Pregnancy - antenatal

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Author:
trincam2008
ID:
276561
Filename:
Pregnancy - antenatal
Updated:
2014-06-10 15:27:21
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Folders:
O&G
Description:
Antenatal, screening tests
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  1. Combined test - when
    • USS, beta-hCG and PAPP-A 
    • <14 weeks, also with USS - nuchal translucency
  2. Triple test - chromosome anomalies
    • If >14; missed prev, NT
    • AFP, hCG, oestriol
  3. Booking visit Ix: 11 - 13w
    • - USS:
    •   + CRL (crown-rump length)
    •   + multiple pregnancy
    •   + structural abnormalities with nuchal translucency measurement
    • - Blood tests - combined test
    •   + chromosomal abnormalities
  4. Booking visit Ix: 16w
    • - Results of screening tests for chrom abn and booking blood tests
    • - If missed, 'triple test'
  5. Booking visit Ix: 18-21w
    • - USS - anomaly scan 
    • - repeat scan at 32w if low placenta
  6. Booking visit Ix: 28w
    • - Measure fundal height
    • - FBC & antibody
    • - Glucose tolerance 
    • - Anti-D
  7. Booking visit Ix: 34; then 36,38,40w
    • - 34: Fundal height, FBC if low Hb
    • - 36,38,40: 
    •   + fundal height
    •   + fetal lie and presentation - referral for ECV (external cephalic version)
    •   + not pelvic exam, unless induction/obstruction suspect
  8. Booking visit Ix: 41w
    • - Fundal height, fetal lie and presentation
    • - membrane sweeping offered, as induction of labour at 42w

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