Anc guidelines

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Unformatted text preview: Antenatal Antenatal care Clinical Guideline Dr .Ashraf Fouda Damietta General Hospital E. mail : [email protected] Routine care for the healthy pregnant woman The following guidance is evidence based. Developed by the National Collaborating Centre for Women’s and Children’s Health Developed at October 2003, valid till 2007 The grading scheme used for the recommendations (A, B, C, D, good practice point [GPP] or NICE 2002) Gestational age assessment: Gestational age assessment: LMP and ultrasound Pregnant women should be Pregnant offered an early ultrasound scan to determine gestational age and to detect multiple pregnancies. A Early ultrasound scan Early 1. Ensure consistency of gestational Ensure age assessments, 2. Improve the performance of mid2. trimester serum screening for trimester Down’s syndrome and 3. Reduce the need for induction of 3. Reduce A labour after 41 weeks. labour Gestational age assessment: Gestational age assessment: LMP and ultrasound Ideally, scans should be performed between 10 and 13 weeks and crown–rump length crown–rump GPP measurement used to determine gestational age. Gestational age assessment: LMP and ultrasound Pregnant women who present at or beyond 14 weeks’ gestation at gestation should be offered an ultrasound scan to estimate gestational age using head circumference or bi-parietal diameter. GPP bi-parietal Working during pregnancy The majority of women can be The reassured that it is safe to continue is D working during pregnancy. A woman’s occupation during woman’s pregnancy should be ascertained to identify those at increased risk through occupational exposure. GPP through Nutritional supplements Nutritional Folic acid Dietary supplementation with folic Dietary acid, before conception and up to 12 weeks’ gestation, reduces the 12 reduces risk of having a baby with neural tube defects (anencephaly& spina bifida). The recommended dose is The 400 micrograms per day. 400 A Iron Iron supplementation should not Iron be offered routinely to...
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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