Antenatal care Flashcards
When does gestational thrombocytopaenia present
2nd trimester
What are the indications for anti D before 12 weeks
Ectopic
molar pregnancy
therapeutic TOP
When do you do 1st trimester US
11+3 - 13+6 - use CRL
When does head circumference get measured
14-20 weeks
What factors go into down’s syndrome algorithm (2 tests)
Nuchal translucency
PAPP-A (low)
b-hCG (high)
maternal age
Can also use maternal biochemical markers from 14-20 weeks aFP unconjugated oestradiol inhibin A hCG
What do you give for P-E prevention
75 mg aspirin from 12 weeks
Who do you give P-E prophylaxis to
Women at high risk: HTN during previous disease CKD antiphospjolipid syndrome Chronic HTN DM
Woman with 2 or more moderate risk factors primiparity maternal age >40 BMI >35 at booking FHx P-E multiple pregnancy
How do we screen for FGR?
SFH at every appointment past 24 weeks
if concerns over FGR then do US
When do you do anomaly scan
20-22 weeks
What do you look for on anomaly scan
Anatomy and some anomalies
spina bifida
renal agenesis
diaphragmatic hernia
What are the diagnostic features of GDM
random glucose >5.6
2 hour fasted glucose >7.8
What are the risk factors for GDM
past GDM past macrosomia 1st degree relative w/ DM high BMI ethnicity
What do you do when mum first presents to healthcare professional?
Specific info about folic acid
vit d supplementation
food hygiene
lifestyle advice (smoking and drinking)
when is the booking appointment
<10 weeks
What obs and bloods are checked at booking scan
Baseline BP BMI risk factors for GDM pre-eclampsia FGM mental health conditions
bloods:
red cell autoantibodies
rhesus status
anaemia
