Pregnancy care

Why choose Vītola klīnika?

• “Doctor + midwife” team care — more attention and a clear plan for each patient.
• We work not only in accordance with Cabinet Regulation No. 611, but also according to the latest LGDSA clinical pathways, with additional opportunities to provide multidisciplinary team services in one place, so that the patient receives the same or even better quality of care as in state perinatal centres.
• Expert-level ultrasonography: first, second, and third trimester, Doppler ultrasound, neurosonography, fetal echocardiography, 3D/4D.
• A personal pregnancy care plan with a precise schedule of visits and examinations.
• A multidisciplinary approach for high-risk pregnancies: gynaecologist, midwife, fetal ultrasound expert, neonatologist.

Pregnancy care guide at Vītola klīnika

From pregnancy planning to the postpartum period — with professional and caring support.

Stage	Goal	Vītola klīnika services	Who takes care of you?
I. Beginning — pregnancy planning	To prepare the body for healthy care and a safe start.	A joint discussion about a healthy lifestyle, nutrition and daily habits, assessment of vitamins and micronutrients — folic acid, iodine, vitamin D — evaluation of chronic diseases, vaccination status check and recommendations.	Gynaecologist and midwife — medical monitoring and assessment, advice, and daily lifestyle support.
II. Antenatal care — regular visits	To carefully monitor the course of pregnancy and the woman’s well-being.	A structured schedule of visits and examinations in each trimester — at 8–10, 12–14, 16–18, 25–26, 29–30, 34–35, 37–38, and 40–41 weeks. Ultrasound and laboratory examinations, screening and risk assessment, support for psycho-emotional well-being, and physiotherapy consultations if needed.	Gynaecologist — ultrasound, examinations; Midwife — regular visits, daily support; Additional specialists — if an increased risk is identified; Physiotherapist.
III. Birth planning	To help the woman feel safe, informed, and prepared for childbirth.	Development of an individual birth plan at 34–35 weeks of pregnancy: a discussion about the birth process, environment, and pain relief options. Preparatory classes for expectant parents on childbirth, breastfeeding, the postpartum period, and recovery.	Gynaecologist — medical planning; Midwife — courses, preparation, and emotional support; Anaesthesiologist — if pain relief is required
IV. Postpartum care	To provide safe, caring, and professional support for the mother and baby.	Midwife visits at the clinic or at home on days 3–5 and 10–14 after childbirth, support for the mother’s physical and emotional health, and breastfeeding consultations. A visit to the gynaecologist 6–10 weeks after childbirth. Neonatologist examination of the newborn. Pelvic floor physiotherapy and, if needed, consultations with other specialists according to indications.	Midwife — care for the mother and baby, breastfeeding support; Gynaecologist — health assessment and contraception, aesthetic gynaecology; Neonatologist — newborn examination; Pelvic physiotherapist; Surgeon-proctologist, if necessary.

How does Vītola klīnika prepare a personalised plan?

Individual initial assessment in the first trimester at 12–14 weeks of pregnancy

At the beginning of pregnancy, a comprehensive assessment of the mother’s and fetus’s health is performed:

• Basic examinations, including ultrasound
• Risk factor analysis, based on which the patient is classified into risk category A, A+, B, or C
• An individual pregnancy care plan is developed, including the visit schedule, the required list of examinations, the specialists involved, and their roles.

Multidisciplinary team approach

If the pregnancy is classified as increased or high risk, the appropriate specialists are involved in the care process — a gynaecologist and other doctors according to indications.

• The midwife coordinates the care process and helps navigate the visit schedule.
• Provides explanations about examinations and treatment decisions in clear, patient-friendly language.
• Ensures continuous communication between the patient and the medical team.

Regular adjustment of the care plan — the pregnancy care plan is not static; it is regularly reviewed and adapted:

• The plan is updated in each trimester based on the latest examination results.
• If new risk factors appear, the patient is moved to a higher risk category, ensuring closer monitoring and additional support.

Preparation for childbirth. For high-risk patients, timely and close cooperation is ensured with the hospital where the birth is planned:

• The birth plan is coordinated.
• Continuity of information is ensured between outpatient and inpatient care.
• The patient feels safe and prepared for childbirth.

Postpartum care strategy

The postpartum period is planned already during pregnancy:

• Midwife and doctor visits — optionally also home visits — on days 3–5, days 10–14, and 6–8 weeks after childbirth.
• The mother’s physical recovery is assessed.
• Newborn health and care
• Psycho-emotional well-being and adaptation to the new role

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Expecting a baby

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Frequently Asked Questions (FAQ)

What is a low-risk and high-risk pregnancy? Low risk — no chronic diseases or previous complications; high risk — combined maternal, fetal, and/or social risks. We assess the risk already in the first trimester and update it at each visit.

Is the care suitable only for low-risk pregnancies? Primarily, yes, but if needed, we ensure cooperation with the relevant specialists.

Will I be cared for by a midwife or a doctor? In low-risk cases, the patient may choose whether care is provided by a doctor or a midwife. In high-risk cases, care management is taken over by the doctor, while the midwife provides consultations during specific visits.

Is midwife support also available during childbirth? Yes, it is possible to conclude an agreement for childbirth care at PSKUS, ensuring continuity of care and experiencing childbirth with your own midwife.

Can I choose the place of birth? Yes. We provide information about various maternity facilities in Latvia.

Do you offer postpartum home visits? Yes — on days 3–5 and 10–14 after childbirth, subject to availability.