ANC/Screening Flashcards
ANC: mum
pre-existing conditions
pregnancy complications
ANC: baby
fetal abnormality: structural, genetic
growth restrictions
fetal disease: infection
Mum history
PMH - clotting, htn, epileps past obs history ethnic group consanguity FHx substance misuse
topics to cover w mum
age ethnicity marital status parity, TOP STDs drugs smoking employment sickness, disability mental health family circumstances domestic abuse, rape
mum examination
breast cancer cardiac BMI BP urine
mum investigations
FBC, blood grouping, antibody status
viral serology: hepatitis, HIV, syphilis
if approp: U&Es, LFTs, HbA1c
when can first visit scan be done
12-14wks
when can 2nd trimester serum screening be done
14-20wks
when can detailed anomaly scan be done
20wks
1st trimester booking scan - what
confirm intrauterine pregnancy confirm no of fetuses confirm viability gestational age by CRL fetal anomaly
CUBS if consent to it
what does CUBS test for
high or low chance of trisomy 21, 13, 18
when would 2nd trimester serum screening be offered and what it look at
books to late for 1st visit scan or NT measurement impossible to take
maternal age, AFP, inhibin A, oestradiol, BHCG
what is NIPT based on
free fetla DNA in maternal serum sample
what does NIPT screen for
trisomy 21, 18, 13
sex chromosome abnormalities (XO, XXY)
invasive tests offered
chorionic villous sampling
cordocentesis
amniocentesis
