Obstetrics - Gestation Flashcards

1
Q

Gestation?

8-12 weeks

A

This is the initial booking appointment:

  • Take a general history (ask folic acid, vit D etc)
  • Measure BP
  • Urine dip stick and bacteria culture
  • Measure BMI
  • FBC, blood group, RH status,red blood cell alloantibodies
  • Screen: HIV, Hep B. Rubella, Syphillis
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2
Q

Gestation?

10-13 + 16 Weeks

A
  • Date confirming scan
  • Screens for multiple pregnancy

Downs syndrome screening:

  • Combined test offered at 11-14 wks
  • Consists off nuchal translucency scan
  • Blood tests HCG & serum pregnancy plasma protein
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3
Q

Gestation?

16 Weeks

A
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4
Q

Gestation?

18-20 + 6 Weeks

A

Fetal Anomaly Scan

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5
Q

Gestation?

25 weeks

A

Only for primiparous mothers:

  • Measure Symphysis - fundal height (SFH)
  • Measure BP
  • Urine Dip & Culture
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6
Q

Gestation?

28 Weeks

A
  • Measure SFH
  • BP
  • Urine Dip & Culture
  • FBC, Give iron supplements if anaemic,
  • Check for atypical blood cell alloantibodies
  • Give anti-D prophylaxis to rhesus-negative mothers
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7
Q

Gestation?

31 Weeks

A

Only for primiparous mothers:

  • Measure SFH
  • BP
  • Urine Dip & culture
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8
Q

Gestation?

34 Weeks

A
  • Measure SFH
  • BP
  • Urine Dip & Culture
  • Anti D prophylaxis to rhesus-negative Mothers
  • Speak to mother about birthing plan and wishes
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9
Q

Gestation?

36 Weeks

A
  • SFH
  • BP
  • Urine Dip & Culture
  • External cephalic version for breech presentations
  • Counsel mother about breast feeding and post natal blues
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10
Q

Gestation?

38 Weeks

A
  • Measure SFH
  • BP
  • Urine dip & Culture
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11
Q

Gestation?

40 Weeks

A
  • Measure SFH
  • Measure BP
  • Urine Dip & Culture
  • Counsel about labour induction
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12
Q

Gestation?

41 Weeks

A
  • Measure SFH#
  • M<easure>
    </easure><li>Urine Dip &amp; Culture</li><li>Counsel about induction of labour</li>

</easure>

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