A 1-4 page document written by a final year medical student with distinction grades in the uploaded modules. These notes are concise and of very high quality - using a combination of textbooks, lectures, and current guidelines (NICE and RCOG). These documents are the only resource you should need f...
Routine Antenatal Caree ann Screeenin
An uncomplicaten pree nancy is len by a midwife. Ineally theree is continuity of caree threou hout.
Aftere the frest contacte bookiin appointmente ann natin scane theree aree moree ann moree ree ulare
appointment until neliverey:
- Everey 4 weekis until weeki 28
- Everey 2-3 weekis until weeki 36
- Weekily until neliverey
Fore frest time noremal pree nancies a woman shouln expect reou hly 10 appointments threou houte whereeas
subsequent pree nancies will reequiree 7 appointments.
Weekis 1-9 Confremation of pree nancy uusually ureine nip)
‘First contact’ Discussions/Anvice on:
- Food hygiene
- Folic acid
- Smoking, alcohol and recreatonal drugs
- Informaton on all upcoming antenatal screening, their risks and beneftss
These areen’t pereforemen until latere but ives the woman time to necine if she’n
likie them.
By weeki 9 Discussions/Anvice on:
‘Booking - Nutriton and diet
appointment’ - Vitamin D
- Exercise
BLOODS x5: - Breast feeding workshops and antenatal classes
BP - Plans on birth
Anaemia - Maternity/paternity leave and rights
Blood type Preeclampsia screening
Blood infecton - Offereen at each ann everey antenatal appointment
Hb-opathy - Blood pressure ann Urine ufore preoteinureia) aree both measureen each time
- Increeasen freequency of sureveillance innicaten if any of the followin
o Sin le niastolic reeanin s of 110 mmH
o Two consecutive niastolic reeanin s of 90 mmH at least 4 houres aparet
o Si nifcant preoteinureia u1))
o Multiple pree nancy
o A e >40
o Nullpareity
o Pree nancy intereval fore >10yres
o PMH ore FHx of preeeclampsia
o PMH of hyperetension ore reenal nisease
- All pree nant women shouln also be anvisen to visit theire GP/minwife if they
expereience – Heanachese blurereen visione abno pain just below reibse vomitin e
ore sunnen swellin of hanns/feet/face.
Anaemia screening
- Offereen as earely as possible ann a ain at weeki 28
- FBC - Hb < 11 /100ml
- Ireon supplementation may be iven
Blood group and Rhesus D screening
- Bloon reoup imporetant fore treansfusion that may be neenen in emere ency
- Women who aree founn to be Rhesus D ne ative who aree nesensitisen ui.e. frest
pree nancy) aree to be iven anti-D preophylaxis
- Othere atypical reen cell alloantibonies shouln also be offereen uin earely
pree nancy as well as at weeki 28)
Maternal infecton screening
- MSU – tests fore asymptomatic bactereiureia. Rx reenuces reiski of pyelonephreitis.
- Vaginal swab ufore women a en unnere 25) - tests fore chlamydia
- Serology – tests fore Hep B, HIV, Rubella, ann Syphiliss
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