Leighton Maternity Form

Self-referral form for Leighton Hospital maternity unit

Leighton Hospital’s maternity unit has created a new self-referral form for women to complete once they have found out they are pregnant.

Following submission of the form, women will receive a phone call from a midwife to book their first appointment.

If you are over 10 weeks pregnant please do not fill out the form, please call Maternity Outpatients directly on 01270 273127 (Monday to Friday, 8.30 am – 4.30 pm) to book your first appointment.

If you prefer, you can still call the department as an alternative to completing the self-referral form.

Find out more about Leightons maternity Services and how to self refer.

Complete the self-referral form here.

View Leighton’s Self Referal Patient information Leaflet

Prior to your booking appointment, please access ‘Screening tests for you and your baby’ information via the following link: https://www.gov.uk/government/publications/screening-tests-for-you-and-your-baby

It is important to make sure that you are taking Folic Acid 400mcgs (or a higher dose if you have been advised to do so) and Vitamin D 10mg supplements. These can both be found in ‘over-the-counter pregnancy multivitamins’. If you are taking any regular prescribed medication, it is important to check with your GP that it is safe to take during pregnancy.

For pregnancy-related information, advice relating to lifestyle and diet in early pregnancy, please see Leighton’s Pregnancy Leaflets.

For more information and news updates about Leightons Maternity Services view their Facebook page.