PACES: Obstetric Monitoring Flashcards
What screening occurs at booking, for those women who choose to have it?
Blood tests: blood group, RhD status, FBC (?anaemia), Hb electrophoresis (SCA/Thal), infection (hep B, HIV, syphilis)
Urine dip and MC&S: proteinuria? Asymptomatic bacteriuria?
When is the dating scan, and what can it screen for?
12 weeks
Viability, gestation, multiple pregnancy (and chorionicity), nuchal translucency
What are the 3 elements of the ‘triple test’?
USS (for nuchal translucency)
Blood test for B-hCG and PAPP-A
During which weeks of gestation can the combined test be carried out?
11+0 - 13+6
At how many weeks is the anomaly scan?
18-20w
What is looked for on the anomaly scan?
Structural anomalies
Placental location
Amniotic liquor volume
Gender and growth of foetus
If the placenta is low at the anomaly scan, when should a repeat scan be offered?
32w
When is the first GP review during pregnancy, and which women should attend?
25 weeks - only those who are nulliparous
When is the OGTT if indicated?
28w
When is the first dose of anti-D prophylaxis given to women who are RhD negative?
28 weeks
At how many weeks gestation is ECV offered to women with an uncomplicated singleton breech pregnancy?
36w
Recall the frequency and start date of serial growth scans in mothers with pre-existing hypertension
Scans at 28w, 32w and 36w
How often is BP measured in mothers with pre-existing hypertension?
Weekly if poorly-controlled
Every 2-4 weeks if well-controlled
Recall the timeline of BP monitoring post-partum in mothers with pre-existing hypertension
Day 1
Day 2
Once on day 3-5
F/U with GP at 2w
What extra scans are done in women with CMV infection?
USS every 2w from diagnosis
Foetal MRI at 28w