Antenatal Care Flashcards
What causes morning sickness to be particularly bad
Conditions where hCG is higher
E.g Twin
Molar pregnancy
What can severe morning sickness progress to
Hyperemesis Gravidarum
What causes anaemia in pregnancy
Increase in plasma volume results in dilution anaemia
Which 3 infections are screened for antenatally
Syphilis
HBV
HIV
Hows is Syphilis treated in pregnancy
Penicillin
Why is giving a woman MSSU in pregnancy very important
Because increased risk of UTI which can lead to complications
When can the fetal HR be detected on USS
6 weeks
What is an ectopic pregnancy
Pregnancy that implants outside the womb
Which is the most common condition to be screened for
Down Syndrome
What is the simplest screening test
Maternal age
Increased age = Increased risk
What are the 2 types of diagnostic tests offered
Chorionic villus sampling
Amniocentesis
What do both Dx tests carry a risk of?
Miscarriage
What is a diagnostic test
A test which can confirm wether the baby has the condition or not
What is a screening test
Tests that can be offered to assess the risk of having a certain condition
But it cannot say for sure
How many scans does a women get during pregnancy
2
Is there a routine scan in 3rd trimester?
No only 1st and 2nd
Which screening tests can be used to detect risk for Down Syndrome
HCG PaPP A (pregnancy associated plasma protein A)
Nuchal translucency
What can be measured on USS to assess risk/screen for Down Syndrome
Nuchal translucency
What does the Quadruple Test screening test check the blood for
Alpha fetoprotein
HCG
Unconjugated oestriol (UE3)
Inhibin-A
Which blood marker is used to assess risk of NTD
Alpha fetoprotein
What are other causes of increased AFP
Incorrect gestational age Multiple pregnancy Bleeding in pregnancy Fetal death Abdominal wal abnormalities
what is the aim of the 20 week scan
To screen for structural abnormalities of the fetus
What is the Dx test for NTD
Second trimester (20wk) USS scan is diagnostic test Will detect 90% NTD
If screening results for Down syndrome come back as high risk what can be offered to the mother
Diagnostic tests
