Pregnancy monitoring - Caen Normandy University Hospital

Pregnancy follow-up

Appointment request

To request a pregnancy follow-up appointment, please fill out the form below.

02 31 27 25 25 if you prefer .
For appointment requests unrelated to pregnancy, please send us an email.

Maternity Service · Obstetrics

Step 1/5

Pregnancy follow-up

Progress: Next and Back buttons .

Identity and contact details

Date of birth *

Example: 0612345678

10 digits, without +33. Ex: 0612345678

Example: firstname.lastname@example.fr

Invalid email address. Example: firstname.lastname@example.fr

Please carefully enter your phone number and email address, as they will be used to contact you regarding the follow-up of your case.
Healthcare professionals involved in your care
Current pregnancy

Pregnancy monitoring is organized with a follow-up consultation every month and 3 mandatory ultrasounds (depending on your history, additional ultrasounds may be requested by the medical team).

Would you like to schedule an appointment for:

(Further appointments will be scheduled after this first ultrasound scan is completed)

(8-month consultation + anesthesia consultation)

Pregnancy Start Date (PDD)
If a first-trimester ultrasound has already been performed

Date of the first day of last menstrual period (LMP)
Reference information if you have not yet had an ultrasound

Date of the last day of the last menstrual period (optional)

Is this a multiple pregnancy (twins, triplets...)?
Yes No

Is this your first pregnancy?
Yes No

Date of the 3rd trimester ultrasound
Only for end-of-pregnancy appointment requests
Your background

Before pregnancy

Health problem requiring regular medical follow-up?
Yes No

If this is not your first pregnancy

During your previous pregnancy(ies), did you ever have a cervical cerclage?
Yes No

Due to the University nature of the Hospital Centre, the presence of a student during consultations is possible.

Only one accompanying adult is allowed for consultations and ultrasounds. The presence of children is not permitted.

If you do not speak French, please come accompanied, if possible, by someone who can translate.

Upon receipt of this form, we will contact you by phone or email as soon as possible.
Summary before sending

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