight

starts next week – I just keep spending more and

more time thinking about Flump. Especially at

work – it’s so hard in the middle of a boring

meeting to concentrate on what people are saying

when I can feel Flump doing what appears to be

the Lambada all the way through it. I’m getting so

WEEK 29

Mum-to-be in efficiency shocker!

This weekend Nick and I finally made a start on

turning the spare room into a nursery fit for

Flump and, quite frankly, it’s about time seeing as

I’m into the third trimester (I can’t quite believe

it’s only 11 weeks to go until B-day, just how scary

is that?).

Thankfully there isn’t too much to do as the

spare room’s already got sanded floorboards, so all

that was needed was to strip off the nasty 70’s

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Prepare the nursery, or nursery area for your baby’s arrival

obsessed that when any of my mates ring up for a

chat all I can talk about is Flump, or my bump,

which must be so dull for them. It’s as if I’m in this

little pregnancy bubble and outside everything else

is going by at normal speed while I just grow

bigger and bigger and wait for the ‘Big Day’.

I’m also getting more than a little freaked out

about ‘The Birth’. It was OK at the beginning as it

seemed like miles away and I could bury it at the

back of my head, but now the idea of it seems

very real indeed. I know it’s going to hurt

(obviously), but I’m hoping (in a totally bonkers

way) that I’ll be one of those women who doesn’t

feel contractions until the very last push. But, back

in the real world, I just want to be able to cope

with the pain and be prepared for whatever it

takes to get Flump safely into the world.

P.S.This week I’ve learned that Flump has now

got eyelashes... awww, how cute. It’s weird to think

that everything my baby needs is now in place

and all he/she has to do is get bigger in

preparation for the big day – just like me!

wallpaper and slap on some paint. I’d picked out a

nice sunny yellow colour for the walls and brilliant

white for the woodwork to make the room really

bright and cheerful (Nick says it makes it look like

a giant egg but I’m ignoring him). We’ve used a

special Flump-friendly paint with low fumes, and to

be extra safe I used a mask when I was painting.

OK, so I might have looked a bit like a pregnant

Hannibal Lecter but at least I didn’t breathe in

anything nasty.

Top Tip


FOR MORE INFORMATION: Baby shopping check list page 39

Ranaa was telling me special changing tables are

a waste of money and changing a baby on the

floor is bad for your back, so the parents have

kindly donated a chest of drawers so I can do the

changing and bathing on top of that. I know I’ll

have to watch Flump all the time in case he rolls

off and hurts himself, but as I can’t imagine letting

Flump out of my sight for a second, that shouldn’t

be a problem.

We’ve already got plenty of other stuff to fill

the room – a set of shelves to match the chest

of drawers and second-hand cot from Nick’s sister

– we need to buy a new mattress for Flump and a

big squashy armchair for me (another top tip from

Ranaa) so I can feed Flump in comfort. We’ve

already been given tons of newborn baby clothes

so the only other things we need to buy now are

Top Tip Buy the car seat and learn how to fit it

baby essentials like nappies, lotion and sheets and

blankets. Although I might also have to sneak in a

few toys when Nick’s not looking.

Went for my regular swimming session with

Caroline on Thursday. I keep thinking I’ll stop

because I feel like a beached whale when I’m

lumbering along beside the pool (and have to put

up with loads of people grinning at me), but it

feels fantastic to be weightless in the water, so I’m

to keep going for as long as I can. I don’t really

swim anymore as such, more doggy-paddle up and

down the pool – but it makes me feel better and

works off a few pounds I reckon.The other good

thing about going swimming is that I always get

lots of kicks and wriggles when I’m splashing

about, so it looks like Flump must be a bit of a

water baby, too.

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FOR MORE INFORMATION: Late pregnancy health niggles page 112

and Pain relief page 28

WEEK 30

I think I’m growing old overnight!

Don’t know if I overdid it with my ‘Changing

Rooms’ weekend but I’ve started to feel really,

really rundown and tired. I’ve come to the

conclusion that my brief pregnancy bloom has

most definitely shrivelled up for good.

After long chats on the phone to Dominique,

we’ve realised that what no-one – not even your

own mum – tells you about pregnancy is that it

turns you into an old-age pensioner before your

time. Not convinced? If you’re after proof, how

about the fact that along with chronic indigestion,

swollen feet and incontinence, I’ve started getting

aches and pains in my legs and my groin (how

charming) when I’m walking, or rather, waddling

along the road to the bus stop each morning?

Then add that to the fact that I’ve now started

to groan in a most elderly fashion whenever

I get out of bed or get up from sitting down.

(Which is dead embarrassing at work, especially

when I’m taking minutes at important meetings,

and extremely irritating at home as Nick keeps

taking the mickey by groaning for me whenever

I move.) According to my reckoning, this

behaviour already puts me at around 70-years-old

and I’ve still got 10 weeks to go, so goodness

knows what I’ll feel like when I reach my due date

– any bets on 110?

WEEK 31

Pregnancy whinges

I’ve got even more evidence to back up my

‘pregnant mum equals old person’ theory. Nick

had do up my laces for me today as my bump (or

should that be blimp?) has got so enormous

I can’t see my knees, let alone down to my toes.

It was so embarrassing, especially as his job wasn’t

80

Brought to you by:

Went to another antenatal class this week and it

was really useful – if a bit scary – as it was all

about pain relief in labour. We had to practise

doing relaxation exercises, which was going quite

well and I’d just about pictured myself lying under

a palm tree on a deserted beach in Majorca, when

I was rudely brought back to reality by the

cleaners bashing about and chatting in the room

next door. Ended up sitting next to Gina again, and

we’ve swapped numbers so we can meet up for a

(caffeine-free) coffee and a chat after the classes

finish next week.

Flump’s movements are now getting so big that

I can see bits of my bump wiggling about in a

really spooky fashion. I’m trying to figure out

what’s moving, and I think it’s the knees (or maybe

the bum) lodged up underneath my chest, which

means I get big kicks either side of my bump.This

has led to a great new game that Flump and I like

playing in the bath – ‘Smash the Soap’ – every

time I put the soap on a different place on my

bump Flump kicks it off – and we keep playing

until I go all pink and wrinkly!

Haven’t told Nick about our new game of

course, as I know he’d take this as further proof

that I’m going to give birth to a mini-Beckham.

helped by the fact that my ankles and feet keep

swelling up so much that it’s impossible to get my

shoes on anymore. I’ve got to wear trainers all the

time now, as none of my normal shoes fit (so it’s

goodbye to heels, which is well depressing if

you’re stumpy like me).

Practise putting Teddy in a nappy! You’ll quickly become experts

Top Tip


FOR MORE INFORMATION: Sex in pregnancy page 18 and Swelling page 113

It’s bizarre, I don’t know how it happens during

the day, but my fingers and feet seem to

mysteriously inflate until they reach the height of

their puffed-upness by the evening, only to shrink

back down to normal over night. I’m not too

fussed about my fat feet, but it is a bit miserable

to have to take off my wedding ring, and I feel

strange without it (and I’m so not finding Nick’s

‘pregnant woman on the pull’ jokes amusing).

While I’m still on a pregnancy whinge – it’s

getting really hard to go to sleep now. Not

content with the constant peeing and killer

heartburn throughout the night, it just aches to

sleep on my side for any real length of time. Every

night I take about 20 minutes arranging myself into

a little nest, with five pillows scattered round me

in strategic positions – under the bump, between

the knees, etc. – but it still doesn’t

work. I usually wake up at two

o’clock to find that Nick’s turned over and taken

the duvet with him and all my pillows are lying on

the floor. I’m so glad I’m starting my maternity

leave in two weeks’ time because then I can just

sleep and sleep and sleep whenever I feel like it.

Bearing in mind all of the above, you can imagine

the response Nick got when he cuddled up to me

in bed the other night and whispered ’I think you

look really sexy’. Let it be said that I’m flattered

that he still finds me attractive (although he must

be cracking up if he finds women with

stretchmarks and heartburn a turn-on) but the

idea of having sex when I’m this big is most

definitely not a goer. Anyway, all the raunchy

feelings I had a few weeks ago seem to have

disappeared – along with my social life – and

because I can feel Flump bashing about all the

time now it would (almost) feel as if we

were being watched!

Top Tip Book yourself on to breastfeeding course or class – great for your confidence

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FOR MORE INFORMATION: Anaemia page 110

WEEK 32

I’m a human hippo – it’s official!

I was looking in the mirror this morning – and I

don’t know when it happened – but my bump has

now reached truly epic proportions.The good

thing is that it’s looking very round and bump-like,

so I feel like I’m a proper pregnant lady at last.

Then again, on Friday at work I told Scott in

accounts that I was off on maternity leave and he

asked me when I was going. When I told him in

two weeks’ time he looked totally shocked –

which left me paranoid, thinking did people just

think I was getting dead fat and were too polite to

say anything? Then I put it down to the fact that

he’s a bloke and wouldn’t have a clue anyway.

Work is getting very hard now. I’m so tired and

so out of puff that I keep sneaking into the lift to

go up to the first floor rather than taking the (10)

stairs. Anne told me the breathlessness is down to

Flump being so high up in my chest he’s bashing

into my lungs – well, she didn’t put it quite like

that, but you get the gist. I’m even finding it tough

to drag my hippo-sized body out of the office for

lunch each day, but I’m trying to force myself to

walk around for at least 15 minutes to give me a

bit of fresh air. It’s terrible how much I want to

WEEK 33

Goodbye work!

Found out why I’ve been feeling so shattered.

I thought it was normal to be feeling rubbish at

this stage in pregnancy, but Anne rang me on

Tuesday to say she’d got my blood test results

back and I was really anaemic. She said I needed

more iron so I’m now on three iron tablets a day,

so hopefully I’ll be feeling a bit more perky soon

(pity they won’t have any effect on my boobs, as

they are looking distinctly un-perky at the

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Buy some baby books on breastfeeding and baby care

stop working – I’ve even got a piece of paper with

all the days I’ve got left written on it and every

day I cross one through – it helps me keep going.

(Must remember to bin it before I leave, as I’m

terrified that Susan will see and work out what

it’s for!)

At the weekend I had a panic attack thinking that

Flump will arrive early, so before we set off for

some more baby shopping, I made Nick take the

car seat off the travel system and practise fitting it

in the car. We were only out for a few hours

though, as I can’t keep going like I used to and car

journeys are getting a mite uncomfortable too –

any longer than about 30 minutes and I get all

stiff and achy.

P.S. Keep getting loads of Braxton Hicks’

contractions. I asked Anne at my antenatal

appointment if that was normal and she said I’d be

having a lot more of them as I got nearer to my

due date. I wondered if having so many practise

contractions meant the birth would be a breeze,

but she just looked at me and raised her

eyebrows – guess that’s a no then!

moment). I’ve noticed the iron tablets do have

one disturbing side-effect – they turn my poo

black. Smashing!

My last week at work – and I spent it rushing

around, trying to get everything ready for when

my maternity leave cover, Alison, takes over next

Monday. It was so hard to concentrate that it took

me ages using what was left of my brain cells just

Top Tip


FOR MORE INFORMATION: Pre-eclampsia page 113

to write down a list of my daily tasks to give to

Susan for her. By the time I left the office on

Friday night everything was up to date and my

desk was totally immaculate. (I’d even got rid of

all the cracker crumbs I’d been building up!)

It does feel strange to know I’m being replaced.

I keep thinking things like ’What if they want to

keep her rather than me?’ and 'Won’t it have all

changed when I come back?’. I’m still not sure

what I want to do once Flump arrives, but telling

Susan I’m coming back in six months means I’m

able to keep my options open.

On Friday everyone was really nice to me and

loads of people kept wishing me luck, so I felt a

bit guilty for spending my last few weeks

Top Tip Try using a pillow to support your bump when you’re asleep

wishing I was somewhere else. I went out to lunch

at the pizza place round the corner with

everybody from my office and Susan gave this

long embarrassing speech about how she was

really going to miss me in the office.They also

gave me a leaving present: a really cool changing

bag, a cute teddy and a bottle of wine to

celebrate Flump’s arrival – and the fact that I can

drink booze again! I just couldn’t get my head

around the fact that when I see them all again I’ll

have a baby with me.

P.S. Just got a scary text from Dominique

– the midwife found she’s got pre-eclampsia so

she’s had to go into hospital. She sounded really

scared – I’m so worried for her and the baby,

I just hope everything is all right.

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FOR MORE INFORMATION: Induction page 34

WEEK 34

I’ve become a daytime telly addict

First week at home and the really sad thing was

I didn’t have a clue what to do with it. I’d come up

with hundreds of practical ideas when I was sitting

at my desk at work, but I pathetically spent most

of my time watching daytime telly, day-dreaming

about Flump and worrying about Dominique and

her baby. I shouldn’t moan because I'm feeling

loads better now I can have naps when I like and

it’s fab not having to get up early and drag my 83year-old

body (!) to work every day. Now I can

stay in bed when the alarm goes off and just wake

up when I’m given toast in bed by Nick (well, it’s

happened once) then roll over and get in some

more quality snoozing. I started to feel guilty that I

should be doing something more constructive

until my mum reminded me that I probably won’t

get the chance to do this again until Flump’s a

spotty teenager!

Got a phone call from Dominique on Tuesday –

she and the baby are OK but she is due to be

induced at the weekend as the doctors think

that’ll be safer. Spent all week thinking about her

and keeping my fingers crossed. It’s weird, we’ve

kind of gone through this pregnancy together and

WEEK 35

Really great news!

Dominique has had a little baby boy called Oliver

David. He weighed 8lb 3oz and was delivered by

Caesarean section – after a scarily long 24-hour

labour – eek! I had a quick chat to her on the

phone this morning and she sounds pretty tired,

but really, really happy. I’m so pleased for her and

can’t wait to see the pictures. According to her

he’s got loads of curly brown hair, just like his dad.

Awww, that’s such a relief.

84

I just want both of us to be fine. She has promised

to get her husband, Sam, to e-mail me when

there’s any news.

On Saturday Caroline came round to go through

the details of my baby shower next Sunday – the

whole thing is totally her idea, not mine, as she

read about it in an American magazine and

thought it would be a cool thing to do. It’s really

nice of her to organise it – to fit in with the baby

theme everyone is going to eat fairy cakes (iced

with pink and blue icing, of course) and drink

lemonade, and she has even sent out some cute

invitations tucked into baby bootees. I was a bit

embarrassed about the fact that everyone is

meant to turn up with presents, but Caroline

keeps telling me they’re not for me, but for Flump

and all my mates would be buying presents for

the baby anyway. As you’d imagine, Nick thinks the

whole idea is totally sickening and has announced

that he’s going out to play football that day as he

doesn’t want to be near so many, and I quote,

‘cooing girlies’.Truth is, I know he’s just as soppy, as

I saw him eyeing up some Bob the Builder

sleepsuits when we were in town the other day.

Don’t really know what happened to me this

week – for some reason my mind seems to have

turned into cotton wool and now I haven’t got

the distraction of work, all I can think about is

Flump. It’s got to the stage where I’m getting

impatient – I’m beginning to feel I’ve been

pregnant for long enough now, I’ve done my time

and now all I want to do is meet my baby. I almost

wish I’d found out the sex at my 20-week scan, as

Discuss your birth plan with your midwife a few weeks before your due date

Top Tip


FOR MORE INFORMATION: Breasts page 114 and Feeding page 122

I really want to know whether Flump is a boy or

a girl and I don’t want to wait any longer. I was

sitting in bed the other morning singing to my

bump (I’ve now moved on from Grease and am

working my way through all the songs from The

Sound of Music) when I kind of got an inkling that

I was singing to a girl. I don’t know why, I just sort

of pictured a girl in my mind but I haven’t told

Nick about this as he would think I was mad. I’m

probably wrong, anyway.

Really enjoyed my baby shower – I’m glad

Caroline came up with the idea. When I went

round to hers she’d done up the room with

streamers and blue and pink balloons and it

looked lovely. I, or rather, Flump, got far too many

presents – loads and loads of cute clothes

Top Tip Prepare your hospital bag - one for you, one for baby

(including a really sweet hat with rabbit ears),

cuddly toys and even a bouncy chair. I never

realised how generous people are when it comes

to buying baby things – and how excited they get

for you. Ranaa came along with her two kids and

it was nice to be able to catch up on what’s going

on back at work – I’m terrible, I’m missing all the

gossip already.

P.S. Guess what pregnancy delight I’m now

experiencing? Leaky boobs! I woke up this

morning to find I had a soggy pyjama top – just

tell me, how icky is that? I’m so glad it has only

started now I’ve finished work – it would have

been well embarrassing to be wandering around

the office with two strategically placed damp

patches on my shirt.

Brought to you by:

85


FOR MORE INFORMATION: Preparing for your baby page 39

WEEK 36

Can’t get the hang of this not working lark

I was hoping my nesting instinct would have

kicked in by now, but the dust is mounting up

under the sofa while my sponge brain still has me

glued to rubbish daytime telly.Tried to shift myself

into gear by starting to pack my hospital bag.

When I say bag I really mean rucksack, as it’s got

to be the size of a small car to fit in two bath

towels, a dressing gown, slippers and all the other

essential stuff on those hospital lists in the baby

books. I admit I got a bit sniffly when I packed the

baby clothes – especially when I saw the tiny pair

of socks that Nick’s mum bought for us. It’s so silly,

86

Freeze a stash of yummy home-cooked meals for when baby arrives

I know I’m pregnant and there’s a baby inside me

– I can feel Flump moving all the time – but

sometimes it still doesn’t seem quite real.

It’s been dead sunny all week, so on Friday I met

up with Gina (from my antenatal class) for a picnic

in the park. Once we’d managed to lower

ourselves very slowly onto the grass we had a

really good time chatting and munching our way

through a large pasta salad as well as a huge bowl

of strawberries for afters. It was really nice to talk

to someone else who’s going through exactly the

Top Tip


FOR MORE INFORMATION: Engagement page 12, Birth plan page 24 and Labour and birth page 28

same thing as me – and has the same capacity for

eating loads without feeling guilty!

At the weekend Nick was busy putting the

finishing touches to Flump’s room (putting up a

cute lampshade and some animal pictures) so

Mum, Dad and I went shopping. Dad spent the

whole time moaning about how much things cost

(I think he’s still working in pre-decimal prices)

and then shocked me by offering to pay for the

whole lot when we got to the cash desk! Thanks

WEEK 37

I’m into nesting mode at last

Nick keeps saying that with two weeks to go

it’s about time. Cheek! I don’t know if it’s the iron

tablets working their magic, but I seem to have

acquired loads more extra energy from

somewhere, so I spent the day frantically cleaning

our flat from top to bottom. I tackled the skirting

boards, door frames, kitchen floor and all the

places that haven’t seen a duster or a vacuum

cleaner for at least six months (not sure why

Flump will need the cupboard under the stairs to

be clean, but that is now immaculate as well).

Had another weekly antenatal appointment on

Wednesday and everything’s fine and apparently

Flump’s head is now 4 ⁄5ths engaged. Asked Anne if

that meant Flump was planning on arriving early –

but she said the baby couldn’t come now as she's

on holiday for two weeks and would just have to

wait until she got back. I’m just keeping my fingers

crossed that Flump heard her!

Couldn’t help but spend the rest of the week

wandering around thinking every twinge meant

something was going to happen – but it didn’t! It’s

very strange at the moment, I’m fed up of being

pregnant and I really want to meet Flump at long

Top Tip Enjoy some early nights and long lie-ins at the weekends

to the shopping spree, Flump now has a nifty

cot mobile, musical nightlight and some Moses

basket sheets, while I ended up with the booby

prize of a packet of maternity sanitary towels. So

not fair!

P.S. Paid another visit to Anne at the antenatal

clinic. All’s going well – my blood pressure is

normal, my urine is OK, Flump’s heartbeat is fine

and he/she has got their head down. Glad to

know he/she is heading in the right direction!

last, but I’m so nervous of what the birth will be

like that part of me is in denial. A bit of me thinks,

well, you know, maybe I don’t really have to go

through this birth business at all and it’s all been

some big mistake.Yep, I’ve totally lost it.

Nick had the day off on Friday and I persuaded

him to go out for lunch with me (from what I’ve

heard about being a mum even going for a coffee

will be a major expedition once Flump arrives). It

was hard dragging him away from more of his

obsessional last-minute DIY – he has now decided

to build a window seat in the lounge, complete

with cupboards for all of Flump’s toys for some

reason – but we had a really good time.

I even managed to talk to him about my birth

plan (yes, I did get some strange looks from the

couple on the table nearest us) so now he knows

what I’d like to happen (in an ideal world). He

even said he really wants to be with me during

labour (very scary!) and that he wants to see

Flump being born – but I’ve made him promise to

stay up the top end (away from the action!) and

talk to me because I’m worried he’ll go all funny at

the sight of blood.

87


FOR MORE INFORMATION: Insomnia page 110

WEEK 38

Grrrr. I’ve given up sleeping at night

It’s totally impossible, I’ve got to make up all

those missing hours by having a huge lie-in in the

morning and taking another catnap at around

three in the afternoon. I don’t know if it’s down

to the lack of sleep, but I’ve been feeling really

grouchy and stomping around the house like I’m

Victor Meldrew with PMT. I’m sick of being huge,

being achy and not being able to eat what I want,

or sleep when I want, and waiting so long for my

baby to arrive. I want to be two separate people

again – me and Flump – and then I can get my old

body back and be myself again instead of one

huge lump.

Poor Nick has been on the receiving end of all

of my snarling and of course, as I’m a heavily

pregnant woman he can’t say anything. I even

kicked him out of bed and into the spare room in

an attempt to get comfy (so I could assume the

starfish position with six pillows). I thought he

might miss being close to me, but he confessed he

enjoyed getting a decent night’s sleep in peace for

once, without being interrupted by me burping,

taking trips to the toilet and pushing lots of pillows

into his back!

WEEK 39

It’s all coming together now

My maternity leave grump from hell seems to

have passed (which is more than something of a

relief to Nick). I haven’t the foggiest why, but for

some reason this week my mood has totally changed

and I’ve been feeling really happy and hyper.

I’ve paid all our bills, washed all our clothes and

I’ve phoned and e-mailed everyone I’d been

meaning to get in touch with for ages. I was going

88

Get measured again for a nursing bra a few weeks before your due date

To cheer myself up and get out of the house,

I booked an appointment on Thursday to get my

hair cut because I knew it would be the last

chance to get it done before Flump appears.

Clare, my hairdresser, has two kids herself so she

gave me a baby-friendly cut that will look good for

ages and is really low-maintenance (i.e. is easy to

wash milky dribble out of).

My mum and dad moved house last week, so on

Saturday we went to visit them and have our first

peek at their new home. I was really looking

forward to it, but it was strange, as I felt nervous

to be so far away from our flat. I don’t know if I

was expecting anything to happen, but I just felt

uneasy and wanted all my usual things around me.

Their new house is really lovely though, and I kept

picturing us going there when Flump is older and

him/her running around their huge back garden.

P.S. I was woken up last night with strong

stomach cramps, which has worried me slightly.

They were pretty painful and I keep thinking that if

they were only the practise contractions, how bad

will the real thing be?

to be virtuous and cook lots of healthy (or

nourishing‚ as they say in the baby books) food in

preparation for when I’m feeding Flump every two

hours, so I started making wholesome casseroles

to put in the freezer. Sadly, I got distracted after a

telephone call from Dominique about how

wonderful being a mum was, and now have only

one casserole in the freezer plus lots of not-quiteso-healthy

ready meals.

Top Tip


FOR MORE INFORMATION: Labour and birth page 28

On Sunday, Nick and I went for a long walk

(well, it was about 20 minutes there and back, but

for the size of me, and my achy hips, that’s

practically a marathon) beside the sea.The

weather was really nice and we were watching all

the kids playing on the sand and talking about

taking Flump there when he/she is older. I felt

really close to Nick for the first time in ages, and

was walking along thinking that by this time next

week we could be a proper family and have our

own little baby to look after.

Decided tonight that I should have a bath and

shave my legs as they are getting way too hairy –

well, you never know when things could kick off!

I know I’m being stupid as all the midwives and

doctors will hardly be fazed at the sight of my

furry pins during the birth – but making myself

look less like a gorilla will help to make me feel a

whole lot better anyway.

I know there is no guarantee that Flump will

arrive on time next week, but I just feel really

excited knowing that I’m going to meet my baby

soon. I think it’s because it feels as if I’ve been

pregnant forever that I’m kind of like ‘OK,

childbirth - bring it on!’ Not sure I’ll feel the same

way after 12 hours of contractions but at least I’m

feeling optimistic now. I asked Dominique on the

phone the other day how painful contractions

were and she said that they were incredibly

painful, but that it was strange as it was a good

pain rather than a bad one so it was just about

bearable. Hope I feel that way too.

Top Tip Take it easy once you stop work – relax and unwind before giving birth

89


FOR MORE INFORMATION: Labour and birth page 28

WEEK 40

It’s a girl!

She’s called Chloe, she weighed 7lb 12oz, she’s

got loads of fluffy blonde hair, huge blue eyes and

she’s totally gorgeous. (Her two favourite hobbies

are staring at everything in sight and wolfing down

breast milk.) As for me, well I’m fine, but I do feel

a bit like I’ve gone eight rounds with Mike Tyson.

I was due to give birth

on Monday, but despite

lots of helpful kicks

from Flump and me

chomping lots of

fresh pineapple

(meant to kickstart

labour and is

healthy too) and

having sex with

Nick (ditto!), nothing

happened apart from

me getting more and

more twitchy.

On Thursday I felt my first

contractions around lunchtime.

They felt like strong period cramps

– kind of how I expected them to be, so

I was quite calm when I rang Nick at work. (It

was strange; I was scared but really excited, as I

knew this meant that I would soon see Flump.)

Nick, of course, got into a huge panic and came

rushing home, but the contractions didn’t get

much stronger for ages so I spent the rest of the

afternoon pottering around, finishing packing my

hospital bag and having a long soak in the bath.

The contractions got gradually stronger and

stronger after dinner, so I asked Nick to put on

the TENS machine I’d ordered through my

antenatal class. I’m not sure how much it helped

but the tingly sensations took my mind off the

pain for a bit.

90

Brought to you by:

At 11pm, the contractions started to come

about every 15 minutes and I panted to Nick to get

the car ready. Not quite sure how I lost it, but by

the time I arrived at the hospital (a 20-minute drive

away) I was demanding pain relief from anyone in a

white coat – actually Nick tells me I was shouting

'give me drugs’. I got up to the labour

ward and my waters broke but I

didn’t really notice as I was

too busy puffing on the gas

and air – it was brilliant as

it really cleared my head

and took the edge off

the pain. I was doing OK

until around 4am when I

started getting the

mother-of-all

contractions. I asked the

midwife for something

stronger so she gave me a

pethidine injection.The

contractions kept on coming thick

and fast and I was just beginning to

wonder if the baby was ever going to

arrive when I had this overwhelming urge

to push.The pain was really strong, but I kept

thinking – one more contraction and I’ll have my

baby in my arms, which kept me going (swearing

like a trooper at Nick helped too, of course).

Finally, at 5.20am, when I thought I just couldn’t

push any more and was begging the midwife to

make it all stop, I heard Nick shout out 'It’s a girl.’

He burst into tears with relief, but I couldn’t relax

until I’d seen my baby – I was desperate to hold

her to make sure she was all right. When they put

her into my arms I just stared at her for ages

trying to take in every little perfect detail.The

strangest thing was I felt I recognised her – it was

as if I already knew her.

Give birth and enjoy a babymoon – everything else can wait!

Top Tip


Medical File

YOURESSENTIAL HEALTH-CARE INFORMATION

UP-TO-DATE ADVICE AND INFORMATION PROVIDING YOU

WITH HELP AND REASSURANCE ABOUT THE PROGRESS OF

YOUR PREGNANCY

ALL THE INFORMATION HAS BEEN CHECKED AND APPROVED BY

THE ROYAL COLLEGE OF GENERAL PRACTITIONERS.


FIRST TRIMESTER – WEEKS 1 TO 12

You and your baby...

You are likely to experience a number of pregnancy symptoms during this period as

your body adapts to pregnancy and your baby’s major systems and organs are formed.

Estimated date of delivery (EDD)

Pregnancy is 40 weeks long because it’s dated

from the first day of your last period, not from the

first day of a missed period as you’d think.This

means that if you do a pregnancy test on the first

day of a missed period you’re already around four

weeks pregnant. If you want to work out your

EDD use the chart opposite.Try not to put too

much store by the date though – unless you’ve

had fertility treatment you won’t know exactly

when in your cycle your egg was fertilised, so the

EDD is just a rough guide. Only five percent of

babies are actually born on the EDD – the

majority are born two weeks either side.

