Appointments at the maternity clinic

If your family is expecting a child, maternity clinics are there for you to support you throughout the pregnancy and with your growth into parenthood. The maternity clinic will monitor the progress of your pregnancy and provide your family with advice on health and well-being. A public health nurse will tailor the health advice you receive during your appointments to your family’s needs. The maternity clinic also cooperates with other service providers (e.g. family work for families with a baby, family counselling, social work and specialised health care)

The duration of each appointment depends on the purpose of that visit.

Maternity and child health clinics are unable to treat illnesses. However, the public health nurses do provide advice over the phone and via the chat service.

News

You can find news about the maternity and child health clinics below the menu.

Appointments at the maternity clinic during pregnancy

 

Your first contact with a maternity clinic

Book your first maternity clinic appointment by phone after getting a positive pregnancy test. You will be asked for the following information during the call: the start day of your last menstrual period, whether you have been pregnant and given birth before, your pre-existing medical conditions and medication.

Contact information to the maternity and child healt clinics

Your spouse/partner is warmly welcome to the clinic starting from the very first visit.

If possible, select the maternity clinic closest to your home when you book your first appointment. Log in to the online service fill in the maternity clinic anamnesis (preliminary information form) no later than two days before the first appointment. The appointment will be individually tailored for your family based on the preliminary information you give. This enables us to discuss matters that are relevant to your family.

Please prepare for your first appointment by doing the following:

  1. Read the materials.
  2. Fill in the anamnesis (preliminary information form) at the online service. If you are not able to use the online service, please print out and fill in the preliminari information form, and take it with yout when you come to the clinic: preliminary information form (pdf, 61 Kt).
  3. If you are not able to use the online service, print and fill in also the survey regarding the consuption of alcohol (pdf, 60 Kt).
  4. Read about the principles of disclosing patient information stored in the Common Register and Patient Data Repository at kanta.fi -pages
  5. Sign in Maisa.fi website. Further information: What is Maisa?
  6. Bring a photo identification with you.

 

First appointment at the maternity clinic at 8–10 weeks of pregnancy

On your first visit, we will take a look at your family’s preliminary information and discuss the things that arise from the anamnesis (preliminary information) form you filled in before your appointment. If you have been pregnant and given birth before, we will discuss the possible effects on the current pregnancy.

We will also talk about your pregnancy, monitoring at the maternity clinic and your family’s health and exercise habits. On your first visit, you will be offered an opportunity to participate in prenatal screening and ultrasound screening.

Ultrasound screening appointments can be booked through the Maisa.fi website. Further information: What is Maisa? If you chose not to use the online services, a letter of your ultrasound screening appointment will be sent to your home address. Ultrasound examinations are performed at the HUS Prenatal Screening Unit, Bulevardi 22 A, 4th floor, Helsinki.

In addition, the public health nurse will measure your blood pressure, weight and haemoglobin level and refer you to early pregnancy blood and urine tests. If necessary, you will also be referred to an early pregnancy oral glucose tolerance test. After this, you can use the clinic’s self-care point to measure your blood pressure and weight and to produce a urine sample and analyse it with a urine test strip before your appointment.

You can have blood and urine tests taken between 9+0 and 11+6 weeks of pregnancy at a HUSLAB laboratory. You can either book an appointment or simply queue at a laboratory without booking an appointment.

Appointment booking for HUSLAB laboratories

The duration of this appointment is 90 minutes if you are expecting your first child. If you have given birth before, the duration is 75 minutes. These times include the recording of your health information by the public health nurse.

 

Extensive health check-ups by a public health nurse at 14–16 weeks of pregnancy and by a doctor at 17–18 weeks of pregnancy

You will have an extensive health check-up appointment with a nurse and a doctor. We recommend that both parents attend the extensive health check-ups.

To prepare for these check-ups at home, you can discuss your relationship and your family’s situation using a form Everyday resources for families expecting their first child (pdf, 285 Kt). The form helps you to reflect on your strengths and resources as a family and to identify areas where you need support.

During your extensive health check-up appointments, we will discuss the well-being of your entire family, your expectations of childbirth and parenthood and your possible previous childbirth experiences. We can also discuss other matters that are important to your family.

