Rebecca Hayes Tieken Independent Midwifery Services

** Rebecca is taking bookings for antenatal and postnatal packages from March 2021 onwards**

Single antenatal appointment

We offer one-off appointments where we check you and your baby’s well-being, do all necessary clinical checks and answer all your pregnancy questions. One-off appointments usually last 1.5-2 hours and are held in the comfort of your own home.

Specific situations that Rebecca can help with:

• Have you been told your baby is "too large/small" - unbiased discussion, exploration of your options and how baby's growth can affect your pregnancy care
• Back-to-back positioning of babies which could end up with a longer and more intense labour than is neccessary
• Rebozo sifting for optimum positioning of babies and ease any back pain
• Breech births options and how to turn a breech using spinning babies techniques
• Gestational diabetes choices
• Group B streptococcus testing information and options for testing (*actual cost of test is not inclusive in appointment price)
• How to keep birth as normal as possible even when there are complex factors or unusual circumstances

_________________________________________

Harmony screening test

A non-invasive prenatal test (NIPT) that looks at the chromosomal abnormalities in the baby's DNA. This can be 99% accurate (the conventional screening currently offered on the NHS only detects with 70-80% accuracy) in detecting abnormalities for the three most common Trisomy conditions: Down's Syndrome, Patau's Syndrome and Edward's Syndrome (Trisomy 21, 18 and 13). Sex chromosome anomalies including Turner and Klinefelter syndrome can also be checked. The baby's gender can also be tested for and is included in the fee.

The Harmony test is still a screening test and does not replace invasive diagnostics (with the risk of miscarriage). If your results comes back as high risk, you may still choose to have invasive testing which will give you 100% diagnosis.

• Please note you will need to have had an ultrasound scan to check your baby's gestation and whether you are having twins/triplets.

What is involved:

1. Telephone consultation to go over the procedure and answer any questions
2. A midwife will come to your home to obtain two samples of blood and answer further questions
3. These samples will be sent to the laboratory in London for analysis (results back in 3-5 working days)
4. A phone call and email to follow if your results show low risk. A home visit if the results come back as high risk.

_________________________________________

Full antenatal care package

If you’d like to have full private antenatal care with a known midwife you may like to book an antenatal package. This includes:

• Usually 10 visits (depending at what gestation you book)
• Full antenatal care provided in your home with appointments lasting approximately 1 hour. (The booking appointment will last 2 hours).
• Your health and wellbeing and that of the baby will be monitored at each appointment
• During the appointments we will discuss birth preferences and labour & birth preparation, which involves tools such as breathing techniques, massage, and rebozo sifting
• Package includes the loan of antenatal information resources and full discussion surrounding your options.