Antenatal screening Flashcards
(53 cards)
When would you use the quadruple test?
If patient has missed ‘combined screening’ (eg. booking late)
When is the quadruple test done?
14+2 - 20+0 weeks
What does the quadruple test involve?
Blood test only
What is the test for down’s syndrome (and other disorders) that is currently only available in private sector?
NIPT (non-invasive pre-natal testing)
will be on NHS for high-risk women soon
Why is NIPT better than combined and quadruple test?
Detection rate of over 99%
How does NIPT work?
Placental DNA extracted from maternal blood sample
Different tests screening for different conditions
What does IONA screen for?
Down’s
Edwards
Pataus
When is an HIV test for pregnant women?
Booking bloods
Consent needed
Opt-out system
Why is an HIV test done for mothers?
Intervene quickly for the mother’s health and reduce risk of Mother to Child transmission
What would happen if a woman declines HIV test ONLY?
MDT meeting to discuss reasons behind it
What is important to remember when writing in notes re. someone’s HIV status?
DO NOT WRITE IN HAND-HELD NOTES
What guidelines must you follow for someone with HIV?
2014 BHIVA guidelines
When is Hepatitis B screening done?
Booking bloods
What has to be done if patient has Hep B? Why?
Screening team to contact HPA
Idenifty clearly in notes
Notifiable disease
Refer household contacts to GP for hepatitis screen and vaccination
Health protection advice
How is a mother with Hep B managed?
Referred to hepatology
Newborn vaccination programme. 5 dose vaccine (up to primary school)
Are people with Hep B antibody + and B antigen - at low or high risk?
lower risk
Are people with Hep B antibody - and B antigen + at low or high risk?
higher risk
Newborn will require dose of immunoglobulin at birth
How are women with Hep B managed?
High viral load: anti-retroviral therapy in pregnancy
AND
for short periods following delivery to reduce risk of transmission
Can a woman who screens positive for Hep B breastfeed?
YES
Can a woman who screens positive for HIV breastfeed?
Would not recommend
What should you do for someone who has screened positive for syphilis?
refer to GUM for ABX (if no evidence of previous treatment)
?partner tracing
When is the deadline for receiving the full syphilis treatment to prevent the baby needing IV therapy?
4 weeks prior to delivery
If a mother doesn’t receive the full syphilis treatment by 4 weeks prior to delivering the baby, what does the baby need to receive?
IV therapy (ABX)
What rhesus status indicates a need for anti-D immunoglobulin?
rhesus negative
