Antenatal Template

Antenatal Template

๐Ÿคฐ Antenatal Template

๐Ÿ’ท How much is this worth to me?

This template supports comprehensive antenatal care in line with:

  • GP Contractual obligations for shared maternity care

  • NICE guideline NG201 on antenatal care

  • Maternity Enhanced Services, where commissioned

Accurate antenatal documentation ensures safe multidisciplinary care and enables timely referrals, safeguarding, and coding for maternity indicators.


๐Ÿ“Š High-level overview of the specification requirements

This template supports:

  • Recording of initial pregnancy notifications

  • Documentation of key antenatal checks

  • Capture of screening, immunisation, and safeguarding

  • Timely referral to midwifery services

While there is no direct QOF payment, this data is essential for both care quality and maternity service coordination.


๐Ÿ“Œ What do you need to know?

๐Ÿคฑ Pregnancy Confirmation

  • Record:

    • Last menstrual period (LMP)

    • Estimated date of delivery (EDD) (based on LMP or scan)

    • Gestation at first contact

๐Ÿงพ Booking and Referral

  • Tickbox to confirm if:

    • Patient has been booked with midwife

    • Referral to maternity services has been made

  • Option to upload or reference booking documentation

๐Ÿ’‰ Screening and Tests

  • Prompt for:

    • Antenatal bloods (FBC, group, antibodies, HbSAg, HIV, syphilis)

    • Screening consent

    • First scan attendance

    • Downโ€™s / Edwards / Patau screening discussed

๐Ÿ’Š Immunisations

  • Record discussion/offers of:

    • Flu vaccination

    • Pertussis vaccination (from 16 weeks)

    • COVID-19 vaccination

๐Ÿ›ก๏ธ Safeguarding and Social Factors

  • Space to note:

    • Social support

    • Housing/financial issues

    • Domestic violence

    • Safeguarding concerns

  • Can be linked to wider safeguarding templates

๐Ÿšญ Lifestyle

  • Record:

    • Smoking status and cessation advice

    • Alcohol or substance misuse

    • Weight and dietary advice


๐Ÿ’ก Hints and Tips

  • Document early contact: first antenatal contact before 10 weeks supports continuity of care targets

  • Use this template at both first contact and any GP follow-ups during pregnancy

  • Clearly code pregnancy diagnosis to trigger system alerts (e.g. for medication contraindications)

  • If the patient declines referral or screening, use the appropriate decline codes

  • This form integrates well with child health, safeguarding, and postpartum planning templates

    • Related Articles

    • Injection: Methotrexate Template

      ? Injection: Methotrexate Template ❓ Why is this important? Methotrexate is a high-risk medicine requiring careful monitoring. This template ensures: Safe administration – with pre-dose checks, risks, consent, and safety steps documented Monitoring ...
    • Injection: Denosumab Template

      ? Injection: Denosumab Template ❓ Why is this important? Denosumab is a high-value, high-risk medicine. Safe use requires robust monitoring and documentation. This template ensures: Correct administration – with pre-dose safety checks recorded Bone ...
    • Injection : Hormone Template

      ? Injection : Hormone Template ❓ Why is this important? Hormone injections and implants are used in oncology, gynaecology, and other long-term conditions. They require specific safety checks and patient counselling. This template ensures: Safe ...
    • Injection : Neuroleptic Depot Template

      ? Injection : Neuroleptic Depot Template ❓ Why is this important? Neuroleptic depot injections are long-term treatments requiring careful monitoring and shared care with community mental health teams (CMHT). This template ensures: Safe ...
    • Injection: B12 Template

      ? Injection: B12 Template ❓ Why is this important? Vitamin B12 injections are one of the most common long-term therapies given in primary care. This template ensures: Safe administration – with pre-procedure risks, consent, and safety checks ...