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Afl. 4: 20-weken echo, rug- & bekkenpijn, zwangerschapscursus kiezen | Amstermam Verloskundigen
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Episode 4: 20-week ultrasound, back & pelvic pain, choosing a pregnancy course

I am almost halfway

Most people know by now that you're pregnant, and the first practical preparations are being made.

In short

  • A good 20-week ultrasound does not guarantee a healthy child.
  • If you are not married or in a registered partnership, legally, the father has no parental rights over the child after birth.
  • Taking a childbirth education class improves the outcome of labor and helps you look back more positively on the delivery.
  • Pregnant and employed: these are your rights & responsibilities.
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20-week ultrasound / SEO

You may already have an appointment scheduled for the 20-week ultrasound, or you are planning to schedule one soon. During this ultrasound, your baby and uterus will be thoroughly examined. The ultrasound typically lasts about 40 minutes, during which the sonographer will explain what they see and what it means. The sonographer will check if all organs are properly developed in your baby, if the spine is closed, if all limbs are well-developed, and if the baby is growing well. Additionally, the position of the placenta and the amount of amniotic fluid will be checked. The optimal time to have this ultrasound (also known as the Structural (anomaly) scan or SEO) is between 19 weeks and 20 weeks of pregnancy, neither earlier nor later.

Read the RIVM information about the 20-week ultrasound scan here.

A few things are good to know:

  • A normal 20-week ultrasound scan does not guarantee that the baby is 100% healthy. Some abnormalities may not be detectable on an ultrasound.
  • In 1 out of 20 women, a second ultrasound follows, either immediately or later in the pregnancy. This may be for a second opinion by the gynecologist, due to too fast or slow growth, or because the placenta is near the cervix. Don't be alarmed by this; often, a second ultrasound brings reassuring news.
  • During the 20-week ultrasound scan, the gender of the baby can be determined. However, the primary purpose of the scan is to assess the baby's health. If you wish to know the gender, the sonographer can certainly tell you, but they typically do this towards the end of the scan since it is not a medical priority.
  • For most women, the 20-week ultrasound scan is the last ultrasound they have during pregnancy. At amstermam , all clients are offered a position ultrasound around 35 weeks. Due to the baby's size, this ultrasound is visually the least interesting. Would you like to take another look with a combination of 2D/3D and 4D techniques? A fun ultrasound (at your own expense) is always an option. The best time for this is between 27-29 weeks. Read more about our ultrasound offerings here.
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Acknowledgment

You want everything to be well arranged for the baby, even if something happens to you or your partner. Therefore, ensure that your partner, if desired, has acknowledged the baby before birth*. This creates a legal bond between father and child.

Before the birth

Acknowledging the unborn baby* is done together via DigiD, sometimes requiring you or your partner to visit the municipal office in person (don't forget to bring your identification). If it's your second child, as the mother you can authorize your partner to acknowledge the baby, so you don't necessarily have to be present. During the acknowledgment, you both decide on the baby's surname. If you arrange this during pregnancy, you won't need to visit the municipality together within 3 days after giving birth. Note: wait times at the municipality can sometimes be long, but you can acknowledge your unborn child in any municipality in the Netherlands.

After the birth

After birth, you formally apply for parental authority for the father so that he has rights and responsibilities regarding your child. You can apply for parental authority online after the baby is born and registered with the municipality.

*If you are married or have a registered partnership, the father does not need to acknowledge the baby.

Pregnancy course

Taking a course is a great preparation for your childbirth. During such a course, you receive a lot of additional information that is not covered in our standard care. You learn relaxation exercises to manage contractions during labor. It's important to be physically prepared for childbirth as a fit body tends to cope better! Therefore, we strongly recommend taking a pregnancy course. It can also be an excellent opportunity to connect with other expectant mothers if you wish.

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Every pregnant woman has different needs when it comes to preparing for childbirth. Whether you prefer individual or group sessions, alone or with your partner, brief or comprehensive courses, there's something for everyone. Fortunately, there are various options such as hypnobirthing, prenatal yoga, hypnotherapy, haptonomy, Mensendieck, mindfulness courses, and many more. For a complete overview, you can view the brochure folder in the waiting rooms of our locations. Don't hesitate to ask a midwife for specific tips once you've decided what you want.

