A patient’s medical and family history will set the framework of the pregnancy by identifying areas of special interest and potential concerns.
History, examination and investigations will establish what problems if any exist. All patients should have all the relevant screening tests, which will identify previously unrecognised problems.
Appropriately targeted further tests to diagnose, investigate and monitor mothers and baby’s well-being are the essence of high quality care.
Most pregnancies are normal and a sequence of routine antenatal tests are performed on all pregnant women.
Routine tests include a recommended series of blood tests, which are performed at the initial visit and again at 28 and 36 weeks gestation.
Ultrasound scans are performed initially to establish dates and fetal viability.
Subsequent scans are performed to exclude chromosome abnormalities. Further scans are performed to confirm normal fetal anatomy and ultimately fetal growth and placental function.
Routine antenatal visits
A comprehensive medical history will be taken at the first antenatal visit and areas of concern will be recorded.
Routine antenatal tests will be requested and any special interest areas will be documented and investigated further.
The frequency of visits will be outlined and a pregnancy care plan will be established.
Complex pregnancies will be reviewed and monitored more closely. Any unexpected developments in previously normal pregnancies will be recorded and monitored.
Vitamins in pregnancy
Pregnancy places extra demands on the vitamin and mineral stores and supplements will be required in all pregnant women.