British standard of care by British qualified Dr. S. Gozali SpOG, MBBS (London), FRCOG (UK)

• Antenatal care for normal (low-risk) pregnancy and high-risk pregnancy (twins, pre-eclampsia, intrauterine growth restriction (IUGR) or fetal growth restriction (FGR), placenta praevia, previous Caesarean, gestational diabetes and preterm birth).
• Ultrasound scan of the baby- particularly important is to date the pregnancy at 12-week gestation and to asses fetal growth serially in the 3rd trimester. (Fetal anomaly scan is referred elsewhere).
• Non-invasive prenatal test (NIPT)- Panorama and Vistara, both by Natera, USA.
• First trimester combine test (nuchal translucency and blood biochemistry measurements)- to screen for Down syndrome and neural tube defects.
• Amniocentesis- when NIPT results is abnormal. Investigations that can performed on the amniotic fluid include karyotyping, fluorescence in situ hybridization (FISH), whole exome sequencing, whole genome sequencing and microarray test.
• Chorionic villous sampling (CVS) will be referred to other doctor.
• “Special” infection tests in pregnancy (unavailable commonly, hence sent to overseas lab)- PCR tests for toxoplasma and cytomegalovirus; chickenpox IgG and IgM.
• “New” recommended tests in pregnancy- carrier screening test (Horizon by Natera, USA) and single-gene NIPT (Vistara by Natera, USA).

• Vaccination in pregnancy- DTaP (Diptheria, Tetanus, acellular Pertussis); Influenza; RSV (Respiratory Syncytial Virus).
• Vaccination after delivery (recommended, if no immunity)- hepatitis B, rubella, chicken pox and HPV.
• Hyperemesis (nausea and vomiting) in pregnancy- intravenous treatment.
• Iron deficiency anaemia- intravenous iron infusion, if oral supplement is not helping.
• External cephalic version (ECV)- manually turning (“massage”) a breech baby to “normal” head-down presentation.
• Stem cells collection.
• Paternal DNA testing.

Both vaginal and Caesarean deliveries are performed in a hospital.

Vaginal deliveries are encouraged. Painless labour is offered in the form of mobile epidural analgesia. Transcutaneous electrical nerve stimulation (TENS) machine is also available. An appointed personal midwife can be made available during labour. Water birth and Entonox (laughing gas / nitrous oxide) are not available in Jakarta. 

Dr. Gozali personal data revealed that among patients (2022-2024) who wish to have vaginal deliveries, 97.5 % did end up with vaginal deliveries. The outcome of babies’ well being at birth is not different to those delivered by Caesarean section. 

Patients who have Caesarean deliveries recover quickly with a vast majority of them being able to mobilise the following day. Prophylaxis against infection and venous thromboembolism (VTE) are routinely provided, as per British (Royal College of Obstetricians and Gynaecologists) protocol. 

As in the UK, post-delivery home visits can be made available by our clinic midwives. This is an important aspect of continuation of care to ensure new (especially first-time) mothers are coping well with the newborns. 

The clinic also provides newborn hampers- a collection of various essential items (some you may not realise you need them until the time comes).