"normal, high risk and abnormal" pregnancies

Question 1

What are the risks for high risk pregnancies

Answer 1

RF -
Age <15 >35
Heighter under 1.5m, under 45kg, obese
UTerine malformation, incompetant cervis, small pelvis
single mum, drugs, poor,
Hypothyroid, hyperthyroid
Drugs, alcohol, smoke
No antenatal care
previous hx of misscariage

previous complicated preg - biggest RF

Question 2

What to do with high risk pregnancies

Answer 2

Refer for consultant lead care and–
Continued surveillance - more scans
High dose folate 5mg (given also to women on antiepiletics, GDM, obesity, sickle cell, HIV)
Low dose aspirin (75mg ) for pre-eclampsia prophylaxis