General information on diet, alcohol, smoking, folic acid, vitamin D, antenatal classes, BP, urine dipstick, BMI check, and booking bloods/urine tests
Booking Visit Blood Tests
FBC
Blood group
Rhesus status
Red cell alloantibodies
Haemoglobinopathies
Hepatitis B
Syphilis
HIV test
Urine culture for asymptomatic bacteriuria
Early Scan (10-13+6 Weeks)
To confirm dates and exclude multiple pregnancy
Down's Syndrome Screening (11-13+6 Weeks)
Down's syndrome screening, including a nuchal scan
16-Week Visit
Information on the anomaly and blood results, routine care (BP and urine dipstick), and if Hb < 11 g/dl, consider iron
Anomaly Scan (18-20+6 Weeks)
Anomaly scan to check for fetal abnormalities
25-Week Visit (Only if Primip)
BP, urine dipstick, and symphysis-fundal height (SFH) measurement
28-Week Visit
Routinecare (BP, urine dipstick, SFH), second screen for anemia and atypical redcell alloantibodies, and first dose of anti-D prophylaxis for rhesus negative women
31-Week Visit (Only if Primip)
Same routine care as the 28-week visit (BP, urine dipstick, SFH)
34-Week Visit
Routinecare (BP, urine dipstick, SFH), second dose of anti-D prophylaxis for rhesus negative women, and information on labour and birth plan
36-Week Visit
Routinecare (BP, urine dipstick, SFH), check fetal presentation, offer external cephalic version if indicated, and provide information on breastfeeding, vitamin K, and 'baby-blues'
38-Week Visit
Routinecare (BP, urine dipstick, SFH)
40-Week Visit (Only if Primip)
Routinecare (BP, urine dipstick, SFH) and discussion about options for prolonged pregnancy
41-Week Visit
Routine care (BP, urine dipstick, SFH) and discussion about labour plans and the possibility of induction