PCC

Question 1

BRASHHUM

Answer 1

Blood group
Rubella/varicella 
Antibodies
Syphilis - treponemal 
Hep b/c/hiv/Hb/hba1c
Urine
Micro

Question 2

Alcohol use/fetal alcohol

Answer 2

Advised to cut down/stop, no safe lower limit
MDT - obstetrics, midwife, AOD, GP, social worker, neonatologist

Maternal - social support, other substances, depression, violence, report of concern, macrocytosis, malnurtition/undernourished

Fetal - IUGR, increased risk stillbirth, dysmorphic features

Neonatal - acute: withdrawal, jittery, hypoglycaemia, acidosis, seizures
FAS - microcephaly, facial changes (hypoplastic mid facies), neurological impairment