Antenatal Screening Milestones + Routine US

Question 1

<12 weeks

Answer 1

Hospital
Booking visit:
1. history
2. risk assessment - obstetrician; antenatal care decided
3. booking bloods
4. US for fetal viability and gestational age
5. dietary and lifestyle advice

Question 2

16 weeks:

Answer 2

visit GP for general wellbeing check up

Question 3

20-22 weeks

Answer 3

Hospital
Foetal anatomy scan

Question 4

24 weeks:

Answer 4

GP
Screen for early onset pre-eclampsia

Question 5

28 weeks:

Answer 5

Hospital
1. Fetal growth assessment
2. Gestational diabetes screen if required
3. Repeat RBC alloantibody screen if Rh negative and for routine anti-D (prevention of Rh sensitization)
4. book antenatal education classes

Question 6

30 weeks:

Answer 6

GP
BP/urinalysis/general review/ vaccination

Question 7

32 weeks

Answer 7

Hospital
Evaluation of fetal growth
BP/urinalysis

Question 8

34 weeks

Answer 8

GP
BP/urinalysis/general review

Question 9

Alternating weekly from 36 weeks

Answer 9

Hospital/GP
BP, urinalysis, general review, fetal size evaluation, fetal presentation and engagement, discuss birth and feeding preferences

Question 10

41 weeks

Answer 10

Hospital
Delivery plan

Question 11

Booking visit lab tests:

Answer 11

Standard:
FBC, blood group and red cell alloantibody screen, rubella IgG, syphillis, HIV, Hep B, Varicella zoster IgG, screening for fetal aneuploidy discussed

For select patients:
Haemoglobin electrophoresis for certain ethnicities at risk for thallassaemia/ sickle cell disease
Hepatitis C
Thyroid function tests if personal history/ family history of thyroid disease
Fetal aneuploidy screening if patient opts for same
Parvovirus IgG if high risk/ epidemic (e.g. creche worker)
Toxoplasmosis IgG if high risk