Start Your Care with a Midwife

Giving birth should be your greatest achievement not your greatest fear.

~ Jane Weideman

Each mom who births at Genesis Maternity Clinic, must choose a midwife as their main caregiver and will be required to attend their antenatal consultations as per the schedule below.  This is so your midwife can make sure you and your baby stay healthy. You will also be required to see a Genesis affiliated Ob/Gyn approximately two to three times in your pregnancy. The antenatal schedule is a guide and it may differ as per each expectant mother’s individual needs.

What happens at my antenatal appointments? At the booking appointment your midwife will ask you lots of questions to find out if there is anything in your medical history or lifestyle that could affect your pregnancy or baby. She will also give you education about having a healthy pregnancy.

Your midwife will do all vital checks, such as taking your blood pressure and testing a urine sample to see if there are any pregnancy complications. It is also a good time for you (and your partner) to ask any questions. More frequent visits are available at any time for any reason. Your due date at 40 (+) weeks is really more of a due “zone”.You could give birth anytime from 37 weeks up to 42 weeks.

 

At your antenatal consultation you can expect the following:

  • Detailed personal, family, pregnancy and medical history to determine any existing trait or condition that might have negative effect on pregnancy.
  • Routine tests and screenings, such as a blood test to check for anemia and your blood type etc. Routine ultrasound scans.
  • Monitoring your blood pressure.
  • Measuring your weight gain.
  • Monitoring the baby’s growth and heart rate.
  • Advising about antenatal classes and any of our services as outlined below.
  • Advise about using a Private Doula for your birth.
  • Talk and education about essential topics in pregnancy such as diet, exercise, birth and emergency plan, emotional readiness etc.

How to Choose a Midwife

When you choose to birth at Genesis Maternity Clinic, you must choose a midwife for your antenatal care as well as for the birth of your baby. You may choose from two options, you can choose an Independent Midwife in Private Practice, or the Staff/In-House Midwives. Please note that moms can enquire if they are a suitable VBAC candidate, (Vaginal Birth After Caesarean). We only offer VBAC’s after one previous caesarean. It is essential to book a consultation with an Independent Midwife to assess if you are a suitable candidate to try for a VBAC birth, (you cannot use the Staff/In-House Midwives for a VBAC). Please note that not all Independent Midwives do VBAC births.

Independent Midwife

If you choose an Independent Midwife, she works in her own private practice, with birthing rights at Genesis Maternity Clinic. She will be your main caregiver for your antenatal consultations, birth of your baby as well as providing postnatal care and support. Choosing an Independent Midwife is based on contacting a few of the Independent Midwives, so that you can find someone with whom you connect and can grow a relationship with throughout your maternity care and for the birth of your baby. Independent Midwives offer a personal service and one-on-one care. Their packages and rates are separate from the Genesis Clinic facility fees.

Genesis Staff/In-House Midwives

You may also opt to use the Genesis Staff/In-House Midwives, this entails that you will not have a one-on-one personal relationship like you would with an Independent Midwife and instead the In-House Midwife on duty will assess you at your antenatal consultations and on the day of your birth and you will also be under the care of the In-House Midwife on duty on the day you labour and birth. This means you cannot choose any specific midwife as it will be the midwife on duty. The In-House Midwives antenatal and delivery rates are separate from the Genesis Clinic facility fees.

Antenatal Schedule from Pregnancy to Birth

Knowing what check-ups, screenings and scans to have and when to have them during your pregnancy is important information for every pregnant woman. During your pregnancy, you’ll be offered a range of tests, including blood tests and ultrasound scans. These tests are designed to check for anything that may cause a problem during your pregnancy or after the birth. 

1st Trimester

How far along are you?
Week 5-12

Congratulations on your pregnancy!

