Collection of weeks Flashcards
Booking should ideally be early in pregnancy.
Before :
12wks
Enquire about fetal movements if GA is:
More than 20wks
Term pregnancy begins to:
From 37wks to 40+/-2
<37 is pre-term
In some cases, the cycle is irregular, or the woman does not remember, or she is breastfeeding. How can I determine the EDD? And when?
By Crown rump length
From 8 to 12 weeks
Symphysis fundal height (SFH):
Palpated <20wks
Measured in cm >20wks
SFH should be 30+/-2cm at
30wks
Maternal administration of glucocorticoiew is advocated where the pregnancy is:
<34 weeks
Indirect coombs test for -ve primigravida:
1st in 12wks : if ve
Repeated at 28th and 36th
Indirect coombs test for -ve multigravida:
Repeat it every month until 24 weeks, then repeat it every 2 weeks
Screening for GDM
Usually done fot high risk pts at:
Booking visit
24wk
28wk
Pt with dm should receive 5mg folic acid
Daily for 3 months before pregnancy till 12wks
Pregnant diabetic women should be offered contact with diabetic and antinatal care every
2wks during pregnancy
Assessment of fetal growth in pregnant women
USS:
GA-CRL (7-13wks)
BPD : >13wks
F.L > 16wks
Hystrotomy
Is below 24wks
In libya before 28wks
Uterine artery doppler at … are predecdive of early-onset or severe pre-eclampsia
11-13 or 22-24 weeks
Most effective early predictive test of pre eclampsia
Integrated testing: the combination of independent risk factors such as hx , PAPP-A, and uterine arteries at 12wks
Prevention of pre-eclampsia by aspirin
Before 16 wks in next pregnancy
Us best for early detection of trisomy
From 10-13 weeks
USS best for early detection of ectopic pregnancy
From 5-8 weeks
In th early pregnancy scan
Trans-vaginal if:
Trans abdominal if :
5-8 weeks
10-13 weeks
Gestational sac is seen at:
4-4.5 weeks (earliest sign of pregnancy)
Yolk sac seen at:
5 weeks gestation
Developing embryo seen at
6 weeks vaginally
Order of fetal structures
Gestational sac - 4 to 5 weeks
Yolk sac - 5 to 6 weeks
Fetal pole - 6 to 7 weeks
Cardiac activity - 6 to 7 weeks
