Routine Antenatal Care Flashcards
How many routine appts does an uncomplicated pregnancy have?
10 if primip
7 if multip
When is the booking visit completed?
8-12wks
Preferably <10wks
What is done at the booking visit?
With midwife
- discuss diet, smoking, alcohol, folic acid, vitamin d
- BMI, BP and urine dip
Booking bloods
- FBC, Rh status, red cell autoantibodies, haemoglobinopathies
- HIV, Hepatitis and Syphilis screening
- Urine culture for asymptomatic bacteruria
When is the second visit?
10-13+6wks
What is done at the second visit?
Early scan to confirm dates and exclude multiple pregnancy
When is the Downs screening test completed?
11-13+6wks
hCG, PAPP-A and nuchal translucency
After Downs Screening when is the next visit?
16wks
What is done at the 16wk visit?
Information on anomaly and blood results
If Hb <110 then consider iron tablets
BP and urine dip
What is done at the 18+6-20wk scan?
Anomaly scan
When is the next appt after the anomaly scan?
25wks- primip only
What is done at the 25wk appt?
SFH, BP and Urine dip
What is done at 28wks?
SFH, BP and urine dip
Bloods
-FBC, red cell alloantibodies
-if Hb <105 then consider iron
First dose Anti-D to Rh -ve women
What is done at 31 wks?
Primip only appt
SFH, BP and Urine dip
What is done at 34 wks?
BP, urine dip, SFH
2nd dose Anti-D to Rh-ve women
Discuss labour and birth plan
What is done at 36wks?
BP, SFH, Urine dip
Check presentation- offer ECV
Discuss breastfeeding, Vit K and baby blues