Antenatal check ups

Your GP will book you in for your first antenatal

check up towards the end of the first trimester at

8 to 10 weeks and arrange a ‘dating’ scan to

confirm how many weeks pregnant you are.

Most antenatal care is either GP- or midwife-led

for women with normal low-risk pregnancies.

WHAT’S HAPPENING TO YOUR

BABY?

By the sixth week of pregnancy the embryo

is already encased in an amniotic sac of fluid.

It’s grey in colour and jelly-like, but already

has a heart the size of a poppy seed which is

beating on its own.

92

FIRST TRIMESTER INDEX

Estimated date of delivery Page 92

Antenatal check ups Page 92

Morning sickness Page 92

Early pregnancy symptoms Page 94

Folic acid Page 94

Supplements Page 95

Bleeding Page 95

Booking appointment Page 95

Weight gain Page 96

Blood tests Page 97

Healthy eating Page 97

Foods to avoid Page 98

Dating scan Page 99

Rhesus negative Page 99

Pregnancy hormones Page 99

You may also see an obstetrician (a hospital

doctor who specialises in childbirth) at the

beginning and end of your pregnancy and more

frequently if you are having twins, or develop

complications or want to discuss something

specific, such as an elective Caesarean (a preplanned

delivery by Caesarean section).

If it’s your first pregnancy you will have up to 10

check ups unless there are any complications,

(seven if you’ve had a baby before). Pregnancy is

now regarded as a normal life event and not an

illness! You get to take care of your own medical

records, keeping them safe at home and bringing

them to appointments with you.

Morning sickness

This is definitely a misleading name for this

unpleasant side-effect of pregnancy. Around 80

percent of pregnant women suffer from nausea


and not just in the mornings! Many women feel

waves of nausea throughout the day and some

feel sick all the time. It seems to hit a peak at

around nine to 10 weeks and generally starts to

improve after the 14 week mark. Nobody really

knows what causes it, but experts believe high

levels of circulating hormones are to blame.

What are the triggers?

Tiredness Some women find their nausea is

worse if they are over tired.

Low blood sugar/empty stomach Going too long

between meals can trigger nausea, which is why

many women feel sick in the early evening.

Certain smells Fried food, petrol, curries, citrus

fruit and perfume can trigger nausea.

Tight clothing Wearing anything tight around the

waist can make you feel nauseous.

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FIRST TRIMESTER – WEEKS 1 TO 12

Coping tips

Drinking tea and nibbling a plain biscuit in bed

before you get up will keep nausea at bay.

Snacking on healthy starchy carbohydrates,

such as wholemeal toast and sandwiches,

bananas, etc. keeps your blood sugar topped

up and ensures your stomach is never

completely empty.

Sipping water or lemonade throughout the day

will prevent dehydration.

Avoiding clothes with a tight waist band will

help to relieve pressure on your stomach.

Drinking ginger tea or eating ginger biscuits

can relieve symptoms as they both have antinausea

properties.

Wearing acupressure bands which work on

an acupressure point on the wrist may help. �

ESTIMATED DATE OF DELIVERY CHART

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 1 2 3 4 5 6 7

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7

Look at the black figures to find the date of your last period.The blue figure under the date is your EDD.

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93


FIRST TRIMESTER – WEEKS 1 TO 12

More tell-tale signs of pregnancy

As your pregnancy progresses you may

experience other physical symptoms.

These include:

Tiredness You may feel absolutely whacked and

can’t seem to get enough sleep.You can’t face

going out after work at the moment – you head

straight home for the duvet! Try to catch up at

weekends with lie-ins and lots of lazy days. Experts

say the tiredness is a symptom of all the hormonal

upheaval and frenetic activity

going on inside you. Don’t worry,

this is a temporary stage and you

will get more energy soon.

Tender breasts You may notice

your breasts are very sensitive

and seem to be growing very

fast! Your nipples may seem to be

larger, darker and stand out

more, too.You may need a bigger

bra size and it’s probably a good

idea to go and get measured for

a maternity bra now to ensure

you’re getting the right support.

More trips to the loo Frequent urges to pass

urine are also common at this stage of pregnancy.

This is caused by your uterus expanding and

pressing down on your bladder. Don’t cut back on

liquids as this only makes the problem worse and

can also put you at risk of dehydration. Drink eight

glasses of water a day and practise pulling up your

pelvic floor muscles to control your bladder.

Taste This is difficult to describe, but you may

notice a funny metallic taste in your mouth.

Headaches You may suffer from occasional

headaches.These are quite normal and are

thought to be caused by fluctuating hormones.

94

HYPEREMESIS

GRAVIDUM

Rarely, some women suffer from

a severe form of morning

sickness known as hyperemesis

gravidum.They can’t keep

anything down, lose a lot of

weight and fluids and sometimes

have to be admitted to hospital

for re-hydration treatment on a

drip. In some cases they are

prescribed anti-nausea drugs.

Although unpleasant, this

condition doesn’t harm the baby.

After the first trimester they can be treated with

the recommended dose of paracetamol. If the

headaches are frequent or severe in later

pregnancy tell your midwife or GP as they could

be a sign of pre-eclampsia (see page 113).

Vaginal discharge You’ll probably notice an

increase in white or clear vaginal discharge. If the

discharge becomes coloured, smelly, or causes

itching or soreness you should tell your midwife or

GP.This could be a sign of a

vaginal infection, such as thrush,

which may require a swab test

and treatment. Later in

pregnancy, vaginal infections, such

as Group B Streptococcus, can

have implications for you and

your baby and may require

treatment.

Folic acid

This is an essential B vitamin that

can reduce the risk of your baby

developing a neural tube defect

such as spina bifida (where a gap

develops in the spine and damage to the central

nervous system occurs) by up to 75 percent. Ideally

you should take a supplement in the first three

months before you conceive and then during the

first three months of pregnancy. Don’t panic if you

didn’t take it before you conceived – just start taking

it as soon as your pregnancy has been confirmed.

You can get folic acid by eating foods such as

leafy green vegetables, yeast extract, fruits and

wholemeal bread and cereals, but it’s hard to

get enough from your diet alone, so it is

recommended that you take a 400mcg

supplement every day. In some cases a higher

dose may be recommended.You can buy tablets

from a chemist or get them free on prescription.

brought to you by:


WHAT’S HAPPENING TO YOUR

BABY?

By 9 weeks your baby measures around 3cm

(1in) and is starting to look like a real baby.

Her limbs are developing and her fingers and

toes are nearly complete.

Supplements and other remedies

If you take any other vitamin supplements, make

sure they are specially formulated for pregnancy as

some brands contain vitamin A, which has been

linked to birth defects if taken in large quantities. It

is important to maintain adequate vitamin D

stores during pregnancy and breastfeeding so a

vitamin D supplement may be required.

Herbal remedies are best avoided too, as their

effects have not been researched thoroughly

enough to be safe in pregnancy. Not all over-thecounter

medicines are suitable for use in

FIRST TRIMESTER – WEEKS 1 TO 12

pregnancy either, so always check with the

pharmacist before taking these.

Spotting, bleeding and miscarriage

Between 20 and 30 percent of women bleed in

the first 12 weeks of pregnancy. Unfortunately it is

sometimes a sign of miscarriage, but many women

will go on to have a full-term baby. Bleeding can

sometimes start at a time when a period would

have been due, or after sex. If you experience

bleeding or spotting go and see your GP. She will

ask you what colour the blood is and whether you

have cramps. If the blood is bright red and you are

experiencing cramps or if you are passing any clots

it is likely that you are starting to miscarry.You may

be sent to the hospital for a scan to check the

baby is OK and be given a blood test to check

your blood group. If the scan is normal the

pregnancy is very likely to continue.You may be

told to take things easy for a few days and wait

and see what happens.

For more information

� Contact the Miscarriage Association for support.

Telephone 01924 200799 or visit

www.miscarriageassociation.org.uk

Booking appointment

Your first ‘booking’ appointment with your midwife

is the time in your pregnancy when everything

starts to happen.You are checked and tested, you

are bombarded with information about tests, scans

and lifestyle advice and ‘booked’ into hospital for

the birth. It can feel overwhelming, so it’s helpful to

know what to expect.

You’ll be counselled for screening for Down’s

syndrome. Depending on where you live you

should be offered either a nuchal translucency

screening test (a scan that measures the clear

space in the tissue at the back of the baby’s neck,

which can be an indication of Down’s syndrome) �

95


FIRST TRIMESTER – WEEKS 1 TO 12

WHAT’S HAPPENING TO YOUR

BABY?

A 12-week embryo measures around 8cm (3in), all

her major body organs have formed and she’s already

making jaw movements, sucking and swallowing.

or a blood screening test called the triple or

quadruple test (see page 102).The nuchal fold

scan has to be done between 11 and 14 weeks

and the blood tests between 15 and 20 weeks.

These tests should be offered to all pregnant

women, not just women over 35 who are at a

higher risk of having a baby with Down’s syndrome.

These tests do not give a definitive ‘yes’ or ‘no’

answer but assess your level of risk. If you have a

high risk result you may be referred for a

diagnostic test such as amniocentesis (see page 102),

which will give you a definite answer, but carries a

one percent risk of miscarriage.

Your blood pressure will be checked. Your blood

pressure is considered to be a good indicator of

your overall health.There are two measurements:

the higher figure (known as systolic), measures

96

Blood pressure

blood pressure when the heart muscle is

contracting and the lower figure (known as

diastolic), when the heart muscle is between

contractions. High blood pressure in

pregnancy is said to exist if it is raised to

140/90 or above. In later pregnancy, high

blood pressure (along with protein in the

urine) can be a sign of pre-eclampsia,

a complication of pregnancy, which can cause

premature labour and still birth if left

untreated (see page 113).

Your urine will be tested. Testing for bacteria,

sugar and protein in the urine can indicate

whether you are at risk from complications

that develop in pregnancy. Protein in the urine

can be a sign of pre-eclampsia developing.

Sugar can sometimes be a sign of gestational

diabetes, a special type of diabetes that can

develop in pregnancy and which, if it is not

controlled, can lead to abnormally large babies

and birth complications (see page 108).

The presence of bacteria can indicate a

urinary tract infection (UTI), which if left

untreated can cause premature labour.

Your height and weight will be checked. Your

midwife will measure your height and weight to

calculate your body mass index (BMI), a medical

classification system for your body weight. If you

want to work it out yourself divide your weight in

kilograms by the square of your height in metres.

You are classed as either underweight, normal

weight, overweight or obese. If you’re in the

normal range your weight will not be checked

again during pregnancy, unless there are specific

complications. If you’re overweight or underweight

you may need specialist care.

You’ll be given lots of advice about diet and

lifestyle.Your midwife will advise you about healthy

eating, giving up smoking and alcohol,


Blood tests

BLOOD TESTS WHY YOU NEED THEM

FIRST TRIMESTER – WEEKS 1 TO 12

Blood group tests Doctors need to know your blood group in case you have to have a

blood transfusion after the birth.They need to find out if you have the

Rhesus Negative blood group (known as RhD).Your immunity to

rubella (German measles) will also be checked. If you are not immune

you can choose to be vaccinated once you have given birth.

Full blood count This is to test for iron deficiency anaemia, a common complaint in

pregnancy that can lead to tiredness, dizziness and lethargy. If the

level is low you may need an iron supplement.Your full blood count will

be checked again at 28 weeks. Some areas also test for genetic disorders

such as sickle-cell anaemia and thalassaemia.

Screening for Hepatitis B is a virus that can affect the liver. It often has no symptoms

infections such as so it can be passed from a mother to her baby through blood or body

hepatitis B and the fluids. Doctors can prevent your baby becoming infected by vaccinating

sexually transmitted your baby at birth. Similarly, mother and babies can be treated for syphilis

disease syphilis if it is detected and treated early.

HIV test This is offered routinely but is not compulsory.There is no longer any

stigma attached to having the test done. If you are HIV positive you can

be given drugs during pregnancy to minimise the risks and your baby

can be delivered by Caesarean to prevent him becoming infected.

adapting exercise regimes and avoiding foods

considered hazardous in pregnancy, such as

undercooked meat and paté (see page 98).

You’ll be asked for information about yourself.

Your midwife will want to know about any

previous history of physical or mental health

illnesses. She will also ask whether there are any

areas, such as domestic violence or sexual abuse,

where you will need special support. If you are

experiencing problems she’ll be able to help.

For more information

� For help and support with domestic violence contact the

Women’s Aid Federation helpline on 0808 2000 247

or visit their website www.womensaid.org.uk

Your tummy will be measured. Midwives can check

your baby is growing at the correct rate by

measuring something called the height of the

fundus (the distance between the top of your

pubic bone and the highest point of your uterus).

The measurement roughly equates to 1cm ( 1 ⁄2in)

for every week of pregnancy.The height of the

fundus may be measured from 20 weeks onward.

Healthy eating

Contrary to popular belief, you don’t have to eat

for two now you’re pregnant.You only need to eat

an extra 200 to 300 calories a day, and that’s only

in the last trimester. However, you should take

special care with your diet and eat a wide range

of healthy foods. Every day you should try to �

97


FIRST TRIMESTER – WEEKS 1 TO 12

FOODS TO AVOID WHY THEY SHOULD BE AVOIDED

Paté Meat, fish and vegetable patés carry a risk of listeria,

a bacterium linked to miscarriage, birth defects and still birth.

Peanuts and peanut-related The Department of Health advises pregnant women who

products, such as peanut oil, have a close family history of, or whose partner has, asthma,

processed foods containing eczema or food allergies to avoid peanuts in pregnancy and

peanut oil and peanut butter while breastfeeding. Eating any other kind of nut is fine.

Cheese with a blue vein or Camembert, Stilton, Brie and unpasteurised cheeses carry a

mould-ripened crust risk of listeria.

Raw or undercooked meat Avoid raw meats such as Parma ham and salami because they

and poultry, liver and liver carry a risk of listeria. Make sure that meat products, such as

products beef burgers, are cooked all the way through to kill off ecoli

bacteria. Chicken needs to be cooked through too as it can be

infected with the campylobacter bacteria.Too much vitamin A

is known to be toxic in pregnancy so avoid liver and liver

products, such as liver sausage and patés.

Raw or undercooked eggs Raw or undercooked ‘runny’ eggs can sometimes be infected

or products made with raw with salmonella, which can cause serious stomach upsets. Make

eggs, such as home-made sure you cook them until the yolk is solid. Buy eggs stamped

mayonnaise with the red lion symbol, which means they come from flocks

that have been vaccinated against salmonella.

Large oily fish, raw fish Although oily fish is a healthy food because it protects against

and shellfish heart disease, pregnant women are advised against eating large

oily fish, such as shark or swordfish.This is because they eat

other fish in the food chain and may contain high

concentrations of mercury, which can damage your baby’s

developing nervous system. Mackerel, herrings, pilchards and

sardines are all OK, but limit tuna to no more than four 140g

portions of tinned tuna a week or two 140g cooked fresh

tuna steaks.Avoid raw fish, oysters and other shellfish such as

prawns – unless the prawns have been thoroughly cooked – as

they may be contaminated with harmful bacteria.

Unpasteurised dairy These foods can be infected with a parasite called

products, such as goat’s milk toxoplasmosis, which can cause miscarriage and birth defects.

and cheese, unwashed fruit Pasteurised dairy products including pasteurised goat’s milk

and soil grown vegetables products are fine, but wash fruit and vegetables thoroughly.

98


RHESUS NEGATIVE

Your Rhesus status will be checked when you

have your first blood tests. If you are found

to be Rhesus negative you may be offered an

injection of Rh immunoglobulin (anti-D) at

weeks 28 and 34 of pregnancy.This is to

protect your next baby from anaemia, which

could occur if the baby’s blood is Rhesus

positive.To find out more about being Rhesus

negative talk to your midwife or GP.

eat five portions of fruit and vegetables, protein,

such as lean meat and poultry, eggs and soya

beans, carbohydrates, such as wholegrain cereals,

wholemeal bread, pasta and potatoes, plus

calcium-rich foods, such as dairy products, tofu

and canned sardines. Avoid junk foods, which are

high in sugar, fat and ‘empty’ calories which give

you no vitamins or nutrients and will make you

put on weight.

Dating scan

Lots of clinics perform dating scans at between

10 and 14 weeks to literally ‘date’ the pregnancy

and to check how many babies you are carrying –

but in some areas of the country you may have to

wait until 20 weeks for an anomaly scan

(see page 107).

Dating scan

FIRST TRIMESTER – WEEKS 1 TO 12

You will be asked to drink about two pints of

water before the scan to fill up your bladder to

push up the uterus and get a clearer picture.You’ll

then have gel rubbed on your belly and a handheld

transducer will then be passed smoothly

backwards and forwards over your skin. If you look

at the monitor, you’ll see a picture of your baby

on the screen. If the picture is difficult to make out

the radiographer will explain it. She will measure

the baby to check she is measuring the right size

for your dates. She may use this information to

give you a new EDD, which is usually more

accurate than the original date.

Ask for a copy of the scan picture so that you can

take it home (most hospitals make a small charge

for this). Some hospitals will let you purchase a

video recording, too.

PREGNANCY HORMONES

� These are chemical substances that are

secreted by special glands in the body

directly into your blood stream.

� High levels of the hormone human

chorionic gonadotrophin (HCG), which is

produced by the embryo, circulate in

your body during the first 12 weeks – it

is the detection of this hormone that

gives a pregnancy test a positive result.

� The main source of other pregnancy

hormones is the ovaries during the early

stages and then the placenta after

around 12 weeks.

� These hormones dictate how fast your

baby grows and are responsible for

changes in your breasts and body during

the rest of your pregnancy.They also

make labour occur at the right time.

� A sudden increase in hormone levels

can make you feel unusually emotional,

nauseous and tired.

99


SECOND TRIMESTER – WEEKS 13 TO 26

Starting to show...

Many of the discomforts of early pregnancy will have passed by now and your ‘bump’ will

have started to show. During this middle trimester you will probably feel and look great.

How you’re feeling now

By this stage you’ll be feeling relieved that you’ve

made it almost a third of the way through your

pregnancy and the greatest risk of miscarriage has

passed.The early pregnancy symptoms you’ve

experienced over the past few weeks should start

to fade as your body adjusts to hormonal changes

and any nausea or sickness should begin to

subside.This is also a time when you have to make

lots of decisions about scans and tests and you’ll

need to decide where to have your baby.

The difference between ‘screening’

tests and ‘diagnostic’ tests

Screening tests These can only give you a risk

factor for your baby having some kind of birth

defect like Down’s syndrome or spina bifida.They

test for ‘markers’ of abnormalities, such as

abnormally high or low levels of chemicals like alpha

feto protein (AFP), or measure the thickness of the

nuchal fold at the back of the neck. They won’t give

you a ‘yes’ or ‘no’ answer – and as they are noninvasive

they don’t carry any risk of miscarriage.

100

SECOND TRIMESTER INDEX

Nuchal fold scan Page 101

Triple/quadruple tests Page 102

Amniocentesis Page 102

Chorionic villus sampling Page 103

Lifestyle advice Page 103

Pregnancy health niggles Page 104

Placenta Page 104

Antenatal depression Page 106

Travelling Page 106

Anomaly scan Page 107

Gestational diabetes Page 108

Twins and more Page 108

WHAT’S HAPPENING

TO YOUR BABY?

The second trimester is when your baby

becomes more recognisably human – his neck

uncurls, his eyes are closer together and his

arms and legs, fingernails and toenails are well

developed. Between 17 and 20 weeks you

may actually start to feel him move – more a

fluttery sensation than an actual kick at first.

His growth will also accelerate. He can suck

his thumb, hiccup and hear your voice. He has

also started to grow fine hair called lanugo all

over his body.


Diagnostic tests These can give you a definitive

answer, because they involve analysing DNA taken

from your baby’s cells, either from the placenta (as

in chorionic villus sampling, see page 103) or from

amniotic fluid (as in amniocentesis, see page 102).

Unfortunately, they do both carry a one percent

risk of miscarriage.

Screening tests

The first thing to remember is that screening tests

are entirely voluntary – you don’t have to have

them and it’s entirely up to you which ones you

choose. Don’t forget that screening tests’ results

are not always reassuring and it’s worth trying to

think through what you would do if your baby did

turn out to have a problem. If you have strong

moral or religious objections to a termination you

may not see the point of having a screening test

done, on the other hand you may wish to find out

so that you can prepare yourself for any problems.

Screening tests can also cause unnecessary

worrying because tests’ results are classed either

high or low risk and it can be very alarming to find

yourself categorised as high risk.The reality is that

a one in 250 chance of having a Down’s syndrome

baby is a 249 out of 250 chance that your baby

won’t have Down’s syndrome. Make sure you get

a health professional to talk the figures through

with you so you can put any results in context.

There are a number of different types of screening

tests available around the country. Experts who

advise the government on clinical effectiveness

now recommend that pregnant women should be

offered either one of three types of test: the

nuchal translucency scan and blood test in weeks

11 to14, the triple or quadruple tests in the 14 to

20 week period or the serum integrated test,

which combines nuchal fold measurements taken

in the first trimester with a blood test in the

second trimester. All three tests have detection

SECOND TRIMESTER – WEEKS 13 TO 26

rates over 60 percent and false-positive rates of

five percent or below.

Most areas offer the triple test (but some charge)

and many centres now offer the nuchal

translucency scan and blood tests, but the serum

integrated test is not widely available yet and tends

to be offered only in hospitals involved in research

or private foetal medicine clinics.

Nuchal translucency screening

What is it? It’s an ultrasound scan that measures

the clear (translucent) space in the tissue at the

back of the baby’s neck, known as the nuchal fold.

Research has established that fluid retention in the

nuchal fold during the 11 to 14 week window may

be a marker for Down’s syndrome.

When do I have it? It is performed on

request between 11 and 14 weeks of pregnancy.

Not all hospitals offer the scan so you may

need pay for it. �

How the scan is carried out

101


SECOND TRIMESTER – WEEKS 13 TO 26

How accurate is it? This test can detect up to 70

percent of babies with Down’s syndrome and 90

to 95 percent if combined with blood tests.

However, if you want to know for sure you will

have to have amniocentesis or chorionic villus

sampling (see right and page 103).

When do I get the results? The calculation of

your risk factor from the scan takes a few minutes,

but if you have a blood test as well you may wait

a few days for the risk factor to be adjusted.The

cut-off point for a high-risk result is a one in 250

chance (anything below 250 is considered ‘high

risk’, anything above ‘low risk’).

Is there any risk to my baby? None.

Is the test available privately? Yes, if your hospital

doesn’t offer nuchal translucency screening you

can pay to have the scan performed privately at a

cost of £90 to £150.

The triple or quadruple tests

What are they? Blood tests that measure

chemicals produced by your baby present in your

bloodstream.The triple test measures three

different markers and the quadruple test measures

four. Low levels of alpha feto protein (AFP) can be

a marker for Down’s syndrome and high levels

could mean your baby has an abnormal opening

in the spine (spina bifida), his brain has not

formed properly or there is a hole in his

abdominal wall.

When is it done? Between 15 and 20 weeks

How accurate is it? The triple test has a 65

percent detection rate and the quadruple test a

70 percent detection rate.

Is there any risk to my baby? None.

When do I get the results? In around seven to

10 days.You don’t usually hear anything if all is OK,

although in some areas you may get a letter

confirming a low risk result. If there is a problem

you will get a call from your midwife asking you to

come to see her to discuss the result.You may

then be offered a diagnostic test.

102

Diagnostic tests

You may be offered a diagnostic test because your

age alone puts you in a high-risk group for

chromosomal abnormalities (the risk rises from

the age of 35), or you may have had a high-risk

result in a screening test.

Amniocentesis

What is it? Amniocentesis involves extracting

fluid from your baby’s amniotic sac.This is done by

inserting a needle through your abdomen, under

local anaesthetic and with the guidance of

ultrasound to avoid the baby being harmed. Cells

are then extracted and grown in a laboratory and

tested for chromosomal abnormalities.

Amniocentesis takes about 20 minutes and feels

uncomfortable rather than painful.

Amniocentesis


When is it done? 16 to 20 weeks.

How accurate is it? It will give you a ‘yes’ or

‘no’ answer.

Is there any risk to my baby? Yes, a one percent

risk of miscarriage, lower in hospitals that perform

lots of the procedures and higher if you have

raised AFP levels.Your doctor will check the baby’s

heartbeat after the procedure. It’s common to

experience some cramping pains for 24 hours

after an amniocentesis, but if you experience

bleeding or fluid loss you should contact your

midwife immediately.

When do I get the results? It can take four to

seven days to get a preliminary result and you

may have to wait up to two weeks for the full

result. A new technology that can speed up the

process of extracting your baby’s DNA called

fluorescence in situ hybridisation (FISH) can give

you a result for the three most common

chromosomal abnormalities including Down’s

syndrome in 48 hours. Only some NHS hospitals

use FISH routinely but you can request for the

test to be done privately for around £100.

Chorionic villus sampling (CVS)

What is it? Foetal cells are extracted from the

placenta (the chorionic villus) by passing a needle

through your abdomen. It takes about five minutes

to perform.The main advantage is that it can be

performed earlier in pregnancy.

When is it done? Between 11and 13 weeks.

How accurate is it? It will give you a ‘yes’ or

‘no’ answer.

Is there any risk to my baby? Some textbooks

quote the miscarriage rate as five percent,

but this is thought to be because it is performed

earlier when more miscarriages occur naturally.

Other experts say the true figure is much lower

at around one percent

How soon do I get the results? About a week

for the preliminary findings, two weeks for the

full result.

SECOND TRIMESTER – WEEKS 13 TO 26

Chorionic villus sampling (CVS)

What you can expect if you get a

‘positive’ result from a test

You will get a chance to talk through the result

with your consultant and midwife and may be

referred on for specialist counselling.You’ll be able

to ask lots of questions and will be given time to

make a decision.

For more information

� For further advice contact Antenatal Results and

Choices on 020 7631 0285 or www.arc-uk.org

Other life-style advice

Your midwife or GP will be able to advise you on

other healthy life style choices that will be good

for you and your baby.These include:

Cut out alcohol There is no safe level of alcohol

consumption so it is best to stop drinking

altogether, especially in the first trimester when

your baby’s organs are forming. Official guidelines

recommend that alcohol should be avoided

throughout pregnancy, but if you do decide to �

103


SECOND TRIMESTER – WEEKS 13 TO 26

drink you should consume no more than two

standard units of alcohol a week. Regular heavy

drinking and binge drinking can lead to birth

defects including foetal alcohol syndrome.

Cut down on caffeine Drinking large amounts of

caffeine – over 300mg a day – can increase the

risk of low birth weight babies and miscarriage so

don’t drink more than four average size cups of

instant coffee (or three of fresh coffee), or six

cups of tea a day. Remember that caffeine is also

found in cola-type drinks, energy drinks and cocoa.

Stop smoking If you smoke now is the time to

give up. Everything you inhale crosses the placenta

and that includes nicotine. Smoking in pregnancy

has been linked to premature birth and low-birth

weight babies and to babies developing respiratory

illnesses and increases the risk of cot death.

For more information

� Ask your midwife about the specialist help that is

available to pregnant women who want to quit

smoking or call the NHS Pregnancy Smoking

helpline on 0800 169 9 169

Exercise safely Pregnancy is no longer an excuse

to put your feet up for nine months, it’s good for

you to be active – but don’t try and reinvent

yourself. What exercise you can do depends on

your pre-pregnancy fitness levels. Now is not the

time to take up a strenuous exercise regime if

PLACENTA

This is your baby’s life support

system, which develops from

the fertilised egg and becomes

fully functional at about 12

weeks. It is attached to the lining

of the uterus and separates

your baby’s blood stream from

yours. In the placenta, oxygen

104

from the air you breathe and

nutrients from the food that

you eat flow through a fine

membrane and are carried to

your baby along the umbilical

cord, which is attached to the

centre of the placenta.

Antibodies that give resistance

to infection pass to your baby in

you’ve never done it before. Swimming, yoga,

walking, aqua-natal classes and pregnancy exercise

classes are all good, safe options. Avoid contact

sports like hockey, and dangerous sports such as

diving, horse riding, parachuting and paragliding.

Aerobics and racket sports are usually

uncomfortable after 20 weeks.

There is also a high risk of tripping or falling as

your centre of gravity shifts. If you go to the gym,

ask an instructor trained in antenatal fitness to

adapt your routine. As a general rule you should

avoid any exercise that involves lying on your back

after 20 weeks. Ask your GP or midwife if it is safe

for you to exercise if you have experienced

bleeding or other health problems.

