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Unformatted text preview: ere clinical management
is likely to be influenced.
C Breast examination
Routine breast examination
during antenatal care
is not recommended
for the promotion of
postnatal A Pelvic examination
Pelvic examination Routine antenatal pelvic
Routine examination does not accurately
assess gestational age, nor does it
accurately predict preterm birth
or cephalopelvic disproportion. So, it is not recommended.
B Screening for Screening for hematological conditions Anemia
Anemia Pregnant women should be offered
Pregnant screening for anaemia. Screening should take place early
in pregnancy (at the first
appointment) and at 28 weeks.
appointment) This allows enough time for
treatment if anaemia is detected. B
Hemoglobin levels outside the
normal range for pregnancy
(that is, 11 g/dl at first contact and
10.5 g/dl at 28 weeks)
should be investigated and
iron supplementation considered
A Blood grouping and Blood grouping and red cell alloantibodies Women should be offered
testing for blood group
and RhD status in early
B Blood grouping and red cell alloantibodies If a pregnant woman is RhDIf
negative, offer partner testing
to determine whether the
administration of anti-D
prophylaxis is necessary.
prophylaxis B Blood grouping and red cell alloantibodies It is recommended that It is recommended that routine antenatal antiD prophylaxis is offered to all nonsensitized NICE 2002
pregnant women who are Blood grouping and red cell alloantibodies
Women should be screened for
atypical red cell alloantibodies
in early pregnancy and again
at 28 weeks regardless of their
RhD Blood grouping and red cell alloantibodies
Pregnant women with clinically
significant atypical red cell
alloantibodies should be offered
referral to a spet centre for
further investigation and advice on
subsequent antenatal management.
GPP Screening for Screening for fetal anomalies Screening for Screening for structural anomalies
Pregnant women should be offered an
to screen for structural anomalies,
ideally between 18 and 20 weeks’
gestation, by an appropriat...
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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.
- Fall '11