Antenatal Notes (PDF)

Antenatal Babyshouldmove 6timesin 2 Termpregnancy 40weeks hours preterm 37weeks Deliverydate 9months 7daysfromlastperiod firstday Biophysicalprofile...

Antenatal Babyshouldmove 6timesin 2 Termpregnancy 40weeks hours preterm 37weeks Deliverydate 9months 7daysfromlastperiod firstday Biophysicalprofile 2psfetalbreathing Gravida ofpregnancies aptsfetalmovement Para oflivebirths aptsfetaltone Abortion ofabortionormiscarriage aptsAFV CNS is functional Ultrasound Dating Leopold'sManeuver Placement ofplacenta Identify Abnormalities 1 offetuses 2 Fetal lie fetalattitude PPROM pretermprematureruptureofmembranes 3 degreeofdecentofpresentingpart prom ofmembranes prematurerupture intopelvis ARM artificialruptureofmembranes 4 expectedlocationofthepointof maximalintensity PMI Amnioticfluid clear Fetalmonitoring green fetaldistress Momposition yellowinfection timeimportant longer Ariskforinfection towelunderhip rthip FetalHR Ferning Sterilespec obtainfluidmicroscope amnionic fluid belowmomsumbilicuslowergradrantsright Bloodshow earlylabour pain ftp.fftevine contractions Pain locationintensity falselabour braxtonhicks 20mins cantake80wins Effacement lowthickcervicis Accelerations good bitatation 150pm 32weeks 10hpm 32weeks Urinalysis Infection ketonesproteinlukes Decelerations notgood notalways bad Vasovagalresponsefromfetalhead Intermittantauscultation compressionduringcontraction Babyheartbeatwidoppleronlyfor lowrisk variabledeceleration GBSgroupBstrep effectsbabynotmom 3537weeks 30sec FHR156pm BenG5000000units2500000everyhour reposition ClindomysinQ8H975mg  latedeceleration Prolapsecord cause maturnalhypotension cordcomingbeforebaby supine Intervention position knees changehands chestposition Variabledecel cordcompression E Earlydecel A Acceleration Stages oflabour LLatedecel Stage1 Dilation effacement to10cm0100 Stage2 pushingbirth Variabledecel in sin stage3 Deliveryofplacenta repositionmom stage4First2hoursfollowingbirth McRoberts legsto abdomen Todislodge Potentialcomplications supra pubicpressure toturnbaby shoulder Inonsevere 14090orgreater severe 160110orgreater Placentalabruption wall placentadetachesfrom chronic presentbefore20weeksgestation Uterinerupture prolapsedcord Gestational presents 20weeksaftergestation cordcomingoutbeforebaby preclampsia eclampsia includesseizures KBtest determines ifbloodexchangehas occurred pygmy HELLPsyndrome severepreclampsiat hemolysis elevatedliverenzymes lowplatelets If momtype0 babytypeAtB riskforABOincompatibilityseenasjaundice Prematurelabour Fetalfibronectin gluefoundinplasma meansmight intopreterm labour go NifedipineIAdalat stopscontractions Betamethasone lungdevelopment lessthan20weeks miscarrage morethan20weeksastillbirth 2h glucosedone afterbirthifnotsymptomatic ifatrisk notatallifnotsymptomaticoratrisk