ROUTINE ANTENATAL CARE IN PREGNANCY Flashcards
(21 cards)
whats the social model of pregnancy?
that pregnancy/childbirth are normal, physiologic events that occur in most women’s lives and therefore do not normally need medical intervention.
what is the medical model of pregnancy?
childbirth is potentially pathological and so every women is potentially at risk when pregnant so should deliver in hospital with experts around
what is classified as a high risk pregnancy?
being under 17 or over 35, multiple births, history of complicated pregnancies, history of genetic conditions, having epilepsy/kidney disease/PCOD/Rh sensitisation or having structural problems with uterus, cervix or placenta
what are the leading causes of maternal death?
heart disease, epilepsy, stroke, sepsis, thrombosis and thromboembolism
what is pre-eclampsia?
characterized by the onset of high blood pressure and often a significant amount of protein in the urine- thought to be caused by the placenta not developing properly
what is constituted a normal pregnancy?
a singleton pregnancy of 37-42 weeks
how do you work out estimated date of delivery?
Naegele’s rule- take date of LMP, subtract 3 months and add 7 days
what are some aims of antenatal care?
monitoring the pregnancy, developing a relationship with the parents, delivering info that promotes choice, recognising deviations from the norm, preparing the parents for birth, raising awareness of public health issues
whats the difference between primiparous and multiparous?
primiparous is when its their first born
multiparous is when you have given birth in the past
what will an abdominal examination involve in an antenatal care check up?
inspection
palpation - measure symphysis-fundal height measuremenet
auscultation of foetal heart
what do we screen for in the antenatal period?
10 weeks - infectious diseases e.g. HIV and syphilis
12 weeks - Down’s syndrome, Edward’s syndrome and Patau’s syndrome
before 10 weeks - sickle cell anaemia and thalassaemia
20 weeks - foetal anomaly screening programme looks for 11 physical conditions
what is an early miscarriage?
foetal demise before 14/40
what is a late miscarriage?
foetal demise between 14/40 and 23+6
what is a spontaneous abortion?
when the body itself discontinues the pregnancy naturally before 20 weeks
what is a missed miscarriage?
when the foetus demises but the body does not recognise the pregnancy loss
what are recurrent miscarriages?
3 or more miscarriages occuring consecutively
whats an inevitable miscarriage?
diagnosed non-viable pregnancy in which bleeding has begun and the cervical os is open, but pregnancy tissue remains in the uterus. The pregnancy will proceed to incomplete or complete miscarriage.
whats a molar pregnancy?
when there’s a problem with a fertilised egg, which means a baby and a placenta do not develop the way they should after conception
whats a stillbirth?
when the foetus is born after 24 weeks with no signs of life
what is early neonatal death?
death of neonate born after 20/40 that dies within first 7 days of life
what is a late neonatal death?
neonate born after 20/40 that dies between 7-28 days of life