  • The first important scan is at week 12: You will need to book a scan with Maryke Kilian, our Sonographer who is in private practice and consults at Genesis Maternity Clinic. Bookings via Jenny on 071 154 0223. (Please note Genesis cannot book scans on the sonographer’s behalf.) 
  • Choose a Midwife: When choosing an Independent  Midwife, it is best to contact a few to enquire about their rates and services and what they offer. You must book your first antenatal consultation in the first trimester. Your midwife will do all the necessary blood tests and checks. In-House Midwives start consults at 16 weeks.
    • Book your first consultion. 
 
  • Book your Obstetrician: Your midwife also works closely with one of the Genesis affiliated Ob/Gyn’s. This is to check that your pregnancy maintains a low risk pregnancy status and should any high risk complications arise, your Ob/Gyn will continue with your care. Your Ob/Gyn is also your back- up in case a caesarean section is needed and this procedure will be done at our on-site state-of-the-art operating theatre.
    • Your midwife will usually refer you to a specific Ob/Gyn that she has a working relationship with, it is advised to enquire with her as to when to book with the Ob/Gyn.
 

2nd Trimester

How far along are you?
Week 13-27
  • If you are currently with another care provider, and would like to transfer your care to Genesis Maternity Clinic, you must be able to provide your medical records for the midwife to review. This is a simple request for a transfer of medical records via email or hard copy from the other practice to the midwife. You may not continue your back-up care with the current gynaecologist/obstetrician unless they are affiliated with Genesis Maternity Clinic as the Ob/Gyn must have birthing rights at Genesis.
  • Midwife Consultations: You will continue your consultations with your midwife in the second trimester and she will do all the necessary blood tests and checks.
    • Week 13 to 27: Monthly consultations. 
  • Week 20-22 Scan and Ob/Gyn Consultation: The second important scan with one of our affiliated Ob/Gyn’s, or a referral to Maryke, the Sonographer.
    • Your midwife will usually refer you to a specific Ob/Gyn that she has a working relationship with, it is advised to enquire with her as to when to book with the Ob/Gyn.
 
  • Book your Doula: This is a good time to start doing your research on hiring a Doula. Most midwives prefer to work with a Private Doula. The role of the birth doula encompasses the non-medical aspects of care during childbirth.

    Your birth support team are the people you will rely on to get you through your toughest, most intense moments. Doulas are trained in the art of birth support, and have a keen eye and intuition on what a labouring mother needs.

    We recommend talking to your midwife for a list of doulas she has worked with. It is important to connect with your doula and feel like you can trust her. She will be with you during one of the most intimate and vulnerable times in your life, so your comfort with her is vital.

  • Supportive Services: We offer a range of classes and services to support you throughout your pregnancy journey and to prepare you for your birth. Your wellness, both physically and mentally is paramount.

3rd Trimester

How far along are you?
Week 28-birth
  •  Antenatal Consultations: You will continue and increase your consultations with your midwife in the third trimester and she will do all the necessary blood tests and checks. You will now have consultations every two weeks from week 28 to 30 of pregnancy. Then weekly checks after week 36. More frequent visits are available at any time for any reason.
    • Week 28: Midwife Consultation.
    • Week 30: Midwife Consultation.
    • Week 32: Midwife Consultation.
    • Week 34: Midwife Consultation.
    • Week 36: Obstetrician Consult and scan. This is the last Ob/Gyn consult and he/she will confirm that your pregnancy is low risk and that you can continue your care and birth at Genesis Clinic.
    • Week 36 to birth: Weekly Midwife Consultations. Your due date at 40 weeks is really more of a due “zone” You may give birth anytime from 37 weeks up to 42 weeks.
  •  
  • Book your Doula: If you have not yet done so, this is a good time to start doing your research on hiring a Doula! Most midwives prefer to work with a Private Doula. The role of the birth doula encompasses the non-medical aspects of care during childbirth. We recommend talking to your midwife for a list of doulas she has worked with. It is important to connect with your doula and feel like you can trust her. She will be with you during one of the most intimate and vulnerable times in your life, so your comfort with her is vital.
  • Supportive Services: We offer a range of classes and services to support you throughout your pregnancy journey and to prepare you for your birth. Your wellness, both physically and mentally is paramount.