Pregnancy health niggles

No sooner have tiredness and nausea disappeared

than other minor health problems begin to rear

their ugly heads. Although usually not serious, they

can cause a great deal of discomfort.Try these tips

for coping with:

Piles The pregnancy hormone progesterone

slows down your gut, causing constipation.

Straining to pass hard stools can cause piles to

form and protrude from your bottom.They can

also itch and bleed.

Tip Prevent piles by eating plenty of fibre and

drinking eight glasses of water a day to soften

stools and prevent constipation. Use haemorrhoid

creams to soothe existing ones. �

the same way – but so too do

alcohol, drugs and nicotine.Your

baby’s waste products are filtered

through the placenta into your

blood stream so that your body

can then get rid of them.The

placenta is also responsible for

manufacturing some of the

pregnancy hormones.


Take the pain out of piles

It's the end of your 2nd trimester, tiredness and

nausea have finally stopped, but now you find

something else being a pain in the bum... quite

literally- haemorrhoids (also known as piles). You

are not alone. It is estimated almost half of all

pregnant women suffer from haemorrhoids -

whether it's during the pregnancy or after the

birth - that's a whopping 350,000 women this

year alone, most of whom suffer in silence.

Why is this happening to me?

The added pressure from a growing baby can cause blood

vessels to be pushed down, combined with constipation -

suffered by most pregnant women, makes this

uncomfortable, painful ailment a common issue.

Straining to pass hard stools or during labour,

can also cause haemorrhoids to form.

What are haemorrhoids?

Haemorrhoids are swollen veins around the back passage

which may itch, ache or feel sore. They are prone to

bleeding and make going to the toilet uncomfortable and

often very painful.

To try and avoid these blighters, drink at least eight glasses

of water a day- as this will help your bowels move more

easily and eat plenty of fresh fruit, vegetables and fibre.

Top tips if you do find yourself suffering:

1. Take a long hot bath

2. Try not to sit or stand for too long

3. Use a natural haemorrhoid cream -

to safely relieve the discomfort

4. Use a moist, hygienic wipe when passing stools -

rough toilet paper can often aggravate the inflamed

delicate area. A moist wipe will cleanse and soothe.

PROMOTIONAL FEATURE

Nelsons TM have recently re-launched their Haemorrhoid

Relief Cream under the brand of H+care TM , to naturally

relieve the discomfort of haemorrhoids. There is also a new

edition to the range - H+care TM Soothing Hygienic Wipes,

which can be used in conjunction with the cream.

Products in the H+care TM range benefit from using 4 natural

plant extracts, each specially chosen to help soothe and

calm the delicate skin area. While the cream helps to relieve,

the wipes gently cleanse and soothe. H+care TM Soothing

Hygienic Wipes are perfume free, flushable and

biodegradable. Use the wipes as a soft, moist alternative to

toilet paper when skin is particularly sensitive and before the

application of a haemorrhoid cream.

H+care TM Soothing Hygienic Wipes retail at £4.15 for 40 wipes

H+care TM Haemorrhoid Relief Cream retails at £4.35 for 30G

Look for H+care TM in Holland & Barrett and all

good independent health food stores or

pharmacies nationwide.

For mail-order call: 020 7079 1288. Always read the label


SECOND TRIMESTER – WEEKS 13 TO 26

Varicose veins A combination of increased blood

volume and the effect of progesterone relaxing

your blood vessels can cause unsightly varicose

veins to form.They are most noticeable on your

legs but can also occur in the vulva.

Tip Walking regularly, avoiding standing for too

long and not crossing your legs when sitting will

help prevent varicose veins in your legs. Support

tights, which are available on prescription, will offer

some relief. Wearing a sanitary towel will make

varicose veins in your vulva less uncomfortable.

Itching Your skin may start to feel tight and

itchy, especially over your expanding abdomen.

Tip Moisturise regularly and use hypo-allergenic

toiletries that don’t dry out the skin. Always tell

your GP if the itching becomes severe as it could

be a sign of obstetric cholestasis.

Indigestion/Heartburn Indigestion is very

common during pregnancy and is often caused by

foods which are spicy, rich or fried. During the

later months pregnancy hormones relax the valve

at the top of the stomach which lets stomach acid

escape back up into the oesophagus (the tube

linking the stomach to the throat) causing an acid

burning sensation called heartburn.

Tip Sleep propped up at night. Avoid foods that

cause discomfort and don’t eat big meals too

close to bedtime. Some over-the-counter

remedies are safe for use in pregnancy and are an

effective way of neutralising stomach acid.

Backache Pregnancy hormones relax muscles

and ligaments to let your uterus expand, but this

can make you more vulnerable to backache. Pain

in the lower back sometimes radiating to the

buttocks can be very uncomfortable so you may

need to see your GP for pain relief.

Tip Try to rest with your feet up and apply a hot

water bottle to the affected areas. Wear lowheeled

shoes and avoid lifting heavy objects.

106

Antenatal depression

Around ten percent of women suffer from some

form of depression during pregnancy. It is not clear

why some women become depressed while

others don’t, but hormones are thought to be

partly responsible. Other factors include difficulty

in accepting the pregnancy, a history of depression,

stress and pregnancy problems. Women who have

suffered any form of abuse in the past are also

more likely to become depressed.

Symptoms to look out for include an inability to

concentrate, anxiety, extreme irritation, problems

with sleeping and eating, extreme tiredness and

crying. If you are feeling low talk to your GP,

midwife or health visitor.You may be offered

counselling, or if the depression is severe, you

may be given antidepressants which are safe to

take in pregnancy.

Having antenatal depression doesn’t necessarily

mean that you will suffer from postnatal

depression. Often the birth of your baby will

resolve any anxiety you had during pregnancy.

Travelling while you’re pregnant

The second trimester is a great stage of pregnancy

to go on holiday.You won’t be too big yet, you’ll

be feeling pretty good and it will be still safe to fly.

However, there are some safety precautions you

should take when travelling during pregnancy.

Avoid destinations where malaria is endemic.

These include India, Africa and parts of South

America. If you do have to travel to a country

where malaria is common ask your GP to

prescribe you drugs such as chloroquine, an antimalarial

drug safe for pregnancy.You may need to

add proguanil for some destinations.Try to avoid

countries where you will need vaccinations –

although some are safe in pregnancy after 12

weeks, live vaccines such as oral polio are not.


Stay safe on the plane. Pregnant women who

fly are at a small but significant increased risk of

developing deep vein thrombosis (DVT), the

medical name for blood clots.These clots can

prove life threatening if they reach the lungs.

Keep well hydrated, wear flight socks and get up

and walk around at least once every hour to

boost your circulation. Practise clenching your calf

muscles by flexing your feet up and down10 times

every hour to boost circulation.Try to do this on

any long car, bus or train journey too, as they also

pose a risk of DVT.

Take a photocopy of your medical notes with you.

Just in case you go into labour prematurely, pack

your notes – they contain valuable information

that will be needed by your health-care

professionals. It’s also important to know your

blood group in case of an emergency.

Take care in the sun. You’re more prone to

dehydration when you’re pregnant because of an

increase in blood volume so make sure you drink

lots of water. Keep your feet up to stop your

ankles swelling. Don’t forget to wear a sunscreen

of factor 15 or above, a long sleeved t-shirt and a

wide brimmed hat, and keep out of the sun at the

hottest times of the day between 12pm and 3pm.

Check that with your airline will let you fly. Air

travel can usually be undertaken until the 36th

week of pregnancy, but after 28 weeks most

airlines need a letter from your GP saying you are

fit to fly. If you’ve had any health problems always

check with your GP that it’s all right for you to fly.

Make sure that your travel insurance is valid for

pregnancy and that it covers a newborn incase the

baby arrives early.

Avoid mosquito repellents containing DEET. Look

for a natural alternative such as citronella oil or

use nets to protect yourself from mosquitoes.

SECOND TRIMESTER – WEEKS 13 TO 26

Your anomaly scan

Most health districts offer an anomaly ultrasound

scan at around 18 to 20 weeks. It’s a detailed

check to see if your baby is developing normally.

It examines the chambers of the heart, the brain,

organs such as the kidneys and liver, and the spine

and measures the length of your baby’s arms and

legs and the circumference of his head. It will also

check the position of the placenta and you may

be given the option to find out your baby’s sex.

The scan can also identify growth problems and

markers for chromosomal abnormalities (such

as heart defects for Down’s syndrome). If a

potential problem is identified, you may be called

back for more detailed scans, such as cardiac scans

or foetal growth scans. If these scans give more

cause for concern you may be given counselling

and be offered an amniocentesis (see page 102). �

WHAT’S HAPPENING TO

YOUR BABY?

By the end of the second trimester at 24

weeks it would be possible now for your baby

to survive if he arrives prematurely. He would

require intensive care, but increasing numbers

of babies are surviving at this age. He weighs

about 550g (just over 1lb) and measures about

20.5cm (8in) from crown to rump. Fat stores

are beginning to be laid down and he can now

wiggle his toes and grip with his hands.

107


SECOND TRIMESTER – WEEKS 13 TO 26

Are you at risk of gestational

diabetes?

Gestational diabetes is a form of diabetes that

occurs in pregnancy when a woman’s body can’t

make enough insulin to meet the extra demands

of pregnancy.You’re more at risk if you’re

overweight, an older mum, have a family history of

type 2 diabetes, have had a previous big baby or

have had two or more previous pregnancies.

Statistics show that Asian and Afro-Caribbean

women are at a 40 percent risk of developing

gestational diabetes, compared to two percent of

white women.

How is it diagnosed? You may have glucose in

your urine, which has been detected in a routine

check up.This may need further investigation with

a fasting blood sugar and glucose tolerance test.

You are given a glucose drink and a short time

later you have a blood test to measure the level

of glucose in your bloodstream.

What are the risks to the baby? The main one is

that too much sugar will cross the placenta and be

laid down by the baby as fat. Your baby may then

grow abnormally large and will need to be

delivered early.

How is it treated? You may be able to control

your diabetes through changes to your diet such

as cutting down on sugary foods and replacing

them with fruit, vegetables and complex

carbohydrates. However, between 10 and 30

percent of women with gestational diabetes need

insulin injections for the course of their pregnancy.

Any symptoms you experience will usually

disappear after the birth, but you may be at higher

risk of developing diabetes later in life.

For more information

� Contact Diabetes UK on 020 7323 1531

or visit www.diabetes.org.uk

108

TWINS AND MORE

Around 90 percent of multiple pregnancies

are diagnosed by an early ultrasound at

around 12 weeks. Carrying twins or more can

be more complicated than carrying a single

baby and your health care team will want to

monitor your progress closely, so expect to

have frequent check ups. You’ll be offered

more frequent ultrasound scans, too, so that

the growth and development of your babies

can accurately be assessed.

You may find that some of the early pregnancy

symptoms you have, such as morning sickness

and tiredness, are exaggerated – compared to

if you were carrying a single baby. As your

pregnancy progresses you are likely to find

that extreme tiredness and an increased need

to rest means you having to stop work earlier

than you might otherwise have done.

Because when there are multiple babies there

is a higher risk of complications during labour

and birth you will need to have a hospital

delivery. Twins are often born early – at

around week 37. Although it is perfectly

possible to have twins naturally, it is not

unusual for twins to be born by Caesarean.


THIRD TRIMESTER – WEEKS 27 TO 40

The countdown begins...

The countdown to meeting your baby has begun.Your body starts to undergo even more

dramatic changes as it expands to accommodate your growing baby and prepares for the birth.

How you’re feeling now

Your relationship with your baby is getting closer

as you become familiar with his movements and

sleeping patterns.The physical discomfort of

carrying extra weight may start to take its toll and

you may experience common complaints, such as

backache, breathlessness, indigestion and swelling

of fingers and feet.Your body starts to prepare for

the birth by relaxing muscles, producing ‘practise’

Braxton Hicks’ contractions and stimulating the

production of colostrum from your breasts.

Anaemia

Your blood will be tested for anaemia again at

28 weeks. Anaemia is common at this stage of

pregnancy because of the growing demands your

baby is making on your body’s iron stores. Iron is

used to make haemoglobin (red blood cells),

which carries oxygen around the body.Your blood

volume has increased by a third so more iron is

needed to make enough red blood cells.

Since the main symptom of anaemia is tiredness

many women don’t even realise they are anaemic,

so this is why routine screening is carried out. A

woman’s normal haemoglobin level in pregnancy is

11g/dl – if it falls below 10.5g/dl your midwife will

discuss alterations to your diet and may suggest

iron supplements.

In severe types of anaemia you may feel faint,

dizzy, see spots before your eyes and experience

breathlessness. If you experience any of these

symptoms you should always contact your GP

or midwife immediately.

Anaemia is easily treatable with iron tablets

available on prescription from your GP, but

110

THIRD TRIMESTER INDEX

Anaemia Page 110

Insomnia Page 110

Late pregnancy health niggles Page 112

Pre-eclampsia Page 113

Braxton Hicks’ contractions Page 114

Colostrum Page 114

Breech position Page 114

How labour starts Page 115

Skin to skin contact Page 116

constipation is a common side-effect, so you may

have to experiment with different brands before

you find one that suits you.You can also boost the

iron content of your diet by eating more red meat

and green vegetables, such as spinach and

watercress (see page 14).Vitamin C boosts the

amount of iron absorbed from food, so drink fruit

juice when you eat iron-rich foods.

Coping with insomnia

You may feel incredibly tired but unable to drop

off to sleep or find you wake up frequently at

night and are unable to get back to sleep again.

Your sleep disruption may be due to physical

discomfort, your baby kicking, indigestion and

nocturnal trips to the loo, or an inability to switch

off mentally, your mind racing with plans for the

future even in the small hours.

It can be incredibly distressing and lead to tiredness

and depression, leaving you with no energy and a

sense of being disorientated. Some people believe

that this is just your body preparing you for the

sleep deprivation you will have to cope with when

your baby arrives – but this is small consolation

when you're going through it!


Five ways to survive insomnia

Wind down. Develop a winding-down routine

before bedtime. Avoid watching television close to

bedtime as it will stimulate your brain too much.

Try a candle-lit bath with some lavender oil added

to make you sleepy, lie on the sofa and listen to

some relaxing music and sip a milky drink before

you go to bed.

Buy a lavender sleep pillow. Lavender is well

known for its relaxing properties – have a sachet

or pillow stuffed with lavender on your bed or use

a fragrant pillow spray.

Find a comfortable sleeping position. Try to

position yourself on your side as lying on your

back in later pregnancy presses on the main vein

THIRD TRIMESTER – WEEKS 27 TO 40

transporting blood from the lower body. Use

pillows between your legs or under your bump

to make you comfortable.

Nap during the day. Obviously, you can only

really do this if you’ve started your maternity

leave, but a day-time nap of around 30 minutes

can really help you get through the day.Try not to

sleep longer than this though and no later than

3pm as this will disrupt your night-time sleep.

Keep your bedroom well ventilated. Sleep with

the window open, even in the winter, but don’t

allow the room to become too cold. Keep the

thermostat on your radiator at a temperature

that you find comfortable. Being too hot

or too cold will keep you awake. �

WHAT’S HAPPENING

TO YOUR BABY?

By the start of the third

trimester your baby is

already laying down fat stores

and her lungs are strengthening

in preparation for birth. She

measures 24.5cm (9 1 /2 in) and

weighs 1.1kg (about 2 1 /2lb).

She is able to tell the

difference between night and

day and is starting to recognise

your voice. Her skin is covered

with vernix, a thick white

grease, which protects her

against absorbing too much

amniotic fluid – this will usually

have disappeared by the time

she is born.

111


THIRD TRIMESTER – WEEKS 27 TO 40

WHAT’S HAPPENING TO YOUR BABY?

By 36 weeks your baby is close to its full term length

of around 46cm (18in) and weighs about 2.75kg (6lb).

His growth won’t be as rapid now, but he should

continue to gain weight at about 250g (9oz) a week.

The vernix and lanugo – fine body hair – should be

disappearing now.

Late pregnancy health niggles

This is crunch time for your body – everything is

under strain from your digestive system to your

muscles and joints.Try these tips for coping with:

Cramp These shooting pains in your calves tend

to get more frequent and painful as your

pregnancy progresses.They can be caused by a

number of factors including changes to your

circulatory system, the weight of your uterus

pressing down or muscle fatigue.

Tip Straighten your leg and pull your toes towards

your body to ease a cramp or try walking about

in bare feet on a cold floor. Massaging the affected

area will help, too, as may drinking tonic water.

112

Heavy, aching tummy Your bump may

start to drag on the ligaments that are

supporting it inside the uterus. Standing for

long periods, lifting and stretching will all

make it worse.

Tip Avoid standing for long periods, and

lifting or stretching. Get plenty of rest.

Cystitis/urinary tract infections (UTIs)

These are more common in pregnancy

because the muscle tone of the bladder

becomes reduced which means that your

urine flow slows down.The net result of this

is that bacteria have longer to multiply in

the bladder. UTIs are usually picked up by

laboratory testing of your urine sample and

are treated with antibiotics.

Symptoms of a UTI include pain when

passing urine, flu-like symptoms and lower

back pain. If you experience any of these

it’s important that you consult your GP or

midwife who will be able to prescribe

suitable treatment. Left untreated a UTI can

lead to a kidney infection, which can

increase the chances of a premature labour.

Tip Urinate frequently, even if you don’t feel

the need. Have a glass of cranberry juice

every day to prevent the growth of bacteria in the

bladder and drink at least eight glasses of water.

GROUP B STREPTOCOCCUS

Around 1 in 2000 newborn babies in the UK

are infected with Group B Streptococcus

(GBS).Although most babies make a full

recovery, about 10 percent die. Factors which

increase the risk of the infection passing to the

baby are premature birth (before 37 weeks),

prolonged rupture of the membranes and fever

in labour. If these risk factors are present or a

previous baby was affected antibiotics may be

given in labour.


Weight gain You can expect to gain anything

from around 10kg to 20kg (20lbs to 40lbs)

during pregnancy.

Tip Pregnancy is not a time for dieting, but avoid

eating too many foods containing ‘empty’ calories

such as cakes, sweets and biscuits.

HOW WEIGHT GAIN

IS MADE UP IN PREGNANCY

Baby 39%

Blood 22%

Amniotic Fluid 11%

Uterus 11%

Placenta 9%

Breasts 8%

Feeling hot You may feel hot all the time, which

can be a bonus in a cold winter, but not so

welcome if your last few weeks of pregnancy

coincide with high summer.This pregnancy flush

is caused by your higher metabolic rate.

Tip Wear natural fibres, carry a bottle of water

with you when you go out and take frequent sips.

Invest in a pocket, battery-operated fan.

Fluid retention and swelling It’s quite normal for

your feet, ankles and hands to swell slightly during

late pregnancy. Providing that there is no protein

in your urine and your blood pressure is normal

there is no reason to be concerned – the swelling

is caused because your body is holding more

water than usual.

Tip Sit with your feet higher than your heart to

reduce swelling in your feet and ankles and drink

plenty of fluids to help expel excess fluids.

OBSTETRIC CHOLESTASIS

Intense itching on the palms of the hands and soles of

the feet in the third trimester can be a symptom of a

rare pregnancy liver disease called obstetric cholestasis,

which may cause stillbirth. If this happens to you seek

medical help immediately.

THIRD TRIMESTER – WEEKS 27 TO 40

Blood pressure

Carpel tunnel syndrome

If your hands and fingers swell the carpel tunnel

that houses the tendons and nerves that run to

the fingers swells as well, putting pressure on the

nerves. This results in pins and needles and

numbness in your fingers and causes pain to

radiate from the wrist to the forearm, which may

wake you in the night.

Tip Try sleeping with your hands raised on a pillow

to prevent fluid from building up. Take frequent

breaks if you work at a keyboard. Flex the fingers

and rotate the wrists to exercise them. In severe

cases wearing splints on the wrists can help.

Breathlessness You’ll find that everything is more

of an effort now and that you become breathless

more easily.This is because your baby is putting

pressure on your diaphragm and lungs, so that

taking deep breaths is uncomfortable.

Tip Try to take slow, deep breaths, sit and stand as

straight as possible and prop yourself up with

pillows in bed.

Pre-eclampsia

This is the most common complication of

pregnancy, with one in 10 pregnancies affected,

although only one in 100 have a serious problem.

It’s rare before 20 weeks, as symptoms don’t

usually occur until the third trimester, but it can

occur up to several days after birth.

What is it? Pre-eclampsia is a condition that

only arises in pregnancy and is caused by a faulty

placenta, the special pregnancy organ which

supplies your baby with food and oxygen. It causes

problems with your circulation, which can show

up as raised blood pressure, protein in the

urine and swelling of the hands and feet.

What are the symptoms? During the early

stages it is often symptomless and is only

detected when your blood pressure and

urine are routinely tested at the antenatal

clinic. In severe cases it may cause bad �

113


THIRD TRIMESTER - WEEKS 27 TO 40

headaches, blurring or flashing lights in the vision,

pain below the ribs, vomiting and severe swelling

of the face, hands and feet. If you experience any

of these symptoms it’s very important that you

contact your GP or maternity unit immediately.

Who gets it? You’re at higher risk if you’re a

first-time mother, if you are carrying more than

one baby or have had pre-eclampsia before.

If there is a history of it in your family – you

have a mother or sister who suffered from preeclampsia

– or you’re overweight, aged over 40,

are of short stature or suffer from diabetes,

kidney disease or high blood pressure you

are also more at risk.

How does it affect the baby? In mild cases it

can slow down the growth of your baby so your

baby’s size will be checked regularly. If preeclampsia

is severe the baby will become

distressed so that immediate delivery may be

necessary.

What’s the treatment? Your condition will be

closely monitored and regular checks made on

you and your baby.You may need to go into

hospital and, if your condition deteriorates, your

baby will be delivered early.

For more information

� Contact Action on Pre-eclampsia

on 020 8427 4217

or log onto www.apec.org.uk

How your body is preparing

for birth

You will notice your abdomen tightens and feels

hard and then relaxes again.These are Braxton

Hicks’ or ‘practise’ contractions – a dress rehearsal

for the real thing.You may have already

experienced them in the second trimester, but

they tend to be more common in late pregnancy.

Unlike real contractions, they don’t build up and

are not painful, just uncomfortable.

114

Some women find their breasts start to leak

colostrum, a creamy milk that is rich in the

antibodies that will help protect your baby against

infections. If this happens to you, wear breast pads

inside your bra to help prevent leakages.

You are much more prone to backache and

sprains/strains now because the pregnancy

hormone progesterone has caused your muscles

and ligaments to soften.

What if my baby is breech?

From around 36 weeks your midwife will start to

talk about the position your baby is lying in.The

normal position is head down (cephalic) but

occasionally a baby will settle into the bottom-first

position known as ‘breech’ (see illustration, below).

This may happen if you have a small or unusual

shaped uterus, a fibroid or low-lying placenta.

Breech position


Research has shown that it is safer to deliver

breech babies by Caesarean.This can be avoided

however by ‘turning’ the baby, a medical procedure

called external cephalic version (ECV), performed

by an obstetrician at 37 weeks. It’s successful in

just under half of all attempts made in the UK.

Onset of labour

The one question you’ll want the answer to is:

‘How do I know when labour is starting?’The

truth is there is no definitive answer to this, it

varies a great deal – sometimes it’s a slow build

up of contractions and other times it’s a dramatic

event like your waters breaking. Be prepared for

some false alarms, especially if it’s your first

pregnancy, but trust your instincts – you’ll almost

definitely know when you’ve gone into labour.

Here are signs to look out for:

A ‘show’ This is a pinkish/red mucus ‘blob’

of discharge from the vagina. It’s a plug of gel

that has been protecting your uterus from

infection during your pregnancy. A show is

THIRD TRIMESTER - WEEKS 27 TO 40

WHAT’S HAPPENING

TO YOUR BABY?

By the time you reach the

38th week of pregnancy your

baby will be ready to be born

at any time during the next

four weeks.

He measures about 48cm

(14 in) from crown to rump

and weighs an average of

3.15kg (6lb 13oz) and his head

and abdomen are about the

same circumference.There’s

not much room left inside

now so his movements won’t

be so vigorous, but he should

still move more than 10 times

in every 12 hours.

usually a sign that labour is imminent and will

happen in the next few days, although it can

become dislodged a few weeks before labour

starts. If there is a lot of blood you should

contact your GP or maternity unit as this could be

a sign that something is wrong.

Lower back pain You may notice a dull aching

pain in your lower back.You don’t need to contact

your doctor or midwife though, this is just a

warning sign that everything is about to start.

Your waters may break This could be with a

gush or a trickle, it depends how much amniotic

fluid you have and whether it is the ‘fore-waters’

(the large volume of fluids in front of the baby’s

head) or a leak of the ‘hind-waters’ (the smaller

amount of fluid behind the baby’s head).The

medical term for waters breaking is spontaneous

rupture of the membranes (SRM).This can

happen before contractions start, but it’s more

usual for it to happen during established labour, �

115


THIRD TRIMESTER – WEEKS 27 TO 40

Baby’s head is engaged

although it can be delayed to right before your

baby’s head appears. If it’s your hind waters that

have leaked, contractions may not follow right

away because your baby’s head may not be

applying enough pressure to the cervix. Normal

amniotic fluid is straw-coloured and you may be

able to distinguish it from urine because it is

sweeter smelling.

You should phone your midwife or hospital for

advice when your waters break, but you should go

straight to hospital if the fluid is tinged with blood

or greenish-black. Blood can be a sign of placenta

abruptio where the placenta detaches itself from

the uterine wall, which can be very dangerous for

your baby.The greenish colour in amniotic fluid

can be an indication that your baby has passed

116

meconium, her first waste products, and may be in

distress. Once your waters have broken, there is a

risk of infection, so if your contractions don’t start

naturally within 24 to 48 hours, labour may need

to be induced (see page 34).

An urge to empty your bowels Some women get

diarrhoea-like bowel movements in early labour as

the body clears out the digestive system ready for

the job ahead.

Regular contractions You’ll be able to tell these

are real contractions rather than Braxton Hicks’

because they hurt and they build up – becoming

longer, stronger and more frequent. Women

describe the early pain as feeling like a period pain

cramp that reaches a peak, eases off and returns

at regular intervals. Contractions may only last

about 20 seconds and occur 15 to 20 minutes

apart when they first start or they could start off

much stronger and be closer together.

First labours usually last between 12 and 16 hours

so it’s best not to go to hospital too soon.Try to

time the contractions from when you begin to feel

the pain to when it eases off, and then the space

between them.This will tell you how your labour

is progressing. As a general rule you don’t need to

go to hospital until your contractions are lasting at

least 45 seconds and coming five to 10 minutes

apart.You should call the contact number you’ve

been given for your midwife or maternity unit at

this point. (For more information on labour and

birth see page 28).

SKIN TO SKIN CONTACT

It is thought that prolonged and uninterupted

skin to skin contact soon after birth has health

benefits for both the baby and the mother.

Baby’s held against their mother’s skin often take

to the breast more easily and feed for longer.


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POSTNATAL BODY

Life after birth

Just as you had to adjust to all the physical and mental changes in pregnancy, it’s exactly

the same after the birth – except you’ve got to do it a lot more quickly and cope with

the demands of a newborn at the same time!

Once the adrenaline fades away, the first physical

sensation you’re likely to have after the birth is

sheer exhaustion.This could last a few

weeks, so cut yourself some

slack and concentrate on

looking after your baby – slob

around in your pyjamas, let the

housework slide and don’t be

afraid to ask friends and family

for help.Your midwife will visit

you at home and you can

contact her or the hospital for

advice at anytime during the

first 28 days.

Your body after

the birth

How you look Although

you’ll be looking and feeling

loads thinner than before, don’t

expect to be able to slip back

into your skin-tight jeans just

yet. It can take a while for your

figure to return to something like

its pre-pregnancy shape – some

women manage it in a few

weeks, but for many it can

take months.

Lochia This is the period-like

discharge you get after the birth.

It can last weeks (or months)

and goes through a range of

colours from red to pinkybrown,

to cream before stopping.

If your loss is getting heavier each day rather

than lighter, you are passing clots, have a smelly

discharge or tummy pains, contact your

midwife or GP immediately.

Stitches and bruising Your bottom is likely to be

the most painful area after the birth – especially if

118

Bruising after birth

you’ve had stitches. If sitting is painful take

paracetamol and try using a cooling gel pack for

comfort, or having a warm

bath and then drying the

area thoroughly with a

soft towel. Special

cushions are available

from NCT branches (see

page 122). Eating a well

balanced diet will aid

healing. Most stitches

will dissolve in around

two weeks.

