Antenatal care

Question 1

What are the 4 types of pregnancy care?

Answer 1

• Pre-conceptual care (care given right before pregnancy)
• Antenatal care (care given during the Antenatal period)
• Intrapartum care (Care given to a pregnant woman while she’s in labour)
• Postnatal care (Care given after birth right up to 6 weeks)

Question 2

What is the purpose of antenatal care?

Answer 2

• Info giving
• Screening
• Risk assessment
• Management of symptoms
• Assess foetal growth and wellbeing
• Prepare for intrapatrum and postpartum period

Question 3

Who provides antenatal care?

Answer 3

• Midwife = low risk
• Consultant = high risk

Question 4

How many times should women be seen during the antenatal period?

Answer 4

• nulliparous - uncomplicated (10)
• parous - uncomplicated (7)

Question 5

What areas should be assessed when first meeting with healthcare professional?

Answer 5

• Health dietary habits ( Folic acid, vitamin supplements, food hygiene, excercise…..)
• Lifestyle (eg. to quit smoking)
• Social risk assessment
• All antenatal screening including explanation (eg. risks, benefits, why they are done)

Question 6

When should booking appt happen?
What happens at booking appt?

Answer 6

• By week 10
  > Check gestational age
  > Ultrasound for structural abnormalities
  > Offer Down syndrome screening
• Many tests

Question 7

What happens at the 12/40 week scan?

Answer 7

Dating
Combined screening
Checking for multiple pregnancies and major abnormalities

Question 8

When is the Trisomy(T21) screening done?
> Why?

Answer 8

• During dating scan
  > Measure the Crown-Rump Length (CRL) if CRL>84mm, use head circumference

> “Combined Test” – Nuchal translucency on USS along with maternal serum HCG and PAPPA

• If > 13+6/40 or CRL >84mm, then quadruple test (maternal serum hCG, AFP, inhibin, uE3)

Question 9

What happens at Mid T scan?

Answer 9

Gender scan!
Pictures
Brain abnormalities
Spina bifida
Cleft lip / palat
Heart abnormalities
Renal Abnormalities