Antenatal Care In Pregnancy

Question 1

No of antenatal visits

Answer 1

Ideal: 11-15
Till 28 weeks: 1 visit/4 weeks
28-36 weeks: 1 visit/2 weeks
>=36 weeks: 1 visit/week

Question 2

No of visits recommended by WHO

Answer 2

8(min)

Question 3

No of visits recommended by GOI

Answer 3

4(min)

Question 4

Recommended wt gain in pregnancy

Answer 4

In normal BMI females: 11-12.5 kg
In females with low BMI: 12.5-18 kg
In females with BMI >30: 5-9 kg

Question 5

Caloric requirement

Answer 5

Park (PSM): +350 kcal in all trimester
National guidelines:
1. T1: +85 kcal/day
2. T2: +280 kcal/day
3. T3: +470 kcal/day

Question 6

Uses of Folic acid in pregnancy

Answer 6

1. To prevent NTD
2. To prevent recurrence of NTD
3. To treat folic acid deficiency
4. To treat sickle cell anemia

Question 7

Dose of folic acid to prevent NTD

Answer 7

400 mcg/day to all pregnant women
Start 1 month before conception and continue till 3 months after conception

Question 8

Dose of folic acid to prevent recurrence of NTD

Answer 8

4 mg/day given to females with h/o baby with NTD
Start 3 months before conception or from the day female plans pregnancy and 3 months after conception

Question 9

Dose of folic acid to prevent FA deficiency

Answer 9

1 mg/day

Question 10

Dose of FA in diabetic pts who are pregnant

Answer 10

400 mcg/day

Question 11

Dose of FA in pts on antiepileptic

Answer 11

Before conception: 400 mcg/day
After conception: 4 mg/day

Question 12

Dose of FA to treat sickle cell anemia

Answer 12

5 mg/day

Question 13

Iodine requirement in pregnancy

Answer 13

250 mcg/day

Question 14

Calcium requirements in pregnancy

Answer 14

1000 mg/day

Question 15

Carb requirement in pregnancy

Answer 15

175 g/day

Question 16

Protein requirement in pregnancy
( multiple answers)

Answer 16

Non pregnant: 45 g/day
T1: NIL (No additional req)
T2: +10 g
T3: +20 g

Question 17

Fat requirement in pregnancy

Answer 17

28 g/day

Question 18

Vaccines C/I in pregnancy

Answer 18

1. Mumps
2. Measles
3. Rubella
4. Small pox
5. Chicken pox
6. BCG
7. HPV

Question 19

Td vaccine in pregnancy

Answer 19

Given to all pregnant women
1st dose: 1st antenatal visit
2nd dose: 4 weeks after 1st dose
Booster dose: given if 2 doses of immunization received in past 3 years

Question 20

TDaP vaccine in pregnancy
TDaP: Tetanus+Diphtheria+acellular Pertussis

Answer 20

Protection against pertussis for the baby
ACOG: Single shot b/w 27-36 weeks

Question 21

Investigations done in 1st ANC visit

Answer 21

1. ABO, Rh typing (If Rh -ve: Do husband’s Rh typing and Indirect Coomb’s test)
2. Hb (Checked at least 4 times in pregnancy), Hematocrit
3. VDRL
4. HbsAg
5. Urine R/m
6. HIV testing: Opt- out approach
7. DIPSI: Repeat at 24-28 weeks
8. Group B Streptococci: 35-37 weeks (Rectovaginal swab taken)

Question 22

Additional tests done in 1st ANC visit

Answer 22

1. TSH
2. Aneuploidy