Pelvic and back pain

Under the influence of the pregnancy hormone progesterone, the cartilage and joints in the pelvis soften. This softening is beneficial during childbirth as it allows the pelvis to expand sufficiently for the baby's birth. However, if the softening is excessive, the pelvic joints may shift relative to each other, requiring the muscles and ligaments around the pelvis to work extra hard to maintain stability. This can lead to a painful sensation around the pubic bone and/or lower back, which may radiate to the hips, buttocks, and thighs.

To minimize discomfort, it helps to keep your pelvic muscles strong. This can be achieved through exercise or muscle-strengthening exercises (provided by a chiropractor, physiotherapist, or Mensendieck therapist, for example). Try to move your pelvis symmetrically as much as possible and consider taking a preventive class to prevent issues.

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Less ligament pain?!

  • Try to avoid unexpected or sudden movements.
  • Avoid bending over and lifting heavy objects as much as possible.
  • Fatigue and intense physical exertion can exacerbate ligament pain, so be sure to rest adequately and in a timely manner.
  • Pay close attention to your posture.
  • Heat reduces the pain: shower, bath, and/or hot water bottle often provide relief.
  • Reduce the pressure of your baby's weight in the uterus on the ligaments by lying horizontally.

The uterus is attached to the pelvis with ligaments. During pregnancy, as the uterus grows, it puts pressure on these ligaments causing them to stretch. The stretching of the ligaments can cause a dull, and sometimes sharp, pain. Ligament pain is uncomfortable but does not harm you or the baby. The chances of experiencing ligament pain are highest around 20 and 30 weeks when there is a growth spurt.

If this is not your first pregnancy, you are more likely to experience ligament pain earlier.

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You are becoming a (larger) family

There's a little one on the way, and you're probably increasingly thinking about how your life will look after the birth. It's important to discuss this together. How do you both envision parenting? How do you make time for yourselves and each other with a little one? How will you share the joys and responsibilities? How can you ensure your relationship remains strong? How does a child fit into the life you currently have?

A good way to work on this together is through the online course Parents Inc. Learn from the pitfalls others have encountered, and keep your relationship fun even after the arrival of a child. So that together you can form a close and warm family, as you likely desire.

Work around pregnancy; this is what you need to know.

Are you pregnant and employed? Then these brochures are meant for you. Here you will find brief and clear information about topics that are important during pregnancy and the first months after childbirth. You will also learn about your rights and obligations as an employee, and what you can expect from your employer during your pregnancy and the subsequent period. Topics include:

  • maternity leave and childbirth leave
  • request for maternity leave
  • continuation of salary payments
  • adjusted working hours, workplace, and duties
  • prenatal check-ups during working hours
  • illness
  • returning to work after your maternity leave
Bron: https://vrouwenrechtswinkelamsterdam.nl/pers-tools-onderzoek/tools/
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and more...

For partners

Would you also like some time and inspiration to prepare for childbirth and fatherhood? There's increasing focus on this. For instance, consider taking a fatherhood course, attend the papa-klas in Amsterdam or be inspired by the Praktijkvader.

Read tips

  • Read everything about the 20-weeks ultrasound here.

To do

  • Arrange paternity recognition if not married/no registered partnership.

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Questions about a healthy pregnancy?

Contact us! We are available by phone every day until 1:00 PM, and by email all day.

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Reimbursements from basic insurance

With which insurances do you have a contract?

Walk-in consultations

How do I prepare for breastfeeding?

When can I opt for the NIPT (prenatal test)?

Zorgplan / Care Plan

Which pregnancy course do you recommend?

How can my partner acknowledge the baby?

What happens during the follow-up appointments?

What happens during the first appointment with the midwife?

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Curious about your baby?

Schedule a fun ultrasound session at our West or East location! We combine 2D/3D/4D techniques for the best results.

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