
You will have your prenatal care at the primary care centre; only in the case of a high-risk pregnancy will your care take place at a hospital.
During pregnancy, it is important to maintain healthy habits in terms of diet, physical activity and emotional wellbeing. If you need help, please contact your usual healthcare provider.
For a healthy pregnancy
At the SJD Barcelona Children's Hospital, we’d like to offer you some advice that may be useful during your pregnancy. Please bear in mind, however, that this information is for general guidance only and is not a substitute for the advice of healthcare professionals.
If you need help, please contact your usual healthcare provider.

Prenatal care at the SJD Barcelona Children's Hospital
As the birth approaches, in week 34 or 35, your midwife or your designated healthcare professional at the Primary Care Centre (CAP) should refer you to the hospital.
If you have been referred to the SJD Barcelona Children's Hospital, you will be given an initial appointment with our team, where you can make arrangements for giving birth at our hospital. During this appointment, we will go through your birth plan and provide health advice for the third trimester.
The SJD Barcelona Children's Hospital also holds an online information session to show expecting mothers and their birth partners how we work, as well as the hospital facilities, the healthcare professionals involved, routine procedures, etc. During the session, you will be able to ask the midwife leading the session any questions you may have.
If the fetus has been diagnosed with a condition, we arrange a prenatal appointment with the neonatologist and introduce you to both the unit and the team of healthcare professionals who will care for the newborn after the birth.
Information sessions are held weekly. If you would like further information, please email hospitalbarcelona.Derivacions-OBS@sjd.es.
Get ready for the birth
All low-risk pregnant women can have a natural birth if they wish. The protocol is explained at the primary care centre, and a visit is arranged with the midwife at the hospital to agree on the entire process leading up to the birth and to discuss the birth plan.
Perineal massage is a technique that helps prepare a woman’s body for childbirth by increasing the elasticity of the perineal tissues and reducing the risk of tears or episiotomies. Performed during the final weeks of pregnancy, it not only helps to minimise potential injuries but also allows the woman to become familiar with the sensation of stretching in this area. At the Escola de Salut, we explain how to perform perineal massage (in Spanish) safely and effectively.
Women are provided with a personalised birth plan that takes their preferences and needs into account.
Birth plan
Women are provided with a personalised birth plan that takes their preferences and needs into account.

A birth plan is a document in which you can set out your preferences, needs, wishes and expectations regarding the labor and birth process. Having this information in writing will be of great help to the healthcare team looking after you, as knowing your preferences will enable us to provide comprehensive and personalised care for both you and your companion.
Drafting a birth plan is a dynamic process, during which both the professionals from the Sexual and Reproductive Health Care Programme (ASSIR) and those at the SJD Barcelona Children's Hospital will be on hand to give you all the information you need and advise you on the available options.
Attending prenatal classes at your local health centre can help ensure the whole process is a positive experience. It will also help you to learn about and understand the resources available during labor.
This is a flexible process; you have the right to change your mind at any time about any of the decisions made, both before the day of the birth and on the day itself. Should circumstances change, our healthcare professionals will give you all the necessary information to ensure shared involvement in the decision-making process.
Should any factor arise that increases the risk, depending on the situation, there may be changes required to certain aspects of that plan.
The birth plan provides information and allows you to state your preferences regarding:
- Your birth partner.
- The comfort measures available in the labor room.
- Aspects of any procedures that may be carried out.
- Pain relief measures.
- Aspects regarding dilation and stage two of labor.
- Starting breastfeeding.
- The postnatal period and caring for your baby.
You can download the birth plan document via the following link:
Find out what you need to bring with you to the SJD Barcelona Children's Hospital if you have decided to give birth at our centre.
The baby's layette
Consult what you should bring to the SJD Barcelona Children’s Hospital if you have decided to give birth in our center.
When it gets close to the time your baby is due, it’s a good idea to prepare a bag with the things you’ll need while you’re in hospital. How long you’re in hospital for it will depend on whether you have a normal childbirth or a caesarean section. As a guide, we recommend bringing the following:
For the mother
- Short-sleeved nightdresses or pyjamas, with straps or buttons at the front to make it easy to breastfeed.
- Nursing bras, according to each mother’s own preferences. They’re not essential but they are more comfortable. The important thing is that they should not be underwired.
- Briefs. We recommend disposable net briefs or normal ones that are a suitable size.
- Slippers.
- Toilet bag with toiletries. Hair dryer if you need one (not available in the rooms).
- Clothes for going home in, preferably loose and comfortable.
- The hospital has a vending machine where you can buy nipple shields and breast pump accessories.
- Don’t forget to bring all the things you think you’ll need while you’re in labour.
- You don’t need to bring sanitary towels.
- You don’t need to bring towels.
Important for the companion:
We have a sofa that your companion can sleep on, but we do not provide sheets, pillow or blankets. You can bring these from home if you think you will need them. If you like, you can purchase a voucher from the dispensing machines located next to the emergency desk in the Women’s Health Area and we will then provide you with bedding.
