antenatal care Flashcards
when is the booking visit
12 weeks
what investigations at this point
FBC- anaemia, glucose; BMI; urine dips; ABO and Rh, syphilis and rubella, HIV test
purpose of the booking visit
give information, confirm pregnancy, date the pregnancy (LMP), identify maternal risk factors, offer screening for fetal disorders
what investigations at this point
FBC- anaemia, glucose; BMI; urine dips; ABO and Rh
disadvantages of LMP calculations
relies on 28 d cycle and ovulation at 14d
what should happen to an unvaccinated Rubella lady
do not vaccinate until after the pregnancy
what are underweight women more at risk of
IUGR
disadvantages of LMP calculations
relies on 28 d cycle and ovulation at 14d
what is an obese woman more at risk of
C sections, pre eclampsia
why is accurate dating important
downs screening relies on accurate age, pre and post term labour
what is measured at >13 weeks on US dating scan
crown rump length
risk factors gestational diabetes
obese, FHx diabetes, prev gestational diabetes
why is accurate dating important
downs screening relies on accurate age, pre and post term labour
when should a woman with risk factors for gestational diabetes have GTT
16 and 28 weeks
risk factors gestational diabetes
obese, FHx diabetes, prev gestational diabetes
at what weeks is a Rhesus negative woman given anti D
28 weeks, 34 weeks
what para is more at risk of pre eclampsia
primiparous woman- so needs 2 additional antenatal check ups in the last trimester
from how many weeks is the woman given 3 weekly antenatal check ups
25 weeks
at what weeks is a Rhesus negative woman given anti D
28 weeks,34
what weeks are trimester 3
28- term
what weeks are trimester 1
1-12
what weeks are trimester 2
13-27
what weeks are trimester 3
28- term
when would transvaginal US be used
early pregnancy, good views of the cervix. not >12 weeks
