INITIAL PRENATAL WORKUP

Question 1

CBC with PC (baseline)

Anemia complete values per trimester

Answer 1

Magic number is 11g/dL

1st trimester: <11g/dL

2nd trimester: <10.5 g/dL

3rd trimester:
<11g/dL

Question 2

Urinalysis/Urine CS

Answer 2

gold standard and Urine CS

but philippines so u
Urinalysis

Question 3

Why check this?

FBS

Answer 3

risk for GDM

Human Placental Lactogen - for pregnant people, they have this hormone

Question 4

Which work ups for infection?

Answer 4

HBsAg
Rubella IgG
VDRL, RPR
HIV ELISA
Pap Smear

Question 5

At 24-28 weeks

Answer 5

75g OGTT

Biometry +/

Question 6

How much weight is recommended to gain?

Answer 6

BMI below 18.5 (UW) = 28-40 lbs or 18kg

If obese = 11-20 lbs (8-9 kg)

Question 7

To meet pregnancy nutritional demand, a caloric increase of ________kcal per day is needed

Answer 7

100-300 kcal per day

Question 8

SUPPLEMENTS na imporatante

Answer 8

Folic Acid

Iron

Question 9

Dosage of FOLIC ACID, when is it given?

Answer 9

magic number: FOUR –> FOLIC

400 mcg
4 mg - given to history of neural tube defect (NTD)

given at periconception period to first trimester

Question 10

Dosage of IRON

Answer 10

27 mg elemental Fe/day

60 to 100 mg if large fetus/twins

GIVEN AT SECOND TRIMESTER!!!!

During 1st trimester, may iron stores pa si mother and iron is toxic if high levels so wag muna sa 1st

Iron overdose can be fatal, therefore treatment of the mother should be as for the non-pregnant patient.

Question 11

What if patient asks if pwede pa sila makipagsex? ano ang grounds for this?

Answer 11

Not hazardous unless:

1. PLACENTA PREVIA - prone to bleeding
2. PRETERM LABOR - semen can induce abortion

semen is a natural source of prostaglandins - encourage cervical ripening in preparation for labour.

sex plus or minus orgasm + (also nipple stimulation) has been found to increase uterine activity, and nipple stimulation is also thought to stimulate the uterus to induce labour.

3. ABORTION - bedrest

Question 12

Coffee

Answer 12

3 cups/day maximum

Question 13

Travel is safe up to ______ AOG

Answer 13

36 weeks

Question 14

Exercise

Answer 14

Regular, moderate-intensity 30 minutes/day or 150 mins/week

Question 15

FOLLOW UP

Answer 15

<28 weeks
monthly (first 2 trimesters)

28-36 weeks - every 2 weeks

> 36 weeks - every week
(kasi pwede na maglabor patient any time)