Afterpains You may feel

cramp-type pains as your

uterus gradually returns to

its normal size.These can

often be stronger when

you’re breastfeeding as this

helps stimulate the uterus to

contract.These pains can be

more uncomfortable for

second-time mums.

Breasts Immediately after the

birth your breasts will start to

produce colostrum – a thick,

yellowish liquid, rich in

nutrients and antibodies,

which is perfect for your

baby’s first food.Your

proper milk supply will

start to come in‚ around day

three or four – you won’t miss

it, as you’ll notice your boobs

getting swollen and tender (see

page 122). If your breasts become

hot, red and sore you may have

mastitis – a form of inflammation that sometimes

occurs during breastfeeding – and you will need

to see your GP or midwife.

It may take a while

before you can get

back into your prepregnancy

clothes


Anti-D injection If you’re rhesus negative and

your baby is rhesus positive you will be given an

anti-D immunoglobin injection within 72 hours

of delivery.

Baby blues You’re likely to feel a real mix of

emotions in the days after the birth – joy at seeing

your baby, relief you’re no longer pregnant and fear

about how you’ll cope with motherhood.To add to

the fun, your hormone levels, which were at an alltime

high in pregnancy, suddenly crash. Nicknamed

the ‘baby blues’, this feeling usually arrives at the

same time as your breast milk and can make you

feel miserable, anxious and tearful. Most people

usually find that they feel better within a short

period of time, but if you’re low mood persists or

worsens make sure you talk about how you are

feeling with your GP or health visitor.

Diet and exercise You’ll need to continue to

eat healthily after you’ve had your

baby this is especially important if you

are breastfeeding.Try to eat a varied,

well-balanced diet as this will also

help to avoid constipation which can

cause discomfort.You should be doing

your pelvic floor exercises everyday

and can now start to take gentle

exercise, such as walking, soon after

the birth, but wait until you’ve had

your six week check before doing a

more serious workout.

Your postnatal check Six to eight

weeks after the birth you will be checked

by your GP or a nurse to make sure

you’re feeling all right physically and your

body is returning to normal after the

birth.Your GP will ask you if you have any

discharge, check to see if your stitches or tears are

healing well, take your blood pressure and may feel

your tummy to make sure your uterus has returned

to its normal size. If you’re due a smear test one

will be arranged for you.This is a good opportunity

to talk about any problems you have had during

your pregnancy, labour and afterwards, and to get

advice on contraception.

Ready for sex? In general terms it’s usually safe

to start having sex once you’ve had your postnatal

It’s a good idea to

discuss any concerns

you may have at your

postnatal check

POSTNATAL BODY

check and your doctor has told you that everything

is healing properly. However, a combination of

breastfeeding, sleepless nights and feeling sore can

make sex an extremely unattractive prospect for a

while, so don’t worry if you feel that way – you’re

perfectly normal.You should find your sex drive

will return in a few months, so in the meantime tell

your partner how you are feeling so you don’t feel

under pressure.When you do feel ready to have

sex – take it easy at first, and as hormone changes

and breastfeeding can lead to vaginal dryness you

may find you need the help of a lubricant, like

KY-jelly.You will also need to take precautions,

even if you are breastfeeding and your periods

haven’t returned to normal, unless you want to

become pregnant again.

If you had a Caesarean section

If you had a C-section be prepared for your

recovery time to be slower, after all, you’ve had

major surgery.The first four or five days in

hospital can be tough, but once you’re up and

about you’ll find that you feel much more

human again. Make sure you take it easy when

you get home and do things gradually, and get

your mum or your partner to help you. Seek

medical advice before you start driving again

and also check with your insurance company.

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119


HEALTH CHECKS

Your baby’s first checks

There are a number of routine checks that are carried out after the birth to make sure that

your baby is healthy.The immunisation programme is another important part of this early care

as it offers your baby protection from some potentially fatal diseases.

As soon as your baby is born he will be assessed on

the five points of the Apgar Score: heart rate,

respiratory rate, colour, activity and response to

stimulation.Your baby will be given a maximum of

two points for each category.A score of between

seven and ten means that your baby is in excellent

condition, a lower score is usually nothing to worry

about but may mean that he needs a bit of help.

The Apgar test is repeated after five minutes.

After the birth Your baby will be examined,

usually within 72 hours of the birth or by the time

you are discharged from hospital.The doctor may

not be familiar with details of your pregnancy or

your family history so you will need to mention

anything that could affect your baby, including:

� problems found during your antenatal scans.

� your baby was in the breech position.

� family history of dislocating hips in childhood.

� any deafness in the family.

The following checks will be carried out on

your baby:

� head circumference

and length

� fontanelles (soft spots

on the head)

� mouth and palate

� heart and pulses

� lungs

Vitamin K This vitamin is vital for blood clotting

and one in 10,000 babies is born with low levels.

Doctors recommend that all babies should be given

vitamin K shortly after birth and/or in the first

week of life, although the final decision lies with

you. How and when vitamin K is given to your

baby depends on where you live – you may be

offered a single injection straight after delivery, or

120

� abdominal organs

� genitals (in boys to

make sure the testicles

have descended)

� feet, spine and hips

� ears and eyes

� hearing test

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an oral dose after delivery

and at around seven days.

If you are breastfeeding

this will be followed by a

further dose at 28 days.

The ‘heel prick’ test This

‘heel-prick’ blood test is

carried out in the first 10

days of your baby’s life. It

screens your baby’s

blood for signs of

rare metabolic

diseases including phenylketonuria (inability to

digest protein) and thyroid deficiency. In some areas

the test is also used to screen for cystic fibrosis and

sickle cell disease.

Jaundice Lots of newborn babies develop a

yellow colour, a condition called jaundice, caused by

the build-up of a substance called bilirubin. In most

cases this is caused by the immaturity of the baby’s

liver and its inability to excrete bilirubin quickly

enough.Your baby may have a blood test to

measure bilirubin levels to assess whether treatment

with light therapy is needed.

Immunisations Your baby is scheduled to have a

series of immunisations, starting at around two

months. You will need to book these at your GP

practice baby clinic or community health centre.

2 Months

Diptheria

}

Whooping Cough

Tetanus

HiB

Polio

Pneumococcal

Immunisation Timetable

5 in 1

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3 Months

5 in 1

Meningitis C

4 Months

5 in 1

Meningitis C

Pneumococcal

Baby’s first checks

Your baby will be

checked before

you leave hospital

12 Months

HIB/Meningitis C

13 Months

Measles

Mumps MMR } Rubella

Pneumococcal


FEEDING YOUR BABY

‘Breast is best’

Although breastfeeding is a natural process, a little

practice is needed in order to master it successfully.

If you experience minor difficulties at first don’t be

tempted to give up – any problems can usually be

overcome with the support of your midwife. Once

mastered, breastfeeding can be a wonderful,

satisfying experience and the physical closeness you

share will help you to bond with your baby. It is

recommended that the first feed should be within

one hour of birth and that you breastfeed

exclusively for six months before introducing other

food into your baby’s diet.

Benefits for your baby Research shows that

breast milk contains antibodies that protect babies

against infections such as gastroenteritis, respiratory

illness, urinary and ear infections. It is also known

to reduce the risk of childhood diabetes and allergic

conditions such as eczema.A recent study found

that breastfed children were less likely to become

obese later in life. Breast milk is especially important

for the development of the nervous system in

premature babies. It also contains vital long-chain

polyunsaturated fatty acids, which play an important

part in your baby’s brain development.

Benefits for you As well as helping your body

recover more quickly after the birth than if you

bottle feed, breastfeeding for at least six months

significantly reduces the risk of premenopausal

breast cancer, and can also

protect you from osteoporosis and

ovarian cancer.

Breast milk Your

breast milk contains

all the nutrients

your baby needs,

122

Breastfeeding

This is not simply a slogan to encourage mothers to breastfeed – it’s also a scientifically

proven fact. Giving your baby breast milk really will be giving him the best possible start

in life and breastfeeding has many benefits for you, too.

in the right quantities, for the first six months of his

life.The milk is produced on a supply and demand

basis – the more your baby demands the more your

breasts supply. After the birth your breasts naturally

produce a high protein liquid called colostrum.This

first ‘food’ is rich in the antibodies that protect your

baby from infections and help to build a strong

immune system.

After three or four days, whether you are

breastfeeding or not, the colostrum gradually

becomes transitional milk – a mixture of colostrum

and mature breast milk.You may notice this change

as a feeling of fullness in your breasts, which may

make them heavy and uncomfortable – this is often

described as ‘the milk coming in’.Any discomfort

should only last for 24–48 hours.You can help

yourself by feeding your baby frequently and by

wearing a well-fitting nursing bra.

Two to three weeks later mature breast milk comes

through.This is made up of foremilk, which is

produced at the start of a feed to quench your

baby’s thirst, and the nutrient-rich hindmilk, which

follows on naturally to satisfy your baby’s hunger.

As your baby grows the nutritional

composition of your breast milk will

change to meet his needs.

How to breastfeed Feeds can

take any time from 10 to 40

minutes so make sure you

are comfortable and

that your baby is

‘latched on’

properly. �

Breast milk contains

antibodies that will

protect your baby


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FEEDING YOUR BABY

Here are some guide lines for successful breastfeeding:

� Hold your baby close with his nose or top lip

opposite the nipple so that he can reach the breast

easily. His head, shoulders and body should be in a

straight line.

� Wait until he opens his mouth really wide (you

can encourage this by brushing his lips with the

nipple) then move him onto the breast so that his

bottom lip touches the breast as

far away from the base of the

nipple as possible.This way

your nipple will be pointing

towards the roof of his mouth.

�Your baby is properly latched

on when his mouth is wide

open and he has a big mouthful

of breast. His bottom lip should

be curled back and you can see

more areola (the dark area

around the nipple) above his

top lip than below his bottom

one. Once he is attached you

will notice his sucking pattern

changes from short sucks to

long deep sucks with pauses.

� Never restrict the time that

your baby feeds. He will let you

know when he’s satisfied by

either letting go of your breast,

or falling asleep. Don’t limit

feeding if your nipples are sore,

rather get the midwife to check

your baby’s positioning. If you want to remove your

baby from the breast, gently insert a finger into his

mouth to release the suction. Let him feed for as

long as he wants on one breast so that he gets both

the foremilk and the nutrient-rich hindmilk before

changing to the other.Always start each feed on

alternate breasts.

� Try to relax as this will help your milk supply,

which will increase the speed with which your baby

feeds. Babies have growth spurts, so your baby may

feed more often during these until your milk supply

increases to meet the bigger demand.

124

TIPS FOR SUCCESSFUL

BREASTFEEDING

� Feeding should be a restful time.

Get comfortable, relax and don't

be tempted to rush a feed.

� Feed your baby whenever he seems

hungry, about 10-12 times over 24

hours.This will build up your milk

supply and help prevent your breasts

from becoming uncomfortably full.

� If your nipples become sore check

your baby is latched on properly.Ask

your community or hospital midwife

or health visitor for help. Keep feeding!

� Giving a dummy before breastfeeding

is established can make it more difficult

for a baby to breastfeed as the sucking

is different.

� If you find feeding difficult or are

concerned your baby isn't getting

enough milk, consult your midwife

or health visitor.

What you will need You will need at least two

nursing bras. Later, if you want to express milk, a

breast pump may be useful along with other feeding

equipment. (Expressed milk should always be stored

in the fridge, or frozen and kept for up to three

months in the freezer.)

Bottle feeding If for some reason you can’t, or

you choose not to breastfeed, you will need to feed

your baby with an infant formula.Although formula

milk doesn’t offer the same

degree of protection as breast

milk, it does contains all the

vitamins and minerals your

baby needs, and is an adequate

sole source of nutrition for the

first six months.

Making up feeds Always

wash your hands before you

start and make sure that all the

feeding equipment is sterilised.

It is very important to follow

the instructions on the pack

as too much, or too little

formula could be harmful to

your baby.Always use the

scoop provided. Make up one

bottle at a time, putting the

cooled boiled water in first

before adding the formula.

Store in the fridge if the feed

isn’t being used immediately

and throw away any left over

formula after each feed.

What you will need Infant formula, bottles, teats,

a bottle brush and sterilising equipment.

Colic This is a prolonged bout of crying – often

occurring in the evening – which has no obvious

cause. Colic affects 20 per cent of babies within the

first few months of life. No one knows for sure why

babies get colic, but trapped wind is a likely cause.

Winding your baby during and after each feed may

help.As colic can be distressing for both babies and

parents you should ask your health visitor for advice.

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SIMETICONE


Why babies cry...

Hunger This is one of the most likely reasons for

crying, especially during the first few months.Your

baby's stomach is small so she can't take in a lot of

milk during a feed.This means that she will quite

quickly become hungry again. Offer her a feed

when she cries and allow her to keep feeding for as

long as she wants so that her hunger is satisfied.

Discomfort Some babies become upset when

their nappy needs changing.This is often the case if

there is nappy rash or if the skin has been irritated

for some reason, perhaps by tight clothing.Try

changing your baby when she cries and check that

the nappy isn't too tight and that her clothes aren't

causing discomfort.

Too hot or too cold Young babies can't regulate

their body temperature in the same way that older

children and adults can so they become upset when

they get too hot or too cold.The best way to check

your baby's temperature is by touching her stomach.

Don't rely on the temperature of her hands or feet as

they will normally be slightly colder than her body. If

your baby's skin is flushed and feels hot, remove a

piece of clothing or blanket. If she feels cold and her

hands and feet look blue and blotchy, add mittens,

socks/bootees, a hat and a cardigan or blanket.

Tiredness Sometimes babies become over

stimulated which makes it difficult for them to turn

off when they want to sleep. If your baby seems

tired but won't settle, try to calm her by taking her

away from any noise, bright lights and lots of

people. She may cry for a while, but peaceful

surroundings should eventually settle her to sleep.

Insecurity New babies often need close physical

contact, so if your baby still cries after you've fed

and changed her, it is likely that she still needs the

CRYING

Crying is the most effective way young babies have of communicating their needs. But learning

to recognise what your baby is trying to tell you isn't always easy, especially if you are a new

parent. Here we look at the most common reasons for crying and explain how you can

soothe your baby.

reassurance of being held in your arms.You can't

spoil your baby by cuddling her too much,

especially during the early months when she is

trying to get used to her strange new world.

Unwell A baby who is unwell may cry with a

different tone - their cries may sound more urgent

or high-pitched.There are many reasons why your

baby may feel unwell, some such as having a cold

are obvious, others such as a stomach ache are not.

If your baby cries and appears slightly feverish after

her immunisations, you may be advised to give

suitable pain relief for her age, such as liquid

paracetamol or ibuprofen. If your baby develops a

fever - a temperature of 38°C and above in babies

younger than three months and 39°C and above in

babies between three and six months - this can be a

sign of a serious illness or infection. If you are

concerned that your baby may be unwell always

talk to your GP, midwife or health visitor.

Colic The main symptom of colic is continuous

crying for long periods of time.This crying can

occur at any time, but it is usually worse in the

evening.A baby with colic may seem in discomfort

and draw her legs up towards her tummy, become

red in the face and pass wind, she may also refuse to

eat and have difficulty going to sleep. No one

knows for sure why babies get colic, but trapped

wind is thought to be a likely cause so winding

your baby may help.Although colic causes no harm

to the baby it can put a strain on the family, so

don't be afraid to ask your health visitor for help.

When the crying stops Generally, the older

your baby gets the more likely she is to use other

means of communicating with you.As she gets

better at cooing, smiling and making eye contact

there is less reason for her to cry.

125


A BRIEF GUIDE TO CHILDREN’S

ANALGESICS

Coping when our babies and children are ill is an inevitable part of parenthood.

Some of the time you will need advice and help from the GP, Pharmacist or other

healthcare professional, but many of them you can manage yourself at home.

Important information: You are the best judge of the seriousness of your child’s condition. If you’re worried - even if

your baby doesn’t have any of the alarm symptoms listed below - don’t hesitate to contact your doctor immediately.

What can I treat myself? When should I seek advice?

Coughs and colds

Babies and children get a lot of colds,

partly because their immune systems are

not as developed as an adult’s.

Mild to moderate high temperature

Normal body temperature is 37ºC. As long

as your baby or child doesn’t have any

other alarm symptoms, temperatures of up

to 38ºC in babies under three months and

up to 39ºC in babies over three months can

be treated at home.

Teething

While teething is not an illness in itself,

many babies find teething can be painful.

Post-immunisation fever

Babies are often a little unsettled and

feverish for a day or two after

immunisations.

Earache

Earache can be hard to spot as often

there aren’t any visible signs. However

you may notice your baby pulls or tugs

at his ear a lot. See your GP if there is

any discharge or if the pain appears to

carry on for more than 2 - 3 days.

Mild diarrhoea/vomiting

…although babies and young children

can quickly become dehydrated, so keep a

close eye on them.

IF YOU ARE WORRIED

You are the best judge of the seriousness

of your child’s condition. If you’re worried

– even if your baby doesn’t have any of

the alarm symptoms below - don’t hesitate

to consult your doctor immediately.

Very high temperature / temperature

which does not go down

If your baby is younger than 3 months and

has a fever of 38ºC or above, or is older

than 3 months with a fever of 39ºC or

above, you should consult your GP.

Rashes (other than nappy rash)

Especially if the rash does not fade when a

glass is pressed on it. A purplish rash which

does not fade can be a sign of meningitis,

and you should seek medical advice

immediately.

Breathing difficulties

If your baby seems to be struggling to

breathe, seek medical advice immediately.

If your baby seems floppy,

lifeless or unresponsive

This can be a sign of dehydration, and can

also be a symptom of meningitis. Seek

medical advice immediately.


When most of us were babies,

our mothers would have given us

paracetamol. These days, parents

also have the option of using

ibuprofen to relieve pain and fever.

Both can have a role to play in

helping to make childhood illnesses

easier

Paracetamol:

Paracetamol suspension can be given to

babies from when they are two months old.

It is often recommended for the relief of high

temperatures and discomfort following your

baby’s first immunisations at eight weeks old.

However, this depends on the weight of your

baby and on the particular medicine. Please

read the instructions carefully.

Paracetamol is also a suitable choice to use if

your child has been diagnosed with asthma.

Ibuprofen:

Ibuprofen suspension can be given to babies from

when they are three months old and weigh more

than five kilograms (eleven pounds). You can

consider switching to ibuprofen suspension as

soon as your baby has reached these milestones.

Ibuprofen suspension works to reduce your baby’s

high temperature for up to eight hours – in the

region of two hours longer than paracetamol - so

it’s especially useful if their illness is disturbing

their sleep routine. It also gets to work in fifteen

minutes, so your baby can start to feel better

quickly.

FURTHER INFORMATION

You may like to visit www.childhealth.co.uk for advice on a range of common childhood ailments, more general guidance on

childhood development, and to request free copies of useful leaflets.

PROMOTIONAL FEATURE

Contains ibuprofen

Remember – always

read the label and

leaflet carefully, and

consult your GP or

Pharmacist if you are

in any doubt

Nurofen for Children: specially designed

with babies and children in mind

Nurofen for Children can get to work in just

fifteen minutes, and works to reduce a high

temperature for up to eight hours. Nurofen

for Children is the most popular choice for UK

parents buying and ibuprofen suspension1.

It is available in a choice of flavours - orange

and strawberry. It is available in a choice of

formats, either sachets or bottles. The bottles

come with a unique easy dosing device, to

make it easier to accurately measure and

administer doses for younger babies.

ALWAYS READ THE LABEL AND LEAFLET

CAREFULLY

1 Source: ACNielsen, value and volume sales data to December 29th 2007


WEANING

Weaning ways

Once she reaches six months your baby will need some ‘solid’ food in her diet to give her the

additional nutrients she needs in order to thrive. Here we explain how to introduce first foods.

Remember, up until now your baby has only ever

had milk, so the taste and texture of any food you

give her will be a totally new experience for her.

She may not like it at first and spit it straight back at

you, or she may love it and immediately demand

more – both reactions are quite normal.

Start slowly Weaning

should be done gradually,

starting with a teaspoon or

two, once a day.These first

solids are not a main

source of nourishment

and your baby should

continue with her normal

milk feeds. She will cope

better if the food is

smooth, so give her

puréed or mashed, cooked

fruit and vegetables, or baby

rice mixed with breast or

formula milk. Offer the

food half way through a

milk feed so that she isn’t

too hungry or too full to

want to try it.

At first, you should offer no more than one or two

new tastes every few days. Once your baby is happy

with these you can introduce new foods and

eventually start mixing different foods together. Don’t

try to force your baby to eat something that she

obviously dislikes, wait for a week or two and then

try the food again.

Foods to include The first foods you give your

baby should be bland and smooth. Baby rice is a

good first food, or you could try root vegetables like

potato or carrot, and fruit such as banana and

cooked apple or pear. Once weaning is established,

128

Once your baby has

got used to solids she

will enjoy a variety of

different flavours

your baby should be having foods, such as the ones

listed below, from the following groups each day.

Starchy foods Bread, cereals, rice and potatoes.

Dairy products Cheese, yoghurt and full-fat

fromage frais. Cow’s milk shouldn’t be given as a

drink until after one year, but can be used in small

quantities in sauces,

custard or in cooking.

Meat and fish Lean

meat, poultry and

white fish – or

vegetarian alternatives

such as beans, pulses

and grains. Shellfish

aren’t suitable for

babies.

Vegetables Root

vegetables, beans and

cauliflower.

Fruit Apples, plums,

apricots, pears and

bananas. Citrus and

berry fruits like

strawberries should be

introduced with caution.

Foods to avoid

Salt Don’t add salt to your baby’s food - it can

overload her immature kidneys - and avoid

processed foods that haven’t been made specifically

for babies.

Sugar Too much sugar can encourage a ‘sweet

tooth’ and lead to tooth decay so don’t add sugar to

your baby’s food and avoid high-sugar foods.

Honey Occasionally honey contains a type of

bacteria that can cause infant botulism, so it

shouldn’t be offered before one year.

Egg whites These shouldn’t be given before eight

months. Egg yolks can be given earlier but must be

thoroughly cooked to avoid any risk of salmonella. �

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The Department of Health recommends exclusive breastfeeding for the first 6 months


WEANING

Tea, coffee and soft drinks These are not

suitable for babies.

Nuts If there is a history of nut allergy in your

family you should avoid giving foods containing

nuts until your baby is at least three years old.

Whole nuts shouldn’t be given under five years

because of the risk of choking.

Allergies Food allergies are rare, however, if

anyone in your family has eczema, asthma or

hayfever you will need to look out for allergic

reactions to the following foods: wheat, citrus, fruits,

eggs, nuts, fish, dairy products, cows’ milk. Intolerance

to cows’ milk is usually due to an allergy to the

protein in milk or to lactose (milk sugar). If you have

a history of allergies in your family you should ask

your health visitor for advice before you start weaning.

Equipment First foods need to be puréed – this

can be done using a blender or liquidiser, although

a sieve and spoon will achieve similar results. Once

your baby has learnt to chew he will be able to

cope with lumpier foods, which can be mashed

with a fork. Your baby should have his own feeding

utensils and these should be sterilised until he is at

least eight months old. After that, although they no

longer need sterilising they will still need to be kept

scrupulously clean.You’ll need a plastic bowl and

teaspoon (a metal spoon could get too hot), a

feeding cup, a supply of bibs and kitchen roll.

Helpful weaning tips

� If a particular food is rejected, try something

different and then reintroduce it again later.

� Gradually build up to lumpy textures.

� Offer lots of different food to get your baby used

to different tastes and textures.

� If you use jars, tins or packs of baby food make

sure that they are appropriate for your baby’s age.

� Never feed your baby straight from a baby food

container. The digestive substances in saliva can

find their way into the container and make any

remaining food unsuitable for another meal.

Always decant the food into your baby’s bowl.

Family meals Once weaning has been established

your baby will enjoy sitting with you and joining in

130

don’t forget to collect your

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family mealtimes. If you are giving your baby food

that you’ve cooked for the rest of the family, make

sure you remove her portion before adding any

seasoning. You may prefer to make your baby’s food

separately, in batches.This means that you can freeze

the food in ice-cube trays then the frozen cubes can

be stored in freezer bags ready to be defrosted when

you need them.

Safety and hygiene

� When home cooking for your baby always use

fresh ingredients, cook food thoroughly, store

extra portions in covered pots in the fridge for no

longer than 24 hours – or freeze them.

� Never leave fresh food or milk out of the fridge

for more than an hour, less in a warm room.

�Your refrigerator should be 5°C (40°F) or below.

Use a fridge thermometer so you can keep a

check on the temperature.

� Store unused food in the refrigerator in a suitable

covered container for up to 24 hours. Never

reheat unfinished baby food.

� When out and about or travelling with your

baby, take her food in a cool bag, or use ready

prepared baby food.

� When using bought foods, always check that

safety seals are intact and do not use once past

the ‘use-by’ dates.

� Defrost frozen ingredients thoroughly before

cooking. If microwaving from frozen, check

carefully that food is heated to piping hot all the

way through. Give the food a stir to avoid hot

spots. Before feeding it to your baby, taste it

yourself to check temperature.

� Babies are at risk from severe illness from foodborne

infection. So always be ultra-careful in

handling, cooking and storing food.

� Do not save your baby’s unfinished food or milk.

You should never put it back in the fridge to

reheat later.

� Always wash your hands before preparing your

baby’s food.

� Keep all work surfaces and chopping boards

thoroughly clean.

� Keep pets out of the kitchen and away from food

you are preparing.

exclusively from


The Department Of Health recommends exclusive breast feeding for the first six months.


BATHTIME

Beat the bathtime blues

Your newborn is likely to object quite noisily to being undressed and immersed in water,

so don’t feel you have to bath your baby every day.You can intersperse baths by ‘topping

and tailing’.The important thing is to keep her face and bottom area clean.

Start by warming the room and getting everything

you need together, so that you have no reason to

leave your baby alone.You’ll find it easier to use a

baby bath for the first few months, but if you

decide to put your baby into the big bath straight

off you may find it useful to use a specially designed

bath support, or to get into the bath with her. If

you use a baby bath make sure you place it on a

secure surface, out of any draughts.

Check the temperature Always put

the cold water in first, then add the hot

and mix thoroughly. Check the

temperature of the water with

a bath thermometer, or use

your elbow or the inside

of your wrist – the

water should be

between 36–37°C.

Topping and tailing

Wash your baby’s face

and neck with cooled

boiled water, using

separate pieces of cotton

wool for each eye, around her

nose, mouth and the creases in her neck.

Don’t try cleaning inside her nose or ears and never

use any products on her face.Wash her hands and

make sure you remove any fluff that’s caught

between her fingers.Then dress her top half in a

clean vest so that she doesn’t get cold.

Now remove your baby’s nappy and wipe away any

solid matter before cleansing the area with cotton

wool soaked in warm water, a baby wipe or baby

lotion.Then gently pat the skin dry, making sure to

get into all the folds and creases.You may want to

apply a specially formulated barrier cream to help

prevent nappy rash before putting on a clean nappy.

132

Bathing Start by undressing your baby and

wrapping her in a warm towel. Now wash your

baby’s face and clean her bottom (see before). If you

are going to wash her hair, do this now before

putting her in the bath. Hold her, still wrapped in

the towel, backwards over the bath with

her legs held between your arm and

side, and her body supported along the

length of your forearm with her head

in your hand. Using your free hand,

scoop water over her head and then

apply baby shampoo. Rinse

it off with fresh water. Pat

her hair dry taking care

over the soft fontanelles.

Hold your baby

gently, but firmly,

so that she feels

secure in the bath

Now, remove the towel

and lift her into the bath

(having checked the water

temperature again) and

hold her so that her head

and back is supported on

your arm, with your hand

holding her upper arm

furthest away from you. Use

your other hand to wash her.

Young babies don’t really get

dirty so she won’t need much

washing. Once she is bathed,

lift her out onto a towel on your knee and wrap

her up warmly before patting her skin dry, paying

particular attention to the area around the cord.

Then dress her again.

SAFETY FIRST Never leave your baby alone in

the bath, even for a second – babies can drown

in just a couple of inches of water. If you have to

leave the room, wrap her in a towel and take her

with you.


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NAPPY CHANGING

The bottom line

You’ll need to keep your baby’s bottom clean and dry to avoid soreness and nappy rash.

Here we look at your choice of nappies and discuss some baby changing tactics.

It is estimated that on average a baby has 5000

nappy changes between the time he or she is born

until becoming potty trained. So you can see that

for the next few years nappies are going to play a

big part in your life, which is why it's important to

find a nappy that suits both your baby and your

lifestyle.These days nappies come in a wide variety

of types, styles and sizes, but the basic choice is still

between disposables and washables.

