16 week appointment routine antenatal care pdf

Almost all of the maternal deaths 99% and child deaths 98% occurred. Accurate gestational age assessment helps optimal antenatal care by, for example, reducing the need for induction of labour at. Maternity unit or community unit with ultrasound facilities 25 weeks nulliparous women measure fundal height, bp and urine. Between 24 and 28 weeks, youll be given a glucose screening test to check for gestational diabetes, and possibly another blood test to check for anemia. In recognition of the potential of care during the antenatal period to improve a range of. Definitions standard antenatal check refer to standard antenatal check guideline. Your first appointment with the midwife, commonly called your booking appointment, will happen between your eighth and twelfth week. Hi all got my 16 week antenatal appt tomorrow ill be just over 18 weeks and wanted to know what generally happens. National institute for health and clinical excellence. Providing focused antenatal care study session providing focused antenatal care introduction. The information on managing pregnant women at each antenatal appointment is largely based on expert opinion in the national institute of health and care excellence nice guideline antenatal care for uncomplicated pregnancies national collaborating centre for womens and childrens health, 2010a. If youre rhnegative but your babys father isnt or you dont know for sure, an extra tube of blood will be drawn for an antibody screen, which checks to see whether your body is producing. Your third prenatal appointment occurs between the 14 th and 16 th week of pregnancy.

Your midwife or doctor should give you information about the ultrasound scan you will be offered at 18 to 20 weeks and help with any. Protocols for antenatal shared care with cairns base hospital. Encourage and provide influenza vaccination, regardless of the stage of pregnancy, during influenza season. This article discusses what to expect during antenatal appointments, with a focus on the 28 week appointment. Global recommendations for routine antenatal care january 2018. Issues with your babys growth also tend to appear later in pregnancy, so your practitioner will also want to measure your weight, belly size and other growth. Additionally, it provides guidance on baseline clinical care for. Booking appointment ideally by 10 weeks at this appointment. The second trimester begins at week 14 of your pregnancy.

Routine antenatal care 612 weeks 20th sep 2018 gentleparentingsite if you are booked for nhs midwifery care i. This will be my second appointment so far, my last one i had an ultrasound and i was 12 weeks. Every week the frequency of prenatal appointments increases in the third trimester because pregnancy complications like preeclampsia are more likely to crop up then. Darwin gp antenatal shared care program visit schedule v 3. Around now you will hopefully begin to have more energy and less morning sickness. Summary of acog guidelines for perinatal care gestational age. Antenatal appointments schedule and content 2008 the schedule below, which has been determined by the purpose of each appointment, presents the recommended number of antenatal care appointments for women who are healthy and whose pregnancies remain uncomplicated in the antenatal period.

Routine antenatal care that will assist in the early identification and subsequent management of obstetrical risks are outlined in by trimester in the following table. An assessment of maternal physical and emotional wellbeing is a key activity undertaken at the 28 week appointment. Routine antenatal care for healthy pregnant women nice. Your midwife may also let you hear your babys heart beating during your antenatal appointments. In part 1 of the antenatal care module, you have learned mainly about how the human reproductive system is structured anatomically and how it functions, the normal process and adaptation of pregnancy, the general assessment of the progress of pregnancy, and how to. Routine antenatal care 12 to 25 weeks 20th sep 2018 gentleparentingsite if you are booked for nhs midwifery care i. Youll have a number of antenatal appointments during your pregnancy, and youll see a midwife or sometimes an obstetrician doctor specialising in pregnancy. Routine antenatal care 612 weeks the gentle parenting site.

Malaria in pregnancy frequently asked questions faq 1 march 2018. Theyll check the health of you and your baby, give you useful information for example, about a healthy pregnancy diet or antenatal screening and answer any questions. Use this guideline for making your appointments and understanding tests that may be offered through your pregnancy if giving birth in australia or new zealand. My 16 week appointment was cancelled and i now have it at 19 weeks. Obtain routine bloods after discussion and informed consent fbc, blood group. It may also be part of the screening for fetal anomalies when the nuchal translucency is measured. Some of the tests and measurements have to be done at specific times, and your midwife will give you information as your pregnancy progresses. Purpose this guideline outlines the antenatal care schedule for low risk pregnant women receiving antenatal care at the womens.

