Normal Antenatal Care/ Care in Labour

Question 1

What investigations will be done in Antenatal Clinic?

Answer 1

BP
Urine - Protein/Infections
Blood Group - Rhesus
Haemoglobinopathies Screen - Thalassaemia/SCD
Infection Screen -HIV, Hep B, Syphillis
Hb

Question 2

What will be done in a “booking” appointment?

Answer 2

USS: Viability, Location, ?Multiple, EDD, Struc abnormality, Nuchal translucency
Screening: 11+2, 14+1, PAPP-A, mat age, hcg, Screening for T21, T18, T13

Question 3

What’s investigated in Quadruple Test?

Answer 3

Inhibin A, Oestriol, Hcg, AFP

Question 4

What dose and when would you give aspirin?

Answer 4

150mg at night

Question 5

What are the changes in risk during labour?

Answer 5

1) Raised heart rate/BP +/- proteinuria
2) Pyrexia 38deg or 2x37.5
3) Vaginal blood loss other than a show
4) Membrane rupture >24hrs
5) Pain: Excluding contraction, request additional pain relief

Question 6

What are the changes at risk for foetus in labour?

Answer 6

Presence of meconium
Need for postnatal resuscitation