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Flashcards in Antenatal Care Deck (15)
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1
Q

Why is antenatal care important?

A

Women who receive antenatal care early in pregnancy and who have more antenatal visits tend to have lower maternal and perinatal mortality and better pregnancy outcomes

2
Q

Describe FIVE roles of the midwife during antenatal care

A
  • Promote and monitor physical wellbeing of mother and baby
  • Promote and monitor the mother’s psychological, emotional and social wellbeing and provide appropriate support
  • Promote health education including smoking cessation
  • Provide birth preparation and education for parenthood
  • Effective communication with multi-disciplinary teams
3
Q

Describe EIGHT principles of antenatal care

A
  • Midwife’s belief in physiological birth should be explicit in work philosophy and approach to care
  • Care should be supported by evidence where possible
  • Continuity of care should be encouraged
  • Promotion of woman’s self-belief / confidence in normal birth
  • Encourage family and wider community support around normal birth
  • Provide a calm, positive environment
  • Women able to ask questions as they arise
  • Additional visits depending on needs
4
Q

What is the schedule of antenatal care for a primigravida?

A

8-11 weeks - Full blood count, blood group, serology, history taking, blood pressure

11-13 weeks - At the hospital for dating scan

15-16 weeks - Down’s test if required, blood pressure, urinalysis, abdominal examination

18-20 weeks - Detailed anomaly scan

22-24 weeks - Mat B1, blood pressure, urinalysis, abdominal examination, fetal heart

28 weeks - Full blood count, rhesus status, glucose, blood pressure, urinalysis, abdominal examination, fetal heart

31-32 weeks - Early post natal depression score, blood pressure, urinalysis, abdominal examination, fetal heart

34 weeks - Early post natal depression score, breast feeding checklist, blood pressure, urinalysis, abdominal examination, fetal heart

37-38 weeks - Full blood count, blood pressure, urinalysis, abdominal examination, fetal heart

39-40 weeks - Membrane sweep if over 40 weeks, blood pressure, urinalysis, abdominal examination, fetal heart

41 weeks - Membrane sweep, blood pressure, urinalysis, abdominal examination, fetal heart, arrange an induction

5
Q

What happens at a booking appointment?

A

Full blood count, blood group, serology, history taking, blood pressure

6
Q

What happens at an 11-13 week appointment?

A

At hospital for a dating scan

7
Q

What happens at a 15-16 week appointment?

A

Down’s test if required, blood pressure, urinalysis, abdominal examination

8
Q

What happens at a 22-24 week appointment?

A

Mat B1, blood pressure, urinalysis, abdominal examination, fetal heart

9
Q

What happens at a 28 week appointment?

A

Full blood count, rhesus status, glucose, blood pressure, urinalysis, abdominal examination, fetal heart

10
Q

What happens at a 31-32 week appointment?

A

For primigravida only, Early post natal depression score, blood pressure, urinalysis, abdominal examination, fetal heart

11
Q

What happens at a 34 week appointment?

A

Early post natal depression score for parous women, breast feeding checklist, blood pressure, urinalysis, abdominal examination, fetal heart

12
Q

What happens at a 37-38 week appointment?

A

Full blood count, blood pressure, urinalysis, abdominal examination, fetal heart

13
Q

What happens at a 39-40 week appointment?

A

Membrane sweep if over 40 weeks, blood pressure, urinalysis, abdominal examination, fetal heart

14
Q

What happens at a 41 week appointment?

A

Membrane sweep, blood pressure, urinalysis, abdominal examination,fetal heart, arrange an induction

15
Q

What happens at an 18-20 week appointment?

A

At hospital for detailed anomaly scan