{"id":131,"date":"2017-03-23T18:37:59","date_gmt":"2017-03-23T18:37:59","guid":{"rendered":"http:\/\/papergp.com\/index.php\/womens-health\/antenatal-check\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"antenatal-check","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/womens-health\/obstetrics\/antenatal-check\/","title":{"rendered":"Antenatal check"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Red flags &#8211; Abdominal pains, PV bleeding, Reduced fetal movements<\/li>\n<li>Others &#8211; EDD<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>First contact &#8211; folic acid, lifestyle (diet, alcohol, smoking, travel, occupation), screening\n<ul>\n<li>Smoking &#8211; NRT. Alcohol &#8211; 1-2 units\/week (avoid in first 3mo).<\/li>\n<li>Diet &#8211; avoid raw meat, fish, eggs, liver, soft cheeses, unpasteurised milk, 2 mugs of coffee.<\/li>\n<li>Medications &#8211; avoid NSAIDs.<\/li>\n<li>Benefits &#8211; free prescriptions during and 12months after pregnancy<\/li>\n<li>N&amp;V &#8211; dry toast, small amounts often, fluids++, avoid fatty foods, anti-emetics<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Booking\n<ul>\n<li>BMI<\/li>\n<li>BP<\/li>\n<li>Urine dip<\/li>\n<li>Bloods &#8211; blood group, Rh status, FBC, haemoglobinaopathies, HBV, HIV, rubella, syphillis<\/li>\n<\/ul>\n<\/li>\n<li>Screening &#8211; DS (12 weeks and 20 week scans)<\/li>\n<li>Diabetes &#8211; OGTT at 24 weeks &#8211;\n<ul>\n<li>Risk factors &#8211; BMI &gt;30, prev big baby (&gt;4.5kg), preg gest diabetes, FH diabetes<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>25 weeks &#8211; BP, urine, SFH, fetal movements, PVB, abdo pain<\/li>\n<\/ul>\n<ul>\n<li>28 weeks &#8211; BP, urine, SFH, FBC, anti D (if Rh negative), birth plan,\u00a0fetal movements, PVB, abdo pain<\/li>\n<\/ul>\n<ul>\n<li>36 weeks &#8211; position, breast feeding, post natal care,\u00a0fetal movements, PVB, abdo pain<\/li>\n<\/ul>\n<ul>\n<li>41 weeks &#8211; membrane sweep, induction of labour,\u00a0fetal movements, PVB, abdo pain<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>First contact other points:<\/h4>\n<ul>\n<li>Vitamins\n<ul>\n<li>Folic acid &#8211; 5mg if cardiac, DM, epilepsy, sickle cell<\/li>\n<li>Vitamin D 10 micrograms<\/li>\n<li>Lifestyle<\/li>\n<li>Diet, exercise, alcohol<\/li>\n<li>Smoking &#8211; NRT safer than smoking. Medications contraindicated.<\/li>\n<\/ul>\n<\/li>\n<li>N&amp;V\n<ul>\n<li>rule out: molar pregnancy, UTI<\/li>\n<li>urine dip: if ketones+++ &#8211; refer<\/li>\n<li>improves by 16\/40<\/li>\n<li>lifestyle: frequent and small meals, avoid fatty\/spicy foods<\/li>\n<li>medications: cyclizine<\/li>\n<\/ul>\n<\/li>\n<li>Reflux\n<ul>\n<li>lifestyle: frequent and small meals<\/li>\n<li>medications: gaviscon, ranitidine<\/li>\n<\/ul>\n<\/li>\n<li>Travel\n<ul>\n<li>up to 36\/40<\/li>\n<li>compression stockings, belt above+below bump<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags &#8211; Abdominal pains, PV bleeding, Reduced fetal movements Others &#8211; EDD &nbsp; Clinical management First contact &#8211; folic acid, lifestyle (diet, alcohol, smoking, travel, occupation), screening Smoking &#8211; NRT. Alcohol &#8211; 1-2 units\/week (avoid in first 3mo). Diet &#8211; avoid raw meat, fish, eggs, liver, soft cheeses, unpasteurised milk, 2 mugs &hellip; <a href=\"https:\/\/papergp.com\/index.php\/womens-health\/obstetrics\/antenatal-check\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Antenatal check<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1715,"menu_order":91,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-131","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/131","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=131"}],"version-history":[{"count":10,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/131\/revisions"}],"predecessor-version":[{"id":1958,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/131\/revisions\/1958"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1715"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=131"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}