Antenatal Scans

Question 1

General Antenatal Care Guidelines

Answer 1

10 ANC visits in 1st pregnancy
7 ANC visits in subsequent uncomplicated pregnancies
If uncomplicated - do not need to be seen by a consultant

Question 2

Booking Visit

Answer 2

8-12 weeks
ideally < 10 weeks

general information - diet, alcohol, smoking, folic acid, vitamin D, antenatal classes
BP, urine dipstick, check BMI

Booking bloods/urine
FBC, blood group, rhesus status, red cell alloantibodies, haemoglobinopathies
hepatitis B, syphilis
HIV test is offered to all
urine culture to detect asymptomatic bacteriuria

Question 3

Dating Scan

Answer 3

10 - 13+6 weeks

Early scan to confirm dates - accurate gestational age

Excludes multiple pregnancy

Crown rump length

Question 4

Down’s Syndrome Screening

Answer 4

11 - 13+6 weeks

also nuchal scan

Question 5

Antenatal appointment

Answer 5

16 weeks

Information on the anomaly and the blood results.
If Hb < 11 g/dl consider iron
Routine care: BP and urine dipstick

Question 6

Anomaly scan

Answer 6

18 - 20+6 weeks

Question 7

Routine care (28 weeks)

Answer 7

BP, urine dipstick, SFH
Second screen for anaemia and atypical red cell alloantibodies. If Hb < 10.5 g/dl consider iron
First dose of anti-D prophylaxis to rhesus negative women

Question 8

Primip Scans

Answer 8

25 weeks
31 weeks
40 weeks

Routine care: BP, urine dipstick, symphysis-fundal height (SFH)

Question 8

Routine care (34 weeks)

Answer 8

Routine care as above
Second dose of anti-D prophylaxis to rhesus negative women*
Information on labour and birth plan

Question 9

Routine care (36 weeks)

Answer 9

Routine care as above
Check presentation - offer external cephalic version if indicated
Information on breast feeding, vitamin K, ‘baby-blues’

Question 10

Routine care (41 weeks)

Answer 10

Routine care as above
Discuss labour plans and possibility of induction