Antenatal Booking Flashcards
When do NICE guidelines recommend booking appointments to be done by?
10 weeks gestation
How might the women be feeling during the booking?
excited, nervous, scared, tired, sick, intimated (inquisitive q’s), relieved, judged (personal info), happy, unsure (about pregnancy)
How might the midwife be feeling during the booking?
apprehensive, tired, stressed with workload, excited for the women, pressure (confidential info), frustrated
What influences might effect the women’s feelings?
- is she happy revealing her medical history? her private life, finance, relationship etc?
- is she happy to be pregnant
- previous pregnancies - how did they go and/or effect her?
- culture/language/religious barriers
- how old is she? is she happy to be a mum at her age?
- self confidence, body conscious
- how has she conceived? IVF - nervous
- addictions - smoking, drugs, alcohol
- who is with her? child distracting, partner who is abusive, mother who’s controlling?
What influences might effect the midwife’s feelings?
- has she experience this women or family before - good/bad?
- workload stress
- pressure from weight of confidential info and over lapping roles
- atmosphere - approachable women? calm partner?
- how’s her day been?
- newly qualified - bit nervous still?
List the categories of information needed in booking?
- Demographic details
- LMP
- Previous pregnancies
- Medical/family history
- Surgical history
- Social and lifestyle history
- Baseline Observations
What demographic information do we need?
- address
- where to place her in clinic - close to home
- age
- housing type - own, rent, pets, who lives there
- partner present - is it father? are they happy?
- employment
- education - when did she leave education?
- does she seek benefits?
What information can be produced from knowing her LMP and what would midwife want to know?
- regularity + frequency
- last day of last period
- contraception that effected period
- any bleeds in current pregnancy?
- physical symptoms
- miscarriages?/previous pregs
- para and gravida
- calculate EDD
What does ‘para’ and ‘gravida’ mean?
para = number of children gravida = total number of pregnancies, including children, stillbirths, miscarriages and terminations
What would midwife want to know about her previous pregnancies?
- did she enjoy them/it?
- how was the labour? PV? CS? premature? traumatic?
- did she have any medical problems? - pre-eclampsia, cholestasis, gestational diabetes etc
- weight of children at birth, do they live with her?
- postnatally - how did it go? how did she feed? emotionally how was she?
What would midwife want to know about medical history/family history?
- anything they’ve experienced
- anything that might effect baby
- diabetes
- depression
- heart conditions
- thrombosis
- FGM
- smear history
- medication
- religion, culture, language
What surgical history would midwife want to know about?
- spinal surgery
- c-sections
- ectopic pregnancy
What social and lifestyle history would midwife want to know about?
- employment
- mental health
- exercise
- leisure activities
- addictions
- domestic abuse
- alcohol consumption
What baseline observation would be taken at booking?
- blood - iron levels, blood group, microbiology (bacteria, viruses)
- BMI
- urinalysis
- blood pressure
What would a women want to know from her midwife during booking?
- information about pregnancy, what to expect, what’s ‘normal’
- antenatal visits - when and where?
- diet and lifestyle - exercise, addictions, screening tests, sexual intercourse
