8.3 Booking Clinic

Question 1

Ideally when does the booking clinic happen and what does the woman get given?

Answer 1

Ideally before 10 weeks and gets given the “Green Book”

Question 2

What Education topics are covered in the booking clinic?

Answer 2

• what to expect during pregnancy stages
• lifestyle advice
• supplements
• plans for birth
• screening tests
• antenatal classes
• breast feeding classes
• discuss mental health, domestic violence, FGM

Question 3

What are the booking bloods?

Answer 3

• blood group, antibodies and rhesus D status
• FBC (anaemia)
• electrophoresis for thalassaemia
  (sickle cell if risk)

Offer screening for:

• HIV
• Hep B
• syphilis

Question 4

Other than bloods, what else is measured at booking?

Answer 4

• weight, height, BMI

- urine for protein and bacteria

Question 5

What conditions do you assess risk factors for at booking? What might you then do?

Answer 5

• rhesus negative –> book anti-D prophylaxis
• risk gestational DM –> book OGTT
• FGR risk –> book extra growth scans
• VTE risk –> prophylactic LMWH
• pre-eclampsia –> aspirin if high risk