By Helen Baston; Jennifer Hall
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Extra info for Antenatal
See Chapter 8 for information about the screening tests available. Activity Find out what screening tests are offered for women who book at the Trust where you work. Find out if they are offered to all women or to women in particular categories. The booking history Risk assessment Taking a booking history is an opportunity to undertake a risk assessment of the pregnancy, as recommended by recent conﬁdential enquiries into maternal death (Lewis 2004; Lewis 2007). In the latest report it was highlighted that there were some cases where midwifery-led care had been provided to women who were known to be high-risk.
A systematic review (Kramer 2000) found that dietary supplementation with both calories and protein resulted in both maternal weight gain and increased birthweight with a subsequent decrease in small for gestational age infants and lower perinatal mortality. The same review concluded that restricting the energy or protein intake of obese women may be harmful. Obesity in pregnancy is associated with increased obstetric risk, including gestational diabetes, hypertension, operative intervention, anaesthetic complications, prolonged labour and shoulder dystocia (Frohlich 2002).
IMS Report Series 242, Brighton, 1993, Institute of Manpower Studies. 19 Chapter 3 The booking history Trigger scenario Joanna is in the ﬁrst trimester of her ﬁrst pregnancy. She has seen her general practitioner (GP) who gave her some general advice about what she should and should not be eating. Aware of her previous medical history, the GP told Joanna to go to the reception desk and to make an appointment for the community midwife to visit her at home to undertake the ‘booking’. A week later she received a package of information and a letter from the midwife conﬁrming the appointment time and asking Joanna to produce an early morning specimen of urine (EMSU) on the day of the visit.