OG Case 1 - Antenatal Care and Multiple Pregnancy Flashcards
1
Q
What are the specific aims of antenatal care?
A
- Encouraging “being positive” about the pregnancy.
- Minor ailments of pregnancy.
- Screening for pre-eclampsia.
- Screening for abnormal fetal growth.
- Impact of obesity, smoking on pregnancy.
- Detection of specific medical conditions which impacts on the pregnancy.
2
Q
How many visits are recommended throughout the pregnancy?
A
9 visits for women with 0 risk factors.
3
Q
What is investigated at the booking examination?
A
- Weight/height.
- Vitals.
- Thyroid exam.
- Chest - murmurs.
- Breasts - nipples.
- Abdomen - scars.
- Speculum - cervix.
- Legs - varicose veins.
- Bloods.
- Chlamydia swab.
- Midstream urine.
4
Q
What booking bloods are tested?
A
- Rubella.
- Hepatitis B.
- Syphilis serology.
- Blood group/antibodies - rhesus +ve/-ve.
- FBC.
- HIV.
5
Q
What are the effects of smoking in pregnancy on mother and child?
A
- Pre-term labour - 70%.
- SGA - 100-200%.
- Infertility - 25%.
- Miscarriage - 25%.
- Ectopic - 90%.
- Cleft lip - 35%.
- Placental abruption - 60%.
- Stillbirth - 100%.
6
Q
Can women use nicotine replacement whilst pregnant?
A
Yes they can.
7
Q
What are the effects of obesity on the mother?
A
- Post-term pregnancy - 2-3x increase risk of failing to progress to labour.
- C-section + induction.
- Hypertension.
- Pre-eclampsia.
- Infection.
- Gestational diabetes.
- PE.
- Post-partum haemorrhage.
8
Q
What are the effects of obesity on the baby?
A
- LGA.
- Iatrogenic pre-term birth.
- Congenital abnormality.
- Stillbirth.
- Neonatal death.
- Shoulder dystocia.
- reduced breastfeeding.
9
Q
What should overweight women be taking?
A
Folic acid 5mg - normal weight women normally take 0.8mg.
10
Q
How much weight can a woman with a BMI >30 gain during pregnancy?
A
No more than 6kg.
