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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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