Antenatal Shared Care Screening Tool

Current medications

Steroids Antipsychotics Anticonvulsants

Obstetric and family history

Previous gestational diabetes Previous baby over 4500 g Previous pre-eclampsia Previous unexplained perinatal loss Previous or familial neural tube defect More than 10 years since last pregnancy Strong family history of diabetes Mother or sister with pre-eclampsia

Blood group, immunisation, and infection history

Maternal Rh status Fetal Rh status Antibody status

Influenza vaccination documented/current COVID vaccination documented/current Pertussis given this pregnancy RSV given this pregnancy Rubella immunity or vaccination documented Varicella history or vaccination documented TORCH exposure or infection concern

Existing test result flags

HbA1c % Fasting glucose mmol/L 1-hour OGTT mmol/L 2-hour OGTT mmol/L Vitamin D nmol/L Transabdominal cervical length mm Transvaginal cervical length mm

TSH below laboratory reference range Free T4/T3 elevated Iron deficiency identified Asymptomatic bacteriuria detected

Antenatal Shared Care Screening Tool

Source reference

Screening inputs

Generated checklist

Selected risk factors and entered values

Combined timeline

Bloods and pathology

Imaging

Supplements and medications

Immunisations

Appointments and shared-care timeline

Risk, referral, and complication flags