Antenatal care Flashcards
What do women receive guidance regarding when referred to the antenatal care pathway?
(3)
- smoking and alcohol cessation
- pregnancy supplements, and
- healthy diet before the booking visit
How many antenatal visits in a first pregnancy of a woman, if uncomplicated?
10 antenatal visits
How many antenatal visits in a subsequent pregnancy of a woman, if uncomplicated?
7 antenatal visits
What screening programmes are offered at the 10+0 week antenatal visit?
- haemoglobinopathies,
- red cell alloantibodies,
- hepatitis B virus, HIV, syphilis
- and foetal anomalies
A woman can decline/accept any part of the screening programme.
When should an oral glucose tolerance test be offered in women who have had gestational diabetes?
ASAP!
When should an oral glucose tolerance test be offered in women with risk factors for gestational diabetes?
24-28 weeks
What dose of folic acid is offered to all women before conceiving their pregnancy?
400 micrograms once daily
What dose of folic acid is offered to women with risk factors for neural tube defects before pregnancy?
a history of sickle cell disease, a BMI over 30, current diabetes, or a family history of neural tube defects of epilepsy
5 mg once daily
What basic investigations are done at every antenatal visit?
- blood pressure
- BMI measurement (height and weight)
- urine dipstick
When should the pertussis vaccine be booked for when offered to a pregnant woman?
16 weeks
When should the flu vaccine be given after offering to a pregnant woman?
ASAP!
When is the dating scan performed in a normal pregnancy?
11+2 to 14+1 weeks
What two tests can be used screen for Down’s syndrome during pregnancy?
combined test (11+0 to 13+6), or
triple/quadruple test (15+0 to 20+0)
What is the cutoff for haemoglobin to administer oral iron during the 16 week (14+0 to 17+6) antenatal visit?
11 g/dL
When is the anomaly scan performed?
18+6 to 20+6 weeks
What is the cutoff for haemoglobin to administer oral iron during the 28 week antenatal visit?
10.5 g/dL
When is the first GP review antenatally conducted for a nulliparous pregnant woman?
25 weeks
From when should symphysis-fundal height be measured for a pregnant woman?
24 weeks
When is the first midwife-led review conducted for a pregnant woman during her antenatal care?
28 weeks
When is the second GP review conducted for a nulliparous pregnant woman during her antenatal care?
31 weeks
When is the second midwife-led review conducted for a pregnant woman during her antenatal care?
34 weeks
When should the first dose of anti-D prophylaxis be given to rhesus negative mothers during her antenatal visits?
28 weeks
When should the second dose of anti-D prophylaxis be given to rhesus negative mothers during her antenatal visits?
34 week
