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Table Of Contents

1 Introduction
1.0 Introduction
1.1 Aim of the guideline
1.2 Areas outside the remit of the guideline
1.3 For whom is the guideline intended?
1.4 Who has developed the guideline?
1.5 Who has developed the guideline update?
1.6 Guideline methodology
2 Summary of recommendations and care pathway
2.1 Key priorities for implementation (key recommendations)
2.2 Summary of recommendations
2.3 Key priorities for research
2.4 Additional research recommendations
2.5 Care pathway
3 Woman-centred care and informed decision making
3.1 Introduction
3.2 Provision of information
3.3 Antenatal classes
4 Provision and organisation of care
4.1 Who provides care?
4.2 Continuity of care
4.3 Where should antenatal appointments take place?
4.4 Documentation of care
4.5 Frequency of antenatal appointments
4.6 Gestational age assessment
4.7 What should happen at antenatal appointments?
5 Lifestyle considerations
5.1 Physiological, psychosocial and emotional changes in pregnancy
5.2 Maternity health benefts
5.3 Working during pregnancy
5.4 Dietary information and education
5.6 Food-acquired infections
5.7 Prescribed medicines
5.8 Over-the-counter medicines
5.9 Complementary therapies
5.10 Exercise in pregnancy
5.11 Sexual intercourse in pregnancy
5.12 Alcohol and smoking in pregnancy
5.13 Cannabis use in pregnancy
5.14 Air travel during pregnancy
5.15 Car travel during pregnancy
5.16 Travelling abroad during pregnancy
6 Management of common symptoms of pregnancy
6.1 Nausea and vomiting in early pregnancy
6.2 Heartburn
6.3 Constipation
6.4 Haemorrhoids
6.5 Varicose veins
6.6 Vaginal discharge
6.7 Backache
6.8 Symphysis pubis dysfunction
6.9 Carpal tunnel syndrome
7 Clinical examination of pregnant women
7.1 Measurement of weight and body mass index
7.2 Breast examination
7.3 Pelvic examination
7.4 Female genital mutilation
7.5 Domestic violence
7.6 Psychiatric screening
8 Screening for haematological problems
8.1 Anaemia
8.2 Blood grouping and red cell alloantibodies
8.3 Screening for haemoglobinopathies (sickle cell disease and thalassaemia)
9 Screening for fetal anomalies
9.1 Screening for structural anomalies
9.2 Screening for Down’s syndrome
10.1 Asymptomatic bacteriuria
10.2 Asymptomatic bacterial vaginosis
10.3 Chlamydia trachomatis
10.4 Cytomegalovirus
10.5 Hepatitis B virus
10.6 Hepatitis C virus
10.7 HIV
10.8 Rubella
10.9 Streptococcus group B
10.10 Syphilis
10.11 Toxoplasmosis
11.1 Gestational diabetes
11.4 Placenta praevia
12 Fetal growth and wellbeing
12.1 Introduction and background
12.2 Diagnostic value for predicting SGA babies
12.3 Diagnostic value for predicting LGA babies
12.4 Effectiveness studies
12.5 Health economics evidence
12.6 Fetal wellbeing
13 Management of specifc clinical conditions
13.1 Pregnancy after 41 weeks
13.2 Pregnancy after 42 weeks
13.3 Breech presentation at term
14 Antenatal assessment tool
14.1 Introduction and background
14.2 Systematic review of the evidence
14.3 Developing an antenatal assessment tool
Economic model: asymptomatic bacteriuria screening programme
Economic model: streptococcus group B screening programme
Economic model: syphilis screening programme
Economic model: screening for congenital cardiac malformations
Economic model: screening and treatment of gestational diabetes
Training and equipment standards for ultrasound screening in pregnancy
Deleted material from the 2003 version
2.1 Summary of recommendations
3.1 Provision of information
3.2 Antenatal education
4.6 Gestational age assessment: LMP and ultrasound
5.5 Nutritional supplements
8.2 Screening for sickle cell disorders and thalassaemia
9 Screening for fetal anomalies
11.1 Gestational diabetes mellitus
11.2 Pre-eclampsia
11.3 Preterm birth
12.2 Measurement of symphysis–fundal distance
12.7 Umbilical and uterine artery Doppler ultrasound
15 Auditable standards
Appendix 1
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Antenatal Care1

Antenatal Care1

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Published by: Abanoub Philopater Rushdy on Apr 21, 2011
Copyright:Attribution Non-commercial


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