Use the time when

you change your baby

to have fun – sing

songs and talk to him

134

Nappy choices It's worth considering the

different types of nappy that are available and

discussing the pros and cons of each type with

other experienced mums before your baby is born.

But do remember that you may want to change

your mind about your decision once you've actually

been using the nappies yourself, so it's best not to

buy too many of one type before the birth.

Disposables Most of these work by drawing

moisture away from the skin into an absorbent

material so that the baby's bottom is kept dry.

They are available in a choice of sizes and

absorbencies, in unisex styles that are held in place

by self-adhesive tapes.You need to buy disposables

that are the correct size for your baby's weight.A

well-fitting nappy should have no gaps and be easy

to fasten, open and refasten.There are a growing

number of 'greener' environmentally-friendly

disposable nappy brands on the market. Most of

these are made from recycled materials, contain

fewer or no chemicals and are at least partially

biodegradable so that they have less impact on the

environment than other brands.

Generally dirty nappies need to be wrapped and

put in the bin, or alternatively they can be stored in

a portable unit that wraps and stores nappies

for several days so that they can be

disposed of in bulk. However,

some of the greener nappies

can be composted. �

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NAPPY CHANGING

Washables Although traditional terry nappies -

which are flat so that you fold them yourself using

pins or clips to fasten them - are still available, these

days modern cloth nappies are a much more

sophisticated option. Shaped like a disposable nappy,

they are made from soft material, such as cotton,

and come with a waterproof cover which has Velcro

or popper fastenings. Elasticated cuffs ensure a snug

fit at the waist and legs.

The main choice is between two-piece or onepiece

nappies.Two-piece nappies consist of the

cotton nappy and a separate outer layer, sometimes

called a wrap, which is waterproof.This means that

the out layer can be used for more than one nappy

change. One-piece nappies are similar, but they have

an integral waterproof outer layer. Both can be used

with disposable nappy liners.

Although washable nappies are initially more

expensive, they have the advantage of being a onceonly

buy as they can be washed and re-used.

However, you do need to take into account the

work involved in washing and drying the nappies

and the amount of electricity and water that will be

used in the process.

Laundry service You may want to consider using

a nappy laundering service which provides a weekly

delivery of clean nappies and a storage bin, along

with the collection of dirty nappies from the week

before.You can find local nappy laundering services

in the telephone directory or online.

Nappy liners These liners are often used with

washable nappies.They are placed between the

baby's skin and the nappy and help to keep the

baby dryer. Liners also reduce the soiling of the

nappy and make cleaning them easier. Most are

disposable and there are biodegradable and

compostable liners on the market. Some liners are

washable which allows them to be reused.

136

Changing tactics Whichever type of nappy you

use the technique for changing and cleaning your

baby's bottom is the same.

� Change your baby whenever he is wet or dirty.

� Make sure you have everything you need to hand

before you begin changing your baby.

� Lie your baby on a folded towel or changing

mat - make sure he can't roll off if he's on a

raised surface.

� Remove the soiled nappy and clean his bottom

thoroughly, using warm water and cotton wool -

a baby wipe or baby lotion can be used to finish

cleaning the nappy area.

� Make sure your baby's bottom is dry before

putting on the clean nappy.

Nappy rash This is caused by prolonged contact

of urine or faeces with the skin so it is important to

change and cleanse your baby's bottom frequently.

The rash affects the skin in the nappy area, causing

it to become sore and irritated so that it appears

pink or red in colour and there may be spots or

blotches Most nappy rash is mild and can be treated

with a simple skin care routine.This includes using

warm water and cotton wool to keep the area clean

and dry and applying a specially formulated cream

to help heal and soothe the damaged skin.

Giving your baby some nappy-free kicking time

each day will allow the air to get to his bottom,

which will help to keep the skin healthy. If the

nappy rash persists or is severe it may be caused by

thrush, in which case an antifungal cream will need

to be prescribed by your GP or health visitor.

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SLEEPING

Sleepless nights

Your newborn’s sleeping patterns – or lack of them – may come as a shock, but with time

and some help from you, your baby will soon learn the difference between day and night.

One of the first things you’ll notice about your

newborn, other than how perfect he is, is how long

he spends sleeping – on average an amazing 16–18

hours a day in the first couple of weeks.

There’s a lot to learn The reason your baby

needs so many hours sleep is simple: he’s got an

awful lot of learning to do, and because there’s so

much around to take in, he uses his sleep to process

all the information.All that time spent dreaming

isn’t wasted – it gives his body and brain a chance

to rest and prepare for another day filled with

thousands more sights and sounds.

Night feeds The toughest test for any mum will

be night feeds. Feeding your baby through the night

(up to every two hours in the first few weeks)

makes it hard for you to sleep for any real length of

time, and this can be tough (mentally and

physically) to cope with. Nature does lend you a

helping hand though, as if you’re breastfeeding your

hormones will reorganise your sleep patterns to

match those of your baby. But make sure you listen

to what your body is telling you – nap when your

baby sleeps in the day, not just in the night, or you’ll

never catch up on all those missing hours.

Getting it right Thankfully, this stage will pass

and gradually you’ll begin to notice that your baby

138

Place your baby

in the ‘feet to foot’

position

is doing more than just feeding and sleeping.

Usually, at around 8–10 weeks you’ll find that he’ll

start to take longer spells of sleep at night and be

much more alert during the day.

Sleeping safely Every new parent is worried

about cot death – but thankfully it happens very

rarely. Make sure you reduce the risk by following

these safety tips:

� Always put your baby to sleep on his back –

in the ‘feet to foot’ position – with his feet at the

bottom of the cot and tuck in any covering no

higher than his shoulders.

� Let your baby sleep in his own cot in your room

for the first six months.

� Don’t take your baby into your bed if you’re

tired, have drunk alcohol or taken any form

of drugs, or if your baby is premature.

� Try to keep his room at a constant temperature

– the ideal is between 16°C and 18°C.

� Never put his cot next to a radiator or in direct

sunlight – he could overheat.

� Use a firm mattress and don’t use duvets or

cot bumpers.

� Don’t allow anyone to smoke in the house,

especially in the room with your baby.

� If your baby goes off his feeds, is hotter than

usual or seems unwell seek urgent medical advice.

Crying Some newborn babies cry a lot, others

very little. If your baby cries excessively he may be

unwell and you should consult your GP or health

visitor. Other reasons for crying include:

� Hunger � Wet or dirty nappy � Wind or colic

For more information

�For support and advice for babies who cry a lot and

won’t settle contact BM Cry-sis on 020 7404 5011

Brought to you by:


USEFUL CONTACTS

Help and support

These organisations will be able to offer information and advice.

Special Needs

Galactosaemia Support

Group

Tel: 0121 378 5143

www.galactosaemia.org

Advice and information for parents

of children with galactosaemia.

Down’s Syndrome

Association

Tel: 0845 230 0372

www.downs-syndrome.org.uk

Information and counselling for

parents of children with Down’s.

Local groups.

Cerebral Palsy Help

Helpline: 0808 800 3333

www.scope.org.uk

Advice and support for those

affected with cerebral palsy.

Cystic Fibrosis Research

Trust

Tel: 020 8464 7211

www.cftrust.org.uk

Information on all aspects of

cystic fibrosis. Local groups.

Association for Spina Bifida

and Hydrocephalus (ASBAH)

Tel: 0845 450 7755

www.asbah.org

Advice and counselling for affected

parents. Local support groups.

140

British Epilepsy Association

Helpline: 0808 800 5050

www.epilepsy.org.uk

Information and advice for children

and adults with epilepsy.

Mencap

Tel: 020 7454 0454

www.mencap.org.uk

Support and advice for parents of

children with learning disabilities.

National Asthma Campaign

Helpline: 0845 7010203

www.asthma.org.uk

Information and advice to children

and adults with asthma.

National Eczema Society

Tel: 020 7281 3553

www.eczema.org

Information and support for

children and adults with eczema.

Royal National Institute for

the Blind (RNIB)

Helpline: 0845 766 9999

www.rnib.org.uk

Information and support on all

aspects of childhood blindness.

National Autistic Society

Tel: 020 7833 2299

www.nas.org.uk

Help and advice for parents of

autistic children.

National Meningitis Trust

Tel: 01453 768 000

www.meningitis–trust.org.uk

Support and information for

meningitis sufferers and their

families.

Meningitis Research

Foundation

Tel: 01454 281 811

www.meningitis.org

Research into meningitis and

septicaemia and support for

affected families.

SENSE

Tel: 0845 127 0060

www.sense.org.uk

Advice and support for families

of deaf-blind and rubella

handicapped children.

Sickle Cell Society

Helpline: 020 8961 7795

www.sicklecellsociety.org

Information and advice on sickle

cell disorders.

Pregnancy gives you the right to shop – register on our

new website, www.emmasdiary.co.uk for oodles of offers!


STORE-FINDER

Abbeydale 5 Glevum Shopping Centre GL4 4FF 01452 417714

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Aberdeen 453/455 Great Northern Rd AB24 2EH 01224 484554

Abergavenny Merthyr Rd, Llanfoist NP7 9LL 01873 850702

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Aberystwyth 30 North Parade SY23 2NF 01970 612694

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Addlestone 110 Station Rd KT15 2BQ 01932 846717

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Alcester 51-53 High St B49 5AF 01789 400122

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Barnwood 2 Elmbridge Rd GL2 0NZ 01452 503939

Barrhead 176 Main St G78 1SL 0141 8811483

Barry Waterfront Medical Centre, Heol-Y-Llongau CF63 4AR 01446 739949

Barry Unit 1, Stirling Rd Shopping Precinct CF62 8NX 01446 746000

Barry 99/101 Holton Rd CF63 4HG 01446 735488

Barry 208 Holton Rd CF63 4HQ 01446 736817

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Basingstoke 201 Oakridge Rd RG21 5TA 01256 464540

Basingstoke Essex House, Essex Rd RG21 8SU 01256 323176

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Basingstoke The New Med Centre, Shakespeare Rd RG24 9DT 01256 327882

Bath 88 Frome Rd BA2 2PP 01225 833003

Bathgate 62 George Street EH48 1PD 01506 655487

Bathgate 33 Kings St EH48 1AZ 01506 630806

Bathgate Bathgate Primary Care Centre, Whitburn Rd EH48 2SS 01506 631601

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Bearsden 55-57 Milngavie Rd G61 2DW 0141 9431086

Bearsden 8 New Kirk Rd G61 3SL 0141 9429248

Bedford 107 Brickhill Drive MK41 7QF 01234 262213

Bedlington 2 Vulcan Place NE22 5DN 01670 822282

Bedminster 172 St Johns Lane BS3 5AR 0117 966 1230

Bedminster Down 99 Bishopsworth Rd BS13 7JR 0117 966 9402

Bellshill 273 Main St ML4 1AJ 01698 748166

Bellshill 106 North Rd ML4 1EX 01698 841950

Belper 53-55 Bridge St DE56 1AY 01773 820596

Belper 30 Town St, Duffield DE56 4EH 01332 841175

Belton St John Rd NR31 9JT 01493 781745

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Benson 23 High St OX10 6RP 01491 838686

Berwick Upon Tweed Tweedmouth TD15 2HD 01289 308547

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Bexleyheath 17 Market Place, The Broadway DA6 7DZ 0208 3047258

Bexleyheath 32 Pickford Lane DA7 4QW 020 8303 1592

Bicester Old Barn The Old Barn Coker Close OX26 6DR 01869 240972

Bicester 34 Sheep St OX26 6LG 01869 248335

Bideford Bideford Med Centre, Abbotsham Rd EX39 3AF 01237 472002

Bideford Clarence Wharf, Barnstaple St EX39 4AU 01237 421221

Biggin Hill 3 Roundway TN16 3XZ 01959 575887

Biggleswade Unit 1 Market Square SG18 8AS 01767 313115

Biggleswade 41 High St SG18 OJH 01767 312309

Billericay 111 High St CM12 9AJ 01277 622828

Billesley 722-724 Yardley Wood Rd B13 0HY 0121 443 4559

Billinghurst 56 High St RH14 9NY 01403 782668

Bilston 45 Church St WV14 0AX 01902 401315

Bilton Grange 90 Greenwich Avenue HU9 4UZ 01482 374193

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Birmingham 175 Weoley Castle Rd B29 5QH 0121 4271851

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Bishopsworth 135-137 Church Rd BS13 8JZ 01179 647567

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Blaby 5 Lutterworth Rd LE8 4DW 0116 277 2535

Blaby Northfield H/Centre,1 Villers Court LE8 4HP 0116 277 1408

Blackburn Morrisons, Railway Rd BB1 5AZ 01254 262159

Blackburn 174 Shear Brow BB1 8DZ 01254 51384

Blackburn 62 Haslingden Rd BB2 3HS

Blackburn 62 New Chapel St BB2 4DT 01254 55366

Blackfield 191 Hampton Lane SO45 1XA 023 80893002

Blackheath 396 Long Lane B65 0JF 0121 559 2579

Blackpool 22-24 Abingdon St FY1 1DA 01253 627932

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Blackpool 525/527 Lytham Rd FY4 1RF 01253 341197

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Blackwater 3 Darby Green Parade GU17 0DW 01252 870685

Blantyre 270 Glasgow Rd G72 0YL 01698 822500

Bletchley 127-129 Queens Way MK2 2DH 01908 373674

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Bloxwich 169 High St WS3 3LH 01922 476108

Blyth 4 Deleval Terrace NE24 1DJ 01670 366608

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Bolton 281 Rishton Lane BL3 2EH 01204 522997

Bolton Pikes Lane Resource Centre, Deane Rd BL3 5HP 01204 528283

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Bootle 125 Knowsley Rd L20 4NJ 0151 922 3932

Bootle 516 Stanley Rd L20 5DQ 0151 922 1708

Borough Green 42 High St TN15 8BJ 01732 884218

Boscombe 509 Christchurch Rd BH1 4AG 01202 394702

Boston 13 Forbes Rd PE21 0PD 01205 364506

Boston South Square PE21 6JU 01205 361644

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Bourne End 1 The Parade SL8 5SA 01628 520144

Bournemouth 51 Kinson Rd BH10 4AH 01202 512745

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Bradford 47 Chelmsford Rd BD3 8QN 01274 668770

