antenatal care part 2 Flashcards
what type of clinical examination of pregnant women is done
measurement of weight and BMI
FGM
need to be alert to the Sx or signs of DV
what haematological conditions are screening in pregnancy women
anaemia
blood grouping and red cell alloantibodies
screening for heamoglobinopathies
what should u do if pregnant women if rhesus D negative
routine antenatal anti-D prophylaxis is offered
check partner first
when should woken be screened for atypocal red-cell alloantibodies
early pregnancy and at 28 weeks
regardless of the rhesus D status
when is screening for structural anomalies is done
between 18 weeks 0 days and 20 weeks 6 days.
why is fetal anomaly scan is offered
reproductive choice (termination of pregnancy)
parents to prepare (for any treatment/disability/palliative care/termination of pregnancy)
managed birth in a specialist centre
intrauterine therapy.
when is screening for down’s syndrome takes place
end of the first trimester (13 weeks 6 days), but provision should be made to allow later screening (which could be as late as 20 weeks 0 days) for women booking later in pregnancy
what is the combined test
it contains nuchal translucency, beta‑human chorionic gonadotrophin, pregnancy‑associated plasma protein‑A
when is combined test offered
11 weeks 0 days and 13 weeks 6 days.
if they miss the date when can they screen for downs and what is offered
triple or quadruple test
15 weeks and 20 weeks
what is the quadruple test
Alpha-fetoprotein (AFP), a protein made by the developing baby
Human chorionic gonadotropin (HCG), a hormone made by the placenta
Estriol, a hormone made by the placenta and the baby’s liver
Inhibin A, another hormone made by the placenta
define a lower chance result
1 in 150
if you are given a higher chance result what test are provided
amniocentesis
chorionic villus sampling
when is a transabdominal scan offered and why
placenta extends over the internal cervical os
at 32 weeks
if transabdomincal scan is unclear what can be done
transvaginal
