Antenatal care Flashcards
pre-pregnancy care
advise regarding lifestyle issues particularly diet, substance abuse, start folic acid, cease smoking
aim for ideal BMI
check immunity for rubella/varicella
check thyroid function
essential for women with medical conditions and on medication
pre-pregnancy counselling eg. hereditary conditions
Hx of pregnancy
initial examination of pregancy presentation
height/weight
BP
urinalysis
abdominal palpation - fundal height, auscultation of FHR, lie, presentation
pregnancy screening
Rh D negative mother
if mother is Rh D negative and baby is positive some baby blood can enter maternal blood stream (veto-maternal haemorrhage)
mothers immune system can produce antibodies to the baby’s red blood cells and destroy them
the rhesus antibodies remian
next pregnancy if there is a rhesus positive baby, the mother’s antibodies may cross the placenta and destroy the babys rbcs (haemolytic disease of the newborn)