Bradford 43 Coventry St BD4 7HX 01274 392197

Bradford Rooley Lane Med Centre BD4 7SS 01274 731729

Bradford 95 Holmewood Rd BD4 9EJ 01274 682204

Bradford Highfield Med Centre, 2 Proctor St BD4 9QA 01274 681320

Bradford 82-84 Horton Grange Rd BD7 3AQ 01274 576561

Bradford 459-461 Great Horton Rd BD7 3DJ 01274 502761

Bradford 81 Leylands Lane BD9 5PZ 01274 495500

Bradley Stoke Somerfield Stores, Ferndene BS32 9DF 01454 616030

Bradwell 2 Church Lane NR31 8QW 01493 602401

Braintree 10 Great Square CM7 1UA 01376 321135

Bramley Bellmount Close LS13 2UP 0113 295 4330

Bramley 283-285 Town St LS13 3JT 0113 256 3332

Brandon Manchester House, Commercial St DH7 8PL 0191 3789066

Bransholme Unit 8 Grampian Way Shopping Centre HU7 5BJ 01482 831569

Braunton 9-13 Caen St EX33 1AA 01271 812081

Braunton Caen Med Centre EX33 1LR 01271 812193

Bredbury 242 Stockport Rd SK6 2AN 0161 430 2676

Brewood Brdgate House Market Place ST19 9BS 01902 850335

Bridge Of Allan 36 Henderson St FK9 4HS 01786 832311

Bridgend 106 Nolton St CF31 3BP 01656 657845

Bridgewater Somerset Bridge Med Centre, Stockmoor Park TA6 6LD 01278 447152

Bridgewater Victoria Park Drive TA6 7AS 01278 429813

Bridgwater Redgate H/Centre TA6 5BF 01278 445333

Bridlington 1-5 Westgate YO16 4QF 01262 676847

Brierley Hill Talbot St DY5 3DS 01384 572039

Brighton County Oak Medical Centre Carden Hill BN1 8DD 01273 508198

Brighton 12 Matlock Rd BN1 5BF 01273 552060

Brighton 55A-55B Arundel Court, Arundel Rd BN2 5TX 01273 606829

Brislington 33 Sandy Rd BS4 3PH 0117 9777235

Bristol Greystoke Avenue Temp. Portacabin Greenway Centre BS10 5PT 0117 950 8494

Bristol Shirehampton Health Centre Pembroke Road BS11 9SB 0117 982 3134

Bristol 7 Oatlands Avenue BS14 0SX 01275 839865

Bristol 74-76 Holloway Rd BS14 8PG 01275 833682

Bristol 40 Lanaway Rd BS16 2NN 0117 965 5756

Bristol Lawrence Hill H/Centre, Hassel Drive BS2 0AN 01179 557705

Bristol Adj Bedminster Family Practice, Regent Rd BS3 4AT 01179 639468

Bristol 51 Clouds Hill Rd BS5 7LE 01179 558544

Bristol Unit 1, Ashley Court BS6 5NW 01179 557279

Bristol 64 Bath Buildings BS6 5PU 01179 240222

Bristol 1 Clifton Down Shopping Centre BS8 2NN 0117 9741348

Broadstone 192C Lower Blandford Rd BH18 8DP 01202 692320

Broadway 22 High St WR12 7DT 01386 853356

Brockworth 22 Court Rd GL3 4EP 01452 863985

Brockworth 1-2 Abbotswood Centre GL3 4NY 01452 863019

Bromsgrove 46 New Rd B60 2JS 01527 876876

Bromsgrove Recreation Rd Surgery B61 8DT 01527 872077

Brough Unit 6, Welton Rd HU15 1AF 01482 667371

Broughty Ferry 8 Campfield Square DD5 2PU 01382 779270

Brownhills Brownhills Med Centre WS8 7JB 01543 372253

Broxburn Broxburn Partnership Centre EH52 5LH 01506 771757

Buckingham 10 -12 Meadow Walk, High St MK18 1RS 01280 813262

Buckley 13-14 Central Precinct CH7 2EF 01244 550910

Bucknall 128 Werrington Rd ST2 9AJ 01782 219830

Bucksburn 9-11 Inverurie Rd, AB21 9LJ 01224 714 476

Bude 9 Belle Vue EX23 8JL 01288 352000

Budleigh 38 High St EX9 6LQ 01395 445848

Budleigh Salterton 27 High St EX9 6LD 01395 442001

Buntingford 29 High St SG9 9AB 01763 271406

Burnham 82/84 High St SL1 7JT 01628 602922

Burnley 60 Colne Rd BB10 1LG 01282 423526

Burnley 8 Bootway BB11 2EE 01282 421561

Burntwood Unit 3 Burntwood Shopping Centre WS7 1JR 01543 685740

Burntwood 7 Lichfield Rd WS7 OHH 01543 682338

Burraton 139 Callington Rd PL12 6EB 01752 842013

Burton Latimer 100-102 High St NN15 5LA 01536 724141

Burwell 57 High St CB5 0HD 01638 741214

Bury 14 Princess Parade BL9 0QL 0161 7641489

Bury Minden Med Centre, 2 Barlow St BL9 7AA 0161 7644573

Bury Market Place, Ribblesdale Road BL9 0AH 0161 7645010

Bury St Edmunds 17 Victoria St IP33 3BB 01284 767507

Bury St Edmunds 22 Abbeygate Street IP33 1UN 01284 754164

Bushbury 18-20 The Broadway WV10 8EB 01902 782411

Buxton 139 Victoria Park Road SK17 7PE 01298 25083

Buxton 2 Temple Road SK17 9BA 01298 23411

Cadishead 178 Liverpool Rd M44 5DD 0161 775 3563

Caerphilly 31 Ton Y Felin Road CF83 1PA 029 2088 2916

Caister On Sea Caister Medical Ctre,West Rd NR30 5AQ 01493 720809

Callington 17-18 Fore St PL17 7AE 01579 383106

Calne 7 Harrier Close SN11 9UT 01249 822923

Cambourne 9 High Street CB23 6JX 01954 718296

Cambridge 30 Trumpington St CB2 1QZ 01223 359449

Cambridge Nuffield Rd Med Centre CB4 1TF 01223 425090

Cambridge 46-47 Arbury Court CB4 2JQ 01223 351349

Cambuslang 56 Hamilton Rd G72 7XR

Camelon 332 Main St FK1 4EG 01324 624491

Cape Hill 366 Dudley Rd B18 4HJ 0121 455 6096

Chapelhall 30a Russell Street ML6 8SG 01236 755229

Cardiff 22 Station Rd CF14 5LT 029 20752292

Cardiff 45 Wellfield Rd CF24 3PA 029 20496878

Carlisle 22 Lonsdale Street CA1 1DB 01228 542725

Carlisle 46-50 Warwick Rd CA1 1DN 01228 524993

Carlisle 76 Warwick Rd CA1 1DU 01228 511102

Carluke 17 High St ML8 4AL 01555 771249

Carshalton 79 Banstead Rd SM5 3NP 020 86420928

Carterton 7 Burford Rd OX18 3AG 01993 842572

Carterton 4 Stretfield House OX18 3XZ 01993 844442

Castel L'Aumone Surgery GY5 7RU 01481 253151

Castle Bromwich 335 Chester Rd B36 0JG 0121 747 2386

Castleford 119 Carlton St WF10 1DX 01977 559133

Castleford Tieve Tara Surgery, Parkdale Drive WF10 2QP 01977 603429

Castlerock 19 Sea Rd BT51 4TN 02870 848286

Castletown The Parade IM9 1LG 01624 823272

Chaddesden Park Med Centre, Maine Drive DE21 6LA 01332 664504

Chalfont St Giles High St HP8 4QA 01494 874656

Chapel House 8 The Shopping Centre, Hillhead NE5 1DT 0191 267 6705

Chapeltown 1A Station Rd S35 2XE 01142 467320

Chard 59 Fore St TA20 1QA 01460 63051

Chard Somerfield, Holyrood St TA20 2DN 01460 63089

Castle Vale 3 Tangmere Square B35 7QX 0121 7476546

Chatham Lordswood Shopping Centre,17-18 Kestrel Rd ME5 8TH 01634 863372

Chatteris 22-24 High St PE16 6BG 01354 692568

Chatteris George Clare Surgery,Swan Drive PE16 6EX 01354 695953

Cheadle 7-9 High St SK8 1AX 0161 4911010

Cheddar Church St BS27 3RA 01934 742208

Cheltenham 269A High St GL50 3HJ 01242 512120

Cheltenham St Pauls Med Centre, 121 Swindon Rd GL50 4DP 01242 571590

Cheltenham 56 Edinburgh Place GL51 7SA 01242 516623

Chertsey 4 Farley Villas, Pound Rd KT16 8EH 01932 565575

Chertsey 1 Weir Rd KT16 8NF 01932 563015

Chesterfield Chatsworth Rd S40 2BY 01246 234023

Chesterfield Unit 7 Wardgate Way S40 4SL 01246 221790

Chesterfield Sheffield Rd S41 8LU 01246 450425

Chester-Le-Street Bridge End DH3 3RA 0191 3882777

Chigwel 155 Manford Way IG7 4DN 020 8500 7070

Chineham 34 Guinea Court RG24 8XJ 01256 479338

Chingford Electric House, 2C Station Rd E4 7BH 0208 5291035

Chinnor 28 Church Rd OX39 4PG 01844 351340

Chippenham Hathaway Clinic, Middlefield Rd SN14 6GT 01249 449142

Chippenham 23C New Rd SN15 1HS 01249 657862

Chippenham St Lukes Drive SN15 2SD 01249 446715

Chipping Ongar 205 High St CM5 9JG 01277 362567

Chipping Sodbury 33 High St BS37 6BA 01454 313354

Chislehurst 59 High St BR7 5AF 020 8467 3158

Chobham 18 Windsor Rd GU24 8LA 01276 858261

Chorley 246 Eaves Lane PR6 0ET 01257 262385

Chorley 180 Devonshire Rd PR7 2BY 01257 272111

Chorley 96 Devonshire Rd PR7 2DJ 01257 263238

Chorley Library St PR7 2EE 01257 263628

Chorlton On Medlock 70-72 Hathersage Rd M13 0FN 0161 224 1289

Chudleigh 27 Old Exeter St TQ13 0JT 01626 854977

Cirencester 24 Ashcroft Gardens GL7 1RB 01285 658217

Clacton On Sea 2 Jackson Rd CO15 1JA 01255 423041

Clacton On Sea 61-63 Pier Avenue CO15 1QE 01255 421329

Clarkston Williamwood H/Centre,83 Seres Rd G76 7NW 0141 6200232

Claudy 6 Church St BT47 4AA 028 71338251

Clayton 109 North Rd M11 4NE 0161 223 2131

Clayton 7 The Westbury Centre ST5 4LY 01782 712160

Cleckheaton 5 Greenside BD19 5AN 01274 874133

Clitheroe 5 Church St BB7 2DD 01200 422591

Clowne 5-9 Rectory Rd S43 4BH 01246 810870

Clydach 2 Heol-Y-Nant SA6 5HB 01792 845649

Clydach 55 High St SA6 5LH 01792 842259

Clydebank 375 Kilbowie Rd G81 2TU 0141 9529510

Coalville Whitwick Rd Surgery LE67 3FA 01530 835 629

Coatbridge 39 Main St ML5 3BA 01236 423674

Cobham 16 High St KT11 3DY 01932 862113

Codsall Irvine House 9-11 Church Rd WV8 1EA 01902 847120

Codsall 8 Bilbrook Rd WV8 1EZ 01902 842886

Codsall 86 Wolverhampton Rd WV8 1PE 01902 842 935

Colchester 358 Mersea Rd CO2 8RB 01206 576915

Colchester 102 The Commons CO3 4NW 01206 575735

Coleford Units 9/10 Pyart Court GL16 8RG 01594 832151

Coleraine 1 Castlerock Rd BT51 3HP 028 70342557

Coleshill 114-116 High St B46 3BJ 01675 466014

Coleshill 96-98 High St B46 3BL 01675 463397

Combe Down Combe Down Surgery, The Avenue BA2 5EG 01225 833195

Concord 1 Heworth Rd NE37 2PY 0191 4160920

Congleton 41A West St CW12 1JN 01260 275523

Consett 11-12 Station Rd DH8 5RL 01207 503349

Coppull 209 Spendmore Lane PR7 5BY 01257 791322

Corby Charter Court Oakley Vale Neighbourhood Cntr NN18 8QT 01536 747823


Cosham 52 High St PO6 3AG 023 92383429

Cosham 8 Wayte St PO6 3BS 023 92378341

Cotteridge 1889 Pershore Rd B30 3DJ 0121 4581275

Cottingham Unit 1, Kings Parade HU16 5QQ 01482 847112

Coulby Newham Copton Way Coulby Newham TS8 0TL 01642 595212

Countesthorpe 5 The Bank LE8 5RL 0116 278 5623

Coventry 35/37 Stoney Stanton Rd CV1 4FF 024 76226230

Coventry 53 Brdpark Rd CV2 1DB 024 76612051

Coventry 9 Riley Square CV2 1LS 024 76687011

Coventry 47-49 Riley Square CV2 1LW 024 76683415

Coventry 13-17 Brixham Drive CV2 3LA 024 76688371

Coventry 48 Kenpas Highway CV3 6BP 024 76418786

Coventry 343 Tile Hill Lane CV4 9DU 024 76466172

Coventry 19-21 Earlsdon St CV5 6EP 024 76714834

Coventry 51 Winsford Avenue CV5 9JG 024 76673494

Coventry 100 Moseley Avenue CV6 1HQ 024 76597703

Cowbridge 41 High St CF71 7AE 01446 774072

Cowdenbeath Units 1 & 2, Raith Centre KY4 8PB 01383 610164

Cowley 158 Oxford Rd OX4 2LA 01865 777278

Coxheath 97 Heath Rd ME17 4EH 01622 745567

Cradley Heath 20 Market Square B64 5HH 01384 566736

Cradley Heath Mace St B64 6HP 01384 566699

Cramlington Northumbrian Rd NE23 1XZ 01670 733981

Cranbrook White Lion House, High St TN17 3DF 01580 713292

Crawley 9 Tilgate Parade RH10 5EQ 01293 525495

Crawley 198 Ifield Drive RH11 0DQ 01293 525600

Crawley 4 Langley Parade RH11 7RS 01293 522015

Crediton Chiddenbrook Surgery, Threshers EX17 3JJ 01363 772841

Crich Market Place DE4 5DD 01773 852351

Crieff 56 High St PH7 3BS 01764 652727

Croesyceiliog 13 Edlogan Square NP44 2NR 01633 482897

Crofton 45-49 High St WF4 1NG 01924 862445

Cromer 51 Church St NR27 9HH 01263 512171

Crosby 1A Telegraph House L23 2SF 0151 924 3915

Crowland 9 North St PE6 0EG 01733 210207

Crowthorne 12 Dukes Ride RG45 6LT 01344 772432

Croxley Green 188 New Rd WD3 3HD 01923 772072

Croxteth 38 Langley Close L12 0NB 0151 549 2074

Crumpsall 53-55 Crescent Rd M8 9JT 0161 740 2378

Cuckfield Heathfield House, 11 High St RH17 5JU 01444 413132

Cults North Deeside Road AB15 9SX 01224 867566

Cumnock Cumnock H/Centre,2 Tanyard KA18 1BF 01290 420107

Cumnock 98 Townhead St KA18 1LE 01290 421632

Cupar 19 Crossgate KY15 5HA 01334 653243

Currie 162 Lanark Road West EH14 5NY 0131 449 3417

Cwmbran 7 Fairwater Square NP44 4TA 01633 484873

Dagenham 281 Wood Lane RM8 3NL 0208 5921613

Dalkeith 17 Eskdaill Court EH22 1AG 0131 663 6789

Dalmuir 776 Dumbarton Rd G81 4BY 0141 9521285

Dalton Eden House, Magna Lane S65 4HH 01709 851263

Dalton In Furness 75 Market St LA15 8DL 01229 462427

Darlington 9 Damson Court DL3 6JA 01325 481152

Dartford 18-20 Station Rd DA3 7QD 01474 702205

Dartmouth 31 Victoria Rd TQ6 9RT 01803 832474

Darwen 103 Blackburn Rd BB3 1ET 01254 702602

Darwen 11 Church St BB3 2RE 01254 702435

Davyhulme 10 The Circle M41 0SU 0161 7482199

Dawley Dawley Med Centre TF4 2AA 01952 502260

Dawley 46 High St TF4 2EX 01952 505029

Dawlish 17 The Strand EX7 9PS 01626 863216

Dawlish 40A The Strand EX7 9PT 01626 863093

Dawlish The Barton Surgery, Barton Terrace EX7 9QH 01626 863228

Dedridge 157 Nigel Rise EH54 6LX 01506 461732

Denny 9 Church Walk FK6 6DF 01324 822360

Derby 5 Vernon St DE1 1FR 01332 343370

Derby 504 Duffield Rd DE22 2DL 01332 557330

Derby 24-26 Stenson Rd DE23 1JB 01332 760458

Derby 562 Burton Rd DE23 6DF 01332 342597

Derby 68 Clarence Rd DE23 6LQ 01332 775705

Derby 298A Nomanton Rd DE23 6WD 01332 200317

Derby 225 St Thomas Rd DE23 8RJ 01332 766786

Derby 56 St Thomas Rd DE23 8SU 01332 345906

Derby 410A Osmaston Rd DE24 8AG 01332 348946

Derby Coleman Street Health Centre DE24 8NL 01332 752963

Dereham Orchard Surgery, Commercial Rd NR19 1AE 01362 692080

Dereham 2 Chapel Lane NR19 1LD 01362 699919

Devonport 29 Marlborough St PL1 4AE 01752 500009

Dewsbury 18/20 Corporation St WF13 1QL 01924 465593

Dewsbury 13 Halifax Rd WF13 2JH 01924 462593

Didcot Woodlands Med Centre OX11 0BB 01235 812242

Didcot 214 Broadway OX11 8RS 01235 812116

Didsbury New H/Centre, 823 Wilmslow Rd M20 2RN 0161 434 3665

Dingwall 48 HIGH STREET IV15 9HL 01349 862241

Dinnington New St S25 2EX 01909 562523

Dinnington 31-33 Laughton Rd S25 2PN 01909 562336

Dollar 55 Bridge St FK14 7DA 01259 742536

Doncaster Cusworth Lane DN5 8JL 01302 782455

Doncaster Thorne Road Rear Of 83b DN1 2ES 01302 730519

Donnington 6 The Parade TF2 8EB 01952 605441

Dordon Dordon Group Medical Practice, 162 Long St B78 1QA 01827 892496

Dormanstown 31-35 ENNIS SQUARE TS10 5JZ

Douglas 15 The Strand IM1 2ED 01624 626833

Douglas 22 Woodbourne Rd IM1 3AL 01624 675900

Douglas Cushag Rd, Anagh Coar IM2 2BZ 01624 616399

Douglas Shoprite, Victoria Rd IM2 4RE 01624 673268

Douglas Hailwood Court, Governors Hill IM2 7EA 01624 671042

Drayton The Red Lion Car Park NR8 6DW 01603 260350

Driffield 3 The Viking Centre YO25 6ST 01377 257471

Dringhouses 3 Wains Grove Y024 2TU 01904 706923

Dronfield 16 Civic Centre S18 1PD 01246 413159

Drumchapel 63 Kinsfaun Drive G15 7TG 0141 9445724

Drumchapel 24 Dunkenny Square G15 8NB 0141 9443479

Dudley 24 Market St NE23 7HR 0191 2500254

Dumbarton 19 - 20 Station Rd G82 1NR 01389 765077

Dumbarton 70 High St G82 1PQ 01389 762359

Dumfreis 12 Castle St DG1 1DR 01387 262107

Dumfries 21 Calside Rd DG1 4HA 01387 248363

Dunamanagh 260 Berryhill Rd BT82 0NB 02871 398224

Dunbar 25 High St EH42 1EN 01368 862305

Dundee 3 Orleans Place DD2 4BH 01382 665284

Dunfermline 43 Bellyeoman Rd KY12 0AE 01383 732341

Dunfermline 20 Kingsgate KY12 7QU 01383 739728

Dunstable 7-9 Brdwalk LU5 4RH 01582 661149

Dunstable 116 High St LU6 1LN 01582 600268

Durrington 4-6 Manor Parade BN13 2JP 01903 263235

Durrington 67 Bulford Rd SP4 8DL 01980 654244

Dursley Dursley Med Centre, 27 May Lane GL11 4JN 01453 543886

East Cowes 25 Ferry Rd PO32 6RA 01983 293133

East Craigs Unit 4 Bughtlin Market Maybury Drive EH12 8XP 0131 339 1188

East Dulwich 43-45 Northcross Road SE22 9ET 0208 693 3652

East Grinstead Judges Close Surgery, High St RH19 3AE 01342 323003

East Grinstead Moatfield Surgery, St Michaels Rd RH19 3GW 01342 322239

East Horsley Kingston Avenue KT24 6QT 01483 282242

East Kilbride 2 Alberta Avenue East Kilbride G75 8BF 01355 222517

East Preston 19 - 21 Sea Rd BN16 1JN 01903 782092

Eastbourne 15 Brassey Parade BN22 9NG 01323 502056

Easterhouse Unit 38,Shandwick Square G34 9DT 0141 773 0600

Easterhouse 77 Lochend Road G34 0JZ 0141 773 2003

Eastleigh Stokewood Close SO50 8AL 023 80694845

Eastleigh 21 Hursley Rd SO53 2FS 023 80254252

Easton Seymour Road Charlotte Keel Med Ctr Seymour Road BS5 0UA 01179 510043

Eastwoodmains 39 Eastwoodmains Road Giffnock G46 6PW 0141 638 0084

Ebbw Vale Units 3-4 Market St NP23 6HP 01495 307709

Eccles 115 New Lane, Peel Green M30 7JW 0161 789 1032

Ecclesfield 96a Mill Road S35 9XQ 01142 469383

Edgbaston Sherwood House Mp,9 Sandon Rd B17 8DP 0121 434 4687

Edinbrugh 193 St Johns Rd EH12 7SL 0131 334 8106

Edinburgh 129 Bruntsfield Place EH10 4EQ 0131 228 3725

Edinburgh 18 Roseburn Terrace EH12 6AW 0131 337 4084

Edinburgh 26 Westerhailes Centre EH14 2SW 0131 442 3118

Edinburgh 38 Comely Bank EH4 1AW 0131 3325573

142 Halesowen 11 Peckingham St B63 3AQ 0121 550 1374

Halesowen St Margaret'S Well Surgery, 2 Quarry Lane B63 4WD 0121 585 9065

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Edinburgh 7 Deanhaugh St EH4 1LU 0131 332 5721

