Antenatal Care & Assessment Flashcards

1
Q

State the aims of antenatal care (7)

A
  • building relationships
  • monitoring progress
  • checking mother is doing well in herself
  • health promotion - addictions, pregnancy problems
  • informing choice
  • referrals where necessary
  • safeguarding
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2
Q

Physical factors to consider when planning antenatal care?

A

disabilities, mobility, age, existing health conditions, previous pregnancies, surgery, abuse, BMI, surrogacy, paragravida, fertility, smoking, alcohol, genetics

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3
Q

Physiological factors to consider when planning antenatal care?

A

mental health, addiction, body image, trauma (rape, domestic abuse, previous birth, childhood sexual attack, exploitation), tocophobia (fear of birth), postnatal depression, genetics, suicidal thoughts, anxiety, planned/unplanned pregnancy

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4
Q

Social factors to consider when planning antenatal care?

A

relationship status, alcohol, smoking, drugs, minority groups, isolation, social services (safeguarding), education, sexuality, body image, self confidence, employment, criminal record

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5
Q

Environment factors to consider when planning antenatal care?

A

where they live, housing, funding, addictions in the household, employment, benefits, positive atmosphere, children, pollution (co2 screening)

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6
Q

Spiritual factors to consider when planning antenatal care?

A

values, beliefs, culture, religion, community, hypnobirthing, aromatherapy, against male midwife care, woman centred, emergency care plan (e.g. no blood products)

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7
Q

What physical examinations take place during antenatal appointments?

A

weight, blood pressure, urinalysis, oedema, nausea, blood tests

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8
Q

What models of care are there for midwifery care?

A
midwife led
shared care
consultant led care
team midwifery
caseload 
independant midwifery
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9
Q

Principles of care (7)

A
  • woman centred care - enabling informed decisions
  • NICE guidelines, evidenced based practice
  • care flexibility
  • appropriate follow up
  • continuity of care
  • recognition of changes for required intervention
  • direct line of referral
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