SIGNS & SYMPTOMS & INVESTIGATIONS & DIAGNOSIS

SIGNS & SYMPTOMS

Preeclampsia:

Hand/feet/face swelling

Hypertension

Shortness of breath

Vomiting

Visual changes

• Headaches

INVESTIGATIONS & DIAGNOSIS

Routine antenatal appointments:

• First pregnancy: 10 appointments
• Subsequent pregnancies: 7 appointments

Scans:

• Dating scan: 11+2 to 14+1 weeks
• Fetal anomaly scan: 18-20+6 weeks

Initial appointment:

• BP
• Urinalysis for protein
• FBC
• BMI
• Blood group
• Rhesus status

Screening:

• Infections: chlamydia, HIV, hepatitis B
• Haemoglobinopathies: sickle cell, thalassemia Fetal anomaly: Down’s, Edwards, Patau syndromes

25 weeks onwards:

• Symphysis-fundal height measurement at each appointment
• Plot on the growth chart
• Ultrasound if small for gestational age

36 weeks:

• Fetal position assessment
• Ultrasound for breech presentation