For the baby
All the clothes need to be washed with neutral soap before being used for the first time and all the labels should be cut off. We recommend choosing natural fabrics and avoiding synthetic material that can cause skin allergies.
- A small bag to take into the delivery room with: a nappy, a baby hat and the mother’s Spanish ID card (DNI) or other ID document.
- 4 comfortable cotton or linen outer sleepsuits.
- 4 changes of underclothes (can be rompers or vests and bodysuits).
- 4 pairs of socks.
- 2 cotton hats.
- Natural sea sponge.
- 2 baby shawls (piece of cloth or blanket to wrap your baby in).
- 1-2 packs of nappies (choose the size according to the estimated weight).
- Changing mat.
- Wet wipes
The clothes may be warm or light, depending on what time of year the baby is born. We don’t recommend clothes with ties or zips, and it’s better to avoid items that have to go on over the head, because your baby’s head will still be very sensitive.
SJD Barcelona Children's Hospital does not offer ear-piercing services. If you wish to have your baby's ears pierced, we recommend that you wait until they are at least four months old and that you have it done at a specialist centre with appropriate hygiene and safety conditions.
Documentation needed
- Mother’s ID card (DNI), passport or residency card.
- Parents’ healthcare card or insurance company card (if the person registered with social security is not the mother).
- Family book or marriage certificate, if applicable.
- Birth plan.
- Documents related to monitoring the pregnancy (pregnant woman’s identity card, test results, etc.).
- Pen for filling in forms.
One of the legal formalities that can be carried out during admission – if the family wishes to do so at the SJD Barcelona Children's Hospital – is registering the baby with the Civil Registry.
How to register the newborn baby at the hospital
One of the formalities that can be taken care of at SJD Barcelona Children’s Hospital during the admission if the family so wishes is to register the birth of the baby in the Civil Register.
Since October 2015, it has been possible to register births electronically at the health centres where children are born. The Women’s Health area team will inform you about how to apply for registration (it is not instant) and enter the information in the Ministry of Justice’s website. The baby is registered after it is born
What you need to know about registering your baby at SJD Barcelona Children’s Hospital
The Hospital management can only notify the birth of a child in the first 72 hours after the baby is born and provide the information to guarantee correct identification of the newborn and relationship with the mother. Birth is the first event in the newborn’s life that has to be registered in the Civil Register by law. The procedure provides a record of the date, time and place of birth of the baby, as well as its gender and the names of the parents. You can find all the information related to this certificate on the Ministry of Justice website.
IMPORTANT: if both parents are registered in the same town, you can ask to register the baby there. To do that, both parents will need to take their Spanish ID card (DNI) or foreign resident ID card (NIE).
- If you want to do the registration at the Hospital, the baby will be registered in the Civil Registry Office of Esplugues de Llobregat.
- IT IS NOT POSSIBLE to register the birth if the documentation provided is a passport (it is a requirement of the computer system), as the local council registry office only recognises DNIs or NIEs as documentation associated with the address.
- It’s a good idea to ask the ward clerical staff for an appointment (preferably in the morning), as they work with an appointment schedule for registrations.
Conditions and documents for registering the birth
In what cases can the birth registration application be made from SJD Barcelona Children’s Hospital?
- It has to be done within 72 hours of the birth. Past that time it is not possible to register the birth at the hospital.
- The baby must have been born in SJD Barcelona Children’s Hospital.
- The parents must be over eighteen.
- In the case of a child of a married couple:
- One of the parents must have Spanish nationality.
- If both parents are foreigners, they must both have the same nationality.
- In the case of a child of unmarried couple:
- The identity of both parents is established if the declarants are single and both sign the application.
- The identity of the mother is established if only the pregnant mother is signing the application.
- If the baby is born to a single mother.
Where do you register the baby?
- At SJD Barcelona Children’s Hospital. You need to ask the ward clerical staff for an appointment in the morning, as they work with an appointment schedule for registrations.
- The registration process is done in themother’s room in our centre’s maternity admissions area.
- Both parents must be present to fill out the paperwork.
- The process lasts about 45 minutes.
- When your son or daughter is born, contact the member of staff at the main desk on the ward where the mother is admitted in the morning .
- If your baby is admitted to the Neonatology Department, we can still register the birth from the Hospital. In fact, it is usually a good idea to do so, so that one of the parents can take care of the preliminary formalities outside the hospital while the mother looks after the newborn and recovers from the birth.
Which documentation is needed to register the birth from the Hospital?
- The medical birth certificate that the Hospital will give you once the baby is born.
- The DNI, NIE or passport of both parents (originals) and of the applicant if they are not one of the parents.
- The family book or marriage certificate if the parents are married. If the parents were married abroad, the marriage certificate needs to be properly translated before the process can be carried out.
Which documentation does the Hospital provide?
