Pregnancy Timeline Flashcards
What does Gravida refer to?
Total number of pregnancies a woman has had
What does Para refer to?
Total number of times a woman has given birth (after 24 wks gestation)
(Regardless of fetus was alive / stillborn)
When does the timeline of a pregnancy start from?
Last Menstrual Period (LMP)
What is the timeline of a pregnancy measured in?
Gestational Age (GA)
What is the Gravida / Para of a woman who is currently Pregnant and had 3 previous deliveries?
G4 P3
What is the Gravida / Para of a woman who is currently NOT Pregnant and had a previous birth of twins?
G1 P1
What is the Gravida / Para of a woman who is currently NOT Pregnant and had a previous miscarriage?
G1 P0 + 1
What is the Gravida / Para of a woman who is currently NOT Pregnant and had a previous stillbirth (after 24 wks gestation)?
G1 P1
What is the timeframe for the FIRST trimester?
0-12 weeks gestation
What is the timeframe for the SECOND trimester?
13-26 weeks gestation
What is the timeframe for the THIRD trimester?
27 weeks gestation -> birth
What week are fetal movements meant to start from?
20 weeks gestation
What is a key milestone in pregnancy that should happen before 10 weeks?
Booking clinic
What is the point of a Booking Clinic in pregnancy?
Baseline assessment + Plan the pregnancy
What is a key milestone in pregnancy that should happen between 10 – 13+6 weeks?
Dating scan
What is the point of a Dating scan? (2 things)
- Calculate accurate Gestational Age (GA)
- Identify multiple pregnancies
How is the Gestational Age (GA) accurately measured in the Dating Scan?
From Crown Rump Length (CRL)
What is a key milestone in pregnancy that should happen at 16 weeks?
Antenatal appointment
What is the point of the Antenatal appointment? (2 things)
- Discuss results
- Plan future appointments
What is a key milestone in pregnancy that should happen between 18 – 20+6 weeks?
Anomaly scan
What is the point of the Anomaly scan?
US to identify any anomalies (e.g heart conditions)
What weeks should the Antenatal appointments that happen late in pregnancy occur at? (9 things)
25, 28, 31, 34, 36, 38, 40, 41, 42
What is the point of the Antenatal appointments starting from 25 weeks? (2 things)
- Monitor pregnancy
- Discuss future plans
What are some Additional appointments that some women may need? (4 things)
- Oral glucose tolerance test
- Anti-D injections
- US @ 32 weeks
- Serial growth scans
Which women require Oral glucose tolerance tests during pregnancy?
Women @ risk of gestational diabetes
When do Oral glucose tolerance tests occur during pregnancy?
Between 24-28 weeks
Which women require Anti-D injections during pregnancy?
Women who are Rhesus negative
When are Anti-D injections given during pregnancy? (2 times)
- 28 weeks
- 34 weeks
Which women require US scan @ 32 weeks during pregnancy?
Women w Placenta Praevia on anomaly scan
Which women require Serial growth scans during pregnancy?
Women @ risk of fetal growth restriction
What things are discussed at the Antenatal Appointments? (2 things)
- Plans for rest of pregnancy
- Delivery plans
What investigations are done at the Antenatal Appointments? (5 things)
- Symphysis-fundal height measurement
- Fetal presentation assessment
- Urine dipstick
- Blood pressure
- Urine
When is the Symphysis-fundal height measured?
24 weeks onwards
When is the Fetal presentation assessed?
36 weeks onwards
What are you checking for in the Urine dipstick @ Antenatal appointment, and what does it mean?
Protein = Pre-eclampsia
Why do you check Blood Pressure @ Antenatal appointment?
Check for Pre-eclampsia
Why do you take a urine sample @ Antenatal appointment? (2 points)
- For microscopy + culture
- To check for Asymptomatic Bacteriuria
What Vaccines are offered to all pregnant women? (2 things)
- Whooping cough (pertussis)
- Influenza (flu vax)
When is the Whooping cough vaccine given to pregnant ladies?
16 weeks gestation
When is the Influenza (flu vax) given to pregnant ladies?
Whenever it’s available in Autumn / Winter
What vaccines are avoided in during pregnancy?
Lives vaccines (e.g MMR)
