Prgenancy Flashcards
What vitamins should pregnant women take?
Folic acid 400micrograms (deficiencies cause neural tube defects)
Vitamin D 10 micrograms a days
AVOID vitamin A
When is the first appointment?
8-12 weeks (ideally before 10 weeks)
What 6 things are done at every appointment?
Blood pressure
Urine dip
Identify women with risk factors for pre-eclampsia (to start ibuprofen)
Offer influenza vaccination between oct and jan
Give info and support
Symphysis fundal height (every appointment after and including 25 weeks)
What is screened for?(Bloods)
Blood group/Rhesus D status
Haemoglobinopathies, anaemia, red-cell antibodies
Hep B, HIV, syphillis
Why is blood group/ rhesus status checked?
Because if mother rhesus -ve and baby rhesus +ve mother might initiate immune response (usually not first but subsequent pregnancies if mother becomes sensitised)
Why is blood screened for HIV, Hep B, syphillis?
Prophylaxis treatment and effects delivery methods
When is Down’s screened?
Combined test 11wks -13(+6days) weeks - bloods and ultrasound looking at nuchal thickness
Quadruple test (15wks - 20wks) - bloods only
Bloods - beta‑human chorionic gonadotrophin, pregnancy‑associated plasma protein‑A
Diagnostic testing - chorionic sampling or amniocentesis if screening indicates higher risk
When are ultrasound scans performed?
11weeks-13(+6days) - gestational age assessment
19-20(+6days) weeks -USS for structural abnormalities (i.e. heart, limb, cranial)
When are the 10 appointments in a nulliparous pregnancy? (Asterix shows nulliparous only)
- 8-12 weeks
- 16 weeks
- 25 weeks*
- 28 weeks
- 31 weeks*
- 34 weeks
- 36 weeks
- 38 weeks
- 40 weeks*
- 41 weeks
When is pertussis vaccine offered and what is it for?
16 week appointment - whooping cough
When is Symphysis fundal height measured?
25 week appointment and every subsequent apptmt
What is treatment for rhesus -ve mother?
Anti-D prophylaxis (offer at 28 weeks and then second dose at 34 weeks)and injection of rhesus positive antibodies (to mop up small amounts of fetal blood)
What vitamin is often given at 36 week appointment?
Vit K because newborns are often deficient
2 ways to induce labour
Membrane sweep or vaginal prostaglandins
Why does membrane sweep induce labour?
Separates amniotic sac from cervix to induce prostaglandin release