This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

GEM - antenatal care part one including reference to NICE guidance

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Scenario A.

A 35 year old lady who is planning to try and conceive visits you at your GP surgery. This is her third pregnancy. She has had a previous miscarriage at 10/52 four years previously and a three year old daughter who was born at 41/40 via normal vaginal delivery. Her blood pressure is 120/80 mmHg. She is a smoker and drinks 10 units of alcohol per week.

With respect to smoking and pregnancy:

Alcohol in pregnancy:

  • what are the concerns regarding alcohol consumption and pregnancy? Is there a "safe" daily alcohol consumption?

Risk of Down's syndrome with maternal age:

This lady has been diagnosd with epilepsy for the last two years and is currently on sodium valproate 400mg bd.

Scenario B

The same lady came to see you at the GP surgery 4/12 lady later with the news that she had a pregnancy test which was positive. Her last menstrual period commenced 6 weeks ago.

With respect to diet in pregnancy:

  • what dietary advice should be given?
  • what infection in pregnancy is associated with eating mould-ripened cheeses such as Camembert ?
  • this lady asked for particular advice regarding iron supplementation. What advice should you give her?

With respect to routine ultrasound scans:

  • should she get one or two ultrasound scans and when should the scan(s) occur?
  • with respect to Down's screening, what is the nuchal translusency?
  • is the double test a recommended test for Down's screening
  • what level of risk from screening tests indicates the need for an amniocentesis?

Some Common conditions during pregnancy:

  • hyperemesis gravidarum
    • when is the characteristic onset of this condition?
    • what other conditions may be associated, other than a normal pregnancy, may be associated with hyperemesis during early pregnancy?
    • with respect to the standard management of hyperemesis gravidarum
      • what non-pharmacological interventions may be recommended?
      • what does NICE recommend as the first-line pharmacological intervention?
  • asymptomatic bacteriuria in pregnancy
    • what risks to the mother and unborn baby are associated with this condition?
    • what should the management be?

Reference:

  1. Royal College of General Practitioners. Curriculum Statement 10.1 Womens health.

Related pages

Create an account to add page annotations

Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page