Antenatal care: timetable Flashcards
how many antenatal visits in the first pregnancy if the pregnancy is uncomplicated?
10
how many antenatal visits in subsequent pregnancies if uncomplicated
7
do women need to be seen by a consultant if uncomplicated
no
what visits should be booked at 10 weeks?
booking initial visit
booking bloods and urine
at initial visit at 10 weeks what happens at visit
general information
e.g. diet, alcohol, smoking, folic acid, vitamin D, antenatal classes
BP, urine dipstick, check BMI
what bloods and urine tests occur at first visit at 10 weeks?
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 does an early scan occur and what is the point of it?
10-13 weeks
exclude multiple pregnancies
confirm dates
when does downs syndrome screening test (nuchal scan) occur?
11-13 weeks
when does anomaly information and blood results occur?
16 weeks
when does an anomaly scan occur?
18-20 weeks
when does a symphysis fundal height measurement occur?
25 weeks only if primip
at 16 weeks what do you do if hb < 11
consider iron
when does a second screen for anaemia and atypical red cell alloantibodies occur?
28 weeks
when do you consider iron at 28 weeks
if Hb < 10.5
when is first anti-d prophylaxis given to rhesus negative women
28 weeks
