Antenatal Care INCOMPLETE

Question 1

What nutrition advice are pregnant women given?

Answer 1

Folic acid 400mcg weekly pre-conception to 12 weeks - reduces neural tube defects + higher doses may be needed in certain women e.g. those on anti-epileptics

Avoid vitamin A as teratogenic

10mcg vitamin D per day - higher doses for darker women

Question 2

What are the risks of smoking and what should not be offered to pregnant women?

Answer 2

Low birthweight and PTB
NRT can be offered but women must have stopped smoking
Varenicline and bupropion should not be offered

Question 3

How can food acquired infections be avoided in pregnancy?

Answer 3

listeriosis: avoid unpasteurised milk, ripened soft cheeses (Camembert, Brie, blue-veined cheeses), pate or undercooked meat
salmonella: avoid raw or partially cooked eggs and meat, especially poultry

Question 4

What are air travel guidelines during pregnancy?

Answer 4

Singleton pregnancy >37 weeks shouldnt
Twin pregnancies >32 weeks shouldnt
Increased VTE risk
Compression stockings reduce risks

Question 5

How should nausea and vomiting be managed?

Answer 5

natural remedies - ginger and acupuncture on the ‘p6’ point (by the wrist) are recommended by NICE
antihistamines should be used first-line (BNF suggests promethazine as first-line)

Question 6

How many antenatal visits are recommended in pregnancy?

Answer 6

10 in first uncomplicated pregnancy
7 in second uncomplicated pregnancy
Women dont need to be seen by consultant if pregnancy is uncomplicated

Question 7

What are the pregnancy visits?

Answer 7

1. Booking visit at 8-12 weeks (<10)
2. Early scan at 10 weeks - 13+6 weeks
3. Down’s Syndrome scan at 11 weeks - 13+6 weeks
4. 16 weeks - information on anomaly scan and Hb optimisation if <11. BP and urine dipstick.
5. Anomaly scan - 18 weeks - 20+6 weeks
6. 25 weeks (if primip) - routine BP, urine dipstick, symphysis-fundal height
   7.