2 - Obs - Antenatal Care - Aims of care + Pre Conceptual care and counselling

Question 1

there are 6 aims of antenatal care - PREVENT or DETECT + MANAGE what?? (4 aims)

Answer 1

…pre-existing maternal disorders that may affect pregnancy
…maternal complx of pregnancy
…fetal complx of preg
…congenital fetal problems, if requested by pt

Question 2

what are the two aims that aren’t just about preventing/detecting problems

Answer 2

planning with mum the delivery to ensure safety for mum and baby, and maternal satisfaction

provide education and advice regarding lifestyle and minor conditions of pregnancy

Question 3

health check of mum - what is checked and given pre preg? what if chronic disease? eg?

Answer 3

rubella status - immunisation given pre-preg

health can be optimised eg strict glucose control in DM to reduce risk of congenital anomalies

Question 4

what advice if given in the health check?

Answer 4

advice on smoking, drinking and drugs

Question 5

what can also be optimised at the health check? eg? what else can be given routinely? why?

Answer 5

medication - lamotrigine instead of valproate

folic acid - reduce NTDs