wscans and screening

Question 1

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

ideally when

Answer 1

8 - 12 weeks (ideally < 10 weeks)

Question 1

Early scan to confirm dates, exclude multiple pregnancy

Answer 1

10-13+6 weeks

Question 2

Down’s syndrome screening including nuchal scan

Answer 2

11-13+6

Question 3

Anomaly scan

Answer 3

18-20+6

Question 4

Routine care: BP, urine dipstick, symphysis-fundal height (SFH)

Answer 4

25w only if primip

Question 5

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

Answer 5

28w

Question 6

Second dose of anti-D prophylaxis to rhesus negative women

Answer 6

34weeks

Question 7

Check presentation - offer external cephalic version if indicated
Information on breast feeding, vitamin K, ‘baby-blues’

Answer 7

36w