Counselling on...
- smoking - reduced birth wt, increase risk of miscarriage, SIDS
- medication - teratogenic effects
- alcohol xs - fetal damage
- congenital rubella - immunisation b4 pregnancy
- exposure to toxoplasmosis - avoid undercooked meat, wear gloves when handling cat litter
- listeria infection - from unpasteurised dairy products
- liver - best avoided; high[ vitamin A]
- pre-pregnancy folic acid supplements - reduce risk of NTD
Risk of fetal abnormality increases with...
- mother > 35, Down's Sx > 1 in 380
- previous abnormal child
- family history of inherited disorder
- parents = cariers of autosomal recessive disorder e.g. thalassaemia
- parents carry chromosomal rearrangement
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