Antenatal care

Question 1

Booking visit
general information e.g. diet, alcohol, smoking, folic acid, vitamin D, antenatal classes
BP, urine dipstick, check BMI
Booking bloods/urine
FBC, blood group, rhesus status, red cell alloantibodies, haemoglobinopathies
hepatitis B, syphilis, rubella
HIV test is offered to all women
urine culture to detect asymptomatic bacteriuria

Answer 1

8 - 12 weeks (ideally < 10 weeks)

Question 2

Early scan to confirm dates, exclude multiple pregnancy

Answer 2

10 - 13+6 weeks

Question 3

Down’s syndrome screening including nuchal scan

Answer 3

11 - 13+6 weeks

Question 4

Information on the anomaly and the blood results. If Hb < 11 g/dl consider iron
Routine care: BP and urine dipstick

Answer 4

16 weeks

Question 5

Anomaly scan

Answer 5

18 - 20+6 weeks

Question 6

Routine care: (BP, urine dipstick, symphysis-fundal height (SFH))

Answer 6

25 weeks (only if primip)

Question 7

Routine care: (BP, urine dipstick, SFH)
Second screen for anaemia and atypical red cell alloantibodies. If Hb < 10.5 g/dl consider iron
First dose of anti-D prophylaxis to rhesus negative women

Answer 7

28 weeks and 31 weeks if primip

Question 8

Routine care (BP, urine dipstick, SFH)
Second screen for anaemia and atypical red cell alloantibodies. If Hb < 10.5 g/dl consider iron Second dose of anti-D prophylaxis to rhesus negative women*
Information on labour and birth plan

Answer 8

34 weeks

Question 9

Routine care
Check presentation - offer external cephalic version if indicated
Information on breast feeding, vitamin K, ‘baby-blues’

Answer 9

36 weeks

Question 10

38 weeks

Answer 10

routine care

Question 11

Routine care, Discussion about options for prolonged pregnancy

Answer 11

40 weeks (only if primip)

Question 12

Routine care as above

Discuss labour plans and possibility of induction

Answer 12

41 weeks

Question 13

8 - 12 weeks (ideally < 10 weeks)

Answer 13

Booking visit
general information e.g. diet, alcohol, smoking, folic acid, vitamin D, antenatal classes
BP, urine dipstick, check BMI
Booking bloods/urine
FBC, blood group, rhesus status, red cell alloantibodies, haemoglobinopathies
hepatitis B, syphilis, rubella
HIV test is offered to all women
urine culture to detect asymptomatic bacteriuria

Question 14

10 - 13+6 weeks

Answer 14

Early scan to confirm dates, exclude multiple pregnancy

Question 15

11 - 13+6 weeks

Answer 15

Down’s syndrome screening including nuchal scan

Question 16

16 weeks

Answer 16

Information on the anomaly and the blood results. If Hb < 11 g/dl consider iron
Routine care: BP and urine dipstick

Question 17

18 - 20+6 weeks

Answer 17

Anomaly scan

Question 18

25 weeks (only if primip)

Answer 18

Routine care: BP, urine dipstick, symphysis-fundal height (SFH)

Question 19

28 weeks

Answer 19

Routine care: BP, urine dipstick, SFH
Second screen for anaemia and atypical red cell alloantibodies. If Hb < 10.5 g/dl consider iron
First dose of anti-D prophylaxis to rhesus negative women

Question 20

31 weeks (only if primip)

Answer 20

Routine care

Question 21

34 weeks

Answer 21

Routine care Second dose of anti-D prophylaxis to rhesus negative women*
Information on labour and birth plan

Question 22

36 weeks

Answer 22

Routine care Check presentation - offer external cephalic version if indicated
Information on breast feeding, vitamin K, ‘baby-blues’

Question 23

40 weeks (only if primip)

Answer 23

Routine care as above

Discussion about options for prolonged pregnancy

Question 24

41 weeks

Answer 24

Routine care as above

Discuss labour plans and possibility of induction