Please use the self-care point to measure your blood pressure and weight and to produce a urine sample and analyse it before your appointment. Foetal heart sounds will also be monitored during the appointment. The health care professionals will also determine if vaccination against tuberculosis (a BCG vaccine) or hepatitis B is recommended for your baby upon birth.

Families expecting their first child are offered family coaching by professionals from multiple fields. The aim of family coaching is to support growth into parenthood, strengthen the parents’ interaction with the baby, support the parents’ mutual relationship, enable peer support between families who are in the same situation and provide information about prenatal well-being, labour and baby care. If you wish to hear more or book a family coaching appointment, please book an appointment with a public health nurse first.

If you as parents do not plan to get married before your child is born, you will be asked about your willingness to acknowledge paternity/maternity at the maternity clinic before the child is born.

The health check-up performed by a doctor is an opportunity for you to discuss your health, well-being and the medical factors that may affect your pregnancy. The doctor will also listen to the heart sounds of the foetus. A pelvic examination is only performed if necessary.

The duration of the public health nurse’s appointment is 60 minutes, the doctor’s appointment 20 minutes. These times include the recording of your health information by the nurse or the doctor.

 

Appointment with a public health nurse at 22–24 weeks of pregnancy

During this appointment, we will look at your physical and mental well-being and discuss symptoms that you may experience if something is wrong with your pregnancy (e.g. high blood pressure, very itchy skin, early contractions, back pain, mood) and what to do if you experience any of them. You will also be asked whether you are scared of giving birth. We can also discuss other matters brought up by you and your family.

Please use the self-care point to measure your blood pressure and weight and to produce a urine sample and analyse it before your appointment. Foetal heart sounds will also be monitored during the appointment.

At this point, most mothers are referred to an oral glucose tolerance test to screen them for gestational diabetes. An oral glucose tolerance test is performed at 24–28 weeks of pregnancy. Please book your laboratory appointment several weeks in advance. The results of the oral glucose tolerance test will be available through the telephone service of the maternity clinic on the following weekday.

If your blood group is RhD negative, we will refer you to RhD genotyping of the foetus. Further information:

During this appointment, you will be informed about ways to apply for benefits from Kela. You will also receive a certificate of pregnancy, needed for applying for benefits.

The length of this appointment is 45 minutes, including the recording of your health information by the public health nurse.

 

Appointment with a public health nurse at 26–28 weeks of pregnancy if this is your first child

During this appointment, we will perform a routine assessment of your and the foetus’s health. We will also discuss the effects that your pregnancy has on your physical and mental well-being at work, while studying or on your free time. We can also discuss other matters that are important to your family.

Please use the self-care point to measure your blood pressure and weight and to produce a urine sample and analyse it before your appointment. Foetal heart sounds will also be monitored during the appointment. The growth of your uterus will be monitored with a symphysis-fundus (SF) height measurement. This means the height of your abdomen from the pubic bone to the upper part of your uterus, examined with a tape measure. From this point on until you give birth, your belly will be measured like this every time you have a maternity clinic appointment.

We will also discuss how to recognise contractions and how to count the movements of the foetus at home. We will go over the symptoms that you may experience if something is wrong with your pregnancy and what to do if you experience any of them.

If your blood group is RhD negative and you are pregnant with an RhD positive baby, you will be offered an injection of a medication called anti-D immunoglobulin during this visit, if necessary.

The length of this appointment is 30 minutes, including the recording of your health information by the public health nurse.

 

Appointment with a public health nurse at 30–32 weeks of pregnancy

During this visit, we will take a look at your and your family’s well-being, mood and health habits.

Please use the self-care point to measure your blood pressure and weight and to produce a urine sample and analyse it before your appointment. Foetal heart sounds will also be monitored and your symphysis-fundus (SF) height will be measured during this appointment.

will discuss childbirth, parenthood, early interaction, nursing, other aspects of everyday life with a baby and any other matters that are important to your family.

Your partner can acknowledge their paternity/maternity during this visit, and you as parents can agree on child custody if you are not married to each other.

You will also be reminded of the importance of monitoring your well-being and the well-being of the foetus.

