Antenatal Care Flashcards
(20 cards)
what supplements given on 1st contact and what doses
Folic acid - 400ug (5mg if high risk)
Vit D - 10ug
What is done at booking appt
check RFs for pre-eclam + GDM
offer vaccinations (influenzae + covid)
BP and proteinuria
arrange screening (downs etc) if mother wants
arrange bloods - screening for ABO, Resus D, anameia, red cell alloantibodies, Hep B, HIV
what is checked at the dating scan
viability gestation multiple? chorionicity nuchal translucency
what is checked at 16 week midwife review
results of any screening tests
BP + proteinuria
OGTT if prex Hx of GDM
what is checked at the anomaly scan and when is it conducted
18 - 20+6w detect structural abn locate placenta amniotic fluid vol gender+growth of foetus
what should be done if anomaly scan finds low placenta
offer another scan at 32w
what extra appointments do nulliparous women get
25w GP - SFH, BP + prot
31w GP - review results of 28w tests, SFH, BP + P
40w midW - SFH, BP+ P
when is the first dose and second dose of anti-D prophylaxis given to women who are RhD neg
1st = 28W 2nd = 34w
when is OGTT done in women who have had prev GDM
16W
when is OGTT done in women with risk factors but no prev Hx of GDM
28w
What tests are done at the 28W midW review
sedond screening for anaemia and atypical red cell alloantibodies
SFH, BP + P
OGTT if RFs but no prex Hx
first done anti-D if women RhD neg
what is done at the 34w MidW review
review results of 28w screening tests
SFH, BP + P
2nd dose anti-D
info on preparation for labour
what is assessed at the 36w midW review
foetal presentation - if suspected mal, confirm with USS
offer ECV to all women who have an uncomplicated singleton breech preg at 36w
what info is given at the 36w midW review
info on breastfeeding technique , care of newborn, vit k prophylaxis, newborn screening tests
postnatal self-care, baby blues and postnat depression
what info is given at 38w
management of prolonged preg
what is offered at 41w
membrane sweep or induction
when is combined genetic abn screening conducted
11 - 13+6w
what results from combined genetic abn screening would suggest Downs
inc Nuchal T, inc hcG, inc inhibin
what results from combined genetic abn screening would suggest Edwards
dec hcG, dec estradiol
what results from combined genetic abn screening would suggest Patau’s
inc AFP
