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2 - Antenatal care

Published online by Cambridge University Press:  21 August 2009

Alexander Heazell
Affiliation:
University of Manchester
John Clift
Affiliation:
City Hospital, Birmingham
Clare Tower
Affiliation:
Clinical Lecture, Maternal and Fetal Health Research Centre, St Mary's Hospital, University of Manchester, Manchester, UK
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Summary

The National Institute for Health and Clinical Excellence (NICE) produced guidelines for antenatal care provision. The first antenatal visit or 'booking visit' is essential to identifying potential risk factors. Most women in the UK attend for booking in the late first trimester or early second trimester. Those attending in the third trimester are likely to have risk factors placing them in a higher risk category. Blood pressure (BP) should be measured at booking. Pregnant women are offered screening for rubella, syphilis, hepatitis B and HIV. Screening policies for fetal abnormality vary from region to region. The National Screening Committee suggested that women with a risk of 1:250 or more should be offered additional testing in the form of amniocentesis or chorionic villus sampling. Serum alphafetoprotein (AFP) testing in the second trimester is offered as a screening test for neural tube defects.
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Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2008

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References

Chan, K. and Kean, L., Routine antenatal care at the booking clinic. Curr. Obstet. Gynaecol., 14:2 (2004), 79–85.Google Scholar
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Antenatal screening for Down's Syndrome – Policy and Quality Issues. June 2003. National Screening Committee. www.screening.nhs.uk
National Institute for Health and Clinical Excellence, Antenatal care: routine care for the healthy pregnant women. Clinical Guideline (London: Department of Health, 2003). www.nice.org.uk.
Nelson-Piercy, Handbook of Obstetric Medicine, 3rd edn. (London: Taylor and Francis, 2006).
Royal College of Obstetricians and Gynaecologists, Thromboprophylaxis During Pregnancy, Labour and After Vaginal Delivery. Guideline Number 37. (London: Royal College of Obstetricians and Gynaecologists Press, 2004).

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  • Antenatal care
    • By Clare Tower, Clinical Lecture, Maternal and Fetal Health Research Centre, St Mary's Hospital, University of Manchester, Manchester, UK
  • Alexander Heazell, University of Manchester, John Clift
  • Book: Obstetrics for Anaesthetists
  • Online publication: 21 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544569.004
Available formats
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  • Antenatal care
    • By Clare Tower, Clinical Lecture, Maternal and Fetal Health Research Centre, St Mary's Hospital, University of Manchester, Manchester, UK
  • Alexander Heazell, University of Manchester, John Clift
  • Book: Obstetrics for Anaesthetists
  • Online publication: 21 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544569.004
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Antenatal care
    • By Clare Tower, Clinical Lecture, Maternal and Fetal Health Research Centre, St Mary's Hospital, University of Manchester, Manchester, UK
  • Alexander Heazell, University of Manchester, John Clift
  • Book: Obstetrics for Anaesthetists
  • Online publication: 21 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544569.004
Available formats
×