Antenatal Care Flashcards
Definition of first , second and third trimester
1-12 weeks
12-26 weeks
27 weeks onwards
At what point do you usually start feeling fetal movements
20 weeks onwards
When do you have your booking clinic
Before 10 weeks
When do you have your anomaly scan
Between 18 weeks and 20 +6
What do you do at every antenatal appt
Symphysis fundal height Fetal presentation from 36 weeks Urine dipstick for protein for preeclampsia Blood pressure for preeclampsia Urine for microscopy and culture
What vaccines are offers to all pregnant women and what should you avoid
Whooping cough from 16 weeks
Influenza
Avoid all live vaccines
What is the pregnancy lifestyle advice
Folic acid 400mcg up to 12 weeks and before pregnancy
Vit d supplement 10 mcg or 400 IU daily
Avoid alcohol and smoking
Avoid unpasteurised dairy due to risk of listeria
Avoid undercooked or raw poultry due to risk of salmonella
What can occur if you drunk in pregnancy
Fetal alcohol syndrome
What occurs in the booking clinic
Lifestyle advice
What to expect at different stages of pregnancy
Plans for birth
Antenatal classes
Screening tests - thalaseamia all women and sickle cell - those at higher risk - downs - combined test
Blood group ,antibodies and rhesus D status
Weight, height, BMI
Urine for protein and. Bacteria
FGM ?
Domestic violence ?
Risk assess for rhesus D, gestational diabetes , pre eclampsia , fetal growth restriction , VTE o
How do you screen for downs
Combined test is first line and most accurate
Done between 11 and 14 weeks
Results fri, ultrasound and maternal blood tests
USS nuchal transulcency which is the thickness of the back of neck
Maternal blood test - bHCG and PAPPA
How do you actually test for downs
Screening gives risk score and when risk is greater than 1 in 150
Do amniocentesis or chorionic villus sampling
Chronic villus sampling is USS guided sample of placenta - before 15 weeks
Amniocentesis - USS guided aspiration of amniotic fluid - later in pregnancy as needs to be enough amniotic fluid
