Read our latest advice on Coronavirus (COVID-19)

Our services are open and safe to attend – we are here to help

Your first midwife appointment


More in this section


Also called your antenatal booking, this first appointment will give you the opportunity to discuss your pregnancy and for us to take some important tests.

This appointment will take around 1 hour.

Please be aware that at the beginning of this appointment your midwife will need 10 minutes alone with you.

Coronavirus: maternity services update

Due to the ongoing coronavirus (COVID-19) pandemic we understand that you might be worried about the situation and the impact it will have on your pregnancy and care. We have created a list of frequently asked questions to reassure you in this difficult time. You should also read about the changes we have made to our community midwifery services and specific advice about feeding your baby.


What we will talk about

The midwife will ask questions about your health, your family’s health, and your preferences for this pregnancy.

Your midwife will ask to see you alone for the first 10 minutes of the appointment before your partner, or the person that's come with you, can join the appointment.

It's normal to feel a bit anxious or overwhelmed before your appointment. It might be helpful to make some notes before your appointment, so you don't forget anything important you'd like to ask. 

You can find more about questions the midwife may ask and topics you may discuss on the NHS website.

Tests during the appointment

With your permission, the midwife will record your height, weight and blood pressure, and will ask for a urine sample. You will be offered a full range of blood tests including

  • your blood group, iron level (haemoglobin) and rhesus status
  • tests for HIV, hepatitis and haemoglobinopathies (conditions such as sickle cell disease)
  • screening for Down’s syndrome

Your appointment also offers you the opportunity to discuss and consider recommended screening tests including carbon monoxide monitoring. Carbon monoxide in the blood stream usually occurs when you are exposed to tobacco smoke or faulty gas appliances.

The NHS website has more information about the tests you may be offered.

Updating your information before your appointment

Before your first midwife appointment we would like you to use the Maternity Notes app or website to provide us with some background information. This is so we can we can spend less time on collecting information, and more time talking about your pregnancy.

If you have not already registered for Maternity Notes electronic access, please email your name, date of birth and mobile phone number to and we will set this up for you.

Once registered, please go to the ‘pre-booking’ section and complete.

How to access Maternity Notes

  1. When we booked your first appointment for you we generated a security phrase which is your first initial and last name (all lowercase) immediately followed by your year of birth (Anna Smith born in 1988 would be asmith1988). If you have more than one last name or it is double-barrelled we will only use the last part.
  2. You can log in to the Maternity Notes website or download the Maternity Notes app from the App Store.
  3. The first time you access your notes you will need to register for the service using your email address and security phrase as above.
  4. You will receive a verification code to your mobile telephone to set up the account, which will require you to create a secure password. If you are using the app on your smartphone or tablet you will also be asked to create a pin number for ease of login for the future. You are now ready to view your records, please proceed to the pre-booking information section and complete.

You can find more information about where your appointment will be held and how to change or cancel on our antenatal clinics page



Resource number: 4681/VER1

Last reviewed: Jan 2019 | Next review: Jan 2022

A list of sources is available on request.


Where next?

 Contact us

If you have any queries about your antenatal booking appointment, please call the antenatal booking line.

Phone 020 7188 8002

For queries about the screening tests we offer (including 12 week scans) please call the fetal medicine unit.

Phone 020 7188 8003

Monday to Friday, 9am to 5pm

Printable PDF

Download Your antenatal booking appointment (PDF, 102KB)

Was this helpful?

If you have comments about this information, we would be happy to hear from you. Fill in our online form or email

PIF TICK logo - trusted health information