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Pregnancy Appointment summary and questions
Medicine (A100)
Cardiff University
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Pregnancy Appointment summary and questions.
Nulliparous women have 10, Multiparous have 7.
Appointment When? With whom? Tests done Purpose Booking appointment
When woman realises, she is pregnant
- usually 5-8 weeks
Midwife or GP BMI Urine dipstick Carbon monoxide (smoking Check blood group Check rhesus status
Offer screening Decide best team e., midwife/obstetrical team
Screening tests
10 weeks At GP or hospital (ultrasound)
blood group rhesus D status Anaemia Hep B HIV Rubella Urine dipstick Gestational age (ultrasound)
Down’s Screening
11 weeks • Combined test at 11 weeks 0 to 13 weeks 6 days - Serum screening test at 15 weeks 0 days to 20 weeks 0 days
Check appointment
16 weeks Measure blood pressure and test urine for proteinuria
Review and discuss the results of any screening tests
- Investigate a haemoglobin level before 11g/100ml and consider iron supplementation
Anomaly scan Between 18 and 20 weeks
- An ultrasound scan should be performed to detect any structural anomalies
- If a placenta is found
to extend across the internal cervical OS at the time of the scan another scan at 32 weeks should be offered
Check appointment
25 weeks all nulliparous women at Midwife/hospital as outpatient
Measure and plot the symphysis – fundal height (SFH) BP
Protein urine test Check appointment
28 weeks All women, not just nulliparous, as outpatient with midwife
Second screening for Anaemia, offer iron supplementation - Offer anti D prophylaxis to Rhesus negative women - Measure SFH, BP and Urine
Check appointment
31 weeks Nulliparous women are offered an appointment at 31 weeks to measure BP, urine and SFH as well as discuss any screening results.
Check appointment
34 weeks A second dose an anti D is given to rhesus negative women Measure BP, urine and SFH, and discuss any further screening tests that occurred at 28 weeks if not done so at the 31-week
Pregnancy Appointment summary and questions
Module: Medicine (A100)
University: Cardiff University
