Antenatal Care

Question 1

What is done at 8-12 weeks (ideally <10)

Answer 1

Booking visit
General inform e.g. diet/alcohol/smoking
BP
Urine Dip
BMI

Bloods
- FBC
- blood group e.g. rhesus status
- hepatitis B
- syphilis
- HIV test
- Urine culture

Question 2

What is done at 10-13+6 weeks?

Answer 2

Early scan to confirm dates

Question 3

What is done at 11-13+6 weeks?

Answer 3

Combined test- nuchal lucency, PAPPA-A and bHCG to estimate risk of trisomy 21/13/18

If high risk consider CVS or amniocentesis

Question 4

What is done at 16 weeks?

Answer 4

Information on anomaly scan and blood results
If Hb <110 commence iron
BP
Urine dip

Question 5

What is done at 18-20+6 weeks?

Answer 5

Anomaly scan

Question 6

What is done at 25 weeks?

Answer 6

Primip only
BP
Urine Dip
SFH

Question 7

What is done at 28 weeks?

Answer 7

BP, urine dip, SFH
Second anaemia screen
First dose of anti-D to rhesus negative

Question 8

What is done at 31 weeks?

Answer 8

Primip only
BP
Urine dip
SFH

Question 9

What is done at 34 weeks?

Answer 9

Urine dip, BP, SFH
Second dose anti-D

Advice on labour and birth

Question 10

What is done at 36 weeks?

Answer 10

Urine Dip, BP, SFH

Advice on breastfeeding, Vitamin K and baby blues

Question 11

What is done at 38 weeks?

Answer 11

Urine dip
BP
SFH

Question 12

What is done at 40 weeks?

Answer 12

Primip only
BP, urine dip, SFH
Discussion about prolonged labour

Question 13

What is done at 41 weeks?

Answer 13

BP, Urine dip, SFH

Discussion about induction

Question 14

How much folic acid should be taken?

Answer 14

400mcg a day

Unless high risk of NTD take 5mg day
- Previous child with BTD
- anti-epileptic medication
- diabetes
- coeliac
- sickle/thalassaemia
- BMI>30