Antenatal Care Flashcards
When should women have a booking appointment?
Before 10 weeks gestation
When do women have a dating scan?
Between 10 and 13+6 weeks
When should women have their anomaly scan?
Between 18 and 20+6 weeks
When do women have additional antenatal appointments?
25 weeks
28
31
34
36
38
40
41
42 weeks
When do women have their first regular antenatal appointment?
16 weeks
How is an accurate gestational age calculated at the dating scan?
Crown rump length
When do women with placenta praevia have an additional scan?
32 weeks
What is covered at regular antenatal appointments?
Plans for pregnancy and delivery
Symphysis-fundal height
Fetal presentation
Urine dipstick
Blood pressure
What vaccines are offered to pregnant women and when?
Pertussis from 16 weeks
Flu vaccine in autumn or winter
What bloods are performed at booking?
Blood group
Rhesus antibodies
FBC
Screening for thalassaemia and sickle cell
HIV
Hepatitis B
Syphilis
What is the combined test?
The first line antenatal screening for downs syndrome
When is the combined test performed?
Between 11 and 14 weeks gestation
What does the combined test involve?
Ultrasound for nuchal translucency
Beta-hCG (high)
PAPP-A (low)
What is the triple test?
Test for down syndrome:
- beta-hCG (high)
- Alpha fetoprotein (low)
- Serum oestriol (low)
When is the triple test performed?
Between 14 and 20 weeks
