Antenatal Screening Flashcards
Disease characteristics for screening
- Must be important health problem
- latent phase or recognisable early phase
- Acceptable treatment for disease or condition
Which pregnant women get screened?
When
What test
All
0-10 week
Blood
Of screen positive what’s offered
Amniocentesis
Termination
Early specialist care
Screening for chromosomal abnormality, who
When
Which test
Everyone Week 11-13 Ultrasound Combined test : fatal nuchal translucency B-HCG PAPP-A
Acramia is
Diagnosed how
Results
Malformation of childs head
Ultrasounds
12 weeks- absence of ossified skull
16 weeks- anencephaly
Lethal
Alobar holoprosencephaly
Prevelance
Which test
Diagnosis and prognosis
Forebrain abnormalities in transverse view
1:1300 at 12 weeks
Ultrasound
Fatal
High risk of preeclampsia
Hypertensive disease previous pregnancy
Chronic renal disease
Chronic hypertension
Diabetes mellitus
Autoimmune disease such as SLE
Moderate risk of preeclampsia
First preg
Over 40 years of age
BMI over 35
Inter pregnancy interval over 10 years
Family history of preeclampsia
Screening for infectious diseases
What
When
How
HIV,HEP B, SYPHYLIS
AT booking
Using seratology