Book contents
- Frontmatter
- Contents
- List of contributors
- Foreword
- Preface
- Acknowledgements
- List of abbreviations
- 1 Maternal physiology and obstetrics
- 2 Antenatal care
- 3 Induction of labour
- 4 Normal labour
- 5 Abnormal labour
- 6 Fetal monitoring
- 7 Pre-eclampsia and hypertensive disorders of pregnancy
- 8 Operative obstetrics
- 9 Obstetric haemorrhage
- 10 Thromboembolic disorders of pregnancy
- 11 Infection
- 12 Life support in obstetrics
- 13 Drugs in obstetrics
- 14 Confidential enquiries into fetal, neonatal and maternal death
- Appendix 1 Adult Advanced Life Support Algorithm
- Appendix 2 The Management of Postpartum Haemorrhage Algorithm
- Appendix 3 Emergency Management of Eclamptic Fit Algorithm
- Index
- References
2 - Antenatal care
Published online by Cambridge University Press: 21 August 2009
Book contents
- Frontmatter
- Contents
- List of contributors
- Foreword
- Preface
- Acknowledgements
- List of abbreviations
- 1 Maternal physiology and obstetrics
- 2 Antenatal care
- 3 Induction of labour
- 4 Normal labour
- 5 Abnormal labour
- 6 Fetal monitoring
- 7 Pre-eclampsia and hypertensive disorders of pregnancy
- 8 Operative obstetrics
- 9 Obstetric haemorrhage
- 10 Thromboembolic disorders of pregnancy
- 11 Infection
- 12 Life support in obstetrics
- 13 Drugs in obstetrics
- 14 Confidential enquiries into fetal, neonatal and maternal death
- Appendix 1 Adult Advanced Life Support Algorithm
- Appendix 2 The Management of Postpartum Haemorrhage Algorithm
- Appendix 3 Emergency Management of Eclamptic Fit Algorithm
- Index
- References
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.
Keywords
- Type
- Chapter
- Information
- Obstetrics for Anaesthetists , pp. 11 - 21Publisher: Cambridge University PressPrint publication year: 2008
References
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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).