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By Helen Baston; Jennifer Hall

ISBN-10: 0443103542

ISBN-13: 9780443103544

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For example, women who have had a previous low birthweight baby should be closely monitored and offered serial ultrasound scans to identify potential sub-optimum growth in the pregnancy. Being aware of previous events such as emergency caesarean birth, premature labour, antepartum or postpartum haemorrhage, previous small or large baby, preeclampsia and gestational diabetes will enable the midwife to plan appropriate and individualized antenatal care. 1 outlines the significance of each aspect of the woman’s health history in terms of her pregnancy and birth.

Think about what obstetric complications might result in a woman being advised to give birth in hospital. Discuss antenatal screening The booking interview is often the time when women are given information about the options available to them regarding antenatal screening for fetal abnormality. They may have already heard about some of the tests, through relatives or friends. However, women need to make choices that are right for them as individuals and may require support and guidance about the risks and benefits of the test on offer.

Folic acid and iron It is recommended that women have a diet rich in folic acid and take folic acid supplementation prior to conception and up to the 12th week of pregnancy, to reduce the risk of having a baby with a neural tube defect (Wald et al 1991). The recommended dose is 400 μg daily (NICE 2008). Folic acid is also important for the formation of red blood cells and folic acid rich foods include sprouts, asparagus, peas and Health in pregnancy broccoli, oranges and bananas (Food Standards Agency 2008a).

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Antenatal by Helen Baston; Jennifer Hall

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