The length of this appointment is 45 minutes, including the recording of your health information by the public health nurse. If your partner wants to acknowledge their paternity/maternity, the appointment will take longer.

 

Doctor’s appointment at 35 weeks of pregnancy

During this appointment, we will discuss the signs of the approaching childbirth, the family’s feelings and thoughts on the delivery and any other matters brought up by you as a family. We will also check how the mother and the baby are doing.

We will also discuss sexuality during late pregnancy and after childbirth and family planning after your child is born.

Please use the self-care point to measure your blood pressure and weight and to produce a urine sample and analyse it before your appointment. Foetal heart sounds will also be monitored and your symphysis-fundus (SF) height will be measured during this appointment. If necessary, the doctor will perform a pelvic examination, determine the position of the foetus and assess whether there are any risks associated with your late pregnancy or childbirth.

The length of this appointment is 20 minutes, including the recording of your health information by the doctor.

 

Appointment with a public health nurse at 37 weeks of pregnancy

During this appointment, we will discuss getting ready for childbirth and breastfeeding, going to the hospital and any other matters brought up by you as a family. We will also check how the mother and the baby are doing.

Please use the self-care point to measure your blood pressure and weight and to produce a urine sample and analyse it before your appointment. Foetal heart sounds will also be monitored, your symphysis-fundus (SF) height will be measured and the baby’s position will be checked during this appointment.

The length of this appointment is 45 minutes, including the recording of your health information by the public health nurse.

 

Appointments with a public health nurse at 39 and 41 weeks of pregnancy

During these appointments, we will discuss getting ready for childbirth and breastfeeding, going to the hospital and any other matters brought up by you as a family. We will also check how the mother and the baby are doing.

Please use the self-care point to measure your blood pressure and weight and to produce a urine sample and analyse it before your appointment. Foetal heart sounds will also be monitored, your symphysis-fundus (SF) height will be measured and the baby’s position will be checked during this appointment.

You will be reminded of the importance of monitoring your well-being and any alarming symptoms and counting the baby’s movements.

If you reach 41+3 weeks of pregnancy, you will be instructed to book a hospital appointment due to a prolonged pregnancy. Please book the appointment by calling the hospital’s maternity outpatient clinic.

The length of these appointments is 30 minutes, including the recording of your health information by the public health nurse.

Open clinics

Avoneuvolan palvelut on tarkoitettu äitiys- ja lastenneuvola asiakkaille. Avoneuvolaan voitte tulla lyhyelle käynnille ilman ajanvarausta. Avoneuvolassa voidaan hoitaa muun muassa vauvan ja lapsen paino- ja pituusseurantaa sekä rokotusasioita. Poikkeuksena influenssarokotukset, joita varten varataan aika erillisille rokotusvastaanotoille tai rokotteen voi saada lapsen ikäkausitarkastuksen yhteydessä.

You can come to the open clinic for example to have your blood pressure measured or to get vaccinated. If you are pregnant and would like to have the foetus’s heart sounds monitored outside your scheduled check-ups, please book an appointment with a public health nurse.

The open clinics are unable to treat sudden illnesses. If you have fallen ill, please contact your health centre.

You may freely visit any open clinic, not only the one offered by your own maternity and child health clinic.

Open clinic appointments are short, only about 10 minutes. The open clinics use queue number tickets. Please be prepared to wait for your turn.

Please also check the open clinics’ website for exceptional opening hours before your visit. The opening hours are likely to change in the summer in particular. In July, the open clinics only serve clients by appointment.

Other services at maternity and child health clinics and the clinics’ partners

Support from lactation consultants, sexual counsellors and gestational diabetes nurses is available through the maternity and child health clinics.

Several other service providers and organisations operating in Espoo, such as services that offer help during a divorce and social counsellors, can also be reached through the maternity and child health clinics. Further information is available from your public health nurse, the maternity and child health clinic chat or our telephone service.

Additional appointments to meet your needs

Additional appointments at the clinic or at home and other support you may need will be planned based on your family’s individual needs and situation. If necessary, we can draw up a service needs plan and invite other municipal services or specialised health care providers to help you.