Edinburgh 55A Pennywell Rd EH4 4TY 0131 315 2136

Edinburgh 6-7 Crighton Place EH7 4NZ 0131 554 1373

Egham 23 The Precinct TW20 9HN 01784 435588

Eglinton 14 Main St BT47 3PQ 028 71810265

Elgin 48 High St IV30 1BU 01343 547065

Elgin 176 High Street IV30 1BA 01343 542 571

Ely C/O Princess Of Wales Hospital Site CB6 1DN 01353 667603

Ely 19 High St CB7 4LQ 01353 662226

Ely 35 Wilson Rd CF5 4LL 029 20591144

Emsworth 2 Central Buildings PO10 7DU 01243 372112

Enfield 19 Silver St EN1 3EF 020 83632681

Enfield 304 Baker St EN1 3LD 020 8363 3210

Enfield 196-198 Lancaster Rd EN2 0JH 020 83634499

Enfield 98A South St EN3 4QA 020 84432783

Enfield 226-228 Hertford Rd EN3 5BH 020 88042074

Enfield 614-616 Hertford Rd EN3 5TD 020 88046889

Englefield Green 98 St Judes Rd TW20 0DF 01784 432161

Enniskillen 27 Belmore St BT74 6AA 02866 322202

Epping 146D High St CM16 4AG 01992 574808

Epping 283-284 High St CM16 4BX 01992 572010

Epsom Epsom Cottage Hosp, Alexandra Rd KT17 4BL 01372 742963

Epsom 1 Tattenham Crescent KT18 5QG 01737 355260

Epsom 127 High St KT19 8EF 01372 723217

Erdington 163 Reservoir Rd B23 6DN 0121 382 5919

Erdington 46-46A High St B23 6RH 0121 3500321

Erdington 330 Slade Rd B23 7LP 0121 373 9906

Erskine Unit 2,Bargarren Neighbourhood Ctre PA8 6BS 0141 812 2846

Eston South Grange Med Centre, Trunk Rd TS6 9QH 01642 455792

Evesham 30-36 The High St WR11 4HJ 01386 48899

Exeter 71 Magdalen Rd EX2 4TA 01392 273157

Exeter 37 Sidwell St EX4 6NS 01392 273470

Exmouth 65 Exeter Rd EX8 1QD 01395 272392

Eynsham 64 Acre End St OX29 4PD 01865 881283

Fairwater 1-2 Chestnut Rd CF5 3HR 029 20563828

Falkirk 96-100 Grahams Rd FK2 7DL 01324 635859

Falkirk 334 Thornhill Rd FK2 7DZ 01324 623688

Fallowfield 228-230 Wilmslow Rd M14 6LE 0161 224 7782

Fallowfield 266 Wilmslow Rd M14 6JR 0161 224 3173

Fareham 6/7 Brdlaw Walk PO14 1LE 01329 235507

Fareham 135 Highlands Rd PO15 6HZ 01329 843259

Farnborough 248 Farnborough Rd GU14 7JW 01252 540777

Farnham Common The Broadway SL2 3PQ 01753 644383

Farnley 531 Tong Rd LS12 5AT 01132 637023

Felixstowe 277 High St IP11 9DU 01394 284139

Fishguard 5 Ropewalk SA65 9BT 01348 875177

Fishponds 782-786 Fishponds Rd BS16 3TT 01179 652718

Flamborough High St YO15 1JX 01262 850020

Fleet Shop A Kelmscott Arcade GU51 4JS 01252 626580

Fleet Fleet Med Centre, Church Rd GU51 4PE 01252 612613

Flint 29 Church St CH6 5AD 01352 732739

Folkestone 114 Sandgate Rd CT20 2BW 01303 254383

Folkstone 180 Sandgate Rd CT20 2HN 01303 220790

Fordingbridge 1 Salisbury St SP6 1AB 01425 652300

Forest Row The Square RH18 5EY 01342 822733

Forest Row The Square RH18 5ES 013428 22733

Foresthall 99 Station Rd NE12 7HS 0191 2665019

Forfar 42 Castle St DD8 3AB 01307 462897

Forres 99 High Street IV36 1AA 01309 672614

Fort William 52-56 High St PH33 6AH 01397 702031

Fort William Caol Shopping Centre, Glenloy St PH33 7DR 01397 703403

Frimley 54 High St GU16 7JF 01276 21615

Frome 12 West Way BA11 1BS 01373 465593

Frome 96 Forest Rd BA11 2TU 01373 451346

Fulwell 8 Sea Rd SR6 9BX 0191 548 6701

Fulwood 3 Lytham Rd PR2 8JE 01772 718022

Galashiels Unit 2, Douglas Bridge Shopping Centre TD1 1BN 01896 755948

Garforth 24/26 Main St LS25 1AA 0113 2862107

Garforth 9 Fairburn Drive LS25 2AR 0113 2864065

Garston 89 Woolton Rd L19 6PL 0151 427 6173

Garston Garston Village Hall L19 8JZ 0151 4277264

Gateshead 181 Coatsworth Rd NE8 1SQ 0191 4771616

Gateshead Watson St NE8 2PQ 0191 4607497

Gateshead 13 Bewick Rd NE8 4DP 0191 4774456

Giffnock 15 Fenwick Road G46 6AU 0141 637 1907

Gillingham 74-76 Watling St ME7 2YW 01634 853087

Gilmerton 2 Fernie Hill Rd EH17 7AB 0131 664 3295

Glasgow 298 Dyke Road G13 4QU 0141 959 2456

Glasgow 263 Alderman Road G13 3AY 0141 959 1914

Glasgow 119 Cleveden Rd G12 0JU 0141 339 5258

Glasgow 195 - 197 Knightswood Rd G13 2EX 0141 959 2063

Glasgow 10 Achamore Rd G15 8QS 0141 949 0906

Glasgow 100 Napiershall St G20 6HS 0141 332 5444

Glasgow 1421 Maryhill Rd G20 9AA 0141 946 3389

Glasgow 26 Bridgeton Cross G40 1BW 0141 554 2643

Glasgow 491 Victoria Rd G42 8RL 0141 423 0128

Glasgow 426 Carmunnock Rd G44 5EH 0141 637 0377

Glasgow Drumoyne Rd G51 4AU 0141 445 2552

Glasgow 1851 Paisley Rd West G52 3SX 0141 882 1513

Glen Parva Unit 3 Swindon Avenue LE2 9RW 0116 277 0817

Glenrothes 2 Glenwood Centre KY6 1PA 01592 755470

Gloucester 1-3 Bell Walk GL1 1XH 01452 301146

Gloucester 153C Stroud Rd GL1 5JL 01452 523205

Godalming 13 High St GU7 1AZ 01483 420002

Godstone 72 High St RH9 8LW 01883 742345

Goole 110-112 Boothferry Rd DN14 6AG 01405 763074

Goole Fifth Avenue DN14 6JD 01405 764177

Gorbals Unit 2 Kwicksave Crown Street G5 9ZR 0141 429 5037

Gorebridge 35 Main St EH23 4BX 01875 820422

Gorebridge 105 Hunterfield Rd EH23 4TS 01875 820345

Goring On Sea 14 Strand Parade BN12 6DJ 01903 243434

Goring On Thames High St RG8 9AT 01491 872124

Gorleston Central Surgery,Sussex Rd NR31 6QB 01493 655521

Gorleston 77 Magdalen Way NR31 7AA 01493 655020

Gorseinon 5-6 Gorseinon Shopping Park SA4 4DJ 01792 898810

Gorton 151-153 Mount Rd M18 7QT 0161 223 0177

Gorton 8 Gorton Retail Market M18 8LD 0161 223 6738

Gorton 65 Reddish Lane M18 7JH 0161 223 0029

Gorton 75 Wellington St M18 8BE 0161 223 1185

Gosport 157 Privett Rd PO12 3SS 023 92581763

Gourock 118 Shore St PA19 1QZ 01475 639489

Grangemouth 45 La Porte Precinct FK3 8AW 01324 482008

Grangetown 37 Corporation Rd CF11 7AP 029 20231907

Grantham 14 Market Place NG31 6LJ 01476 563087

Grantham 171 Newbeacon Rd NG31 9LJ 01476 567569

Grantown-On-Spey 69 High Street PH26 3EG 01479 872006

Gravesend 10 The Alma, Leander Drive DA12 4NG 01474 567948

Grays 31 Lodge Lane RM17 5RY 01375 372103

Grayshott Headley Rd GU26 6LD 01428 604505

Greasbrough 1 Fenton Rd S61 4RD 01709 551556

Great Barr 927 Walsall Rd B42 1TN 0121 358 4806

Great Barr 81 Thornbridge Avenue B42 2PW 0121 357 2109

Great Barr 8 Birmingham Rd B43 5NR 0121 357 1384

Great Barr 591 Kings Rd B44 9HN 0121 325 1773

Great Lever Rupert St BL3 6RN 01204 398089

Great Sutton 66-68 Old Chester Rd CH66 3PB 0151 339 2577

Great Yarmouth 114 Regent Rd NR30 2AB 01493 858703

Greater Leys Blackbird Leys H/Centre, Dunnock Way OX4 7EX 01865 770713

Greatfield 44 Elmbridge Parade HU9 4JU 01482 376403

Greenock 10 Kilblain St PA15 1SR 01475 723564

Greenside Rockwood Hill Rd NE40 4AX 0191 4132484

Griffithstown 6-7 Windsor Rd NP4 5HY 01495 763960

Grimsby 18A Dudley St DN31 2AB 01472 241769

Grimsby 27 Chantry Lane DN31 2LP 01472 342722

Grimsby 79-81 Farebrother St DN32 0JY 01472 342741

Grimsby 168C Sutcliffe Avenue DN33 1HA 01472 879568

Grimsby Littlecoates Rd DN34 5SU 01472 871112

Grouville Glenside, Gorey Village Main Rd JE3 9EP 01534 854340

Guildford 119 Aldershot Rd GU2 8BE 01483 564320

Gwaun Cae Gurwen The Square, Graig Rd SA18 1EG 01269 823360

Haddington 20 High Street EH41 3ES 01620 822361

Hale 186 Grove Lane WA15 8PU 0161 9802424

Hale Barns 321 Hale Rd WA15 8SS 0161 980 5247

Hall Green 184 School Rd B28 8PA 0121 777 2741

Hall Green 1533 Stratford Rd B28 9JA 0121 744 1317

Hamilton 8 Quarry Place ML3 7BB 01698 422944

Hamilton 15 Burnbank Centre ML3 0NQ 01698 423739

Hamilton 7 Brandon St ML3 6DA 01698 283205

Hamilton 57 Portland Place ML3 7LA 01698 282788

Hamilton Livingstone Boulevard, Hamilton Tech Park G72 0BP 01698 723987

Hampton In Arden 48 Fentham Rd B92 0AY 01675 442696

Handsworth 111 Grove Lane B20 2HF 0121 554 0559

Handsworth 87 Holyhead Rd B21 0HH 0121 5541854

Handsworth 221 Soho Rd B21 9RY 0121 554 2343

Hanley 84 Upper Huntbach St ST1 2BU 01782 266229

Hanley 29 Derby St ST1 3LE 01782 212682

Harborne 157 High St B17 9QE 0121 4271083

Harborne 238 Court Oak Rd B32 2EG 0121 427 1443

Harpurhey Unit 8, Harpurhey District Centre M9 4DH 0161 2052164

Harrogate 156 Kings Rd HG1 5HY 01423 504594

Harrogate 46B Kings Rd HG1 5JW 01423 503471

Harrogate 123 Knaresborough Rd HG2 7LY 01423 884205

Harrow 5 Warwick Parade HA3 8SA 020 89072720

Hartlepool Surgery Lane TS24 9DN 01429 866032

Hartlepool 15 Kendal Rd TS25 1QU 01429 273461

Hartlepool 29 Wynyard Rd TS25 3LB 01429 273641

Hartlepool 84 Wiltshire Way TS26 0TB 01429 863651

Hartlepool 136 York Rd TS26 9DN 01429 866023

Hartley Wintney Shop 2 High St RG27 8NX 01252 842449

Hasland The Green S41 0LJ 01246 275825

Haslemere 5/7 Junction Place GU27 1LE 01428 642120

Haslemere 30 High St GU27 2HJ 01428 651115

Hastings 25 High St TN34 3EY 01424 420944

Hatfield 1 Robin Hood Lane AL10 OLP 01707 262701

Hatfield 3 Park House Court Comet Square AL10 9RQ 01707 263451

Hathersage Main Rd S32 1BB 01433 650325

Haverfordwest 16-17 Bush Row SA61 1RJ 01437 762667

Hayling Island 30 Station Rd PO11 0EG 023 92463866

Hayling Island 9-11 Mengham Rd PO11 9BG 023 92463646

Hayling Island 42 Elm Grove PO11 9EF 023 92463731

Haywards Heath 56 The Broadway RH16 3AL 01444 450791

Haywards Heath 32 Middle Village RH16 4GH 01444 451358

Heaton 46-48 Duckworth Lane BD9 5HB 01274 773996

Heavitree 59 Fore St EX1 2RJ 01392 273121

Heavitree Heavitree H/Centre, South Lawn Terrace EX1 2RX 01392 218144

Hebburn 2 St Johns Precinct NE31 1LQ 0191 4832297

Hednesford 50 Market St WS12 1AH 01543 422512

Hednesford Hednesford Valley H/C, Station Rd WS12 4DH 01543 422664

Hellesdon 81 Middletons Lane NR6 5SR 01603 426943

Hemel Hempstead 38 Queens Square HP2 4ER 01442 264071

Hemel Hempstead 12 Queens Square HP2 4ES 01442 213693

Hemsworth 6 Highfield Rd WF9 4DP 01977 614748

Hemsworth 10 Market St WF9 4LA 01977 610874

Henbury 165 Crow Lane BS10 7DR 0117 950 1848

Henfield High St BN5 9DB 01273 492030

Hengoed Heol Penallta Gelligaer CF82 8FA 01443 875400

Hereford 10 King St HR4 9BW 01432 371512

Heol Bro-Wen Courthouse Medical Centre, Virginia Park CF83 3GH 029 20 888262

Herne Bay 91 Sea St CT6 8QQ 01227 375371

Hertford 5-7 St Andrew St SG14 1HZ 01992 582001

Heswall 220/230 Telegraph Rd CH60 0AL 0151 342 6892

Heysham 408 Heysham Rd LA3 2BJ 01524 852136

Heywood 7 Argyle Parade OL10 3RY 01706 360787

Higham Ferrers Saffron Road NN10 8ED 01933 312168

High Wycombe 1 Cressex Parade HP12 4PG 01494 520685

Highbridge Highbridge Medical Ctre, Pepperall Rd TA9 3YA 01278 795001

Highcliffe 248 Lymington Rd BH23 5ET 01425 272778

Higher Blackley 1190 - 1192 Rochdale Rd M9 6FR 0161 740 1014

Hinckley 4-6 Tilton Rd LE10 2SE 01455 619153

Hitchin 45 Bancroft SG5 1LA 01462 437689

Hitchin 97-98 Bancroft SG5 1NQ 01462 457707

Hockley Unit 2, 17-21 Warstone Lane B18 6JQ 0121 2366525

Hoddesdon 9 Fawkon Walk EN11 8TJ 01992 445482

Hoddesdon Unit 13 The Tower Centre EN11 8UB 01992 463828

Hodgehill 6 Ermington Crescent B36 8AP 0121 7474433

Holmes Chapel 39- 41 London Rd CW4 7AP 01477 532347

Holsworthy 2-3 The Square EX22 6DL 01409 253461

Honicknowle Honicknowle Green PL5 3PY 01752 774246

Honiton Honiton Group Practice, Marlpits Lane EX14 2DD 01404 42762

Horbury Orchard Cross WF4 5AF 01924 274932

Horley Horley H/Centre, Kings Rd RH6 7DG 01293 782052

Horley 96 Victoria Rd RH6 7QS 01293 773665

Hornchurch 2 Tadworth Parade RM12 5AS 01708 451459

Hornsea Market Place HU18 1AW 01964 532967

Horsforth New Croft Surgery, Golden Bank Hse LS18 4SE 0113 2583209

Houghton Regis 17-18-Bedford Square LU5 5ES 01582 865777

Hounslow 115/117 Bath Rd TW3 3BT 020 85701391

Hove 105 Church Rd BN3 2AF 01273 732216

Hucclecote 5 Brookfield Rd GL3 3HA 01452 618377

Hucknall Unit 1 Farleys Lane NG15 6DY 0115 9632421

Huddersfield 45-47 Market St HD1 2HL 01484 533417

Hull 253 Anlaby Rd HU3 2SE 01482 211121

Hull St Matthews Church Hall, 26 Boulevard HU3 2TA 01482 327537

Hull 258 Hessle Rd HU3 3EA 01482 228865

Hull 48 Goodhart Rd, Bransholme HU7 4EE 01482 833670

Hull Southcoates Lane HU9 3AP 01482 374639

Hull 322 Holderness Rd HU9 3DA 01482 324360

Hull 304 Marfleet Lane HU9 5AQ 01482 781825

Hull Marfleet H/C, Preston Rd HU9 5HH 01482 707705

Hull 475 Anlaby Rd HU3 6DT 01482 354260

Hulme Buckingham Rd SK8 5EG 0161 4853155

Humberstone 53-55 Fieldhouse Rd DN36 4UJ 01472 812323

Hunslet Unit 1 Fraternity House, 52 Church St LS10 2AR 0113 277 1439

Huntingdon 72A Ermine St PE29 3EZ 01480 453063

Hurstpierpoint 86 High St BN6 9PX 01273 832244

Huyton 1 Childwall Parade L14 6TT 0151 4894378

Huyton 5 Tarbock Rd L36 5XN 0151 489 5817

Hyde 27 Market St SK14 2AD 01613 685748

Idle Idle Med Centre, 440 Highfield Rd BD10 8RU 01274 612055

Ilkley Springs Lane Medical Centre Springs Lane LS29 8TQ 01943 607227

Ilford 2 Brookes Parade IG3 9RT 0208 5992495

Ilford 208 New North Rd IG6 3BS 020 8500 2099

Ilfracombe Ilfracombe Mc, St Brannocks Rd EX34 8EG 01271 867524

Ilfracombe 21 High St EX34 9DA. 01271 862058

Immingham Pilgrim Primary Care Centre, Pelham Rd DN40 1JW 01469 574540

Immingham 33-35 Kennedy Way DN40 2AB 01469 572699

Inverness 10 Church St IV1 1EA 01463 233208

Inverness Riverside Med Centre, Baillifeary Lane IV3 5PW 01463 233295

Inverness 18 Greig St IV3 5PX 01463 233545

Ipswich 204 Hawthorne Drive IP2 0QG 01473 685879

Ipswich 159 Felixstowe Rd IP3 8EB 01473 727373

Ipswich Orchard St Surgery IP4 2PU 01473 210780

Irlam Macdonald Rd Mc M44 5LH 0161 775 2168

Irlam 90 Liverpool Rd M44 6FN 0161 775 2193

Ironbridge The Square TF8 7AQ 01952 433330

Irvine 154/156 High St KA12 8AN 01294 279183

Iver 29 High St SLO 9ND 01753 652294

Iwade Units D & E, Iwade Village Centre ME9 8SH 01795 439368

Kelso 15 The Square TD5 7HH 01573 224613

Kempston 98 Bedford Rd MK42 8BG 01234 851767

Kempston 245 Bedford Rd MK42 8BP 01234 851846

Kempston Saxon Centre 242 Bedford Rd MK42 8PP 01234 854023

Kempston Progress Park MK42 9XE TBA

Kendal Station House LA9 6RY 01539 723988

Kenfig Hill 1 Pisgah St CF33 6BY 01656 745866

Kennoway 19 Bishops Court KY8 5LA 01333 350327

Kettering 18 Headlands NN15 7HP 01536 512338

Kettering 3 Field St NN16 8EJ 01536 510423

Keynsham 43 High St BS31 1DS 0117 986 4578

Keynsham 54 High St BS31 1DX 0117 986 3678

Kibworth 8 Station St LE8 0LN 0116 279 2263

Kidderminster Medical Hall, The Bull Ring DY10 2AA 01562 822165

Kidderminster Swan Centre DY10 2AZ 01562 754455

Kidlington 18 The Parade OX5 1DB 01865 373333

Kidlington 25 Oxford Rd OX5 2BP 01865 373174

Kidsgrove 42 Market St ST7 4AB 01782 784034

Killay The Precinct SA2 7BA 01792 202471

Kilmarnock 120 Glasgow Rd KA3 1UT 01563 525219

Kilwinning Station Plaza KA13 6NT 01294 559899


Kilwinning 151 Main St KA13 6EQ 01294 552569

Kimberworth Park 17 St Johns Green S61 3JL 01709 552313

Kinghorn 63 High St KY3 9UW 01592 890209

Kings Heath 280 Vicarage Rd B14 7MH 0121 4441764

Kings Heath 4 Alcester Rd South B14 7PU 0121 444 1179

Kings Heath 2 Vicarage Rd B14 7RA 0121 444 4924

Kingsbury 1 Jubilee Crescent B78 2LL 01827 874927

Kingstanding 134 Hawthorne Rd B44 8PX 0121 373 0762

Kingstanding 28 Kingstanding Centre B44 9HH 0121 354 8048

Kingswinford 468 High St DY6 8AW 01384 291758

Kingswinford Moss Grove Surgery, 15 Moss Grove DY6 9HS 01384 273020

Kinmel Bay 6 St Asaph Avenue North LL18 5EE 01745 342178

Kirkcaldy 1 The Postings, Hill St KY1 1HN 01592 268120

Kirkcaldy 18 High St KY1 1LU 01592 269400

Kirkcaldy Kirkcaldy Hc, Whyteman'S Brae KY1 2NA 01592 268784

Kirkcaldy 28 Mid St KY1 2PN 01592 260626

Kirkcaldy 2 Viceroy St KY2 5HT 01592 260925

Kirkcaldy 222/224 Dunearn Drive KY2 6LE 01592 260342

Kirkintilloch 56 Cowgate G66 1HN 0141 7761950

Kirriemuir 9-11 Roods DD8 4EZ 01575 572773

Kitts Green 82-84 Lea Village B33 9SD 0121 784 2448

Kiveton Park 99 Wales Rd S26 6RA 01909 770214

Knaresborough Abbey Pharmacy, 34 High St HG5 0EQ 01423 865308

Knebworth 133 London Rd SG3 6EX 01438 813008

Knebworth 148 London Rd SG3 6EY 01438 813166

Knightswood 764 Anniesland Road Knightswood G14 0YU 0141 959 0618

Knott End 7 Wyre View FY6 0AE 01253 810219

Knowle 2 Knowle West Health Park, Downton Rd BS4 1WH 0117 966 3632

Knowle 335 Wells Rd BS4 2QB 0117 9717445

Laceby Village Caistor Rd DN37 7HX 01472 753375

Laindon 4-5 Laindon Main Centre SS15 5TE 01268 411242

Lampeter 17 Bridge St SA48 7AA 01570 422596

Lanark Woodstock Mc,Woodstock Rd ML11 7DH 01555 663157

Lanark 78 High St ML11 7ES 01555 662264

Langley 18 Parlaunt Rd SL3 8BB 01753 543429

Langley 51 Cheviot Rd SL3 8UE 01753 548625

Larkhall 78 Union St ML9 1DR 01698 882531

Laurieston 79 Mary St FK2 9PR 01324 623454

Lawrence Weston 62 Ridingleaze BS11 0QB 0117 9823507

Leamington Spa 51 Clarendon St CV32 4PN 01926 336568

Leeds 62 Armley Ridge Rd LS12 3NP 01132 637210

Leeds 106 Dixon Lane LS12 4AD 0113 2637501

Leeds 195 / 197 Butcher Hill LS16 5BQ 0113 2305277

Leeds 166 Woodhouse Lane LS2 9HB 0113 246 9988

Leeds 24 Kirkstall Lane LS5 3BH 0113 2785559

Leeds 69 Vesper Rd LS5 3QT 0113 2581366

Leeds 52 Otley Rd LS6 2AL 01132 740233

Leeds 569-571Meanwood Rd LS6 4AY 0113 2786352

Leeds 54 Oatland Lane LS7 1SP 0113 245 5296

Leeds 225 Chapeltown Rd LS7 3DX 0113 262 1680

Leeds 125 Harehills Rd LS8 5BW 0113 249 5538

Leeds 399 Harehills Lane LS9 6AP 0113 235 0385

Leeds 480 Harehills Lane LS9 6DE 0113 248 6766

Leeds 230 York Rd LS9 9BP 0113 248 2282

Leeds 72 Osmondthorpe Lane LS9 9EF 0113 249 7841

Leek 2-4 Rosebank St ST13 6AG 01538 387177

Leek 15 Fountain St ST13 6JS 01538 383049

Leicester 755 Aylestone Rd LE2 8TG 0116 283 2548

Leicester Sandhills Avenue, Hamilton LE5 1QN

Leicester Forest East Warren Court LE3 3LW 0116 238 6330

Leigh 90-92 Manchester Rd WN7 2LD 01942 674283

Leighton Buzzard 3-5 Market Square LU7 1EU 01525 372175

Leiston 62 High St IP16 4BZ 01728 830545

Leith 3/5 Duke St EH6 6AE 0131 554 7511

Leominster 21-23 West St HR6 8EP 01568 615429

Leslie Leslie Health Centre Anderson Drive KY6 3LQ 01592 620014

Letchworth 67 Norton Way North SG6 1BH 01462 679493

Levenshulme 809 Stockport Rd M19 3BS 0161 224 2293

Levenshulme 835/837 Stockport Rd M19 3PW 0161 224 0041

Lillington 51 Crown Way CV32 7SH 01926 423582

Linlithgow 286 High St EH49 7ER 01506 670280

Linwood 33 Burnbank Rd ML3 9AA 01698 283578

Linwood 18-20 Burnbraw Avenue PA3 3DD 01505 322914

Liphook 4 Haslemere Rd GU30 7AL 01428 723303

Little Stoke Stokes Med Centre, Braydon Avenue BS34 6BQ 01454 201961

Littleborough Littleborough H/Centre, Featherstall Rd OL15 8DH 01706 376962

Littleborough 8 Harehill Rd OL15 9AB 01706 378440

Littlehampton Fitzalan Med Centre BN17 5JR 01903 713832

Littleport 22 Main St CB6 1PJ 01353 860260

Liverpool 66 Muirhead Avenue East L11 1EN 0151 226 1374

Liverpool 200 Muirhead Avenue L13 0BA 0151 226 1809

Liverpool 629-631 West Derby Rd L13 8AG 0151 228 2032

Liverpool 200 Muirhead Avenue L13 OBA 0151 226 1809

Liverpool 114 Allerton Rd L18 2DG 0151 7332252

Liverpool 59 Crosby Rd North L22 4QD 0151 928 3169

Liverpool 4 Woodend Avenue L25 OPA 0151 486 1527

Liverpool 202 Cherry Lane L4 8SG 0151 226 2051

Liverpool 503 West Derby Rd L6 4BW 0151 263 1762

Liverpool Prescot St L7 8UE 0151 2640178

Livingston Murieston Medical Practice, Hamilton Square EH54 9JZ 01506 465030

Livingston Howden Health Centre Howden Road EH54 6TP 01506 410161

Llandudno BRdway Buildings LL30 2NL 01492 877040

Llandysul New Rd SA44 4QJ 01559 362267

Llanrumney Llanrumney M/Centre, Ball Rd CF3 5NP 029 20791671

Llanyrafon 8 Llanyrafon Square NP44 8HS 01633 483446

Lochee Dundee 103 High Street DD2 3BX 01382 611227

Lochgilphead 2 Argyll St PA31 8LZ 01546 602455

Loftus 26 High St TS13 4HA 01287 640301

London 196 Higham Hill Rd, Walthamstow E17 5RQ 020 8531 9057

London 209 Woodhouse Rd, Friern Barnet N12 9AY 020 8368 2067

London 44 Cannon Hill, Southgate N14 6LH 020 8886 0947

London 18 Harper Rd, Bermondsey SE1 6AD 020 74073723

London 76 Kennington Rd, Lambeth Towers SE11 6NL 020 7735 9883

London 401 Queens Rd, New Cross Gate SE14 5HD 0207 639 8537

London 147-149 Peckham Hill St SE15 5JZ 0207 639 2807

London Within Sommerfield, 45 Woolwich New Rd SE18 6EU 020 83171176

London 130 Church Rd, Upper Norwood SE19 2NT 020 8771 7639

London 22 Old Dover Rd, Greenwich SE3 7BT 020 8858 0059

London 185 Torridon Rd, Catford SE6 1RG 0208 698 1625

London 314 Sangley Rd, Catford SE6 2JT 0208 697 2439

London 4-6 Cranley Parade, Mottingham SE9 4DZ 020 8857 3930

London 8 Flagstaff House, St George Wharf SW8 2LE 0207 5870918

London 50-54 Wigmore St W1U 2AU 020 79355555

London 69 Churchfield Rd, Acton W3 6AX 020 8992 0169

London 1 Crown St, Acton W3 8SA 020 8992 3372

London 377 Uxbridge Rd, Acton W3 9RH 0208 993 2992

London 413 Hoe Street, Walthamstow E17 9AP 0208 520 5081

London 464-466 High Road Tottenham N17 9JD 0208 801 0665

London 261 Fore Street, Edmonton N18 2TY 0208 807 2670

London 940 Green Lanes, Winchmore Hill N21 2AD 0208 364 0250

London 240 High Road, Wood Green N22 8HH 0208 889 0150

London 352 High Road, Wood Green N22 8JW 0208 888 1729

London 13 The Concourse, Edmonton Green N9 9QT 0208 807 1412

London 48 Randelsdown Road, Catford SE6 3BT 020 8698 3255

London 513 KINGS ROAD, Chelsea SW10 0TX 0207 352 9954

London 115 Lower Richmond Road, Putney SW15 1EX 020 878 86869

London 283 Upper Richmond Road, Putney SW15 6SP 020 878 53016

London Richford Gate H/C, Hammersmith W6 7HY 0208 237 2367

Londonderry 2-5 Trench Rd Shopping Centre BT47 2DS 028 71313636

Londonderry 55 Clooney Terrace BT47 6AP 02871 342714

Londonderry 1 Ebrington Terrace BT47 6JS 02871 342454

Londonderry 25 Strand Rd BT48 7BJ 02871 263376

Londonderry 157 Strand Rd BT48 7PR 02871 262015

Longhill 164 Shannon Road Longhill HU8 9RW 01482 799145

Longlevens 1 Old Cheltenham Rd GL2 0AS 01452 523338

Longridge 40 Berry Lane PR3 3JJ 01772 782643

Longsands Longsands Local Centre, Longsands Lane PR2 9PS 01772 653031

Longton 22 The Strand ST3 2JH 01782 313783

Longton 35 Trentham Rd ST3 5DF 01782 316216

Lossiemouth 23A Clifton Rd, IV31 6DJ 01343 812818

Loughborough 26 Pinfold Gate LE11 1BE 01509 237220

Loughborough 31 Bridge St LE11 1NQ 01509 262821

Ludlow 1 & 2 Upper Galdeford SY8 1QD 01584 872230

Luton 613 Hitchin Rd LU2 7UR 01582 611003

Luton 9 Wigmore Park Centre LU2 9XG 01582 458019

Luton 30 Marsh Rd LU3 2NJ 01582 572739

Luton 12 Purley Centre LU3 3SR 01582 595111

Luton 2 Whitehorse Vale LU3 4AD 01582 503704

Lutterworth 2 Church St LE17 4AE 01455 554 229

Lutterworth Lutterworth H/Centre, Gilmorton Rd LE17 4EB 01455 552327

Lydney 41/43 Newerne St GL15 5RA 01594 842847

Lye 209 High St DY9 8JX 01384 423419

Lye 173A High St DY9 8LN 01384 422357

Lyme Regis Lyme Regis Community Care, Uplyme Rd DT7 3LS 01297 442981

Lymm 12 The Cross WA13 0HP 01925 753668

Macclesfield 46-48 Charlotte Street SK11 6JB 01625 424895

Macduff 29 Duff St, AB44 1TL 01261 832219

Magherafelt 1 Meeting St BT45 6BN 028 79632129

Maidstone 11 Parkwood Parade ME15 9HL 01622 755587

Maidstone Mid Kent Shopping Centre, Castle Rd ME16 0PU 01622 756477

Maidstone 58-60 Tonbridge Rd ME16 8SE 01622 752523

Maidstone 449 Tonbridge Rd ME16 9LH 01622 726139

Malabar 44 Malabar Road LE1 2PD 0116 2620355

Malmesbury 28 High St SN16 9AU 01666 822157

Malton Market Place YO17 7LX 01653 692040

Malvern 93-95 Barnards Green Rd WR14 3LU 01684 573811

Manningham 97-99 Oak Lane BD9 4QU 01274 544972

Mansfield Unit 6 Rosemary Centre NG18 1QL 01623 655442

Mansfield Woodhouse 12 High St NG19 8AN 01623 636391

Maplethorpe 23 High St, Sutton On Sea LN12 2EY 01507 443913

March 26a Elwyn Road PE15 9BF 01354 652165

Market Bosworth Stables End Court, 9 Main St CV13 OJN 01455 290424

Market Harborough Torch Way, Northampton Rd LE16 9HL 01858 411056

Market Street 22 Market St TA9 3BT 01278 783757

Maryhill 549 Maryhill Road G20 7UJ 0141 946 3212

Maybole 71 High St KA19 7AB 01655 882235

Mayfield Newbattle Med Practice, Blackcot Drive EH22 4AA 0131 663 0129

Mayfield 2 Bogwood Court EH22 5DG 0131 663 3523

Melksham Giffords Primary Care Centre Spa Road SN12 7NY 01225 703140

Meltham 14 Huddersfield Rd HD9 4AE 01484 854914

Melton Mowbray 55 Sherrard St LE13 1XH 01664 560702

Meriden 1 The Green CV7 7LN 01676 522722

Merton 151 Cannon Hill Lane SW20 9BZ 020 8542 4334

Mexborough Adwick Rd S64 0DB 01709 581416

Mexborough 24 High St S64 9AS 01709 583312

Middlesbrough 386 Linthorpe Road TS5 6HA 01642 812993

Middlesbrough Acklam Rd TS5 5HA 01642 852123

Middlesbrough Acklam Rd TS5 5HR 01642 817570

Middleton 50 Rochdale Rd M24 2PU 0161 643 8522

Midsomer Norton Chesterfield House, High St BA3 2DD 01761 413231

Midsomer Norton Norton House Pharmacy, High St BA3 2DG 01761 412249

Mildenhall 27 Market Place IP28 7EF 01638 712109

Mildenhall 2 Manor Court, High St IP28 7EH 01638 712540

Milford Haven 136 Robert St SA73 2HX 01646 695046

Mill Hill 8 Bentham Rd BB2 4PN 01254 202870

Mill Lane 30 Mill Lane L12 7JB 0151 226 1410

Milton Regis 80 High St ME10 2AN 01795 472057

Minehead Irnham Lodge, Baytree House TA24 5RG 01643 702007

Mitcham 34/36 Church Rd CR4 3BU 020 86482316

Montrose 48 High St DD10 8JF 01674 672401

Moortown 396 Harrogate Rd LS17 6PY 0113 268 6580

Morecambe Morecambe Hc Ground LA4 5LY 01524 423349

Moreton 205-207 Hoylake Rd CH46 0SJ 0151 677 2344

Morley Fountain M/C, Little Fountain St LS27 9EN 0113 2951650

Morriston 50 Sway Rd SA6 6JA 01792 790221

Morriston 4 Strawberry Place Surgery SA6 7AG 01792 771323

Mortimer 24 West End Rd RG7 3TF 0118 933 2373

Moseley 2D Wake Green Rd B13 9EZ 0121 4497423

Moss Side Alexandra Park Pharmacy, 2 Whitswood Close M16 7AW 0161 2269147

Mossend Bruce Med Practice,4 Pollock St ML4 1QD 01698 843378

Mossley 12 Stamford St OL5 0HR 01457 832524

Mountain Ash 18B Oxford St CF45 3PL 01443 473739

Muirend 523 Clarkston Rd G44 3PN 0141 6372014

Murrayfield 119 Corstophine Rd EH12 5PZ 0131 337 5100

Nailsworth 16 Mill Yard GL6 0AG 01453 835501

Nailsworth 3 Old Market GL6 0DU 01453 832051

Nairn 1 High Street IV12 4AG 01667 453100

Narberth Northfield H/Centre SA67 7AA 01834 861294

Narberth 39 High St SA67 7AS 01834 860486

Narborough 2 Victoria Street LE19 2DP 0116 286 7047

Netherton 145 Halesowen Rd DY2 9PY 01384 230079

New Buildings 6 Duncastle Shopping Centre BT47 2QS 02871 318600

New Cumnock 24 Castle St KA18 4AH 01290 338266

New Haw 296-298 Woodham Lane KT15 3NT 01932 345454

New Milton 9A Avenue Rd BH25 5JP 01425 610522

New Milton 2-3 Homemill House Station Rd BH25 6HX 01425 619911

New Romney 63 High St TN28 8AL 01797 362180

New Waltham Unit 1-2 Greengables, Station Rd DN36 4YE 01472 828198

New Wortley 14-16 Tong Road LS12 1HX 0113 279 9056

Newark 15-19 Lombard St NG24 1XG 01636 703709

Newbridge 2 Victoria Terrace NP11 4ET 01495 243456

Newcastle Upon Tyne 141 Beaconsfield St NE4 5JP 0191 2733030

Newcastle Upon Tyne Prospect Med Grp, 501 Westgate Rd NE4 8AY 0191 2733450

Newcastle Upon Tyne 168 West Rd NE4 9QB 0191 273 5589

Newcastle Upon Tyne 436 Welbeck Rd NE6 2NY 0191 265 9048

Newcastle Upon Tyne 335 Benton Rd NE7 7EE 0191 2666549

Newick 9 The Green BN8 4LA 01825 722203

Newland Brayford Quays LN1 1YA 01522 532676

Newmarket Units 1-2 The New Rookery CB8 8HT 01638 664917

Newport 14/15 Ringland Centre NP19 9HG 01633 273180

Newport 156 Mendalgief Rd NP20 2NT 01633 255486

Newport 22E Carisbrooke Rd PO30 1BL 01983 526868

Newport 41-42 Pyle St PO30 1XB 01983 522638

Newport Pagnole 2 Kingfisher Centre, Elthorne Way MK16 0JR 01908 614622

Newton Grange 125 Main St EH22 4PF 0131 663 2251

Newton Le Willows Legh St WA12 9NF 01925 225713

Newtown 27 Park St SY16 1EF 01686 626722

Normanton St Michaels H/C, St Michaels Green WF6 1PX 01924 896870

Normanton 6-8 High St WF6 2AB 01924 893195

Normanton 44 High St WF6 2AQ 01924 893117

Norris Green 225 Lower House Lne L11 2SF 0151 546 2294

