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Flashcards in Antenatal Care Deck (15):
1

Why is antenatal care important?

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

Describe FIVE roles of the midwife during antenatal care

-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

Describe EIGHT principles of antenatal care

-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

What is the schedule of antenatal care for a primigravida?

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

What happens at a booking appointment?

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

6

What happens at an 11-13 week appointment?

At hospital for a dating scan

7

What happens at a 15-16 week appointment?

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

8

What happens at a 22-24 week appointment?

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

9

What happens at a 28 week appointment?

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

10

What happens at a 31-32 week appointment?

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

11

What happens at a 34 week appointment?

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

12

What happens at a 37-38 week appointment?

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

13

What happens at a 39-40 week appointment?

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

14

What happens at a 41 week appointment?

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

15

What happens at an 18-20 week appointment?

At hospital for detailed anomaly scan