Maternity self referral

Book to have your baby with East Sussex Healthcare NHS Trust's Maternity service

Please fill in the form below. This is to book to have your baby with us. It will take about 20 minutes.

The questions are to find out important things about you and about your health. We will refer you to the maternity team best suited to care for you.

Once you have submitted the form, you will get an email from us.  We will send it to the email you entered on the form.

Having problems with this form? Please contact the team nearest to where you live by email:

Battle/Bexhill/Hastings/Rye: esht.conquestmaternityliaisonwardclerkteam@nhs.net

Eastbourne/Hailsham/Seaford: esht.eastbournematernityliaisonwardclerkteam@nhs.net

Accordion

We recommend everyone takes folic acid until they are 12 weeks pregnant. This helps prevent neural tube defects. You can buy a folic acid supplement over the counter. Multivitamin supplements also contain folic acid. For more information visit this website: Vitamins, minerals and supplements in pregnancy.

We recommend a higher dose of folic acid if any of the following apply to you:

  • if you have a BMI of over 30
  • you or the baby’s biological father has a neural tube defect
  • you or the baby’s biological father has a family history of neural tube defects
  • you have had a previous pregnancy affected by a neural tube defect
  • you have diabetes
  • you take anti-epilepsy medicine
  • you take anti-retroviral medicine for HIV

If any of these apply to you, talk to a GP. They can prescribe the higher dose of folic acid.

We also recommend everyone takes Vitamin D during pregnancy and breastfeeding. This can be taken as a supplement on its own or in a pregnancy multivitamin. If you have dark skin or cover your skin a lot, you may be at particular risk of not having enough vitamin D.

For more information visit this website: Vitamins, minerals and supplements in pregnancy.

There are some foods to avoid when you are pregnant. For more information vist this website: Foods to avoid in pregnancy.

There are some foods to avoid when you are pregnant. For more information vist this website: Foods to avoid in pregnancy.

Have a look at this is a useful booklet My choices for Pregnancy, Birth and Beyond.

If you wish, you can ask for a paper copy of the booklet when you meet your midwife. Writing down your thoughts and feelings can help you make decisions about your care.

We use an electronic maternity notes system called ‘BadgerNet’ – see more information.

Make your maternity self referral with us

Please note

Once you have completed your self-referral, please click the ‘Please click here to make your referral’ button. You will be sent an email* confirming that we have received your details.

Your information will be processed and you will receive an ‘Ultra Scan Appointment’ through the post. The Community midwife will aim to contact you prior to the Ultra Sound scan appointment, where they will liaise with you regarding a convenient date and time to perform your booking.

*subject to you entering a valid email address.

Your information

The information you enter into this form will be used to prepare for your visit for the birth of your child. Everyone working at the Trust must keep your information confidential and secure and share it only when necessary to provide you with the proper care during your stay. The fields marked * are compulsory but it is recommended that you complete as many optional fields as you can so that we have enough information to contact you in the case of a cancellation. By completing these optional fields you consent to us contacting you via this method. For example, by entering a phone number you consent to us contacting you by telephone. In this case you should bear in mind that someone other than yourself may answer the phone.

A copy of this form will also be sent to your GP to notify them that you are planning on having your baby at your selected hospital.

Important

This website is secure and the information you enter on this form is secure (please see the padlock symbol in the address bar).