Zwanger - Eedenburgh Verloskundigen
Emergency line: 06 534 482 88
Practice: 035 62 144 93
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Intake and Counseling

Intake

We aim to have the intake interview take place around 8 weeks of pregnancy.
Schedule the intake interview for 60 minutes. This is 15 minutes more than the usual 45 minutes. We discuss your health and that of your partner. In addition, the health of your families is also discussed. This allows us to determine which care is most appropriate based on the intake. This is how we find out whether you qualify for additional examinations. 

In addition to discussing your health, we also provide information if you need it. This can be about what you can and cannot eat during pregnancy, not being allowed to change the litter box, the examinations during the pregnancy and so on. 

Topics covered in this conversation:

  • Current pregnancy status (How far pregnant are you now? When was the last time you had your period and had a regular cycle? Did you use any form of birth control? And when did you stop using it?)
  • Course of any previous pregnancy(s) (miscarriages and abortion are also included in this)
  • Medication use
  • Have you ever had surgery?
  • What (serious) illnesses have you had
  • Congenital and/or hereditary disorders also in your immediate family 
  • Whether you want to receive information about tests for Down syndrome, Edwards syndrome and Patau syndrome and the 20-week ultrasound. Before the intake you can already look at http://www.onderzoekvanmijnongeborenkind.nl. We also send this link with the confirmation of the intake appointment. 

Counseling

If you wish, a Counseling meeting will take place around 10-11 weeks of pregnancy. We plan this meeting separately from the intake. During this conversation it will be discussed whether or not you want to have tests done into the health of your unborn child. You can choose from the Combination test, NIPT and the SEO (20 week ultrasound). We can discuss questions about the studies you have with you at that time.

From September 1, 2021 you can, if you wish, have the 13-week ultrasound. By clicking on the link about 20 week ultrasound below you will get more information about the 13 week ultrasound. As of October 1, 2021, the combination test will no longer be performed. 

To prepare for this meeting, you can go through the information in advance. You can visit the following websites:

Combination test

As of October 1, 2021, the combination test will no longer be performed in the Netherlands. This is because too few pregnant women choose this. 
The combination test consists of a blood test and a nuchal fold measurement via an ultrasound on your child. The combination test takes place at the UMC location AMC Amsterdam.

The blood sample can be taken between 9 and 14 weeks of pregnancy. The nuchal translucency measurement can be done between 11 and 14 weeks of pregnancy. Your blood is checked for 2 substances (PAPP-A and Beta-HCG). The nuchal translucency measurement is done by ultrasound. A sonographer measures the neck fold. This is a thin layer of moisture under your baby's skin. In children with Down, Edwards or Patau syndrome, this layer of fluid may be thicker than in children without these syndromes. With the combination test you get a probability calculation. You will therefore not be certain whether your child has Down, Edwards or Patau syndrome. The combination test does not pose a risk of miscarriage. Possible follow-up research may have this. 

NIPT
The NIPT is a blood test (from 11 weeks of pregnancy) in which pieces of hereditary material (DNA) are examined in the maternal blood. The blood also contains a small amount of DNA from your baby's placenta. This DNA is almost always the same as the DNA of your child itself. The laboratory can thus investigate whether there are indications of Down, Edwards or Patau syndrome. The lab can also find clues to other chromosome disorders. We call this incidental findings. These incidental findings can vary: from less serious to serious conditions. It is up to you whether you want to know additional findings:

  • You only want to screen for Down, Edwards and Patau syndrome. The laboratory therefore does not know whether there are additional findings.
  • You want to screen for Down, Edwards and Patau syndrome and you want to know whether the laboratory has found any indications for secondary findings. 

The result of the NIPT indicates whether there are indications of Down, Edwards and Patau syndrome and/or incidental findings. The result is therefore not certain. 

Would you like to know more about the differences between the NIPT and the combination test? We are happy to explain this to you during the conversation about the tests during pregnancy. You can also look at www.pns.nl 

13 week ultrasound

The 13 week ultrasound is very similar to the 20 week ultrasound. It will be checked whether there are indications of physical abnormalities in your child. At 13 weeks of pregnancy, your baby is only smaller than at 20 weeks. The 13-week ultrasound is therefore not a replacement for the 20-week ultrasound, but a supplement. If further testing is required, you will have more time to decide what to do with the results. The 13 week ultrasound is done between 12+3 weeks and 14+3 weeks of pregnancy. We do not do the 13-week ultrasound at our own practice. For this we refer you to the Midwifery Center 't Gooi in Hilversum. 

Do you want to know more about the 13 week ultrasound? Then look at http://www.pns.nl

20 weeks Echo
At the 20-week ultrasound, it is checked whether there are any indications of congenital physical abnormalities in your baby. It is also checked whether there is sufficient amniotic fluid and your baby is growing well. Of course you can look at the gender of your baby, but this is not the main goal of the 20 week ultrasound. The 20 week ultrasound is therefore a medical examination and not a fun ultrasound. The 20 week ultrasound also takes a little longer than most ultrasounds. We do not perform the 20-week ultrasound at our own practice, we refer you to the Midwifery Center 't Gooi in Hilversum. 

Questions? Contact us directly

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