Antenatal care Flashcards
What is gestational age?
duration of the pregnancy starting from the date of the last menstrual period
What is gravida?
total number of pregnancies a woman has had
What is primigravida?
patient that is pregnant for the first time
What is multigravida?
patient that is pregnancy for at least the second time
What is para?
number of times the woman has given birth after 24 weeks gestation, regardless of whether the foetus was alive or stillborn
What does nuliparous mean?
patient that has never given birth after 24 weeks gestation
What does primiparous mean?
patient that has given birth after 24 weeks gestation once before
What does multiparous mean?
patient that has given birth after 24 weeks gestation two or more times
When is the first trimester?
start of pregnancy until 12 weeks gestation
When is the second trimester?
13-26 weeks gestation
When is the third trimester?
27 weeks gestation to birth
When do foetal movements start?
20 weeks
When is the booking clinic?
before 10 weeks
What happens at the booking clinic?
baseline assessment
plan the pregnancy
When is the dating scan?
10 - 13+6
What happens at the dating scan?
accurate gestational age is calculated from the crown rump length
multiple pregnancies are identified
When is the anomaly scan?
18 - 20+6
When are antenatal appointments?
weeks:
16
25
28
31
34
36
38
40
41
42
When is the oral glucose tolerance test carried out in people at risk of gestational diabetes?
24-28 weeks
and at booking if previous gestational diabetes
When are anti-D injections administered to rhesus negative pregnant people?
28-34 weeks
What vaccines are offered to all pregnant people?
whooping cough (pertussis) from 16 weeks gestation
influenza (Flu) in autumn or winter
What supplements should pregnant people take?
folic acid 400mcg from before pregnancy to 12 weeks (reduces neural tube defects)
vitamin D
What vitamin supplement should pregnant people avoid?
vitamin A (teratogenic at high doses)
What foods should pregnant people avoid?
liver or pate (high in vitamin A)
unpasteurised diary or blue cheese (risk of listeriosis)
undercooked or raw poultry (risk of salmonella)