Prenatal diagnosis/ care 1A Flashcards
in an uncomplicated pregnancy, how many antenatal visit is required
10
how many antenatal visits are required in subsequent pregnancies if uncomplicated
7
what is done at 8-12wks
Booking visit
• general information e.g. diet, alcohol, smoking, folic acid, vitamin D, antenatal classes
• BP, urine dipstick, check BMI
Booking bloods/urine
- FBC, blood group, rhesus status, red cell alloantibodies, haemoglobinopathies
- hepatitis B, syphilis
- HIV test is offered to all women
- urine culture to detect asymptomatic bacteriuria
Whats done at 10wks
Early scan to confirm dates, exclude multiple pregnancy
whats done at 11wks
Down’s syndrome screening including nuchal scan
what’s done at 16 weeks
Information on the anomaly and the blood results. If Hb < 11 g/dl consider iron
Routine care: BP and urine dipstick
what’s done at 18 weeks
Anomaly scan
Whats done at 25 weeks (only if primp)
Routine care: BP, urine dipstick, symphysis-fundal height (SFH)
Whats done at 28 weeks
Routine care: BP, urine dipstick, SFH
Second screen for anaemia and atypical red cell alloantibodies. If Hb < 10.5 g/dl consider iron
First dose of anti-D prophylaxis to rhesus negative women
what’s done at 31 weeks if primip
Routine care
what’s done at 34weeks
Routine care as above
Second dose of anti-D prophylaxis to rhesus negative women*
Information on labour and birth plan
what’s done at 36 weeks
Routine care as above
Check presentation - offer external cephalic version if indicated
Information on breast feeding, vitamin K, ‘baby-blues’
what’s done at 38 weeks
routine care
what’s done at 40 weeks if primip
Routine care as above
Discussion about options for prolonged pregnancy
what’s done at 41 weeks
Routine care as above
Discuss labour plans and possibility of induction
