Antenatal Visits Flashcards
(12 cards)
What should be checked during every antenatal visit?
Blood pressure and urine
What should be done in the booking appointment and when does it take place?
- Full history and examinations
- Hb electrophoresis, blood group, rhesus status
- Syphilis, rubella, HBV, HCV, HIV status
- MSU for protein, bacteria and glucose
- General pregnancy advice
- Antenatal classes, maternity benefits, free dental care
- 8-12 weeks
What should be done during the dating scan and when does it take place?
- Crown-rump length
- Combined test - maternal age, nuchal translucency, PAPP-A, bHCG (chromosomal abnormality screen)
- 11-13+6 weeks
What is the quadruple test and when is it done?
- Maternal age, AFP, HCG, inhibin, oestradiol
- Screen for Down’s syndrome
- 14-22 weeks
What is done during the anomaly scan and when does it take place?
- Detecting congenital malformations of all organs and systems
- 18-22 weeks
When should anti-D be offered to Rh-ve pregnant women?
28 weeks
When should the whooping cough vaccine be offered to pregnant women?
28 weeks
What is does during the 28 week appointment?
- Anti-D if Rh-ve
- Whooping cough vaccine
- OGTT in history of diabetes/BMI >30/ethnic minority
- Sleeping should be in left lateral position from now on
What is done during the 34 week appointment?
- Give second Anti-D dose if RH-ve
2. Discuss labour and birth, pain relief
What is done during the 36 week appointment?
- ECV if abnormal lie
2. Discuss breastfeeding, neonatal vitamin K, postnatal care, postnatal depression, baby blues.
What is done during the 40 week appointment?
Discuss post-dates pregnancy and its management
What is done during the 41 week appointment?
Offer membrane sweep and book induction of labour by 42 weeks
