OBGYN

Question 1

Scan at 8 - 12 weeks (ideally < 10 weeks)

Answer 1

Booking visit
general information e.g. diet, alcohol, smoking, folic acid, vitamin D, antenatal classes
BP, urine dipstick, check BMI
Booking bloods/urine
FBC, blood group, rhesus status, red cell alloantibodies, haemoglobinopathies
hepatitis B, syphilis
HIV test is offered to all women
urine culture to detect asymptomatic bacteriuria

Question 2

Scan at 10 - 13+6 weeks

Answer 2

Early scan to confirm dates, exclude multiple pregnancy

Question 3

Scan at 11 - 13+6 weeks

Answer 3

Down’s syndrome screening including nuchal scan

Question 4

16 weeks

Answer 4

Information on the anomaly and the blood results. If Hb < 11 g/dl consider iron
Routine care: BP and urine dipstick

Question 5

18 - 20+6 weeks

Answer 5

Anomaly scan

Question 6

25 weeks (only if primip)

Answer 6

Routine care: BP, urine dipstick, symphysis-fundal height (SFH)

Question 7

28 weeks

Answer 7

Routine care: BP, urine dipstick, SFH
Second screen for anaemia and atypical red cell alloantibodies. If Hb < 10.5 g/dl consider iron
First dose of anti-D prophylaxis to rhesus negative women

Question 8

31 weeks (only if primip)

Answer 8

Same as week 25

Question 9

34 weeks

Answer 9

Routine care as above
Second dose of anti-D prophylaxis to rhesus negative women*
Information on labour and birth plan

Question 10

36 weeks

Answer 10

Routine care as above
Check presentation - offer external cephalic version if indicated
Information on breast feeding, vitamin K, ‘baby-blues’

Question 11

38 weeks

Answer 11

Routine care as above: BP, urine dip, SFH

Question 12

40 weeks (only if primip)

Answer 12

Routine care as above
Discussion about options for prolonged pregnancy

Question 13

41 weeks

Answer 13

Routine care as above
Discuss labour plans and possibility of induction