Early Pregnancy: Lifestyle Advice Flashcards
How much folic acid should a women take pre-conception
400mcg/day
How much folic acid should a women take pre-conception
400mcg/day
Until what week should women take folic acid
12W
What can folic acid deficiency cause
Neural tube defects
What are 6 risk groups that require a higher dose of folic acid
BAD CATS
BMI >30 Anti-epileptic medication Diabetic Coeliac disease And don't forget previous NTD or FH Thalasemia
what is a higher dose folic acid given to at risk groups
5mg/day
what dose is vitamin D is given
10mcg
what is vitamin D given as part of
Can be given as part of healthy start multi-vitamin tablet
what are 3 indications for vitamin D in pregnancy
- Obese
- Asian
- Malnutrition
should iron supplementation be given in pregnancy
Not routinely
explain vitamin A in pregnancy and what should be avoided
Vitamin A >700 is teratogenic. Avoid liver
what is the advice on alcohol during pregnancy
No alcohol consumption is safe - risk of foetal alcohol syndrome
what are the risks of smoking in pregnancy
IUGR
Pre-term delivery
what can be offered to help smoking cessation and what should not be offered
NRT. Do not offer bupropion or varencline
what food should a women avoid to avoid salmonella infection
Raw or partially cooked eggs and meat
what food should be avoided to prevent listeriosis
- Soft cheese
- Unpasteurised milk
- Pate
- Undercooked meats
explain air travel in singleton pregnancies
Should not travel >37W. If travelling at all use compression stockings due to increased risk VTE.
explain air travel in multiple pregnancy
Should not travel >32W. If travelling at all use compression stockings due to increased risk VTE
what anti-epileptic mediation is safe in pregnancy
Carbamezapine
what is phenytoin during pregnancy associated with
Cleft palate
what is sodium valproate during pregnancy associated with
NTD
Until what week should women take folic acid
12W
What can folic acid deficiency cause
Neural tube defects
What are 6 risk groups that require a higher dose of folic acid
- BMI >30
- Coeliac disease
- Anti-epileptics
- Thalassemia
- Diabetes
what is a higher dose folic acid given to at risk groups
5mg/day
what dose is vitamin D is given
10mcg
what is vitamin D given as part of
Can be given as part of healthy start multi-vitamin tablet
what are 3 indications for vitamin D in pregnancy
- Obese
- Asian
- Malnutrition
should iron supplementation be given in pregnancy
Not routinely
explain vitamin A in pregnancy and what should be avoided
Vitamin A >700 is teratogenic. Avoid liver
what is the advice on alcohol during pregnancy
No alcohol consumption is safe - risk of foetal alcohol syndrome
what are the risks of smoking in pregnancy
IUGR
Pre-term delivery
what can be offered to help smoking cessation and what should not be offered
NRT. Do not offer bupropion or varencline
what food should a women avoid to avoid salmonella infection
Raw or partially cooked eggs and meat
what food should be avoided to prevent listeriosis
- Soft cheese
- Unpasteurised milk
- Pate
- Undercooked meats
explain air travel in singleton pregnancies
Should not travel >37W. If travelling at all use compression stockings due to increased risk VTE.
explain air travel in multiple pregnancy
Should not travel >32W. If travelling at all use compression stockings due to increased risk VTE
what anti-epileptic mediation is safe in pregnancy
Carbamezapine- safest
Lamotrigine - more effective than carbamezapine and fewer SE.
what is phenytoin during pregnancy associated with
Cleft palate
what is sodium valproate during pregnancy associated with
NTD
