Pregnancy timeline Flashcards
Def: Last menstrual period (LMP)
date of the first day of the most recent menstrual period
Def: Gestational age
Duration of pregnancy starting from the date of last menstrual period
Def: Gravida
Total number of pregnancies
Def: Primigravida
Woman in her first pregnancy
Def: Multigravida
Woman in her 2nd or more pregnancy
Def: Parity
Number of times a woman has given birth after 24 weeks (Alive or stillborn)
Def: Nulliparous
Woman who has never given birth after 24 weeks
Def: Primiparous
Woman who has given birth after 24 weeks gestation once
Def: Multiparous
Woman who has given birth after 24 weeks gestation more than once
How is estimated date of delivery calculated?
Date of last menstrual period + 280 days
1st trimester dates
0 - 12 weeks gestation
2nd trimester dates
13 - 27 weeks
3rd trimester dates
28 weeks - delivery
When is the booking clinic
Before 10 weeks (Usually around 8 weeks)
Purpose of the booking appointment
Offer a baseline assessment and plan the pregnancy
Key appointment between 10 and 13+6 weeks
Dating can
Purpose of the dating scan
Accurate gestational age calculated from crown-rump length
Multiple pregnancies identified
Key appointment at 16 weeks
Antenatal appointment
Purpose of the antenatal appointment
Discuss scan results and plan future appointments
Key appointment between 18 and 20+6 weeks
Anomaly scan
Purpose of the anomaly scan
USS to identify any anomalies
When are antenatal appointments usually held
16, 25, 28, 31, 34, 36, 38, 40, 41 and 42 weeks
When may oral glucose tolerance testing be performed in pregnancy
24-28 weeks
What should be covered in each routine antenatal appointment
- Discuss plans for the remainder of the pregnancy and delivery
- Symphysis–fundal heightmeasurement from 24 weeks onwards
- Fetal presentationassessment from 36 weeks onwards
- Urine dipstickforprotein for pre-eclampsia
- Blood pressurefor pre-eclampsia
- Urinefor microscopy and culture for asymptomatic bacteriuria
What vaccines are offered to all pregnant women?
Whooping cough (pertussis) - From 16 weeks
Influenza - Autumn or winter
What type of vaccine is avoided in pregnancy
Live vaccines
