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Cancel or Rebook Antenatal Care Appointment

Antenatal care cancellation / rebooking form

It is important for your care that you attend your scheduled appointment. If you need to cancel or change your appointment please let us know as soon as possible so that we can offer the appointment to another patient. Any missed appointments waste NHS resources and money which could be spent on other areas of patient care.

If you would like to cancel or rebook your antenatal appointment please use the form below.

 

Please note:

  • This form must only be used for hospital appointments, for an appointment with the community midwives please contact them by phone.
  • Please do not use this form if you need to change an appointment for the Anti-D clinic, please ring the Antenatal direct line number 01322 428190. 
  • Consider carefully before cancelling your appointment as the doctor or midwife has requested to see you at this stage of your pregnancy.
  • If you change an appointment you may have to wait up to 2 weeks for another appointment.

It is important for your care that you are seen at the stages of pregnancy shown in the table below: 

 

ANTENATAL CARE INFORMATION

 

Weeks of Pregnancy

Core Antenatal Care

 

Up to 10 weeks (for all mothers)
First contact
Direct access to midwife

Full antenatal risk assessment

 

Antenatal care and place of birth discussed

 

Assessment of vulnerability issues

 

Smoking cessation

 

Safeguarding children and young adults

 

Blood pressure

 

Urinalysis

 

Free prescription form (FW8)

 

Body Mass Index

 

12 weeks
Both

Routine booking bloods

 

Dating/nuchal ultrasound scan

 

Combined screening

 

16 weeks
Both

Review screening tests to date

 

Offer serum screening if too late for combined test

 

Antenatal check

 

Check blood results (book for Anti D clinic if necessary)

 

Invite to parent education & infant feeding class

 

20-22 weeks
Both

Anomaly scan

 
 

22 weeks
Both

Antenatal check

 

Review scan

 

Mat B1

 

26 weeks

Additional visit for 1st time mothers

 

28 weeks
Both

Antenatal check

 

Routine blood tests

 

Anti D if necessary

 

31 weeks

Additional visit for 1st time mothers

 

34 weeks
Both

Antenatal check

 

Calculate BMI again

 

Advice on infant feeding

 

36 weeks
Both

Antenatal check

 

Position of baby (if breech offer ECV & refer)

 

Discuss birth plan and place of birth

 

38, 39, 40 weeks
For 1st time mothers
38, 40 weeks for other mothers

Antenatal check

 
 
 

40-41 weeks
Both

Antenatal check

 

Offer membrane sweep

 

Plan induction of labour date

 

 

The Trust has an Appointment Text Message Reminder System available. Reminder messages will be sent to the mobile number you list on the form below. For more information please see the ‘Appointment Reminders’ section of our website.


Indicates mandatory fields

Antenatal Cancellation Form
YOUR DETAILS
The Trust has an Appointment Reminder System. Reminder messages will be send to the mobile number if you have listed one above.
APPOINTMENT DETAILS
Would you like to rebook your appointment?
If you answered yes to the question above you must include either your address or a telephone number. Failure to do so may result in us not being able to rebook you an appointment.
Had an interpreter or signer been requested for this appointment?
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Please note that mandatory fields must be completed and until you see a message stating that your form has been sent it has NOT been submitted.
Any information submitted through forms on this website are transferred to us via e-mail and will be dealt with in accordance with data protection legislation. E-mails are not encrypted (ie secure) before being sent to us.

AFTER  SUBMITTING THIS FORM A CONFIRMATION SCREEN WILL APPEAR WITH A NOTICE PROVIDING INFORMATION ABOUT THE TIMING OF APPOINTMENTS. YOU WILL ALSO RECEIVE A CONFIRMATION EMAIL IF YOU HAVE PROVIDED AN EMAIL ADDRESS.


YOUR APPOINTMENT DATES WILL BE SENT TO YOU VIA POST AND MAY TAKE SEVERAL WEEKS.