Maternal Assessment

What must we take with us if we are conveying a pregnant patient to hospital?

• Maternity notes

What must we ask as part of our history for maternal assessment?

• Obstetric led (high risk) or maternity led (low risk)?

• Term?

• Multiple pregnancies?

• Scans?

• Any waters broken?

• Abnormal Foetal movements?

• Any bleeding?

• G? P?

• Previous complications?

• How delivered if Hx P?

• At what term delivered if Hx P?

• Mother’s PmHx?

• Mother’s Social Hx (smoking, drinking, safeguarding)?

• Gestational diabetes?

At what ages should we consider pregnancy?

• 10-55

What could yellow discolouration of the skin and eyes in a newborn indicate and what is our management?

• Could indicate jaundice

• If less than 24hours old = time critical

What are the most common congenital abnormalities?

• Heart defects

• Neural tube defects (cleft palate, spina bifida)

• Down syndrome