Routine Antenatal Care

Question 1

What is the advice on folic acid?

Answer 1

•folic acid 400mcg should be given from before conception until 12 weeks to reduce the risk of neural tube defects.

Women at risk should take 5mg

Question 2

What is the advice on Vit D?

Answer 2

take a supplement as advised in the healthy start supplement, 10 mcg

Question 3

What antismoking stuff can be used?

Answer 3

• NRT may be used but woman must have stopped smoking and risks/benefits need to be discussed
• nOTr varenicline or bupropion

Question 4

What food shouldn’t be eaten?

Answer 4

•listeriosis: avoid unpasteurised milk, ripened soft cheeses (Camembert, Brie, blue-veined cheeses), pate or undercooked meat
•salmonella: avoid raw or partially cooked eggs and meat, especially poultry
Lliver: vit A

Question 5

Natural remedies for nausea and vom?

Answer 5

Ginger and pressure bands

Antihistamines (promethazine)

Question 6

How many antenatal vistis exist>

Answer 6

10 in primip

7 ni subsequent (if uncomplicated)

Question 7

When is booking visit? What happens?

Answer 7

8-12 weeks

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, rubella
•HIV test is offered to all women
•urine culture to detect asymptomatic bacteriuria

Question 8

When is the first scan?

Answer 8

10 - 13+6 weeks

Question 9

When is the second scan?

Answer 9

18 - 20+6 weeks

Question 10

What happens at 28 weeks?

Answer 10

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

Question 11

When is the second dose of antiD?

Answer 11

34 wk

Question 12

When is ECV offered?

Answer 12

36wks