Flashcards in Antenatal Care and Screening Deck (11):
What are the objectives of antenatal care?
Detect and manage pre existing maternal disorders that may affect pregnancy outcome
Prevent or detect and manage maternal and fetal complications of pregnancy
Detect congenital fetal problems if requested
Plan birth circumstances
Provide lifestyle advice
What is investigated at the booking appointment?
Urinalysis, MSSU C&S
US- viability, number, gestation
What investigations are carried out at the follow up visits?
aFP or Triple test
Anti D if Rh-ve
FBC abs, Anti D if Rh-ve
BPS if no induction
What is examined at the booking appointment?
What is examined at the follow up visits?
Lie and presentation
What are objectives of US for fetal anomaly?
Reduction in perinatal mortality and morbidity
Potential for in utero treatment
Identification of conditions amenable to neonatal surgey
What is involved in the Down's RA at the first trimester?
Measure of skin thickness behind fetal neck using US (nuchal thickness)
Measured at 11-13+6 weeks
Combined with HCG and PAPP-A
What is involved in the Down's RA at the second trimester?
Blood sample at 15-20 weeks
Assay of HCG and AFP
What is involved in the Down's RA for both the first and second trimester?
Incorporation of measurements/results with maternal age and gestation to give a personal risk
>1:250 high risk and requires further Ix (e.g. amnio)
When is amniocentesis carried out, and what is the miscarriage risk?
After 15 weeks, 1%