Advice/Basics for Pregnancy Flashcards
How is gestational age calculated?
time since the first day of the last period
when is the estimated date of delivery?
40 weeks from the first day of the last period
gravida refers to
the number of times of they have conceived (however NB twins = one)
para refers to
the number of pregnancies that have reached 24 weeks or longer (however NB twins = 1 or 2 depending on who you ask)
gestation for:
first trimester
second trimester
third trimester
0-12 weeks
13-26 weeks
27 weeks +
at what gestational age do foetal movements begin?
20 weeks gestation - and they continue until birth
occurs before 10 weeks gestation
booking clinic
occurs between 10 and 13+6 weeks gestation
the dating scan - accurate dating calculated from crown/rump length and also twins are identified
occurs at 16 weeks gestation
antenatal appointment - results discussed and future appointments are planned
occurs between 18 and 20+6 weeks
the anomaly scan
multiple of these occur between 25 weeks and delivery
antenatal appointments to monitor pregnancy and discuss future plans
when would an OGTT be done in at-risk patients?
24-28 weeks gestation
when would anti-D be given in Rh -ve patients?
28 and 34 weeks gestation
placenta previa diagnosed on the anomaly scan: when will this be followed up?
at 34 weeks
how is IUGR/SGA followed up?
with serial growth scans
from which point onwards is symphysis-fundal height used?
from 24 weeks
from how many weeks gestation is foetal presentation assessed?
36 weeks
2 vaccines offered to all pregnant people
influenza
whooping cough
vaccines avoided in pregnancy
live vaccines e.g. MMR
which vitamins should be taken in pregnancy?
folic acid 400mcg for the first 12 weeks
take 400IU of vitamin D
which vitamin should be avoided in high doses in pregnancy?
A
2 foods which can be harmful in pregnancy
why?
unpasteurised cheeses/dairy products (can cause listeriosis)
undercooked poultry (can cause salmonella
exercise in pregnancy
safe but avoid contact sports (lol)
travel in pregnancy
plane journeys increase the risk of VTE
place seatbelts above and below “bump” (not across it)
recommended limits for alcohol in pregnancy
0
6 manifestations of foetal alcohol syndrome
characteristic facial abnormalities e.g. close set eyes; small head
learning difficulties
behavioural difficulties
hearing loss
sight loss
cerebral palsy
6 complications of smoking in pregnancy for the foetus
SGA/IUGR
stillbirth
miscarriage
cleft palate
SIDS
preterm labour
2 complications of smoking in pregnancy for the mother
placental abruption
pre-eclampsia
When to stop flying in pregnancy (2)
37 weeks onwards for single pregnancies
32 weeks onwards for multiple pregnancies
(NB after 28 weeks most airlines will require a note from a doctor or midwife that the pregnancy is uncomplicated)