Who recommendations on antenatal care for a positive. What to expect at an antenatal appointment 28 week. Prenatal care guideline prenatal care michigan medicine. Within the continuum of reproductive health care, antenatal care anc provides a platform for important healthcare functions, including health promotion, screening and diagnosis, and disease prevention. Your antenatal appointments your pregnancy and baby guide secondary navigation. Assess barriers to care transportation, child care issues, work schedule. Attach antenatal summary from gp into medical record. Having regular antenatal appointments is really important in pregnancy. Antenatal care schedule king edward memorial hospital. The pregnancy book, including the mothers and fathers, medical and health professionals. Should not be given in first trimester, but if first visit occurs after 16 weeks, it can be given at. Administer antid if rhesus negative see page 32 gp 36 weeks onwards. Introduction in 2016, the world health organization who published recommendations on antenatal care for a positive pregnancy experience who 2016, which outlines a new set of evidencebased global guidelines on recommended content and scheduling for antenatal. Prior to the booking appointment, the woman will be provided access to a pregnancy information pack, which may be in an electronic format new 2020, containing the national institute for health and care excellence nice routine antenatal care for healthy pregnant women guidance, screening tests for you and your baby.

Encourage maternity program enrollment and prenatal classes. The tests are recommended to protect your health through early treatment and care, and reduce any risk of passing on an infection to your baby, partner or other family members. Antenatal appointments are important in monitoring the health of pregnant women and their unborn babies. Antenatal booking, antenatal care and information clinical. If she doesnt listen as a matter of routine, you can always ask. Antenatal care during pregnancy once you are pregnant, your first antenatal appointment or booking visit will ideally take place when you are about 6 to 8 weeks pregnant. This guideline presents a chronological sequence of prenatal care that is based on scientific evidence, recommendations of the us public. Despite that antenatal care is the largest preventive care program.

Routine antenatal care is essential to detecting common. The definition used internationally is the loss of a baby born before 22 weeks gestation or weighing less than 500g. Discuss antenatal screening and testing options, including down syndrome screening. Guidance for antenatal and postnatal services in the. This document should not be construed as dictating an exclusive course of treatment or procedure to be followed. Optimal timing is between 27 and 36 weeks gestation to maximize maternal antibody response and passive antibody transfer levels in the newborn. This quality standard covers the antenatal care of all pregnant women up to 42weeks of pregnancy, in all settings that provide routine antenatal care, including primary, community and hospitalbased care. From 16 weeks, youll be offered the whooping cough vaccine. Do you think they will be able to determin the gender.

To ensure the health of you and your baby, you need to schedule regular visits to your midwife or doctor during your pregnancy. Its difficult to detect a babys heartbeat in the first trimester, so shell probably listen for the first time at your 16week appointment. Virtual appointment or omit as necessary 2 1820 weeks all women routine anomaly scan check bp and urine at this visit instead of 16 week appointment. This is usually offered at an appointment with a midwife when you are around 8 to 12 weeks pregnant. Who recommendations on antenatal care for a positive pregnancy experience. Antenatal principles of antenatal care 2017 obstetrics. Outline goals of antenatal care overview symptoms, signs and diagnosis of pregnancy. An early ultrasound scan should be offered at 1114 weeks, to determine gestational age and detect multiple pregnancies. Antenatal appointment schedule for normal healthy women.

My husband is in the police and is going to try and finish his shift early to make it but its not that easy for him. If rh d negative, recommend and administer 625 iu r d immunoglobulin im. The quality standard addresses routine antenatal care, including screening tests for. What to expect at a 16 week appointment march 2010. Part of pregnancy for dummies cheat sheet australianew zealand edition. Studies have shown that some prenatal care is better than no prenatal care, and that a visit during the first tri mester is especially important. My midwife said the 16 week appointment includes tests on the pregnant mothers heart and lungs, weight checked, blood pressure, urine checks. Confirm understanding of signs of labour and indications for admission to hospital. This will be a lengthy and detailed look at a range of issues, from nutrition to antenatal education, maternity benefits to. It also includes coverage of screening tests and care during the preconception period. Antenatal shared care, guidelines for general practitioners. What happens at 16 week antenatal appointment mumsnet. Antenatal care schedule routine low risk uncontrolled document when printed published. The fts includes blood collection at 9 weeks gestation ideally 912 weeks for biochemical analysis combined with ultrasound measurement of fetal nuchal.