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ImbibeMe / ImbibeMed / MRCOG Part 2 / Module 2 – Antenatal Care / Antenatal Care for Uncomplicated Pregnancies for MRCOG
Article last updated on 17/03/2021.
All pregnant women should receive supplement of vitamin D – 10 micrograms per day.
Women at greatest risk of vitamin D deficiency :-
Screening for sickle cell disease and thalassaemias – offered to ALL women as early as possible in pregnancy, ideally by 10 weeks.
Between 11 weeks 0 days and 13 weeks 6 days – Combined test – Nuchal translucency, beta-hCG, PAPP-A.
Between 15 weeks 0 days and 20 weeks 0 days (for women who book later in pregnancy) – Triple or Quadruple test.
Risk factors for Gestational DM :-
Women with any one of these risk factors should be offered testing for gestational diabetes with a 75 – g 2-hour OGTT at 24 – 28 weeks.
For women who have had gestational diabetes in a previous pregnancy, offer :
Nulliparous women with uncomplicated pregnancy – 10 appointments should be adequate.
Parous with an uncomplicated pregnancy – 7 appointments should be adequate.
Early ultrasound scan – between 10 weeks 0 days and 13 weeks 6 days – to determine gestational age and to detect multiple pregnancies.
Crown – rump length – to determine gestational age. If the CRL is above 84 mm, the gestational age should be estimated using head circumference.
For majority of women it is safe to continue working during pregnancy.
A woman’s occupation during pregnancy should be ascertained to identify those at higher risk of occupational exposure.
Dietary supplementation with folic acid, before conception and throughout the first 12 weeks, reduces the risk of having a baby with a neural tube defect (for example, anencephaly or spina bifida).
Recommended dose of folic acid is 400 micrograms per day.
Iron supplementation should NOT be offered routinely to all pregnant women. It does NOT benefit the mother’s or the baby’s health and may have unpleasant maternal side effects.
Vitamin A supplementation (above 700 micrograms) might be teratogenic and should be avoided.
Liver and liver products contain high levels of vitamin A, and therefore consumption of these products should also be avoided.
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To reduce the risk of listeriosis in pregnancy, it is advised to :-
To reduce the risk of salmonella infection, pregnant women should be advised to :-
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