On the acknowledgement of receipt that the notification has been made, there is a secure verification code at the foot of the page for the General Directorate for Registry Offices and Notaries, with the address of a website where you can check the authenticity of the document.
The Hospital cannot process the notification in the following cases:
- Any case that does not meet the necessary conditions referred to above.
- If the mother is separated, divorced or in the process of becoming so.
- Presumption of paternity: refers to babies in a marriage in the phase of breaking up in which the paternity of the baby is not clear.
- In the case of incapacity, absence or death of one of the parents.
In all these situations the registration must be made in person at the Civil Registry Office.
What does the Civil Registry Office do after the registration at the Hospital?
The Civil Registry Office receives the application and, once they have done the formal registration, sends out a certified copy of the Birth Certificate by post or by email. Once you have received this certificate, the family book will be automatically updated.
If you do not want to register the baby, or you do not meet the required conditions:
You must go to the Civil Registry Office and present the documentation required in each case. You can find more information about this on the Generalitat de Catalunya (Catalan Government) website.
Arriving at hospital to give birth
Keep an eye out for the following signs:
When contractions are regular and intense, occurring every five minutes or less, for at least two hours. If this is not your first birth, come in when contractions are occurring every five minutes for one hour.
If you have heavy vaginal bleeding; persistent abdominal pain or a decrease in fetal movements; a headache or high blood pressure (above 140/90 mmHg), you should come to the Emergency Room.
If your waters break and the fluid is not clear, if you have any concerns, or if the result of the vaginorectal swab is positive for Group B Streptococcus agalactiae, come to the hospital. However, if your waters break and the fluid is clear, you can feel the baby moving and the result of the vaginorectal swab is negative, you can wait up to 12 hours for contractions to start. In this second case, you can join the Wait programme.
The Wait programme is for the management of premature rupture of membranes in pregnant women with a low-risk pregnancy, where contractions have not yet begun, allowing a 24-hour wait for labor to start spontaneously.
You may be eligible for this programme if:
- Your waters are clear.
- You feel fetal movements.
- Your vaginorectal swab is negative for Group B Streptococcus agalactiae.
- Your pregnancy is classified as low-risk.
If you opt into this programme, once you arrive at the Emergency Room and we confirm that you meet the criteria, we will carry out a cardiotocography (CTG) and an obstetric assessment via a vaginal examination. We will also take your vital signs (temperature, blood pressure and heart rate).
If everything is normal, we will give you the option of returning home and waiting for up to 24 hours after your waters break for contractions to start on their own. We’ll give you a contact number so you can get in touch if you have any questions, and we’ll arrange a date and time for you to be admitted if labor hasn’t started within this time.
You should enter via Passeig Sant Joan de Déu, 2, 08950 Esplugues de Llobregat, through Block A (Women’s Department).
If you enter via the main lobby, you will find the Women’s Department Emergency Desk on your left.
If you enter via the car park, you will see markings on the floor guiding you to the same Emergency Desk in the Women's Department.
As the birth approaches, it is a good idea to pack a bag with the essentials for your stay in hospital, the length of which will depend on whether you have a natural birth or a cesarean section. It is also important to bring all the necessary documentation and any items your birth partner will need.
To help you get ready, you can see ‘The Baby's Layette’ above .
Childbirth at the SJD Barcelona Children's Hospital

High-risk pregnancy
If complications are anticipated or detected during pregnancy, BCNatal at the SJD Barcelona Children's Hospital offers you our expertise and care for all types of high-risk pregnancies.
- We are experts in the main complications involved in pregnancy and have specialist units dealing with fetal growth problems, pre-eclampsia, preterm birth and multiple pregnancies.
- We offer multidisciplinary monitoring and care for women with pre-existing medical conditions that pose a high risk during pregnancy and childbirth (including, amongst others, diabetes, immune disorders and kidney disease).
- Our specialists in adult medicine at Hospital Clínic, one of Europe’s leading general hospitals, enable us to manage all maternal medical issues during pregnancy.
Areas of expertise
- Fetal growth problems: Our team of international experts optimises prenatal management and obstetric decision-making, and plays a decisive role in determining the prognosis for your newborn.
- Pre-eclampsia: Our comprehensive protocol for monitoring symptoms of high blood pressure during pregnancy enables us to effectively manage all risks to the mother and her unborn child.
- Risk of preterm birth: We have state-of-the-art technology to monitor pregnancies where a risk of preterm birth is detected.
- Gestational diabetes: Gestational diabetes is the most common metabolic disorder associated with pregnancy. Careful planning minimises the consequences of this condition for both the mother and the fetus.
- Maternal infectious diseases: Our specialists in the early detection and treatment of fetal diseases have extensive experience in reducing transmission and infection in newborns.
- Multiple pregnancy: Our specialists have extensive experience in the prenatal and intrapartum management of pregnancies with monochorionic and dichorionic twins.
Maternal-Fetal Medicine and Obstetrics
We look after babies’ health even before they are born, through advanced prenatal diagnosis. We are leaders in fetal medicine.
