1 / 13

Ante natal care

Ante natal care. Sharon Wallis Senior Matron. Appropriate care pathway from start Assessment of maternal & fetal well being Early detection of pregnancy induced conditions or exacerbation of pre exisiting ones Appropriate & timely referral Support women & their families.

mireille-clarke
Download Presentation

Ante natal care

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Ante natal care Sharon Wallis Senior Matron

  2. Appropriate care pathway from start • Assessment of maternal & fetal well being • Early detection of pregnancy induced conditions or exacerbation of pre exisiting ones • Appropriate & timely referral • Support women & their families Importance of AN care

  3. Place of birth – hospital or home • Choice of pain relief in labour • Continuity of care / carer Choice, continuity & control!

  4. Ideally between 8 – 10 weeks gestation • Thorough social / obstetric /medical /family history • Includes mental health history • Routine enquiry into domestic abuse • Health advice – smoking / substance & alcohol misuse / diet / exercise • Maternity benefits • Screening / blood tests Booking

  5. Support - benefits • Teenage • Safe guarding • Learning disabilities • Non English speaking / reading • Interpreters Social history

  6. Previous C/S • PPH • 3rd degree tear • IUFD / stillbirth • Baby >4.5 kg • IUGR • Preterm labour • Grand multip • Retained placenta x 2 • Shoulder dystocia • 3 x consecutive 1st trimester miscarriage • 2nd trimester miscarriage Obstetric history

  7. Cardiac disease • Endocrine disease • Genital tract surgery • Haemaglobinopathies • BBV • BMI >35 /<18 • Skeletal / spinal problems • Declines blood products • Malignancies • Severe asthma Relevant medical history

  8. 1st degree relative with IDDM • FH Pre eclampsia • Thromboembolic disorders • Congenital abnormalities / deafness • FH – poor obstetric outcome Family history

  9. Past hx of severe MH disorders especially following childbirth • FH of severe MH disorders especially that required hospitalisation • Emphasis on early detection and referal to maternal MH team Mental health

  10. Routine enquiry at least 3 times during pregnancy episode • All women asked • RE + /- • Contact numbers highlighted • Safeguarding issues with disclosure Domestic abuse

  11. Smoking • Alcohol • Substance misuse Don’t do it! Referal to Fresh start / drug and alcohol specialist midwife if necessary Health advice

  12. All women offered NT+ (combined screening) between 11+ - 13+ weeks • FBC • Sickle + thalasaemia screening • Blood group & anti bodies • Microbiology screening • MSU Screening

  13. Based on individual clinical need • As a minimum, women are seen; • At booking (8-10 weeks) • Dating scan +/- NT+ (RDH) • 16 weeks • Anomaly scan (RDH) • 24 weeks • 28 weeks – repeat FBC / anti bodies / anti D if Rh neg • 31 weeks • 34 weeks – repeat FBC • 36 weeks • 38 weeks • Term • Manual BP / urinalysis / SF height measurement as minimum AN visit schedule

More Related