North Cornelly 8 Hall Drive, Pyle CF33 4HS 01656 740291

North Petherton 105 Fore St TA6 6RY 01278 662288

North Shields 18 Albion Rd NE29 0HT 0191 2570039

North Shields Hawkeys Lane H/Centre NE29 0SF 0191 257 2667

North Shields 83 Bedford St NE29 6QF 0191 2574224

Northampton 315 Wellingborough Rd NN1 4EW 01604 635270

Northampton 196 Abington Avenue NN1 4QA 01604 632525

Northampton Christchurch Med Centre, Ardington Rd NN1 5LT 01604 639225

Northampton 10 Greenview Drive NN2 7LA 01604 721721

Northampton 170 Park Avenue North NN3 2HZ 01604 711078

Northampton Weston Favell H/Centre NN3 8DW 01604 402302

Northwich 66 Middlewich Rd CW9 7DA 01606 351813

Norwich 25A Earlham Rd NR2 3AD 01603 624056

Norwich 22 West End St NR2 4JJ 01603 620121

Norwich 2 Mandela Close, Oak St NR3 3BA 01603 765214

Norwich 143/143A Colman Rd NR4 7HA 01603 452887

Norwich 42 Earlham West Centre NR5 8AD 01603 451318

Norwich 94 The Paddocks NR6 7HS 01603 400337

Nottingham 113 Sneinton Rd NG2 4QL 0115 950 4938

Nottingham 678 Mansfield Rd NG5 2GE 01159 604512

Nuneaton 4 Camp Hill Rd CV10 0JH 024 76392215

Nuneaton 114 Queens Rd CV11 5LF 024 76348639

Nuneaton 176 Lutterworth Rd CV11 6PF 024 76346408

Oadby 9 The Parade LE2 5BB 01162 720876

Oakengates Charlton Medical Practice, Lion St TF2 6AQ 01952 613930

Oakwood 368 Oakwood Lane LS8 3LF 0113 248 8884

Odiham 138 High St RG29 1LT 01256 702218

Okehampton 31/32 Fore St EX20 1HB 01837 52153

Old Swan 21 St Oswald St L13 5SA 0151 259 4737

Oldbury 518 Hagley Rd West B68 0BZ 0121 422 2434

Oldbury Kingsway B68 0RT 0121 4233713

Oldbury Oldbury H/Centre, Albert St B69 4DE 0121 5526514

Oldham Glodwick Health Centre 137 Glodwick Road OL4 1YN 0161 6204720

Oldham 20 High St OL1 1JA 0161 6265426

Oldham 282 Lees Rd OL4 1PA 0161 6285525

Oldham 338 Ashton Rd OL8 3ED 0161 6243085

Onchan 18B-21B Village Walk IM3 4EB 01624 676410

Ormesby 9 High St TS7 9PD 01642 314471

Orpington 34 Marion Crescent BR5 2DD 01689 826047

Orpington 13 Windsor Drive BR6 6EY 01689 852417

Orton Goldhay 1 Bushifield PE2 0RQ 01733 235026

Orton Goldhay Clayton PE2 5SD 01733 234244

Otley 35 Kirkgate LS21 3HN 01943 462014

Ottershaw 6 Brox Rd KT16 0HL 01932 872583

Outskirts Of Rochdale Halifax Rd OL12 9BD 01706 644994

Outwood Outwood Park Med Centre WF1 2PE 01924 823264

Oxford 116 Walton St OX2 6AJ 01865 557219

Oxford 1 Woodstock Rd OX2 6HA 01865 557301

Oxford 100 Blackbird Leys Rd OX4 6HS 01865 778729

Oxshott 2 Heath Building, High St KT22 0JN 01372 842177

Padgate 1 Station Rd WA2 0PD 01925 827236

Padiham 85 Burnley Rd BB12 8BL 01282 771386

Paignton 11 Palace Avenue TQ3 3EF 01803 559446

Paisley 94 Causeyside St PA1 1TX 0141 8877842

Paisley 19 Neilston Rd PA2 6LL 0141 8892216

Paisley Tannahill Centre, 76 Blackstoun Rd PA3 1NT 0141 8491030

Paisley 38 Love St PA3 2DY 0141 8895741

Paisley 10 High Street PA1 2BS 0141 8892304

Pangbourne 3 The Square RG8 7AQ 0118 984 2935

Parkgate 45C Rawmarsh Hill S62 6DP 01709 522848

Parkstone Parkstone Health Centre, Mansfield Rd BH14 0DJ 01202 731764

Parkstone 10 Station Rd BH14 8UB 01202 746071

Patchway Coniston Mc,The Parade, Coniston Rd BS34 5TF 0117 9692056

Paulton 1-2 Hill Court BS39 7QG 01761 412146

Peebles 20 High St EH45 8SF 01721 720729

Pembroke Castle Pharmacy, 9 Main St SA71 4JS 01646 682865

Pembroke Dock Pembroke Dock Hc, Argyle St SA72 6HL 01646 682960

Pembroke Dock 19 Dimond St SA72 6JA 01646 682048

Penicuik 34 John St EH26 8AB 01968 673633

Penketh 5 Honiton Way WA5 2EY 01925 722511

Perry Barr 434 Kingstanding Rd B44 9SA 0121 373 1424

Perth 115 Glover St PH2 0JB 01738 624566

Perth Unit C, 10-16 York Place PH2 8EP 01738 624492

Perton 2-3 Anders Square WV6 7QH 01902 742100

Peterborough 50 Lincoln Rd PE1 2RY 01733 562045

Petworth Market Square GU28 0AH 01798 342112

Pitlochry 124 Atholl Rd PH16 5AB 01796 472414

Polegate 43 High St BN26 5AB 01323 482474

Polesworth 14-16 Bridge St B78 1DT 01827 892313

Pontardawe 62 Herbert St SA8 4ED 01792 863903

Pontardulais 5 St Teilo St SA4 8TH 01792 882365

Pontefract 29 Market Place WF8 1AG 01977 702296

Pontefract Northgate WF8 1HJ 01977 709408

Pontefract 7 Bridge St WF8 1PG 01977 795006

Pontefract Carleton Glen WF8 1SU 01977 703667

Pontefract South Kirby WF9 3NU 01977 642352

Pontnewydd 3 New St NP44 1EE 01633 482471

Pontycymmer Pontycymmer H/Centre CF32 8NN 01656 870372

Pontypool 29 George St NP4 6BZ 01495 762502

Pontypridd Morgan St CF37 2DR 01443 408811

Pontypridd Taff Vale Precinct CF37 4TG 01443 402790

Poole 1 Rosemary Gardens BH12 3HF 01202 737489

Port Erin Church Rd IM9 6AQ 01624 833101

Port Glasgow 2-4 Dubbs Rd PA14 5UA 01475 704355

Port Talbot 130 Water St SA12 6LH 01639 883427

Port Talbot Shop 6 Morrison Rd SA12 6TH 01639 883045

Port Talbot 38 Marsh St SA12 6UD 01639 884300

Port Talbot 187 Western Avenue SA12 7NE 01639 882085

Portchester 20B Westlands Grove PO16 9AE 023 92210553

Porth 70-71 Hannah St CF39 9PU 01443 682107

Porth 18 John St CF39 9SD 01443 682847

Portishead 19 High St BS20 6AB 01275 843269

Portishead Portishead H/Centre,26 Victoria Square BS20 6AQ 01275 844697

Portishead C/O Waitrose, Harbour Rd BS20 7DE 01275 818346

Portsmouth 67 Milton Rd PO3 6AN 023 92816993

Potters Bar 16 The Broadway EN6 2HT 01707 653575

Potton 17 Market Square SG19 2NP 01767 260236

Poulton-Le-Fylde 17 Breck Rd FY6 7AA 01253 883125

Poulton-Le-Fylde Unit 22 Teenlowe Centre FY6 7DF 01253 891627

Prestatyn 141 High St LL19 9AU 01745 853101

Preston 78/80 Lancaster Rd PR1 1DD 01772 250486

Preston 258 New Hall Lane PR1 4ST 01772 493257

Preston 112 Deepdale Rd PR1 5AR 01772 254937

Preston Geoffrey St H/Centre PR1 5NE 01772 493224

Preston 234-236 Deepdale Rd PR1 6QB 01772 493234

Prestwich 474 Bury Old Rd M25 1NL 0161 773 2786

Princes Risborough 62-68 High St HP27 0AX 01844 347095

Pudsey Robin Lane Med Centre LS28 7BR 0113 2570298

Pudsey 32 Church Lane LS28 7RF 0113 2567904

Purton 7 The Parade SN5 4BX 01793 770294

Quedgeley 3 Severnvale Centre GL2 4PE 01452 728297

Quinton 17 Faraday Avenue B32 1JP 0121 422 2449

Radcliffe Unsworth St M26 3RF 0161 723 2128

Radford 55-58 Jubilee Crescent CV6 3ET 024 76596331

Radford 103-105 Hartley Road NG7 3AQ 0115 978 5826

Rainham 8 Shopping Centre ME8 7HW 01634 375047

Rainham 2/3 Stanford House ME8 7PH 01634 232020

Rainhill 473 Warrington Rd L35 4LL 0151 430 9888

Rainworth 4 Sherwood Parade NG21 0JP 01623 797060

Ramsbottom Bolton St BL0 9HX 01706 823155

Ramsey 17 Parliament St IM8 1AS 01624 812167

Ramsey 5-6 St Pauls Square IM8 1LE 01624 814388

Ramsey Bowring Rd IM8 2LL 01624 812246

Ramsey 20 Great Whyte PE26 1HA 01487 814886

Ramsey 1D Stocking Fen Rd PE26 1SA 01487 812527

Raunds 1 Brook St NN9 6LL 01933 622340

Raunds Meadow Lane NN9 6UA 01933 461090

Rayleigh 39 Eastwood Rd SS6 7JE 01268 771703

Reading 195 London Rd RG1 3NX 0118 966 0541

Reading The Milman Rd H/Centre RG2 0AR 01189 864015

Reading 277 Basingstoke Rd RG2 0HY 01189 872238

Reading 68 Christchurch Rd RG2 7AZ 0118 987 1868

Reading 266-268 Oxford Rd RG30 1AD 0118 957 2556

Reading 351 - 353 Oxford Rd RG30 1AY 0118 958 6502

Reading 479 Oxford Rd RG30 1HF 0118 957 1681

Reading 5 Cavendish Rd RG4 8XW 01189 479443

Reading 105 Wokingham Rd RG6 1LN 0118 926 2034

Redditch Elgar House Surgery, Church Rd B97 4AB 01527 64337

Redditch 15 William Street B97 4AJ 01527 592109

Redfield 235 Church Road BS5 9HL 01179 542228

Retford 11 Churchgate DN22 6PA 01777 700757

Rhiwbina 4C Heol-Y-Deri CF14 6HF 029 20618000

Rhyl 93 Wellington Rd LL18 1LB 01745 353343

Rhyl 103/105 High St LL18 1TR 01745 342992

Richmond 19-21 Station Parade TW9 3PS 020 89405800

Ringmer 78 Springett Avenue BN8 5QX 01273 812499

Ringwood Ringwood H/Centre,The Close BH24 1JY 01425 474196

Ringwood Gorley Rd BH24 1SD 01425 483643

Ripley 1/2 London House, High St GU23 6AA 01483 225111

Risca St Marys St NP11 6YS 01633 612568

Rochdale 79 Yorkshire St OL16 1DB 01706 860732

Rochdale 293 Oldham Rd OL16 5JG 01706 644849

Rockferry Victoria H/Centre, Bedford Rd CH42 4QJ 0151 645 1201

Romford 12 Chase Cross Rd RM5 3PR 01708 740196

Romford 167-169 High Rd RM6 6NL 020 8590 2214

Romiley Compstall Rd SK6 4BT 0161 4302040

Romsey 123 The Hundred SO51 8BZ 01794 522716

Ross On Wye Pendeen Surgery, Kent Avenue HR9 5AH 01989 562020

Rotherham 19-21 Kimberworth Rd S61 1AB 01709 563684

Rotherham Doncaster Gate Hospital S65 1DW 01709 371752

Rotherham 239 Doncaster Rd S65 2DE 01709 364284

Rotherham 9 Central Parade, Badsley Moor Lane S65 2QN 01709 382483

Rothesay 6-7 Victoria St PA20 0AJ 01700 502836

Rothesay 26 Montague St PA20 0BT 01700 502362

Rothwell Desborough Road NN14 6JG 01536 713232

Rottingdean 50 High St BN2 7HF 01273 302193

Roundhay 12 Devonshire Avenue LS8 1AY 0113 266 1202

Rowley Regis Rowley Village B65 9HJ 0121 559 1792

Royston 10 High St SG8 9AG 01763 242185

Royston 11 Church Lane SG8 9LG 01763 245960

Rubery 18 Arden Rd B45 0JA 0121 453 9593


Rubery New Rd (2) B45 9JA 0121 4532717

Rubery 177 New Rd B45 9JW 0121 453 7632

Rugby The Surgery, Lower Hillmorton Rd CV21 3AQ 01788 572362

Rugby 39 Clifton Rd CV21 3PY 01788 543269

Rugeley 11 Upper Brook St WS15 2DP 01889 582054

Rugeley Sandy Lane H/Centre WS15 2LB 01889 582257

Rushall 107 Lichfield Rd WS4 1HB 01922 623590

Rustington 5 Churchill Parade BN16 3DJ 01903 784338

Ryde 18 The Esplanade PO33 2EH 01983 563333

Sale Moor 127 Northenden Rd M33 3HF 0161 973 1666

Salford 13 Hankinson Way M6 5JA 0161 7360068

Salford 109 Langworthy Rd M6 5PH 0161 736 1205

Salford 3 Paddington Close M6 5PL 0161 736 2746

Salisbury 47 Market Place SP1 1DA 01722 327645

Saltash 19 Fore St PL12 6AF 01752 842606

Saltdean 9 Longbridge Avenue BN2 8LG 01273 302800

Sandhurst 390-400 YORKTOWN ROAD GU47 0HL 01276 33795

Sandown 17-19 High St PO36 8DA 01983 405436

Sandy 5 Market Place SG19 1HU 01767 680338

Sanquhar 43-45 High Street DG4 6DJ 01659 50324

Scarborough 8 North Marine Rd YO12 7PD 01723 365569

Scunthorpe Orchid Rise, Church Lane DN15 7AN 01724 281494

Scunthorpe 84-86 Frodingham Rd DN15 7JW 01724 843381

Scunthorpe 26 Oswald Rd DN15 7PT 01724 843398

Scunthorpe Marsden Drive DN15 8AL 01724 282821

Scunthorpe 213 Ashby High St DN16 2JP 01724 842581

Scunthorpe Cambridge Avenue DN16 3LG 01724 853160

Scunthorpe 85-87 Willoughby Rd DN17 2DJ 01724 865268

Scunthorpe Unit 6,Asda Development DN17 2XG 01724 869902

Seacroft Windmill H/Centre, Mill Green View LS14 5JS 0113 273 5330

Seacroft Grange Med Centre, 999 York Rd LS14 6NX 0113 232 3767

Seaham 8 Blandford Place SR7 7EL 0191 5813788

Seaham 1 West Grove SR7 8EL 0191 5813271

Seaton Seaton & Colyton Med Practice, 148 Harepath Rd EX12 2DU 01297 20414

Seaton 43 Queens St EX12 2RB 01297 21898

Seaton Hirst Norham Rd NE63 0PQ 01670 812035

Sedgley 31 Dudley St DY3 1SA 01902 674 600

Sedgley 24-28 Dudley St DY3 1SB 01902 670984

Selly Oak 506 Bristol Rd B29 6BD 0121 472 0155

Selly Oak 65 Raddlebarn Rd B29 6HQ 0121 472 0425

Selsey 77 High St PO20 0QL 01243 604725

Shaftesbury Abbey View Med Centre, Hawksdene Lane SP7 8DH 01747 852086

Shaw 2 Shaw Village Centre SN5 5PY 01793 886076

Sheffield High Green Health Centre Foster Way S35 4NF 01142 848219

Sheffield 7 Sunderland St S11 8HN 0114 2722048

Sheffield 421 Ecclesall Rd S11 8PG 0114 2660976

Sheffield 942 Ecclesall Rd S11 8TR 01142 662208

Sheffield 52 Birley Moor Rd S12 4WD 0114 2396020

Sheffield 292-294 Handsworth Rd S13 9BX 0114 2692461

Sheffield 131 Northern Avenue S2 2EH 01142 398370

Sheffield Duke Med Centre, 26 Talbot Rd S2 2TD 01142 727991

Sheffield 266 Gleadless Rd S2 3AH 01142 553428

Sheffield 3-7 Alderson Rd S2 4UA 01142 584116

Sheffield 190 Duke St S2 5QQ 0114 275 9573

Sheffield 9-13 Exchange St S2 5TR 0114 2720117

Sheffield Unit 38-39 Crystal Peaks West Mall S20 7PN 0114 2478335

Sheffield 36-38 Ellesmere Rd S4 7JD 0114 2724545

Sheffield 17-19 Page Hall Rd S4 8GS 01142 426511

Sheffield 428-430 Firth Park Rd S5 6HH 01142 438533

Sheffield 74 Buchanan Rd S5 8AL 01142 400390

Sheffield 41 Margetson Crescent S5 9ND 0114 2321741

Sheffield 100 Halifax Rd S6 1LH 0114 231 1118

Sheffield Upperthorpe Med Centre, 30 Addy St S6 3FT 0114 2720883

Sheffield 3A Far Lane S6 4FA 0114 2337529

Sheffield 17- 21 Abbey Lane S8 0BJ 01142 745414

Sheffield 261 Chesterfield Rd S8 0RT 0114 255 4361

Sheffield 333 Meadowhead S8 7UP 0114 2745403

Sheffield 4 Jordanthorpe Centre S8 8DX 01142 375618

Sheffield Wincobank H/Centre, 205 Tyler St S9 1DH 01142 426282

Sheffield 356 Newman Rd S9 1LX 01142 425785

Shefford Richard Daniels House SG17 5DD 01462 813283

Sheldon 2154A/2156 Coventry Rd B26 3JB 0121 743 8808

Sheldon 2222 Coventry Rd B26 3JH 0121 743 3676

Sheldon 291 Church Rd B26 3YH 0121 7432385

Shelton 25-27 Stoke Rd ST4 2QW 01782 848670

Shepway 12 Northumberland Court ME15 7LW 01622 751251

Sheringham 31 Station Rd NR26 8RF 01263 823128

Shipley 20A Bingley Rd BD18 4RS 01274 584421

Shirley Stratford Rd B90 3AH 0121 7440495

Shirley C/O Tanworth Lane Surgery B90 4DD 0121 745 9186

Shortlees 16 Central Avenue KA1 4PS 01563 526200

Shrewsbury 53 Riverside Shopping Centre SY1 1PH 01743 344523

Sidcup 23 High St DA14 6EQ 020 83002008

Sidford Church St EX10 9RL 01395 513478

Sidley 44 Turkey Road TN39 5HE 01424 220424

Sidmouth 81 High St EX10 8LD 01395 513420

Sighthill 42 Huntingdon Square G21 1RL 0141 558 9639

Sighthill 483a Calder Road EH11 4AW 0131 442 2894

Sion Mills 5 Victoria Place BT82 9HL 028 81658289

Sittingbourne 23 London Rd ME10 1NQ 01795 423519

Skelmersdale 116-118 Concourse Shopping Centre WN8 6LJ 01695 554260

Skipton 93 Caroline Square BD23 1DA 01756 792767

Skipton 36 Newmarket St BD23 2JB 01756 793532

Slough Herschel Med Centre,45 Osborne St SL1 1TT 01753 520035

Slough 417-9 Bath Rd, Cippenham SL1 5QL 01628 604825

Slough 10 Upton Lea Parade SL2 5JU 01753 520832

Small Heath 682 Coventry Road B10 0UU 0121 772 0673

Smethwick Units 9 & 10 Tollgate Precinct B66 1DX 0121 558 0295

Smethwick Regent St B66 3BQ 0121 558 0244

Smethwick Cape Hill Medical Practice, Raglan Rd B66 3NR 0121 5651814

Smethwick 581 Bearwood Rd B66 4BH 0121 429 1326

Smethwick 44-46 Cape Hill B66 4PB 0121 558 1031

Sneyd Green 72-74 Milton Rd ST1 6HD 01782 212735

Soham 29 High St CB7 5HA 01353 624094

Soham 59 Brewhouse Lane CB7 5JD 01353 720180

Solihull 5 Union Rd B90 3BT 0121 7441219

Solihull 59 Yew Tree Lane B91 2NX 0121 7051784

South Croydon Selsden Park Mc, 97 Addington Rd CR2 8LG 020 86571292

South Croydon 123 Addington Rd CR2 8LH 020 86571436

South Croydon 337 Limpsfield Rd CR2 9BY 020 86572965

South Queensferry 2 Ferryburn EH30 9QS 0131 3312579

South Queensferry 33 The Loan EH30 9SD 0131 331 4347

South Shields New George St NE33 5DU 0191 427 1850

South Shields 20-22 New Green Street NE33 5DL 0191 456 2936

South Wootton 43 St Augustines Way PE30 3TE 01553 672989

Southampton Townhill Farm Shopping Centre Townhill Way SO18 3RA 02380 477861

Southampton 76 St Mary St SO14 1NY 02380 225199

Southampton 17 Grove Rd SO15 3HH 023 80789626

Southampton 9 St James Rd SO15 5FB 023 80780440

Southampton Unit 2, Shirley Shopping Precinct SO15 5LL 023 8077 5300

Southampton 1 Market Buildings, Stoneham Lane SO16 2HW 023 80554299

Southampton Lords Hill District Centre SO16 8HY 023 80737161

Southampton 10A Dean Rd SO18 6AP 023 80685464

Southampton 66B Portsmouth Rd SO19 9AL 023 80438155

Southend On Sea (within Waitrose) Fossetts Way SS2 4DQ 01702 618872

Southmead 6 Arnside Rd BS10 6AT 01179 508008

Southsea 8E Fratton Way, Pompey Centre PO4 8TA 023 9281 5206

Southsea 122 Highland Rd PO4 9NQ 023 92830926

Southsea 145-147 Somers Rd PO5 4PT 023 92831911

Southwell 2-4 King St NG25 0EN 01636 812241

Southwick Southwick Health Centre, The Green SR5 2LT 0191 548 1952

Sowerby Bridge 13-15 Ryburn Buildings HX6 3AH 01422 832005

Spalding 7 Bridge St PE11 1XF 01775 723053

Speke 109 East Millwood Rd L24 6TH 0151 425 3262

Spondon Chapel St DE21 7JP 01332 663046

St Mellons St Mellons Shopping Centre CF3 0EF 029 20797300

St Albans 17 Russell Avenue AL3 5ES 01727 830342

St Brelade 11 Quennevais JE3 8FX 01534 743301

St Brelade 1 Centre Point JE3 8LB 01534 741313

St Brelade Units 7 & 8 Quennevais Parade JE3 9FU 01534 743600

St George Air Balloon Surgery,Kenn Rd BS5 7PD 0117 9555549

St Georges Cross 147 Great Western Road G4 9AW 0141 332 1478

St Helens 13 Ormskirk St WA10 1BQ 01744 736995

St Helens 79 Liverpool Rd WA10 1PQ 01744 451148

St Helens 60-62 Duke St WA10 2JG 01744 23899

St Helens 173-175 Duke St WA10 2JH 01744 23898

St Helens 11 Junction Lane WA9 3JN 01744 811803

St Helier 7-8 The Parade JE2 3QP 01534 722862

St Helier 10A+B David Place JE2 4TD 01534 871098

St Helier 14/16 Burrard St JE2 4WS 01534 731929

St Helier Indigo House, 2-8 Oxford Rd JE2 4LJ 01534 721223

St Ives 9 Kings Hedges PE27 3XS 01480 465441

St Ives 5 The Pavement PE27 5AD 01480 462109

St Leonards On Sea 128 Battle Rd TN37 7AN 01424 851050

St Leonards On Sea 39-41 Sedlescombe Rd North TN37 7DA 01424 421132

St Neots 23 Huntingdon St PE19 1BG 01480 472981

St Neots Eaton Socon H/Centre PE19 8BB 01480 214355

St Peter Port Queens Rd GY1 1RH 01481 725555

St Pierre Du Bois Longfrie GY7 9RZ 01481 266414

St Sampson'S St Sampson'S Pharmacy,Grandes Maisons Rd GY2 4JS 01481 243197

Stafford Millbank Surgery ST16 2AG 01785 225851

Stafford 53 Greyfriars ST16 2RG 01785 252541

Stafford 9 Burton Square ST17 9LT 01785 257820

Stalybridge 9 Melbourne St SK15 2JE 0161 338 2309

Stanley Clifford Rd DH9 0AB 01207 233845

Stanmore 5 Buckingham Parade, The Broadway HA7 4EB 0208 954 0265

Stantonbury 22-24 Purbeck MK14 6BL 01908 314870

Stapleford 96 Derby Rd NG9 7AD 0115 939 2148

Staplehurst The Parade, High St TN12 0AA 01580 891528

Starbeck 54 High St HG2 7JE 01423 883164

Stechford 153 Station Rd B33 8BA 0121 783 3823

Stechford 10 Glebe Farm Rd B33 9LZ 0121 786 2960

Stenhousemuir 338 Main St FK5 3JR 01324 554135

Stenhousemuir Hallam Road FK5 3BF 01324 562007

Stevenage 84 High St SG1 3DW 01438 352211

Stevenage Unit 1 Magpie Crescent SG2 9RZ 01438 364321

Stevenston 2/4 Fullerton Place KA20 3EH 01294 462498

Stirling 39 Bannockburn Rd FK7 0BU 01786 475967

Stirling 12 Barnton St FK8 1NB 01786 474 751

Stockport 125 Buxton Rd SK2 6LR 0161 483 2817

Stockport 236 Wellington Rd South SK2 6NW 0161 480 3371

Stockport 43-45 Longshut Lane West SK2 6RX 0161 480 2807

Stockport 99 Bloom St SK3 9LQ 0161 480 3162

Stockport Heaton Norris H/Centre SK4 1SX 0161 477 3355

Stockton Heath The Forge Shopping Centre WA4 6HW 01925 267015

Stoke On Trent 22 Christchurch St ST4 3AD 01782 847356

Stoney Stanton 21 Long St LE9 4DQ 01455 273540

Storrington 1 North St RH20 4DH 01903 742313

Stourbridge 35 Worcester St DY8 1AT 01384 377123

Stourport On Severn 32 High St DY13 8BE 01299 822850

Stranraer 48 Hanover St DG9 7RP 01776 702201

Stratford U Avon 18 Rother St CV37 6LU 01789 292835

Stratton Group Practice Centre EX23 9BP 01288 355165

Streetly 121 Chester Rd B74 2HE 0121 353 1860

Stretford Delamere Centre, Delamere Avenue M32 0DF 0161 8652334

Stroud Locking Hill GL5 1QN 01453 750532

Stroud 9 King St GL5 3BX 01453 764513

Suburb Of Birmingham Wychall Rd B31 3AU 0121 4581119

Suburb Of Rochdale Bury Rd OL11 4DQ 01706 644586

Suburb Of Rochdale Lower Whitworth Rd OL12 0JG 01706 644434

Suburb Of Rochdale Upper Whitworth Rd OL12 0SN 01706 342050

Sudbury 29 North Street CO10 1RB 01787 371232

Sunbury 8 Avenue Parade TW16 5HS 01932 782167

Sunningdale 4 Broomhall Buildings SL5 0DH 01344 620748

Sutton 335 Robins Lane WA9 3PN 01744 812745

Sutton Coldfield Unit 1 290 Lichfield Rd B74 2UG 0121 308 4497

Sutton Coldfield 9 Walmley Close B76 1NQ 0121 351 1212

Sutton Park Units 3-4 Littondale HU7 4BJ 01482 825254

Swindon 171 Victoria Rd SN1 3DF 01793 528388

Swindon 16 Clive Parade SN2 1AJ 01793 722097

Swindon 12 Moredon Rd SN25 3DQ 01793 535417

Swindon Abbeymeads Med Centre, Elstree Way SN25 4YX 01793 704165

Swindon Highworth Rd SN3 4BF 01793 822181

Swindon 3 Covingham Square SN3 5AA 01793 529911

Swindon Unit 1 Royston Road SN3 2GD 01793 521379

Taffs Well Taffs Well M/Centre, Cardiff Rd CF15 7YG 029 20810436

Taunton Blackbrook Med Centre, Lisieux Way TA1 2LB 01823 324280

Taunton Road 14-16 Taunton Rd TA6 3LS 01278 444756

Taverham 262 Fakenham Rd NR8 6AD 01603 261048

Teignmouth 6 Bank St TQ14 8AL 01626 773617

Tetbury 39 Long St GL8 8AA 01666 503058

Tettenhall Lower Green H/Centre WV6 9LL 01902 444565

Tewkesbury 8 Bishops Walk GL20 5LQ 01684 293125

Tewkesbury 80 Church St GL20 5RX 01684 293309

Thatcham 3-5 Crown Mead RG18 3JW 01635 863334

Thatcham 7 Kingsland Centre RG19 3HX 01635 869244

Thatcham Unit 2 Burdwood Centre RG19 4YA 01635 868538

Theale 27 High St RG7 5AH 0118 930 2542

Thetford 10 Kings St IP24 2AP 01842 752846

Thornbury Rushton Avenue BD3 7HZ 07940 963401

Thornbury 47 High St BS35 2AR 01454 413240

Thornbury 8/10 Horseshoe Lane BS35 2AZ 01454 413235

Thornhill Unit B, Thornhill Shopping Centre CF14 9BB 029 20761635

Thornton Thornton Med Centre FY5 2TZ 01253 821695

Thornton 13 Victoria Rd East FY5 5HT 01253 823025

Thurcroft 65 Green Arbour Rd S66 9DD 01709 542224

Thurnby Lodge 6 Gervas Road LE5 2EH 0116 210 2272

Tickhill 3 Market Place DN11 9HT 01302 742576

Tile Cross 3 Bell Lane B33 0HS 0121 7792540

Tilehurst The Potteries Norcot Rd RG30 6BW 01189 451063

Tiverton 12 -14 Market Place EX16 6LB 01884 254170

Tiverton Tiverton & District Hospital, Kennedy Way EX16 6RZ 01884 254102

Tolworth 11 The Broadway KT6 7DJ 020 83906797

Topsham 3 Fore St EX3 0HF 01392 873581

Torrington 1 High St EX38 8HN 01805 622174

Totton 13A Commercial Rd SO40 3BX 023 80863922

Totton 2 Commercial Rd SO40 3BY 023 80871255

Totton 21-23 Salisbury Rd SO40 3HX 023 80872831

Totton 12A Salisbury Rd SO40 3PY 023 80863100

Towcester 108 Watling St NN12 6BT 01327 350433

Towcester 7 Swinneyford Rd NN12 6HD 01327 352417

Towyn Towyn Rd LL22 9EP 01745 342001

Tranent 49-51 High Street EH33 1LN 01875 610321

Tring 26 High St HP23 5AH 01442 822258

Tring 20 Chapel St HP23 6BL 01442 823101

Troon 36-38 Portland Street KA10 6EA 01292 315083

Trowbridge 1 Silver St BA14 8AA 01225 752069

Trowbridge Unit G Hacketts Place BA14 7GW 01225 759143

Tuffley 19 Holmleigh Parade GL4 0QU 01452 527859

Twickenham 17 Richmond Road TW1 3AB 020 889 21376

Twickenham 38 Crown Road TW1 3EH 020 8892 2434

Twickenham 114-116 Heath Road TW1 4BW 080 889 22601

Tyldesley 147-149 Elliott St M29 8FL 01942 883249

Uddingston 87 Main St G71 7EP 01698 813222

Upton Arrowe Park Hospital CH49 5PD 0151 6776449

Upton Wrangbrook Rd WF9 1JU 01977 643809

Urmston 3 Crofts Bank Rd M41 0TZ 0161 748 2966

Ventnor Station Rd PO38 1RZ 01983 852135

Verwood 23 Station Rd BH31 7PY 01202 822364

Virginia Water 17 Station Approach GU25 4DW 01344 843169

Wakefield Trinity Med Centre, Thornhill St WF1 1PG 01924 373 062

Wakefield 40-42 Northgate WF1 3AN 01924 372309

Wallingford 20-21 Market Place OX10 0AD 01491 836206

Wallington 37 Woodcote Rd SM6 OLH 020 86471075

Wallsend 68 High St East NE28 7RH 0191 2623829

Wallsend 11 The Parade NE28 9RW 0191 2629407

Walsall 8B Bridge St WS1 1HN 01922 646521

Walsall 14 Oxford St WS2 9HY 01922 641313

Walsall 177 Wednesbury Rd WS2 9QL 01922 626156

Walsall 2 Field Rd WS3 3JE 01922 479825

Walsall 4 Rugeley Rd WS7 1AQ 01543 682739

Waltham Abbey 2 Market St EN9 1DL 01992 713320

Waltham Abbey 10 Sun St EN9 1EE 01992 712097

Walton 249-251 County Rd L4 5PE 0151 525 8900

Wandsworth 595 Garratt Lane, Wandsworth SW18 4SU 0208 879 0868

Wantage Adjacent New H/Centre, Mable Way OX12 9BN 01235 763028

Wargrave 48 Victoria Rd RG10 8AE 01189 403557

Warlingham 46-48 The Green CR6 9NA 01883 622065

Warrington 22 Manchester Rd WA1 3PP 01925 815745

Warrington 115 Orford Lane WA2 7AR 01925 631021

Washington 35 The Galleries NE38 7SB 0191 4179434

Water Orton 9 Birmingham Rd B46 1SP 0121 7472155

Waterside Unit 8 Lisnagelvin Shopping Centre BT47 6DF 02871 348595

Weaverham 7 Lime Avenue CW8 3DE 01606 853122

Weaverham 7-9 Northwich Rd CW8 3EU 01606 853385

Weavering 3-4 Minor Centre, Grovewood Drive ME14 5TQ 01622 739927

Wedmore 1 Church St BS28 4AB 01934 712266

Wednesbury 92 Crankhall Lane WS10 0EQ 0121 556 0427

Wednesfield 18 High St WV11 1SZ 01902 731342

Wellingborough Stubbs Close, Redhill Farm NN8 4UQ 01933 678290

Wellington Luson Surgery, Fore St TA21 8AG 01823 662446

Wellington 15A Market Square TF1 1BU 01952 253190

Wellington Chapel Lane TF1 1SS 01952 255833

Welwyn 40 High St AL6 9EQ 01438 714104

Welwyn Garden City 84 Haldens AL7 1DD 01707 321434

Welwyn Garden City 9 Shoplands AL8 7RH 01707 326754

Wendover 28 High St HP22 6EA 01296 622166

West Allington Bridport Medical Centre DT6 5BN 01308 424350

West Bessacarr 34 Nostell Place DN4 7JA 01302 532321

West Bromwich 257-259 High St B70 7LX 0121 553 0357

West Bromwich High St B70 8ND 0121 5256335

West Bromwich Lodge Rd B70 8PA 0121 5251038

West Bromwich 150-152 Walsall Rd B71 3HP 0121 588 2238

West Bromwich 19 West Gate Plaza, Moor Street B70 7AD 0121 525 4928

West Byfleet 2 West Lodge, Station Approach KT14 6NG 01932 345004

West Hull Bethune Avenue HU4 7EH 01482 648851

West Kingsdown 36 Hever Rd TN15 6HD 01474 853109

West Kirby 35 Grange Rd CH48 4DZ 0151 6251034

West Knighton 90 Shakerdale Road LE2 6HS 0116 288 4568

West Pontnewydd 5 Maendy Square NP44 1HN 01633 483309

West Wickham 108 High St BR4 OLT 0208 9169610

Westbury 16 Palamino Place BA13 3SD 01373 827283

Westbury On Trym 1-3 Carlton Court BS9 3DF 0117 950 5808

Westbury On Trym 2 Charlecombe Court BS9 3RL 0117 9628986

Westbury On Trym Westbury Medical Centre BS9 3EG 01179 623415

Westcliff-On-Sea 44 Hamlet Court Rd SSO 7LX 01702 343889

Westfield Unit 4 Westfield Centre S20 8ND 0114 2483600

West Glasgow Unit 9 1604 Paisley Road G52 3QU 0141 882 8769

Westhill Unit 3, Westhill Shopping Centre AB32 6RL 01224 742742

Westhill 12A Arnhall Business Park AB32 6SN 01224 279489

West Kilbride 110/112 Main Street KA23 9AR 01294 8222234

Weston Super Mare 23 Waterloo St BS23 1LF 01934 628845

Weston Supermare 37 Whitecross Rd BS23 1EN 01934 620740

Weybridge 22 Church St KT13 8DW 01932 854224

Weymouth 22 Gloucester St DT4 7AW 01305 785484

Whalley 40 King St BB7 9SL 01254 823278

Whitby Whitby Group Practice, 114 Chester Rd CH65 6TG 0151 3552876

Whitchurch 34-42 Merthyr Rd CF14 1DH 029 20621156

Whitchurch 8 Park Rd CF14 7BQ 029 20626986

Whitchurch 7 Newbury St RG28 7DW 01256 892058

Whitley Bay 1 Seatonville Rd NE25 9DA 0191 2521158

Whitley Bay 52 Eastbourne Gardens NE26 3LX 0191 2511057

Wibsey 1 Fair Rd BD6 1TP 01274 601162

Widnes 4 Danescroft WA8 4NS 0151 424 1883

Widnes 1-7 Albert Rd WA8 6JA 0151 424 2618

Widnes 222A Liverpool Rd WA8 7HY 0151 424 2564

Wigan 52/54 Market St WN1 1HX 01942 824835

Wigan Mesnes St WN1 1QJ 01942 498954

Wigan 41 Standishgate WN1 1UP 01942 243580

Wigan 234 Scholes WN1 3NH 01942 244364

Willenhall Unit 1, Remembrance Rd CV3 3DN 024 76303356

Willenhall 18-20 The Square WV12 5EA 01922 475098

Willenhall Sina H/Centre, 230 Coppice Farm Way WV12 5XZ 01922 712076

Willerby Kingston Rd HU10 6AL 01482 659058

Willesborough Willesborough H/Centre, Bentley Rd TN24 0HZ 01233 621635

Williton Adj Willton Surgery, Robert St TA4 4QE 01984 632512

Wilmslow Summerfield Village Centre SK9 2TA 01625 523414

Wilton 3 North St SP2 0HA 01722 742289

Wimborne 9 The Square BH21 1JA 01202 883662

Winchcombe 11 High St GL54 5LJ 01242 602305