Midwife appointment

The midwife consultations at Loote Ultrahelikeskus are provided by midwife Jane Tisler, who works in close daily collaboration with obstetrician Dr. Marek Šois and has extensive experience in pregnancy follow-up, assessment of pregnancy-related concerns, and counseling for prenatal diagnostics.

 

All pregnant women are welcome, whether they are on a normal course of pregnancy or have questions or concerns. If you wish, your partner is also warmly welcome.

 

An in-person visit allows direct contact and a thorough assessment. When needed, examinations are performed, and a clear plan for further care is agreed upon.

 

What does a midwife appointment offer?

 

The aim of the midwife consultation is to provide comprehensive, practical, and trustworthy support throughout pregnancy – combining discussion, physical assessment, and necessary investigations.

 

During the appointment:

• the course of pregnancy and the well-being of both mother and baby are assessed,
• pregnancy-related symptoms and their management are discussed,
• potential complications are prevented where possible,
• informed decision-making regarding pregnancy care is supported,
• The need for obstetric consultation is evaluated.

 

If necessary, the midwife can also assist with prescribing pregnancy-related medications and issuing digital prescriptions within the legal scope.

 

What can be done during the appointment?

 

Assessment of maternal and fetal well-being

• fetal heart rate assessment using Doppler,
• measurement of fundal height,
• CTG monitoring (assessment of fetal wellbeing and uterine activity),
• blood pressure measurement and monitoring (including ambulatory monitoring if needed),
• assessment of edema and preeclampsia risk,
• oxygen saturation measurement using pulse oximetry,
• assessment of thrombosis risk and travel-related risks.

 

Pregnancy-related symptoms and supportive care

• nausea, heartburn, and digestive discomfort,
• anemia and fatigue,
• vaginal discharge and recurrent vaginal symptoms,
• hemorrhoids and varicose veins,
• lower back, pelvic, and symphysis pain,
• abdominal wall tension.

 

Kinesiology taping may be used when needed to help relieve pelvic and lower back pain and improve overall comfort.

 

Laboratory tests and screening

• urine analysis with rapid on-site results,
• blood tests (e.g., in case of suspected anemia),
• prenatal screening tests (including cytomegalovirus and toxoplasmosis),
• GBS screening in late pregnancy,
• glucose tolerance test (GTT).

 

Gestational diabetes counseling and glucose monitoring

• nutritional and lifestyle counseling,
• guidance on blood glucose monitoring,
• Dexcom ONE+ comprehensive service (sensor, placement, and training).

 

Vaccination and immunization
Counseling and administration of pregnancy-related vaccinations, as well as immunization of Rh-negative women according to medical indications.

 

Medical equipment rental
If needed, a fetal Doppler and a pregnancy-calibrated blood pressure monitor can be rented, along with proper instruction for use.

 

Frequently Asked Questions

• Those who benefit the most are women who ?

  Those who benefit the most are women who:

  • have entrusted their pregnancy care to the midwife at the Fetal Ultrasound Center,
  • wish to receive continuous and individually tailored pregnancy follow-up,
  • value thoroughness, safety, and direct contact with a specialist.

• How long is a midwife appointment?

  Appointments usually last 30–60 minutes, depending on your questions and any necessary examinations. Our goal is to ensure you have enough time to discuss everything calmly and thoroughly.

• Can I bring my partner to the appointment?

  Yes, of course. Your partner is very welcome if you wish — pregnancy is a shared journey.

• What should I bring to a midwife appointment?

  Please bring your maternity record with you. If you have previous test results, ultrasound reports, or medical records, please bring them with you or send them in advance by email. This helps us provide a more accurate assessment.

• Can a CTG be performed during the appointment?

  Yes, if needed, the baby’s well-being and uterine activity can be assessed using CTG during the same visit.

• Is it possible to do a urine test on-site?

  Yes, a urine test can be performed on-site, and the result is often available immediately.

• Can a midwife help with gestational diabetes?

  Yes. We offer dietary and lifestyle counseling, training in blood glucose monitoring, and, if needed, perform a glucose tolerance test as well as Dexcom ONE+ sensor placement and user instruction.

• Does the midwife also offer video consultations?

  Yes. Midwife also offers video consultations at all stages of pregnancy. A video consultation is suitable for discussing pregnancy-related symptoms, examinations, prenatal tests, choosing the appropriate ultrasound examination, and questions about vaccination during pregnancy. If needed, the midwife can issue digital prescriptions within the limits permitted by law. A video consultation does not replace a doctor’s appointment in higher-risk pregnancies; if necessary, the patient will be referred to a gynecologist or an in-person appointment.

• How do I choose between a midwife and a gynecologist appointment?

  If you need pregnancy follow-up, counselling, support with symptoms, or planning of tests, a midwife appointment is often the right choice.
  If a medical decision or more advanced diagnostics are needed, the midwife will refer you to a gynecologist.