Antenetal Care: Routine Care For Healthy Pregenant Women Flashcards
What is antenatal care?
Routine care for healthy pregnant women.
What are the aims of antenatal care?
Provide information,
screening,
risk assessment
management of common symptoms,
assess fetal growth and wellbeing,
prepare for labour and post-natal period.
Who provides antenatal care for low risk mothers?
Midwifery led care.
Who provides antenatal care for high risk mothers?
Consultant led care.
What is offered during the first contact with a health professional?
- Early pregnancy health and wellbeing information,
- including stopping smoking,
- avoiding alcohol, folic acid and vitamin D supplements,
- healthy diet and lifestyle.
What is the booking visit timeline for antenatal care?
Booking visit by 10 weeks; late bookers may reveal social, psychological, medical issues.
How many visits are recommended for nulliparous women?
10 visits.
How many visits are recommended for multiparous women?
7 visits.
What should be included in the booking appointment history?
Wellbeing, obstetric history, medical, mental health, family history, medications, nutrition, diet, smoking, alcohol, recreational drugs, exercise, occupation, home situation, support network, health issues affecting partner, contact details of partner/NOK, and any other concerns.
What checks are performed during examination and investigation?
Height, weight, BMI, blood pressure, urine dip, MSU.
What screenings are offered during antenatal care?
Hepatitis, HIV, syphilis, thalassemia, sickle cell, Downs screening, fetal anomalies.
What is assessed during subsequent antenatal visits?
Risk assessment, BP and urine dip, fetal well-being and movements, weight check, BMI, carbon monoxide levels, smoking assessment, mental health.
What happens at 28 weeks during antenatal care?
GTT, FBC, blood group and antibodies, Anti D.
What is fetal growth surveillance?
Customised growth chart, symphysio-fundal height for low-risk women, manual palpation and tape measure, ultrasound scans.
What are the associations with fetal growth restriction?
Stillbirth, neonatal deaths, SIDS, perinatal morbidity, cerebral palsy, effects in later life.
What are the birth statistics for 2021?
547,244 deliveries; spontaneous vaginal births 55%, instrumental delivery rate 11%, caesarean section rate 34%, induced labour 33%.
What is included in care during labor?
Offer support and analgesia, assess progress, assess maternal and fetal well-being, delivery, management of third stage.
What are the settings for birth?
Home delivery, midwifery birth centre, consultant led delivery unit.
Who provides postnatal care?
Midwives and health visitors.
What is assessed during transfer from maternity unit to community?
Woman’s health, bladder function, baby’s health, feeding plan, and effective feeding observation.
What are the stages of pregnancy care
- pre conceptual care - care before attempting to conceive a baby
- antenatal care - support and care during pregnancy
- intrapartum care - care during labour and delivery
- post natal care - care after pregnancy
Why cant we have standardised scans
Because women are unique different weights look different on different bodies
