Summary of Screening Flashcards
When is the booking visit and Booking bloods/urine?
8 - 12 weeks (ideally < 10 weeks)
What occurs at the booking visit?
General information e.g. diet, alcohol, smoking, folic acid, vitamin D, antenatal classes
BP, urine dipstick, check BMI
What is included in 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
When is a HIV test carried out in pregnant women?
Booking visit (8-12 weeks)
What is done at 10 - 13+6 weeks?
Early scan to confirm dates, exclude multiple pregnancy
When are multiple pregnancies excluded?
10-13+ 6 weeks
At what time is Down’s syndrome and the Nuchal scan carried out?
11 - 13+6
What is done at 11-13+6 weeks?
Down’s syndrome screening including nuchal scan
When is the anomaly scan carried out?
18 - 20+6 weeks
What is carried out at 18 - 20+6 weeks?
Anomaly scan
What is 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 would you consider at 16 weeks of the Hb was less than 11g/dl?
Iron supplementation
What is done at 25 weeks? (if the mother is a primi)
Routine care: BP, urine dipstick, symphysis-fundal height (SFH)
When is fundal height first measured?
After 24 weeks gestation
What happens at 28 weeks gestation?
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
When is a women checked for anaemia?
Booking visit (8-12 weeks <10)
28 weeks gestation
When would you consider giving iron to someone at 28 weeks gestation?
Hb <10.5g/dl
When is anti-D administered?
First dose: 28 weeks
Second dose:34 weeks
What would be done at 31 weeks? (if primi)
Routine care
What is done at 34 weeks gestation?
Routine care as above
Second dose of anti-D prophylaxis to rhesus negative women
Information on labour and birth plan
What is 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 is done at 38 weeks?
Routine care
What is done at 40 weeks (if primi)?
Routine care
What is done at 41 weeks?
Routine care
Discuss labour plans and possibility of induction
