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7 Cards in this Set
- Front
- Back
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What are the components of preconception care? |
- Reproductive planning - Contraception to prevent unplanned pregnancies - Smoking cessation - Consider abstinence from alcohol - if planning - Folic acid - Iodine supplementation - Nutrition and weight assessment - Review immunisation status, medications, oral health, chronic medical conditions especially glucose control in DM |
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What is the period of time following live attenuated vaccination that a woman should wait to get pregnant? |
28 days |
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Recommended preconception vaccines? |
MMR - check serology Varicella - without a clear history of disease or who are non-immune Influenza dTpa - to protect the newborn from pertussis |
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Relevance of low MVC on FBC? |
Screening for thalassaemia if low - check iron stores as cause otherwise consider investigations for specific haemaglobinopathies with haemoglobin electrophoresis Also require investigation of partner |
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Standard screening at first antenatal visit>? |
FBC - anaemia, thrombocytopaenia, low MCV Blood group and antibody screen Rubella ab titre Syphillis serology MSU Chlamydia HIV Hep B+C serology Varicella - if no definite history of chicken pox Cervical screening if it would be due during pregnancy Consider discussing Down Syndrome screening |
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General advise that should be addressed at the first antenatal appointment ? |
1. Potential teratogens - medications, alcohol, xrays 2. Lifestyle advise - dietary, smoking, recreational drug use, optimal wt gain, exercise, work and travel 3. Influenza and pertussis vaccination recommendations 4. Supplementation - ie folate 5. Model of care, expected frequency of visits, place of booking, expected costs 6. Education options |
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Recommended supplementation guidelines for pregnancy as per RANZCOG? |
1. Health balanced diet 2. Folate at least 0.4mg daily; 5mg if high risk 3. B12 for vegetarians 4. Vit D if deplete < 50 5. Vit K late in pregnancy if proven cholestasis 6. Iron - if deplete 7. Calcium if no dairy intake - aim 1000mg /day 8. Consider iodine supplementation 150mcg 9. Omega 3 fatty acids if no seafood |
