Taking charge of pregnancy, what it is and when to do it

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Marie-Ange Demory
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After 30-32 weeks of gestation, if you haven't done so yet, it's time to start thinking in which hospital you want to give birth. Indeed, around 36-38 weeks (depends on each single structure) it is necessary to proceed with taking charge of the pregnancy, a meeting with a gynecologist and / or midwife of the chosen center, in which the state of health of mothers and children is checked and all the documents that will be needed at the time of admission are prepared. Therefore, you must have some ease, in order to have the time to calmly and calmly weigh your choice and make an appointment.





Of course, this does not mean that if you give birth prematurely you cannot go to the hospital or that if you go into labor far from your location you cannot go to another facility. However, when possible, it is better to proceed with the management because it is a procedure that makes things easier. Here's everything you need to know about it.

In this article

  • What is it about
  • It should be done between 36 and 38 weeks
  • What if the pregnancy is at risk?
  • How to choose the hospital
Read also: Childbirth in hospital: 10 rules for choosing the best facility

What is it about

Taking charge of pregnancy is a meeting that takes place in the facility where you would like to give birth, usually with a gynecologist and / or midwife. During this interview, the staff collects information about your medical history, the progress of your pregnancy and any specific needs. In this way he can have a fairly accurate picture of the situation, identify potential risk factors or elements to be taken into account and organize the subsequent hospitalization.



That is why it is important that carry all the documentation relating to pregnancy with you: the results of the exams made, the ultrasound scans, the opinions of the figures who followed you up to that moment.

During this meeting, the staff will also explain everything you will need for both bureaucratic and practical hospitalization. For example, he could provide you with the famous hospital list. In addition, it could give you information on the anesthetic evaluation process for epidural analgesia and any tests missing from those required at the end of pregnancy.

It should be done between 36 and 38 weeks

As for the timing, there is no fixed rule: it all depends on the organization of the individual structures and on the indications of the region. In general, however, the taking in charge of the pregnancy takes place between 36 and 38 weeks. However, we must make an appointment at least in advance, also in this case with times varying from case to case.



This is why it is good that you move in time, so as not to be forced to hurry everything.

To have all the "instructions for use" relating to taking charge of the pregnancy, from the timing to the access procedures, from the documentation required to the organization of the interview, the ideal is that contact the hospital you have identified directly.

What if the pregnancy is at risk?

In physiological pregnancies, the hospital usually sets a term obstetric evaluation (40 weeks). If, on the other hand, when taking charge of the pregnancy, the staff were to identify obstetric risk factors the percorso it will come customized as appropriate. The same applies if the woman is expecting twins, if the baby is breech, if there has been a previous caesarean section, if certain problems have emerged during the nine months.

Read also: Pregnancy at risk

How to choose the hospital

The difficult part, therefore, is not so much that relating to taking charge of the pregnancy, but rather that relating to the choice of hospital. Here are some useful tips for making an informed decision.

Analyze its "numbers": experience is very important when it comes to parts. For this reason, if possible, it is better that you opt for structures with a consistent volume of deliveries per year (above 1.000 deliveries per year), but with a low number of caesareans because a limited number of cases is an indication of the appropriateness of the assistance provided. . It is also useful to favor centers with neonatal intensive care.

Check how it is organized and the services it offers: ask yourself what are the essential services for you and check if the facility offers them, for example epidural analgesia 24/24, rooming-in (the possibility for the mother to keep the baby in the room with her continuously), extended hours for dad visits, labor and water birth tubs, and so on.

Sources for this article:

-https: //www.ao.pr.com/wp-content/uploads/2022/07/Carta-dei-Servizi-Punto-Nascita-10-maggio- last-Sabri.pdf
-https: //www.aulss3.veneto.com/Le-future-mamme-in-tour-virtuale-allospedale-Civile-il-reparto-si-presents-and-responds-to-questions-in-teleconference
-http://percorsonascita.ats-bg.com/services/687/description
-https: //www.ausl.re.com/sites/default/files/AMBULATORIO%20GRAVIDANZA%20A%20TERMINE.pdf
-https: //www.ao.pr.com/wp-content/uploads/2022/07/Carta-dei-Servizi-Punto-Nascita-10-maggio- last-Sabri.pdf

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  • give birth
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