Summary: Antenatal Care
- This + 400k other summaries
- A unique study and practice tool
- Never study anything twice again
- Get the grades you hope for
- 100% sure, 100% understanding
Read the summary and the most important questions on Antenatal Care
-
1 Antenatal Care
This is a preview. There are 67 more flashcards available for chapter 1
Show more cards here -
Down's Syndrome Screen
Combined Test from weeks 11-14
ß-hCG
PAPPA
Quad test from weeks 15-22
AFP
ß-hCG
Inhibin
E3
Nucheal translucency and age -
Medications for 1st Trimester
Folic acid 0.4mg/day until week 12
Vitamin D 10µg/day if BMI>30 or low sun exposure -
NICE Guidelines of Number of Appointments
10 for nulliparous
7 for multiparous
More frequent in high risk
Blood pressure taken
Urine checked for protein; glucose; leucocytes and nitrates -
Immune Foetal Hydrops
Rhesus isoimmunization
IgG crosses placenta causing death of foetal red blood cells
Anaemia and then hydrops can occur
Initial pregnancy IgM is formed which cannot cross placenta
Re-exposure = IgG and causes haemolytic anaemia -
Sensitising events for Rhesus disease (6)
TOP or ERPC
Ectopic
Vaginal bleeding > 12 weeks
Blunt abdominal trauma
Amniocentesis/CVS
Intrauterine death
Delivery -
Management of Rhesus Disease
Checked for antibodies at 28 & 34 weeks
Test father
If levels of antibodies are >10lU/ml then assess foetal anaemia
Can give transfusion in umbilical vein and repeat every 2 weeks
Give blood transfusion at birth -
Prevention of Rhesus (D) disease
Anti-D given at 28 weeks or 72 hours of sensitizing event
After delivery if neonate has rhesus +ve -
Non-immune foetal hydrops causes
Severe anaemia (virus; G6PD; Thalassaemia)
Cardiac (structural; tachyarrhythmia; heart block)
Chromosomal (13;18;21;45XO)
Twin-to-twin transfusion syndrome
Placental
Other infections
Other genetic
Other structural -
Investigations of non-immune foetal hydrops
Ultra-sound gives diagnosis
Can look for structure problems and anaemia by MCA velocity -
Treatment of non-immune foetal hydrops
Correct any causes if possible
Twin-to-twin = laser photocoagulation
Cardiac if possible
Deliver if in 3rd trimester
- Higher grades + faster learning
- Never study anything twice
- 100% sure, 100% understanding
For my 1st exam I got a C. Then, I started looking for ways to learn better and I came across Study Smart. Since then I have scored a A+, A, A- and another A. I highly recommend it to everyone who wants to hear it. I am so happy with it!!
I was struggling to finish all my first-year subjects for 3 years. Then I discovered Study Smart, which helped me to finish all of them within 3 months.
Because of StudySmart, things are going well in many ways. Before, I always had study stress and no time for anything. Now I feel calm and confident (because of the program). I used to score a B, now I usually score an A or A+.
Hey Chris, I really want to thank you very much for developing the platform, I usually got around C for my exams, now I scored an A+, an A and a A- !!
Since using Study Smart, my average has increased significantly. I even completed a statistics course with a A+ while I'm bad at statistics. I took on extra courses this year, because of Study Smart. Thanks so much!
Ever since I started studying with StudySmart I passed all my exams !!! No more re-sits!! At first, I was happy with a pass and now I only get good grades. Many thanks!
I aced all the courses I studied with Study Smart. For law, I first scored a D, and now an A! I’m 100% sure that I’ll pass all the courses I study with Study Smart.
I always thought I studied well. My grades were fine. I could never have imagined that applying these study skills would have such a huge and direct impact on my grades, my speed and the pleasure I have in learning.
For the first time, I finally feel totally confident about the way I learn. I have the perfect overview and make great progress in terms of speed and the grades I get. Thanks, Chris!
I immediately started to enjoy learning again, and my grades soared. All of a sudden, everything went better. I highly recommend Study Smart to all students..
Being able to create my materials online made the process of studying so much smoother and quicker. I no longer have to spend a huge amount of my time on creating my summaries.
At first, my notes were a mess. Now I use Study Smart to take my notes in a perfectly structured way. It helps me to save a lot of time and do other things I enjoy.
Students that study with Study Smart get better grades. The system applies all the learning methods in such a way that both well-performing students and students who struggle perform much better.
Hi Chris, I would like to thank you very much. Last year I scored C on a course, and this year I got an A+ thanks to your method! Thank you very much!
The largest effect is that my child is more enthusiastic about school! Every parent wants their children to be happy at school, Study Smart made it happen.
In high school, I failed several exams, and that has really changed now. I actually needed this tool very much back then. Since I started studying with StudySmart, I haven't had any D's. My average score is now an A and those are results I would have never had in the past
With my old method, I passed only 3 out of 8 courses. Since I started taking my notes digitally in Study Smart, I have passed all my courses on the first try. For me, StudySmart takes away the stress of wondering if I will pass or not.
Thanks to StudySmart, I passed all my exams, and with better grades than before! On top of that, I have mastered a very good study method now, which I am confident will help me earn my degree.