Many people book additional appointments to talk about matters such as fear of childbirth, challenges in growing into a parent, relationships problems or support for breastfeeding.

Oral glucose tolerance test and gestational diabetes

Gestational diabetes is a glucose metabolism disorder that is screened for during pregnancy. We recommend that you have an oral glucose tolerance test performed at 12–16 weeks of pregnancy if any of the following apply to you:

  • you had gestational diabetes during a previous pregnancy
  • sugar has been detected in your urine during early pregnancy
  • you have polycystic ovary syndrome (PCOS)
  • your body mass index is over 35 or
  • someone in your immediate family (such as your parents or siblings) has diabetes.

An oral glucose tolerance test is usually performed on all first-time mothers aged 25 or older at 24–28 weeks of pregnancy.

The oral glucose tolerance test will not be performed if you are at a healthy weight, younger than 40 and this is not your first child or you are at a healthy weight, younger than 25 and this is your first child.

The oral glucose tolerance test takes place in a laboratory. Its duration is two hours, and a total of three blood samples will be taken. The results will be available the next weekday. Please call the maternity and child health clinic telephone service to inquire about your results. If the test results of even a single blood sample fall outside the normal range, you will be diagnosed with gestational diabetes.

If your oral glucose tolerance test values are abnormal, the clinics’ telephone service will book a gestational diabetes nurse’s appointment for you. The gestational diabetes nurse will give you further information about gestational diabetes, monitoring your blood sugar levels at home, a suitable diet and other possible ways to treat it.

Before your appointment with the gestational diabetes nurse, please keep a food diary for three days (pdf, 23 Kt). Please read the INSTRUCTIONS FOR THE FOOD DIARY FORM (pdf, 27 Kt)

Please read more 

Appointments at the maternity clinic after childbirth

Appointment with a public health nurse / home visit for first-time mothers after childbirth within 1–7 days of being discharged

Please call the maternity and child health clinic telephone service as soon as possible after your child is born, while you are still in the delivery hospital, to book your first child health clinic appointment. During this phone call, you will be asked about the childbirth and your and the baby’s health. You will also be asked for your child’s detailed birth information. If this is your first baby, we aim to arrange your first appointment as a home visit. If this is not your first baby, you will be given an appointment at the child health clinic.

During this visit, we will discuss the parents’ experiences of the delivery, their coping and the mother’s physical well-being. We may discuss themes such as parenthood, early interaction, safety at home, support networks and any other matters you bring up as a family.

Support for breastfeeding is available depending on your wishes as a family.

We will also examine your newborn baby, take a look at their growth and discuss the way your baby’s growth and development will be monitored at the child health clinic.

Appointment booking and advice, tel. 09 8162 2800 Mon-Fri at 8.30–14.30.

If you go to a maternity and child health clinic, the length of this appointment is 75 minutes, including the recording of your health information by the public health nurse. If you have a home visit, the length of this appointment is 120 minutes, including the public health nurse’s travel times, the time spent with the family and the recording of your health information.

Appointment with a public health nurse 2–4 weeks after childbirth

We will discuss matters brought up by you and your family, such as the parents’ ability to cope, the mother’s physical recovery, the parents’ relationship and sexuality, family planning, birth control and everyday life with a baby.

Support for breastfeeding is available depending on the family’s wishes.

The length of this appointment is 60 minutes, including the recording of your health information by the public health nurse.

A postpartum check-up by a doctor 5–12 weeks after childbirth

During this appointment, we will discuss your physical and mental well-being, your experiences of the pregnancy and childbirth and any other matters brought up by you and your family.

The doctor will perform a pelvic examination and, if necessary, prescribe you a contraceptive. The doctor will give you a certificate of the postpartum check-up that you should send to Kela before your baby is 12 weeks old.

The length of this appointment is 20 minutes, including the recording of your health information by the doctor.

Appointment 3 months after childbirth

During this visit, we will discuss with both parents’ well-being and coping in their everyday life with the baby. You have been given an Edinburgh Postnatal Depression Scale (EDPS) form during the previous appointment. Please fill in the form a couple of days before this appointment. We also recommend that you prepare for this visit by filling in the Resource Barometer for Parents with a Newborn Baby.