| 31 weeks |
| Nulliparous women should have an appointment scheduled at 31 weeks to: |
| • |
measure BP and test urine for proteinuria |
| • |
measure and plot symphysis–fundal height |
| • |
give information, with an opportunity to discuss issues and ask questions; offer verbal
information supported by antenatal classes and written information |
| • |
review, discuss and record the results of screening tests undertaken at 28 weeks; reassess
planned pattern of care for the pregnancy and identify women who need additional care |
|
|
| 34 weeks |
| At 34 weeks, all pregnant women should be seen in order to: |
| • |
Offer a second dose of anti-D to rhesus-negative women |
| • |
Measure BP and test urine for proteinuria |
| • |
Measure and plot symphysis–fundal height |
| • |
Give information, with an opportunity to discuss issues and ask questions; offer verbal
information supported by antenatal classes and written information |
| • |
Review, discuss and record the results of screening tests undertaken at 28 weeks; reassess
planned pattern of care for the pregnancy and identify women who need additional care |
|
|
| 36 weeks |
| At 36 weeks, all pregnant women should be seen again to: |
| • |
Measure BP and test urine for proteinuria |
| • |
Measure and plot symphysis–fundal height |
| • |
Check position of baby |
| • |
For women whose babies are in the breech presentation, offer external cephalic version (ECV) |
| • |
Review ultrasound scan report if placenta extended over the internal cervical os at previous scan |
| • |
Give information, with an opportunity to discuss issues and ask questions; offer verbal
information supported by antenatal classes and written information. |
|
|
| 38 weeks |
| Another appointment at 38 weeks will allow for: |
| • |
Measurement BP and urine testing for proteinuria |
| • |
Measurement and plotting of symphysis–fundal height |
| • |
Information giving, with an opportunity to discuss issues and ask questions; verbal
information supported by antenatal classes and written information. |
|
|
| 40 weeks |
| For nulliparous women, an appointment at 40 weeks should be scheduled to: |
| • |
Measure BP and test urine for proteinuria |
| • |
Measure and plot symphysis–fundal height |
| • |
Give information, with an opportunity to discuss issues and ask questions; |
|
|
| 41 weeks |
| For women who have not given birth by 41 weeks: |
| • |
A membrane sweep should be offered |
| • |
Induction of labour should be offered |
| • |
BP should be measured and urine tested for proteinuria |
| • |
Information should be given, with an opportunity to discuss issues and ask questions; verbal
information supported by written information. |
|
|
| General |
Throughout the entire antenatal period, healthcare providers should remain alert to signs or
symptoms of conditions which affect the health of the mother and fetus, such as domestic violence,
pre-eclampsia and diabetes. |
|
