Routine antenatal care

Question 1

Routine booking bloods

Answer 1

• FBC (anaemia)
• Rhesus D status
• Thalassaemia, Sickle cell disease
• Infections
• U n Es
• LFTs
• TFTs
• HbA1c (if diabetes risk)

Question 2

What infections are screened for in pregnancy

Answer 2

Hep B
HIV
Rubella
Syphilis
Asymptomatic bacteruria

Question 3

Routine and higher dosage of folic acid

Answer 3

Routine: 0.4mg
Higher: 5mg

Question 4

Who needs higher dosage of folic acid

Answer 4

1. BMI >30
2. Diabetes
3. Epilepsy
4. Sickle cell dz
5. Malabsorption problems
6. Previous baby with NTD

Question 5

Routine and higher dosage of Vit D

Answer 5

Routine: 10micrgrams
Higher: 25 micrograms

Question 6

Who needs higher dosage of Vit D

Answer 6

1. BMI >30
2. South Asian/ Afro-Carribean
3. Low sunlight exposure
4. Increased pre-eclampsia risk

Question 7

Routine and higher dosage of Vit D

Answer 7

Not routinely given

75mg if needed

Question 8

Who needs higher dosage of aspirin

Answer 8

(not routinely given)

Increased pre-eclampsia risk (eg htn disease during previous pregnancy)